Inspection on 21/10/08 for Roclyns Rest Home

This inspection was carried out on 21st October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roclyns Rest Home 23/11/06

Roclyns Rest Home 06/12/05

Roclyns Rest Home 24/06/05

Roclyns Rest Home 08/02/05

Roclyns Rest Home 16/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Roclyns Rest Home 344 South Coast Road Telscombe Cliffs East Sussex BN10 7EW     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: Elizabeth Dudley     Date: 2 1 1 0 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 32 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 32 Information about the care home Name of care home: Address: Roclyns Rest Home 344 South Coast Road Telscombe Cliffs East Sussex BN10 7EW 01273583923 F/P01273583923 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Bibi Hapsa Mosafeer Type of registration: Number of places registered: Mr Samood Mosafeer,Mrs Bibi Hapsa Mosafeer care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Only older people who have been assessed as requiring residential care can be accommodated. That a maximum number of nineteen (19) service users are to be accommodated. That service users must be aged 65 (sixty-five) years and over on admission. Date of last inspection Brief description of the care home Roclyns is situated on the coast road at Telscombe Cliffs. The home is within close walking distance of local shops and is on a regular bus route. The accommodation for residents is situated on the ground and first floor of the home, with communal space being provided by a large and comfortable lounge area and a homely dining room with a smaller lounge attached. To the rear of the home residents have the opportunity to enjoy a large and well-maintained patio and garden. There is a lift available for those who do not wish to use the stairs to the first floor. Accommodation comprises of Care Homes for Older People Page 4 of 32 Over 65 19 0 Brief description of the care home thirteen single rooms and three double rooms. Four of the single rooms and one double room have en suites facilities. . Care Homes for Older People Page 5 of 32 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: This unannounced inspection took place on the 21st October 2008 over a period of seven hours. It was facilitated by members of the senior care staff on duty, as the inspection coincided with the manager being on annual leave. Methods used to gather information about the home and inform the judgements included examination of documentation in the home, observation of staff working with residents, the serving of lunches and conversations with residents and staff. All residents were seen and spoken with during the inspection. Residents spoken with made very positive comments about the home and the staff; Its a real home.We are very well looked after. The meals are pretty good, although Care Homes for Older People Page 6 of 32 I dont always know what we are having. The staff are very friendly and polite. The inspector sat in on an activities session where a game of soft darts was taking place. The enjoyment, enthusiasm and competitiveness of the residents was very apparent in this activity. Prior to the inspection the CSCI sent out surveys to residents and to staff. Of these, six were returned from residents and five from staff. The responses were generally positive, but some staff said that they wished that there were more staff in the afternoons to take residents on more outings and do more activities. The Annual Quality Assurance Assessment (AQAA) required by regulation, which gives an overview of what has been achieved in the home and issues to be addressed, was received by the CSCI prior to the inspection. This correctly reflected the current status of the home and was used as part of the inspection process. The fees charged range from three hundred and fifty pounds per week, with extra services such as chiropody and hairdressing being charged separately. The last key inspection for this service took place on the 23rd January 2007. What the care home does well: What has improved since the last inspection? What they could do better: Whilst the home provides good outcomes for residents, there are some issues which need improvement, both for the purposes of meeting regulation and for improving outcomes for residents in some areas. The Statement of Purpose and Service User Guide were not available at this inspection although the AQAA states that they have been reviewed. These documents should be available to residents, staff and visitors to the home at all times. In some cases the preadmission assessment was not fully completed and therefore information not available which would inform the compilation of the care plans. Care plans require more detailed instructions for staff and care plans should be formed in consultation with the resident. The home requires a controlled drugs cupboard which conforms to the required specifications. Staff supervision should be undertaken at intervals directed by the National Minimum Standards. The quality monitoring process should be expanded to ensure that the views of stakeholders such as health and social care professionals are sought. The home needs to contact the Health Protection Agency regarding various aspects of infection control which are detailed in the main body of the report. Care Homes for Older People Page 8 of 32 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 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 32 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 