Inspection on 17/09/08 for Rustington Hall

This inspection was carried out on 17th September 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rustington Hall 04/08/09

Rustington Hall 13/09/06

Rustington Hall 30/01/06

Rustington Hall 17/08/05

Rustington Hall 10/12/04

Rustington Hall 26/07/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rustington Hall Station Road Rustington West Sussex BN16 3AY     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: Ann Peace     Date: 1 7 0 9 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 29 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 29 Information about the care home Name of care home: Address: Rustington Hall Station Road Rustington West Sussex BN16 3AY 01903775001 01903777502 sally@rustingtonhall.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sally Baylis Type of registration: Number of places registered: Littlehampton And Rustington Housing Society Ltd care home 52 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 52. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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 (OP) Physical disability (PD). Date of last inspection Brief description of the care home Rustington Hall is a care establishment registered to accommodate up to 59 residents aged 65 years or over. 35 of these residents may be receiving nursing care. Half of the establishment was built many years ago as a private house, but this was converted to an establishment to provide care for 24 people some years ago. The second half of the building was purpose built at a later date to accommodate 35 residents in need of Care Homes for Older People Page 4 of 29 Over 65 52 0 0 52 Brief description of the care home nursing care. The 2 establishments are run and registered as 1 care home. They are situated a few feet away from each other. In both establishments the bedrooms are situated on 2 floors with a passenger lift to provide access. Communal lounges and a dining room are present in both buildings. The cooking for main meals for the whole establishment is done in the main kitchen in the smaller home and taken, in a hot trolley, to the nursing home. Gardens with seating for residents were present. The property is located in Rustington, a large village near the town of Littlehampton. The care home is in a residential area with easy public transport links. A large car park is available for visitors. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that people who use the service experience good quality outcomes. A visit to the home was made on 17th September 2008 by Mrs A Peace and Mrs A Taggart Regulatory Inspectors. The previous visit to the home was made on 13th September 2006. The Annual Quality Assurance Assessment(AQAA) completed by the manager was returned in good time for it to inform this inspection and gave us information about how the home has been performing since the last inspection. During the visit we met people in the communal areas of the home and in their bedrooms, we spoke to as many residents and their visitors as we could and observed Care Homes for Older People Page 6 of 29 staff and residents interactions throughout the visit. We observed residents to be comfortable, relaxed and content in the home and had good relationships with the staff team who are looking after them. Residents told us and surveys also indicated that residents receive a good standard of care in the home. The majority of surveys returned to CSCI were positive about the home, the way it is run and the standard of care given. Following the last inspection a requirement was made regarding concerns with the recording of medication in the home. We also found that not all staff are adhering to correct procedures for the recording of the administration of medication a new requirement has been made.Further requirements have also been made regarding the poorly organised lunchtime meal routine and the staff training and supervision records not being up to standard. What the care home does well: What has improved since the last inspection? What they could do better: Staff must follow safe procedures when recording the administration of medicines. The present lunchtime meal routine must be reviewed to ensure residents get help discreetly, sensitively and individually. Where food and fluid charts are necessary these should be completed according to procedure to evidence that residents are getting the food and fluids they need. A complaints log should be developed to show an audit trail to evidence that complaints are dealt with in a timely fashion and that outcomes are recorded. Training and supervision records are not at an acceptable standard and are not able to evidence that all staff are being trained or supervised appropriately. Specialist equipment e.g. automatic door closures should be supplied by the home if a risk assessment identifies the need. The quality assurance system should be more organised to show the home has a continuous self monitoring system using an objective, consistently obtained and reviewing method. The results should be displayed in the home. The AQAA records that the home plans to make the following improvements: Update the service user guide to the home to include comments from current residents and provide an auditory version of the guide for the visually impaired. Provide staff training on The Mental Capacity Act. Continue to invest in the structure of the home both internally and externally and increase the number of en-suite rooms. The nursing unit is to be upgraded with new carpets and new specialist hoists are being purchased to aid both staff and residents. Expand the activity programme especially for those who do not like group activities. Review ways of working so that more staff are available in the afternoons so staff are able to spend more time with residents. Care Homes for Older People Page 8 of 29 Work towards achieving The Investors in People Award. 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 29 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 29 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. All prospective residents are pre assessed to ensure the home will be able to meet their needs. People told us that they had the information they needed to be able to make a decision about moving into the home and all have contracts. Rustington Hall does not provide intermediate care. Evidence: The home provides a statement of purpose which sets out objectives and philosophy of the home. All prospective residents are pre assessed before being admitted into the home so that the service is confident that they will be able to meet the identified needs of residents and that the staff have the right skills to be able to meet these needs. Once admitted a full assessment is carried out, risk assessments completed and a care plan compiled. Care Homes for Older People Page 11 of 29 Evidence: Prospective residents are given the opportunity to spend time in the home and all residents and their relatives who completed surveys said that they had been given enough information about the home to make a decision. New residents are provided with a contract with a statement of the terms and conditions of the home. We are told that new contracts had recently been sent out to all residents. The home does not provide intermediate care. Care Homes for Older People Page 12 of 29 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. All residents have an up to date care plan and their