Inspection on 19/11/08 for Rushley House

This inspection was carried out on 19th November 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rushley House 19/10/06

Rushley House 02/12/05

Rushley House 26/05/05

Rushley House 08/02/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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: Rushley House 327 Lancaster Road Morecambe Lancashire LA4 6RH     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: Felicity Lacey     Date: 1 9 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 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 28 Information about the care home Name of care home: Address: Rushley House 327 Lancaster Road Morecambe Lancashire LA4 6RH 01524417405 01524406254 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Fay Lucille Thackray Type of registration: Number of places registered: Thackray Care Services Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 13 Date of last inspection Brief description of the care home Rushley House is a small home situated in the residential area of Morecambe, accessible to local shops and amenities. The home is a large detached house built over two floors. The home is set within its own very pleasant grounds, which residents can access. There is one main lounge, a dining room and the hallway provides a pleasant and roomy thoroughfare. There is also a separate conservatory. All the rooms are single and six have ensuite facilities. There are toilets and bathrooms on both floors and a range of aids, including a stair lift and bath hoist. Details of current fees can be obtained from the registered provider/manager of the home. Care Homes for Older People Page 4 of 28 0 Over 65 13 Care Homes for Older People Page 5 of 28 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 inspection included an unannounced visit to Rushley house. Prior to the visit information was gathered from the manager including her assessment of how the care needs of the people living at the home were met, staffing levels and qualifications and about the health and safety of the premises. Staff and some of the people living at the home were given the opportunity to complete surveys about their experience of Rushley House. There were four surveys returned which had been completed by people living at Rushley House, and two from staff members. During the visit to the home people living at Rushley House, two relatives, a district nurse, two member of staff and the manager were spoken with. The premises was also toured. The care records and other information used by staff at the home were looked at for three people living at Rushley House. Staff recruitment records and training records were also looked at. Care Homes for Older People Page 6 of 28 The last key inspection of Rushley House took place on 19 October 2006 and an Annual Service Review took place on 19 December 2007. What the care home does well: The comments received from people living at Rushley House, their relatives and staff included; It wonderful, I chose to come here and I have not regretted it Staff cant do enough for you. The food is wholesome and very good. I like the atmosphere. Everyone is very pleasant. I feel at home here. I am content here. I feel my relative is safe and well cared for. I think we do a good job. The information gathered before a person comes to the home includes the views of the person and this helps ensure that personal expectation are met. There are good efforts made to gain information about a persons lifestyle and previous experiences and achievements, in this way staff have the benefit of understanding and appreciating the lives lead by people before moving to Rushley House. The care needs of people are understood, and individual preferences are respected. The staff help people maintain independence and respect peoples choices about how they wish to be assisted. The health needs of people living at the home are monitored and met. There are good relationships with local health services. People living at the home were confident that they could get medical and specialist advise when they felt they needed it. There are some activities provided and organised in line with the interests of the people living at the home. People living at Rushley House have been supported to maintain their own links with friends and family and their local community. The cultural and religious needs of the people living at the home are respected and the staff understand the need to respect these. The people living at the home find staff approachable. The home is quite small and this enables an informal atmosphere where people are able to form relationships and friendships. The house has retained many original features and good attempts have been made to provide a homely and well decorated environment. There is also a garden which can be enjoyed by people living at the home. The home is on a main public transport route and is easily accessible for people living at the home and their visitors. The staff are encouraged to continue to undertake training and add to their skills. There are enough staff to meet the needs of people living at Rushley House. There is a low turn over of staff, and the stability of the staff group helps provide consistent care Care Homes for Older People Page 8 of 28 for the people living at Rushley House. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process at Rushley House includes the person who may use the service and their representatives, in this way a good understanding of individual care needs is gained; this ensures that staff are able to provide the support required and that people can make an informed choice about moving to the home. Evidence: The assessments seen during the visit to the home showed that comprehensive information is gathered before a person is admitted to Rushley House. The manager visits people in their own home or hospital to complete the assessment. Attention is paid to individual choices and preferences and the manager is keen to ensure that Rushley House provides a comfortable and accepting environment for all people who live there. The pre admission assessments seen during the visit demonstrated that the people living at the home and in some cases their representatives were involved in the process of identifying the personal and health care needs of the individual, the Care Homes for Older People Page 11 of 28 Evidence: assessments were signed by the involved parties; this demonstrates an agreed understanding of the persons individual needs and the level and type of assistance that should be provided by staff to meet those needs. The information included assessments from Health