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although prospective residents who are able can visit the home there was no evidence to suggest that the home has any documentation to inform residents about the home. Not all preadmission assessments contain sufficient information to inform either the staff about the needs of the resident or to inform the care planning process. Evidence: The Statement of Purpose and Service User Guide were not available on the day of inspection. Whilst staff say that they were unaware of these documents the Annual Quality Assurance Assessment states that these have been reviewed recently. No residents had a copy of the service users guide. Both these documents should be easily accessible to give information to people who visit the home and prospective and existing residents should have a copy for their information. A requirement has been made. Care Homes for Older People Page 11 of 32 Evidence: Three examples of residents Terms and Conditions of residence and contracts were seen. The member of staff in charge of the home stated that all residents, regardless of their category of funding, have these documents following admission. The manager or a representative from the home assesses each prospective resident to ensure that the home can meet his or her needs. Three preadmission assessments were seen, two out of the three assessments did not have any information relevant to the care needs of the prospective residents. These assessments should provide the necessary information to inform both the care plans and the staff and also make it possible for the home to assess whether they can meet the needs of the residents. Information was received that the home had admitted a resident for emergency admission and could not meet their needs. The home is not currently informing residents in writing as to whether their needs can be met and should commence doing this. A requirement has been made around this. Prospective residents are encouraged to visit the home and join residents for a meal, residents spoken with said that they had come to the home to meet other residents prior to them making the decision to live at the home. The home admits residents for respite and permanent care but not for intermediate care Care Homes for Older People Page 12 of 32 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. Care plans address the needs of the residents but have not been reviewed with the required frequency. Residents appeared comfortable and staff were giving care in a manner preferred by individual residents. The standard of medication safeguards the residents. Evidence: During this inspection three care plans were examined in depth. The standard of care planning was generally good and identified the personal and health care needs of the residents in full. No social care plans were in place and should be addressed as social and leisure care forms a large part of the holistic care of the individual. Care plans are currently being reviewed at approximately 6 monthly intervals. In order to meet the National Minimum Standards, all parts of the care plan should be reviewed on a monthly basis and they must be formed and reviewed in consultation with the resident or their representative. Care Homes for Older People Page 13 of 32 Evidence: Clear, detailed instructions for care staff must be included in the actions to be taken to deliver the care required. Daily records were informative and reflected that staff were following the care plans but few of these had the name of the resident included and staff are reminded that these are legal documents, and therefore must have the full name of the resident in place. A concern had been raised to CSCI, that one resident did not have a care plan for six weeks following admission, but at the inspection all care plans were seen and had been formed during the first few days following residents admission to the home. Personal risk assessments should be expanded to include the actions to be taken to minimise risk. There was clear evidence of visits from health care professionals and the actions to be take following their visits; Residents said that staff were quick to respond when they were unwell and to recognise when a General Practitioner was required. Residents stated that they were very well cared for, and compliments from relatives were seen at the home. Residents said that the staff answered call bells quickly and this was apparent during the inspection. Staff were treating residents with dignity and empathy and good interactions between staff and residents were seen. Residents said that they were always spoken to in friendly and empathetic manner. The staff are really polite and friendly, its like a family here. A medication round was seen in progess and practices around medication administration and recording safeguard the residents. Staff who administer the medication have undertaken recognised training and were aware of their responsibilities in this area. It is good practice for any handwritten medication orders to be signed by the person entering it onto the medication chart,and if possible for a second person to check and witness this. External medication such as creams must be signed for on administration. Current legislation now requires care homes to keep controlled drugs in a controlled drug cupboard The home is required to obtain a controlled drugs cupboard which meets the recognised specifications. Robust risk assessments must be put in place for those residents who self medicate, Care Homes for Older People Page 14 of 32 Evidence: and a policy