Inspection on 03/04/07 for Rosewood Lodge

This inspection was carried out on 3rd April 2007.

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

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

Other inspections for this house

Rosewood Lodge 19/03/09

Rosewood Lodge 23/02/06

Rosewood Lodge 02/08/05

Rosewood Lodge 07/02/05

Rosewood Lodge 18/01/05

Rosewood Lodge 24/02/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Rosewood Lodge 45-47 Valentines Road Ilford Essex IG1 4RZ Lead Inspector Ms Harina Morzeria Key Unannounced Inspection 1:30 3 and 26th April 2007 rd 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 DS0000025923.V332163.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. DS0000025923.V332163.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Lodge Address 45-47 Valentines Road Ilford Essex IG1 4RZ 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) 020 8554 4343 permjit.mann@btinternet.com Kulwant Singh Mann Ms Permjit Mann Care Home 19 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places DS0000025923.V332163.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 19 beds to be used flexibly between both categories. Date of last inspection 23rd February 2006 Brief Description of the Service: Rosewood Lodge is a care home providing personal care and accommodation for 19 older people. It was first registered in 1995. The home is situated in a residential area in the London Borough of Redbridge, overlooking a park. It is within easy reach of the town centre and other local facilities, such as small shops, pubs, a post office and other amenities. All bedrooms are situated on the ground and first floors, which are served by a lift and stairs. There are three lounges and a separate dining area downstairs plus a garden, for the residents’ enjoyment. All the bedrooms occupied by the residents are single and four have en-suite facilities. Various in-house activities are provided, such as exercise class, art and craft, animal shows, floor basket ball, bingo and outings, including cinema trips, pub lunches, walks in the park, theatre trips, shopping and weekly visits to church. The residents are able to have their meals flexibly, or in their rooms if they are unwell. A hairdresser visits the home weekly, as well as a reflexologist and a manicurist. Staff showed a caring and sensitive attitude towards the residents, which was confirmed by the residents spoken to on the day of the inspection. The Statement of Purpose and the Service User Guide are issued to every prospective resident and both of these documents are displayed in the entrance hall of the home. A copy of the most recent inspection report is also available. A resident or relative/representative could ask for his or her own copy, which the manager would make available. The fees for the home are £500-£570 a week. DS0000025923.V332163.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection visit in the inspection programme for 2007/ 2008 and was carried out over two days. The inspector spoke to residents about their experience of living at the home and a relative whilst visiting the home. Discussions took place with the manager and two staff. Staff were spoken to about care practices and their employment at the home. They were also observed directly and indirectly providing care to residents. A number of staff and residents’ records were examined. A condition made at the previous inspection to allow the home to accomodate two residents under the age of 65 years which has been removed as it no longer applies. What the service does well: What has improved since the last inspection? What they could do better: Although the home was clean and tidy there was an offensive odour apparent upon entering the home which the manager has agreed to address as a matter of priority. DS0000025923.V332163.R01.S.doc Version 5.2 Page 6 The registered person is required to ensure that all staff working in the care home receive appropriate training in the care of people with dementia. The registered person should develop ‘End of Life’ care plans for all residents. The manager and staff team should consider how they can achieve the highest standards of care as set out in the Commission’s Key Lines of Regulatory Assessment. 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. DS0000025923.V332163.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 DS0000025923.V332163.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): 1,3 4 and 5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their relatives have detailed information about the home to enable them to make an informed choice about moving into the home. A detailed pre-admission assessment is undertaken of all prospective residents, this will ensure that their identified needs can be appropriately met by the home. Prospective residents and their relatives are able to visit the home prior to their admission and obtain a copy of the service user guide. EVIDENCE: DS0000025923.V332163.R01.S.doc Version 5.2 Page 9 The Statement of Purpose clearly sets out the objectives and philosophy of the service. The Service User Guide is informative and written in plain English, a copy of this document is given to all residents. The files of two new residents were looked at. A pre-admission assessment by the manager and an assessment from the local authority had been undertaken, as well as other background information from the family. During the first week of admission a further detailed assessment takes place that leads to a comprehensive care plan. Residents and relatives are able to visit the home prior to a resident moving in. This was confirmed by the new residents spoken to. Prospective residents are given the opportunity to spend time in the home. An individual member of staff is allocated to them to give them information and to help them understand how the home is organised and run and the facilities and services available. New residents are provided with a statement of Statement of Terms and Conditions/Contract, this sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the individual. The manager actively promotes opportunity for discussion and clarification. Intermediate care is not provided in this home. DS0000025923.V332163.