and Social Services. The people spoken with during the visit confirmed that they had visited the home prior to moving in, some people had been familiar with the home through visiting friends, and through its involvement with the local community. The people spoken with felt that their care needs were understood and that their personal choices were respected. For example one person is registered blind, it is important to this person that they are able to continue to be as independent as possible, the person had found a number of useful ways of organising and arranging her daily routine, whilst living in her own home and these have continued and are respected and followed by the staff members at Rushley House. Information about the home is provided in the Service User Guide. The manager also offers the opportunity for people to have a trial period at the home, during which they are able to become familiar with the home. Regular reviews are held during this time to ensure that the person is settling and is happy with the care received. One person spoken with during the visit to Rushley House commented Its wonderful, I choose to come here and have not regretted it. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans provide relevant information and guidance and in this way the people living at the home have their support needs met in line with their personal preferences. Evidence: The care plans at Rushley House contain relevant information and they record the preferences of the people living at the home. For example the night time routine and preferences of people are included, such as whether they wish to have the light on or off, how many pillows they would like and what their sleeping pattern is. The care plans are regularly reviewed. The people spoken with thought that the staff understood their care needs and respected their individual choices. A person living at the home shared his experience, he wanted to try and improve his mobility and preferred to use a walking stick rather than a frame, he was supported in this by staff who respected his choice. He commented I enjoyed a walk out yesterday, it did me the power of good, staff are on Care Homes for Older People Page 13 of 28 Evidence: hand and I have made very good progress since returning to Rushley House from hospital. There are risk assessments in place for some activities including using the stair lift and mobility, and these are based on an understanding of the level of risk involved and give guidance on how to minimise the identified risks. The people spoken to felt that they were encouraged to be as independent as possible and their choices were respected. There was evidence of involvement of a range of health services including specialist medical, nursing, chiropody and optician. A district nurse spoken with explained that the home was supported by a regular group of nurses, and she felt that having an ongoing relationship with people who live at the home and staff was beneficial and promoted continuity of care. The people spoken with and who completed surveys indicated that they were confident that staff would act on any medical need they may have without delay. The medication storage and administration practices at the home were looked at. The member of staff spoken with had received training and the manager has arranged for the newest member of staff to complete a course in the safe handling of medications. People who live at the home can choose the level of support they wish to have with managing medications, and for the most part people opt for the staff to do this. Homely remedies are used following consultation with the GP. The Medicine Administration Record was looked at and there were occasional gaps, it is important that if medication is not taken that the reason for this is recorded. The manager should ensure that any gaps found during her routine audit of the administration records are investigated and accounted for. There were arrangements for the receipt and recording of controlled drugs, however the required storage arrangements or controlled drugs were not in place. The manager must ensure that Controlled Drugs are stored in line with pharmaceutical guidelines. The people spoken to thought that staff treated them with dignity and respect. There were several people living at Rushley House who have their own private phones installed, this allows them to contact friends and family from the privacy of their own bedroom, and gives the opportunity for people to conduct their own private affairs. Care plans record peoples preferred form of address and the staff respect these preferences. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The choices of daily life and social activities at the home are based on an understanding of the expectations and needs of the people living there, in this way personal choice and lifestyles are respected and supported. Evidence: The provision of information about previous experiences and lifestyles by people living at the home or their relatives is an important starting point for ensuring that the home can meet social and cultural expectations. There were some good examples of life histories that had been gathered, this helped staff to understand the people who live at Rushley House and has given a valuable insight into their past lives and achievements. People spoken with during the visit confirmed that they were able to take part in activities as they wished. Some people prefer their own company and this is respected. Over the past year there have been regular Tia Chi lessons and visits from musical performers. Families are encouraged to maintain their links with the people living at the home, and for many their family provide regular opportunities to go out and about. The manager helps people keep regular contact with their families including the use of e-mail to Care Homes for Older People Page 15 of 28 Evidence: keep relatives informed. A family member spoken with during the visit confirmed that she was kept well informed of any issues, and that the manager was good at sorting out any problems that occurred, the relative values this as she lives some distance away. Another visitor to the home was very involved with the care of her relative and visited daily. The importance of respecting the religious preferences of people at the home is understood by the manager. Several people at the home continue to be active in their local church communities. The home has visits from representatives of the local Roman Catholic and Church of England. The staff have had the opportunity to consider the importance of respecting the individual beliefs and choices of people living at the home, one