relating to self medication is required. There are instructions in the care plans relating to the resident’s wishes following death and some staff have received training in end of life care. Care Homes for Older People Page 15 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are not always aware of the choices available to them with regard to leisure activities and menus. There is scope for the range and variety of leisure activities to be expanded. The standard of catering is good with residents being presented with well balanced and nutritious meals These are generally well presented but the presentation of pureed meals is not conducive to stimulating the appetite Evidence: Residents are able to make choices around most activities of daily living, which include rising and retiring. However the homes routine of waking residents at an early hour prevents residents choices being fully met. Not all residents have been consulted about how the home can work to provide them with a flexible lifestyle. A programme of activities available to residents is displayed in the office Residents are not always aware of what activities are planned and it is recommended that this is displayed in main areas of the home. There is some variety in the range of activities offered but there is scope to increase these and to ensure that they are within a range that meets individuals intellectual as well as physical abilities. Some activities such as Care Homes for Older People Page 16 of 32 Evidence: board games and other games being provided by care staff, but staff are not having sufficient time to provide the amount of activities necessary to ensure residents are adequately stimulated. It was noted that hairdressing and manicures are counted as an activity, these should form part of the normal personal care routine and not be counted as an activity. A few outings take place when weather permits, and entertainers brought in. Some staff surveys received stated that residents would benefit from more activities and outings being provided There are no social care plans in place and the manager must consult with residents over past interests and what activities they would prefer This is addressed, up to a point, in residents meetings. Residents were taking part in a ball game on the day of the inspection, they were enthusiastic and very competitive and their enjoyment was obvious. Residents may have visitors most of the day but visitors are requested not to visit late evening or early morning Residents said that visitors are made welcome in the home and it was apparent that staff had a good rapport with people visiting the home. Ministers of religion visit the home and provide services once a month, with arrangements made for residents who are of other faiths. Meals are well balanced, follow nutritional guidelines and cater for varying dietary needs of the residents. Meal times were relaxed with residents being encouraged to assist with setting out tables and folding napkins. Care plans contain the Malnutrition Universal Screening Tool (a tool for ensuring that residents are receiving nutrition according to their needs) and residents are weighed monthly with actions being taken to address any concerns. Residents spoken with said that the food was generally good with homemade cakes being provided and fresh fruit available. Whilst menus are displayed on a white board in the dining room, residents in their rooms were not aware of what was on the menu that day. There is a fixed menu with no choice in meals but the cook says she is aware of resident’s likes and dislikes and will do alternatives as required. It would be good practice to provide choices available on the daily menu. For those residents who require their meals pureed, it is recognised good practice to puree the components separately to ensure that the appearance of the meal is attractive and stimulates appetite. This is currently not taking place. It was also noted that a resident with a sight impairment was given her meal in a Care Homes for Older People Page 17 of 32 Evidence: dessert dish whereas it would be more dignified to provide a dinner plate and plate guard. Care Homes for Older People Page 18 of 32 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 state that any minor concerns they may have are dealt with to their satisfaction and would feel able to make a complaint to the management should the need arise. They would be confident that this would be addressed in an open and professional manner. Staff are aware of their responsibilities towards those in their care Evidence: The Annual Quality Assurance Assessment received by the CSCI showed that no complaints or adult safeguarding issues have been received by the home this year. The CSCI has received one concern regarding the assessment and care planning of a resident. Staff said that residents raise few minor concerns and that these are dealt with as they occur. Records should be kept of these. Residents said that staff always addressed any minor concerns have had to their satisfaction, and they would feel able to make complaints to management should the need arise. The complaints policy in the home requires the correct details of the CSCI to be Care Homes for Older People Page 19 of 32 Evidence: included and also to direct the complainants to put their complaints through management and only to contact CSCI if these have not been dealt with to their satisfaction.The complaints policy should be made available to all residents. There is an adult safeguarding policy in place which reflects current guidelines. Staff