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): 7,8,9 and 10 People who use the 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 have individual plans of care in place reflecting their current needs, to ensure their health care needs are well met. Residents are protected by the home’s medication policies and procedures which staff follow. Residents are treated with respect and the arrangements for their personal care ensures that their right to privacy is upheld. EVIDENCE: The care plans examined are detailed and comprehensive, identifying the residents’ personal, social and health care needs and how these should be met. The inspector was informed that the staff are in the process of reviewing and revising all the care plans and implementing new ones called “partnership and clients reality” which are aimed at identifying what a person can do and how DS0000025923.V332163.R01.S.doc Version 5.2 Page 11 staff can work with the person to encourage them to continue to achieve their level of independence. Hence the new care plans will be more comprehensive and person centred, such as ‘X is able to shave by himself, staff to assist by setting up the shaver and place a mirror by his bedside table to enable him to carry out the task by himself’, ‘Y is able to undress by herself, staff to allow her to do this as far as she can before intervening.’ Staff are also advised to communicate with a person in their own reality and not continually bring a person back to the present all the time as this may add to their confusion and distress. Residents’ health needs are clearly identified as part of their care plan and how these needs are to be met. Records indicate that health professionals such as chiropodists, dentists, GPs, community nurses have seen residents and staff support residents to attend hospital out patient appointments. Other written evidence includes residents being weighed monthly as well as fluid, bowel and shaving charts in place for those residents who require closer monitoring. There are policies and procedures for the handling and recording of medicines which support and inform practice.. A random sample of Medication Administration Record (MAR) charts were examined. Only senior staff are responsible for administering medication. Medication records are seen as key to the efficient management of health care matters, the home keeps them up to date. Staff responsible for administering medication have the required accredited training. Staff were seen to treat residents in a respectful and sensitive manner. Staff understood the need to respect residents’ dignity and were seen to knock on bathroom doors before entering. Residents spoken to said that care staff were respectful when attending to their personal care needs. All the residents spoken to stated that the staff are very good, caring and look after them well. As part of the care planning process, the home uses a variety of risk assessments. These were seen to cover the required range of risk areas and were completed appropriately, linked to care plans and showed evidence of regular review. DS0000025923.V332163.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): 12,13,14 and 15 People who use the 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 activities programme at the home meets the current needs of residents. Visiting times are flexible and people are made to feel welcome, this ensures that residents are able to maintain contact with relatives and friends. Residents have choice and control over their lives and are consulted via residents’ meetings. The meals in the home are well presented and nutritionally balanced. They offer both choice and variety to residents. EVIDENCE: DS0000025923.V332163.R01.S.doc Version 5.2 Page 13 There is an activity programme in place and activities are now centred around various themes, for example, evidence was seen of art work and cards displayed around the theme of Easter. Residents and relatives spoken to confirmed that a variety of activities are on offer both within the home and day trips are planned outside during fine weather. Photographs were seen of outings that have already taken place. Entertainers including musicians are invited to the home to play old-time songs, which are thoroughly enjoyed by the residents as observed on the day of the inspection. One resident spoke excitedly of all the things she does inside and outside the home including outings, pub lunches, walks in the park and shopping trips. Notes of a recent residents’ meeting were seen which showed that the residents were consulted about their preferences around activities. As a result of this some residents had been to the cinema as well as out for a pub lunch. Some residents attend church on a Sunday morning whilst some others receive communion at the home. A reflexologist was present on the day of the inspection and many residents take advantage of her visits. A hairdresser and manicurist also attend regularly. A physiotherapist does light exercise with a group of residents on Saturday afternoons in order to encourage them to maintain their mobility/flexibility. One visitor spoken to said that they are encouraged to come and see their relative and are always made to feel welcome by the staff. Another group of visitors were also spoken to, who confirmed that the home meets the needs of their relative in a caring and professional manner and that they are encouraged visit at any reasonable time. There is a separate dining area where most residents have their lunches with some choosing to sit in the lounge. Hence mealtimes are flexible and relaxed. Residents confirmed that the food was good and they have a choice of food at mealtimes. On discussion, residents confirmed that the chef talks to them about the food and whether they have enjoyed a particular meal, as well as asking them their choice of meal for the next day. This was evident on the day of inspection as the inspector saw the chef talking to the residents. The menus were seen to be very nutritionally balanced. DS0000025923.V332163.