way this is done is through National Vocational Qualification studies. Also all staff are given the code of conduct for social care workers and this stresses the importance of treating all people equally and respecting their lifestyle choices. The manager confirmed that she does not deal with any finances for people living at the home. People are encouraged to continue to manage their financial affairs or to appoint a representative or independent advocate. The people who live at the home are able to bring their personal possessions, this helps people personalise their bedroom with familiar and treasured objects. The meals at the home were described by people living there as wholesome and good. A cook is employed during the week and at weekends staff make the meals. The likes and dislikes of people living at the home are recorded at the time of admission and the cook has this information. People spoken with during the visit and those who completed surveys liked the food at the home. The dining room has recently been decorated and provides a pleasant environment for meal times. People living at the home can choose to have their meals in their own bedroom. Drinks and snacks are provided throughout the day. The manager is aware that specialist diets may be required for health reasons and also for cultural or religious reasons. At present none of the people living at the home follow a specialist diet, and if a person were to be admitted who did have particular requirements these would be discussed at the time of the pre admission assessment and any further advice needed would be sought to ensure that home could provide for the requirements of the individual. Care Homes for Older People Page 16 of 28 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. The safeguarding policy is understood by staff at the home and this promotes the welfare of people living at Rushley house. The approach to handling complaints should be improved to ensure that people who raise concerns and suggestions can be confident and that these will be listened to and responded to in a timely way. Evidence: The home has a complaints policy which is given to all people coming to live at the home and their representative. A record is kept of complaints raised, this was seen during the inspection. This record provided a brief outline of the issue and the date and name of the person making the complaints, a number of complaints were recorded on the same page, and there was little detail of the action taken by the manager to investigate the concern and to identify any further actions that may need to be taken to remedy the concern. The way in which complaints are documented should be improved to respect confidentiality and to document the action taken and outcome to complaints. This was discussed with the manager who will establish a new record of complaints. The commission has received two complaints since the last key inspections. These were passed to the manager for investigation. The approach to these complaints raised some concern and the this has been discussed with the manager. It is important that any concerns raised are dealt with in a objective manner. Care Homes for Older People Page 17 of 28 Evidence: The manager should ensure that people are able to raise concerns in an open way and that these will be dealt with constructively. A number of people commented that although they could raise concerns, it seemed to take a long time to get some things sorted out and in other cases they continued to feel that nothing had been done in response. During the inspection issues were raised by three people about the heating in the building, these were that the lounge was too cold. The two recorded complaints in the homes complaints book indicated that the lounge was too hot. In both cases it appears that the temperature of the lounge needs on going monitoring and any required action should be taken to ensure that a satisfactory temperature is maintained. A further issue about the lift was raised in discussion with people at the home. Recently the lift had not been fully operational for a period of time. The manager did not appear to have a clear idea of the length of time that the lift was not fully operational, initially stating it was for a day or maybe two days, discussion with people living at the home and staff indicated that the lift was on a go slow for a number of days. During this time people had to restrict the times they went up and down the lift and this impacted on their daily lives. When any event which adversely effects the welfare of people within the care home happens it is important that the manager makes people aware of the situation and the steps being taken to resolve this, this includes informing the commission. People living at the home and their representatives should feel confident that their concerns are listened to and acted upon, and that they are given information about the progress of any concerns. Surveys indicated that people knew who to raise a concern with and staff understood the complaints policy. The importance of protecting the welfare of people living at the home is understood by the manager and staff. Safeguarding is covered in National Vocational Qualification studies, the homes induction procedure and the General Social care Councils Code of Conduct. Staff spoken with were able to explain what they would do if they became aware of a safeguarding issue. A relative commented that she considered her mother to be well cared for and safe at Rushley House. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Rushley House is maintained to a good standard and mets the needs of the people living there. Evidence: Rushley House maintains many original features and efforts have been made to retain the character of the house, whilst ensuring that it meets the required health and safety standards. There has been some redecoration and refurbishments. The dining room has been redecorated. People spoken to were pleased with their rooms and confirmed they were helped to arrange their rooms as they liked and have their personal effects around them. The carpeting in the hall and landing is to be replaced, at the time of the visit there were parts of the carpet which had become threadbare. The manager explained that replacement carpet has been purchased and is ready for fitting. The home has a variety of communal spaces and a garden which people can use. One person commented I enjoy to sit out in the garden and catch the sun. During the visit the main lounge felt cold and this was commented upon by people living at the home.The staff also confirmed that this had been raised by relatives and Care Homes for