have attended adult safeguarding training with the local authority, and were fully aware of their roles and responsibilities in the safeguarding of the residents in their care Care Homes for Older People Page 20 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a pleasant homely environment for people living there. Some practices regarding prevention of infection and moving and handling could put residents at risk Evidence: The home is in a good state of decorative order both inside and out and furnished in a homely manner. The garden and patio area is pleasantly proportioned and kept tidy and accessible. Residents rooms have been maintained to a good condition, and have been individualised with personal items such as pictures, photos, and ornaments. Not all residents rooms have a lockable drawer for personal possessions. The home provides assisted bathing facilities and all rooms have a washbasin. Washcloths, towels, block soap and residents toiletries were found in the bathrooms. These could impact on infection control and put residents at risk. Toiletries should be kept in residents rooms to avoid them being used on people who may have allergies or may mistake them for beverages. The manager should contact the health protection agency and arrange up to date training for staff on current infection control guidelines. The home provides some equipment such as moving and handling aids. Staff said that the hoist was not kept within the home and it was noted that staff needed to look for Care Homes for Older People Page 21 of 32 Evidence: moving and handling belts. Staff said that they did not always practice robust moving and handling although they have the training on this. Staff and management must be aware that inappropriate moving and handling is an adult safeguarding issue, and can also put staff at risk. The manager is required to provide the necessary moving and handling equipment, and to ensure that staff use appropriate methods and aids. Very few of the call bells in residents rooms had pull cords Whilst all residents could reach the call bells, most of them would need to move off or over the bed to do so, this could put them at risk if they became ill and were unable to reach these. All call bells should have a bell pull that can reach both the bed and the chairs. Staff stated that water temperatures of hot water to residents outlets were monitored regularly. However there was no evidence of this having been recorded since 2006, evidence must be in place to show that this is taking place. Window restrictors were not in place on some upper floor windows and a requirement has been made. Care Homes for Older People Page 22 of 32 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. Staff are employed in sufficient quantities with suitable training to meet the needs of the residents currently living at the home. The home operates a robust recruitment system which safeguards the residents Evidence: The staffing rota and discussions with staff and residents show that the quantity of staff on duty, over a twenty four hour period, is sufficient for the needs of the current residents in the home. However the manager should be aware of the need to increase the number of staff as the residents needs increase. Some staff said that there were insufficient staff on to spend as much time as they would like doing activities with, and spending time with the residents. Over 50 of the staff have attained the National Vocational Qualification level 2 or 3 in care and the home provides an opportunity for further staff training. This has included medication training, dementia care, end of life care and mandatory training. All staff have the food hygiene certificate and all staff, including domestic staff, have moving and handling and health and safety training. Staff undertake a local induction and the home has commenced the Skills for Care recognised induction for recently employed staff. Care Homes for Older People Page 23 of 32 Evidence: Three personnel files were examined and these showed that robust recruitment procedures were practised and files included all documentation as required by regulation apart from a CV. The amended regulations state that all staff must provide a CV giving dates of various previous employment, to enable the employer to be aware of and enquire about any break in employment. The manager must ensure that future staff employed provide this. Staff receive the General Social Care Code of Conduct handbook Care Homes for Older People Page 24 of 32 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 manner in which the home is managed encourages openness, choice, and respect. Staff are not receiving supervision at intervals required by the National Mimimum Standards which could impact on the standard of service offered by the home. Evidence: The manager and her husband are also the providers (owners) of the home. They are both registered nurses and have extensive and relevant experience in caring for older people in need of residential care. The manager has a management qualification in care whilst her husband has relevant qualifications in management development and teaching and assessing within the care industry. Although the manager is not in the home every day, and it was unclear how many days she attends the home, it was evident that both staff and residents felt supported and that the home had a relaxed atmosphere. Residents and staff felt able to approach the manager with any concerns they may have. Care Homes for Older People Page 25 of 32 Evidence: Residents meetings take