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): 16, 18 People who use the 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 their relatives can be confident that their complaints will be listened to and acted upon. The staff have undertaken training in adult protection/abuse awareness to ensure that there is an appropriate response to any allegations of abuse. EVIDENCE: The home has a clear complaints procedure, which is displayed around the home and is available in the Service User Guide. Both residents and relatives say that the manager is always available to them and that they are clear how to make a complaint or raise a concern. From discussion and comment, it is clear that residents in the home are comfortable with raising any concerns and are happy to speak their minds on anything that is an issue for them. The documentation was reviewed and a complaint log is kept. There is evidence that the majority of complaints are minor and that the manager lists all levels of concern, which shows good reporting. Records show that concerns are dealt with promptly and dates are noted. The records of complaints and compliments were examined. All complaints are logged. Complaints clearly DS0000025923.V332163.R01.S.doc Version 5.2 Page 15 indicate details of the complainant, the nature of the complaint and the outcome. Two residents were asked ‘if you were unhappy about anything in the home, who would you talk to’? They said they would talk to the manager. The inspector received a complaint from one relative who was not satisfied with the investigation process followed by the manager and the placing authority social worker who is yet to forward the outcome to the complainant. Upon discussion with the manager regarding this, the manager had taken immediate and appropriate steps to address issues raised by the relative as a result of the complaint and had co-operated with the placing authority who were investigating the complaint. However as stated above the final outcome from the local authority investigating officer is still outstanding. The inspector has asked the manager to pursue this urgently. A large number of compliments have also been received by the manager about the high level of care and attention given to the residents at Rosewood Lodge. There is a written policy and procedure for dealing with allegations of abuse and whistle blowing. The home also has copies of all the local authority procedures on adult protection. Training on adult protection/abuse awareness is an ongoing programme that is attended by all staff. The inspector spoke to staff who confirmed that they had attended the training. DS0000025923.V332163.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): 19, 20,21,22,23, 24,25,26 People who use the 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 clean and spacious with access to indoor and outdoor facilities, however further effort needs to be made to make it free from offensive odour. There are sufficient and suitable toilets and bathrooms for the number of residents. The atmosphere in the home is welcoming. Each resident has their own bedroom and they are encouraged to personalise them with their own possessions. EVIDENCE: DS0000025923.V332163.R01.S.doc Version 5.2 Page 17 The home has a welcoming and homely atmosphere. A tour of the downstairs part of the home was undertaken, which looked very busy and residents were seen either participating in activities or watching television. There are three separate lounges in the home which means that people using the service have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. Although the home was clean and tidy there was an offensive odour apparent upon entering the home which the manager has agreed to address as a matter of priority. The home has three comfortable lounges with easy access to the garden as well as the dining and toilet facilities. The home is fully accessible throughout to the residents. The manager is monitoring areas in the home that need routine maintenance and renewal of fabric. The bedrooms vary in size, shape and facilities. Four have en-suite toilets and the remaining rooms have a vanity unit. The bedrooms are appropriately furnished and have photographs, pictures, radios and televisions that residents have brought from their own homes. The home is cleaned on a daily basis and throughout the inspection all areas of the home were found to be clean and tidy. There are sufficient toilets and bathrooms for the needs of the residents. Adaptations and equipment are in situ which are capable of meeting the needs of all residents. The kitchen was visited by the inspector and was found to be clean and tidy and generally food was being stored and labelled appropriately. The laundry area was visited by the inspector and this was found to be clean although cluttered. The manager has completed a full fire risk assessment and is waiting for the local fire officer to visit to check this. DS0000025923.V332163.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): 27,28,29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are satisfactory and there are sufficient trained staff on duty to meet the individual assessed needs of the residents. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. EVIDENCE: The home has a relatively stable staff team with some staff having worked at the home for several years. The staff team are very committed and understand and fully support the main aims and values of the home. During the day there are three care staff on each shift, at least one of the care staff is a senior and two waking night staff, which is sufficient to meet the current needs of the residents. There is a wide diversity in the staff team and its composition reflects the culture and gender of people using the service. People using the service consistently report that their needs are being met by the staff team. The home also employ two part time cooks and two domestic staff. DS0000025923.V332163.R01.S.doc Version 5.2 Page 19 Where possible residents were asked to give their views on the service and the care they were receiving. One resident commented: “I am very happy here, staff are kind to me”. Other comments included: “Everyone is friendly”. “ They look after us well”. Staff had received training in essential areas such as moving and handling, first aid, fire safety and medication awareness and administration. The home is registered to provide care to people with dementia and the manager has completed the ‘Training Skills in Dementia Care’, course. All other staff have completed basic dementia awareness training. This issue was discussed with the manager as all staff must be trained and competent to deliver the care required by the particular group of residents they look after. The manager is required to ensure that all staff working in the home undertake the full training in dementia care, in order to ensure that they are able to understand and meet the needs of residents suffering from dementia. At the time of writing this report the manager had given a date for this training to commence for some staff members. All ancillary staff must also undertake basic dementia awareness training. Most of the care staff are qualified to NVQ level 2 except two staff who have enrolled on the course. Two seniors have achieved their NVQ Level 3 qualification with one senior enrolled on this course. This demonstrates a very positive commitment to training by both the registered provider, manager and care staff. A random sample of personnel files of the most recently recruited staff were inspected. These were found to be in good order with necessary references; criminal records bureau disclosures and application forms duly completed. Induction is provided to all new members of staff. DS0000025923.V332163.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): 31,32,33, 34,35,36,37,38 People who use the 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 staff team work well together and are appropriately supervised, to make sure that residents are safe and secure whilst living at the home. Residents’ rights and best interests are safeguarded by the home’s recordkeeping policies and procedures. Residents’ and staffs’ health, safety and welfare are promoted and protected. The registered manager is qualified and has the necessary experience to manage the home. EVIDENCE: DS0000025923.V332163.R01.S.doc Version 5.2 Page 21 The manager has the required qualifications and experience and is competent to run the home and meet its stated aims and objectives. Feedback from both the residents and staff was positive about the way in which the home is run. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of ‘best practise’ operational systems, particularly in relation to continuous improvement, customer satisfaction, and quality assurance. A quality assurance survey to seek satisfaction levels amongst the residents and relatives is undertaken by the manager showing that the registered manager is monitoring the service provided in the home. The inspector is notified of any significant events and developments in the home. The manager ensures that staff follow the policies and procedures of the home. Practice and performance are discussed during supervision, staff training and team meetings. The home has appropriate policies and procedures regarding safeguarding residents’ finances. If they wish and are able to, residents are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. Where the home is responsible for residents’ money it maintains clear records that are routinely kept up-to-date and can be used to track an individual resident’s finances. Staff files were checked and evidence was seen that all staff receive supervision on a regular basis. The manager ensures that all supervision records are kept up-to-date in order to evidence supervision received by staff. The manager adheres to keeping records up to date. The home has carried out all health and safety checks. The fire safety officers report was discussed with the manager who confirmed that an appropriate risk assessment is now in place as recommended by the fire officer. The environmental health inspector reported (19/6/06), “all found to be of an excellent standard at the time of visit.” DS0000025923.V332163.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 3 x 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 DS0000025923.V332163.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP26 Regulation 16(k) Requirement Timescale for action 30/06/07 2 OP30 18 The registered person is required to ensure that the home is free from offensive odours throughout at all times. The registered person is required 30/06/07 to ensure that all staff working in the care home receive appropriate training in the care of people with dementia. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP11 Good Practice Recommendations ‘End of Life’ care plans should be developed for all residents DS0000025923.V332163.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 DS0000025923.V332163.R01.S.doc Version 5.2 Page 25 - 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. 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