Older People Page 19 of 28 Evidence: residents and that there had been adjustments and additional heaters used to ensure the lounge was warm enough. The manager is advised to monitor the temperature of the lounge and ensure this is satisfactory for the people living at the home. The home has a range of aids and adaptations which assist mobility and promote independence. During the visit it became evident that there had been a temporary problem with the lift which had led to restricted use, this impacted on the ability of people living at the home who were dependent on the lift being unable to go up and down as they pleased. The lift is now mended. It is important that when situations arise which may effect the daily life of people living at the home, that people are kept informed and are made aware of the plans in place to minimise the impact of any disruption. There are infection control measures in place including the provision of gloves and aprons. Staff have received information about infection control through supervision and the manager has applied for funding for formal infection control training for the staff group. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff of the home have training and support which provides knowledge and skills to meet the needs of the people living at Rushley House. Good recruitment practises at the home ensure that the welfare of the people living there is safeguarded. Evidence: The staffing levels at the home are in line with the needs of the people living there. People spoken with and who completed surveys felt that there were enough staff on duty and that they were available to assist when needed. Comments include : Staff cant do enough for you. I like the atmosphere. Everyone is very pleasant. I feel at home here. Staff spoken with enjoyed working at the home, and felt that as the home was quite small the staff group were able to get to know the people who lived there and understand their needs. 75 of staff have achieved the recommended qualification for people working in care homes. Discussions with two staff members confirmed that training was made available to staff and that the manager encouraged the continual development of staff skills. Staff spoken with had completed training in Medication, First Aid, and Palliative Care. Care Homes for Older People Page 21 of 28 Evidence: The staff files looked at showed that the manager was following a robust recruitment procedure. The required references and Criminal Record Bureau Disclosures were found to be completed. Staff are interviewed and are employed in line with the homes equal opportunities policy. New staff follow an induction process which includes shadowing an experienced member of staff and regular meetings with the manager to discuss progress.The induction includes mandatory training about Fire Safety, Moving and Handling and Health and Safety. New staff members work through the range of skills and knowledge recommended by the training body responsible for social care. Staff also sign a confidentiality agreement as part of their employment and this establishes the standards expected whilst people are working at the home. Care Homes for Older People Page 22 of 28 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 manager ensures that safe working practices are in place and this promotes the welfare of people living and working at the home. Evidence: The manager has been in post since 2004. She continues to up date her skills and knowledge. She considers the size of the home to be a strength stating Because the home is a small home and in my opinion more personal than larger ones people feel empowered to be able to speak freely. The home is managed through a high degree of informal and day to day contact between the manager, staff and people who live at the home. There are occasional staff meetings and for the most part issues are discussed as part of the working day. Staff spoken with felt that the manager was approachable and that they were kept informed of the needs of people living at the home. There is some formal supervision and evidence of regular training in place. Care Homes for Older People Page 23 of 28 Evidence: The home has an Investors in People Award which is currently being renewed, this recognises that staff have opportunities to continue to add to their skills and are supported by the organisation. The quality assurance process in place for people living at the home is based on regular contact. The people living at the home do not have formal meetings but are asked by the staff and manager for their views, people spoken with confirmed that they regularly spoke to the manager and those that completed surveys indicated that their views were listened to; however as noted previously in this report (under Complaints and Protection) some people did not feel that their concerns were always acted upon in a timely manner. Policies and procedures at the home are kept under review and have been reviewed in June 2008. The manager does not become involved in the financial affairs of people living at the home. The home maintains a record of charges and payments . The information provided by the manager indicates that all required maintenance checks of the building and equipment are up to date. Staff receive training in Health and Safety topics. The accident book was seen and contained the relevant details and there was evidence of the reporting of relevant incidents to other health and safety monitoring bodies as required. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 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 9 13 Controlled drugs should be stored in line with pharmaceutical guidelines. It is important that drugs classed as controlled drugs should be stored in a way that limits access and provides the required level of security. 27/12/2008 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 All medication administered should be recorded and any medication that is not administered should have the reason for this recorded. The record of complaints held at the home should be maintained in a way which respects confidentiality and demonstrates the action taken to investigate and resolve any issues raised. People who voice concerns should have these addressed in a constructive way and should be kept informed of any action taken to resolve the issues raised. The heating should be monitored in the lounge to ensure that people living at the home are warm at all times. Page 26 of 28 2 16 3 16 4 25 Care Homes for Older People Care Homes for Older People Page 27 of 28 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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