place monthly and residents are encouraged to make their views known and how they feel the services they receive can be improved The Annual Quality Assurance Assessment, required by regulation, was received later than we asked for it, but provided sufficient information about the previous twelve months in the home and identified plans for the next twelve months. A requirement was made at the last inspection to expand the quality monitoring programme, this has been complied with to an extent with the manager sending surveys out to residents and their relatives and surveying specific aspects of the services provided, such as the meals. This should be expanded further to include views from social and health care professionals and other stakeholders. Staff supervision is not taking place at regular intervals . The National Minimum Standards is specific about time scales, these being six times a year, and these should be complied with.The staff said that any incidents are reported to the CSCI, but few incident reports have been received this year. The manager and senior staff are reminded that the CSCI be kept informed of any incident affecting residents. The home keeps small amounts of personal allowances for the residents. Records of these were seen and were in order. Some policies and procedures require review to ensure that they meet relevant guidelines, and other records need updating in some areas. The doors to resident’s rooms and other rooms, including the kitchen and lounge have the appropriate closing devices on the doors which respond to the fire alarm, and all staff have fire training and fire drills at the required intervals. No fire risk assessment was available to be seen at this inspection. Other documents relating to the servicing of utilities and equipment were in place and in date. Care Homes for Older People Page 26 of 32 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 27 of 32 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 1 1 4 The Statement of Purpose 16/12/2008 and Service User Guide should be made available at all times to service users and other interested parties. Service users should have a copy of the Service User Guide The Statement of Purpose and Service User Guide are required to identify the services which the home offers. Service Users require a copy of the Service User Guide to ensure that they are fully aware of the routines of of the home 2 3 14 All prospective service users should be assessed and a written assessment which identifies their health, personal and social care needs put in place. The home must provide written confirmation to the service user over whether the home can meet their needs. 16/12/2008 Care Homes for Older People Page 28 of 32 That service users are assessed to ensure that the home can meet their needs and the written assessment forms the basis of the care plan. Service users must be informed in writing about whether the home can meet their needs. 3 7 15 Care plans must be reviewed 16/12/2008 on a regular basis as directed by the National Minimum Standards and formed in consultation with the service user. Care plans must be reviewed regularly in order to identify any changes in the needs of the individual and to ensure appropriate care is given. That the home purchases a suitable cupboard for the storage of controlled drugs. That policies and risk assessments are in place for service users that self medicate. Legislation now requires controlled drugs in a care home to be securely stored in an appropriately secure cupboard. Risk assessments must take place when a service user self medicates and be reviewed regularly to ensure the safety of the service user 5 24 26 That staff recieve training in infection control and the 16/12/2008 16/12/2008 4 9 13 Care Homes for Older People Page 29 of 32 Health Protection Agency guidelines are followed. Block soap, communal towels and washcloths and personal toiletries to be removed from bathrooms To minimise the spread of infection 6 25 13 That sufficient moving and 16/12/2008 handling aids are provided for the needs of the service users and that the manager ensures that staff follow the correct moving and handling guidelines To prevent injury to service users and staff 7 25 13 That window restrictors are affixed to upper floor windows To prevent injury to service users 8 36 18 That staff receive supervision at intervals directed by the National Minimum Standards To ensure that standards of care are maintained and to give staff the opportunity of one to one discussion with management 16/12/2008 16/12/2008 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 9 That creams and ointments are signed on administration. That all hand written drug orders are signed and witnessed Care Homes for Older People Page 30 of 32 to avoid error. 2 12 That there is sufficient flexibility around the routines of the home to enable residents to make full choices in their activities of daily living. That the residents are made aware of the leisure activities arranged. That pureed meals are presented in a manner which is attractive and stimulates appetite. That residents are offered choices at meal times and that all residents are made fully aware of the daily menu. That records are kept of minor complaints and how these have been addressed. That policies and procedures are reviewed at regular intervals to ensure that they reflect current researched practice. 3 15 4 5 16 33 Care Homes for Older People Page 31 of 32 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. 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