health and welfare is promoted and monitored by a caring team of staff. Residents told us they are treated with respect and the right to privacy is upheld during care procedures. Residents are assured that at the time of death, staff will treat them and their family with care, sensitivity and respect. Policies and procedures are in place for receipt, recording, storage, handling and administration of medicines but not all staff are following safe procedures when recording drug administration. Evidence: Once admitted into the home, residents are allocated a named registered nurse or a key worker to ensure continuity of care. Pre assessments and assessments are in place which indicates that people are not admitted into the home unless they have been fully assessed and the home is sure they can meet the identified needs. Once admitted assessments are completed and relevant risk assessments, along with care plans. A Care Homes for Older People Page 13 of 29 Evidence: preview of the care plan is kept in residents rooms. The care records examined are in good order and are regularly updated, we were told that the home is in the process of changing the records to make them more person centered. Surveys indicated and residents confirmed that they receive a good standard of care at the home from a friendly and caring staff team. Personal health care needs including specialist health,nursing and dietary requirements are recorded. The records give an overview of individual needs and any changes are recorded so that residents general condition and well being can be monitored. We are told and could see during the visit that staff respect the privacy and dignity of residents. We could also see that residents are supported and helped to be independent to live the lives they choose. We did note that some of the fluid and food charts for residents who were being nursed in bed were not being completed appropriately which would be confusing if someone was trying to review how much food and fluids a particular resident was receiving. This was discussed with Mrs Baylis during the visit who said it would be addressed. Basic nutritional risk assessments are in place and in the majority of cases had been followed through, with records of the weight of residents on a regular basis. We examined one residents records where their records indicated that they had not been weighed since May 2008 and there was no reason recorded as to why, Mrs Baylis was unaware of this but said she would follow it up. Residents have access to outside health care and remedial services and during the visit we could see that residents are supported by staff to attend for appointments independently or with the help of staff. In the majority of cases residents have the aids and equipment they need and these are well maintained to support them and staff in daily living. Where it was noted that some equipment is not being provided this is addressed later in the report in the section related to health and safety. Staff have access to training in health care matters and are encouraged to attend training sessions. At the last inspection a requirement was made concerning the controlled drug procedure. On this visit we found a drug had been signed for in the medication administration chart by a registered nurse but had not been signed for in the Care Homes for Older People Page 14 of 29 Evidence: controlled medication book in line with the homes procedure. Other drugs and records were checked and were in order. This was discussed with Mrs Baylis during the visit and a new requirement has been made about making sure the procedures in the home are safe and that records evidence this. From our observations during the visit and by speaking to residents and staff we concluded that when residents die the staff treat them and their family or friends with care sensitivity and respect. Care Homes for Older People Page 15 of 29 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. Residents find the lifestyle experienced in the home matches their expectations and preferences, and they are helped to make choices to live the life they choose. They are helped to maintain contact with family, friends and the local community. Residents receive a wholesome appealing balanced diet but not all are offered assistance discreetly, sensitively or individually. Evidence: The activity programme in the home recorded that there are: Bowls, trips, musicians, bingo, hairdresser and a chiropodist although we did question why chiropody was advertised as an activity as it is a specialist service. On the day of our visit there were plans to take some residents on a trip around the countryside and stopping off for tea, they were departing as the visit was finishing. Surveys sent to us indicated that the majority of residents were satisfied with the activities on offer at the home. Other activities advertised were trips to the shops and an outing to a Christmas pantomime. We were told that the home had recently put on a summer show for the residents. Care Homes for Older People Page 16 of 29 Evidence: The home also has a team of volunteers to help out. The home has two kitchens, a main one, where the food is prepared and cooked which is in the residential unit and another which is in the nursing unit of the home. Food is transferred between units in heated trolleys. The meals served at lunchtime on day of the visit were: Gammon or cheese and tomato omelette followed by jelly and fruit or sponge pudding. Staff go around the home on one day with menus and residents choose what they want to eat the following day. The menus looked well balanced and nutritious, the pureed food is nicely served and special diets catered for. The majority of residents spoken with on the day of the visit said they were satisfied with the meals served. However out of the seventeen resident’s surveys returned to CSCI in April 2008, five residents said they always liked the meals at the home, six said usually, five said sometimes and one declined to answer. We did note that during the lunchtime in the nursing unit residents were served their meals at the same time, regardless of whether they could help themselves or if they needed help. This meant that meals were left getting cold while those who need help waited for staff. We also noted that one member of staff was walking around a table feeding three residents at the same time while also helping a resident at another table to cut up her food and answering a call from another table to refill a drink. We discussed this poor practice with Mrs Baylis. Once main meals were finished, desserts were handed out, but the residents who had needed help with their meals were left to fend for themselves and many struggled as the staff had gone to help feed residents still in their rooms. We told Mrs Baylis that the present routine at lunchtime was unacceptable and should be changed or staggered so that residents get help discreetly, sensitively, and individually. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their representatives are confident that their complaints will be listed to, taken seriously and acted on however records should be more organised. Residents legal rights are protected in the home. Staff are trained in safeguarding procedures but records could not confirm that they are all updated on a regular basis. Evidence: The home has an open culture that allows residents to express their views and opinions in a safe and understanding environment. Surveys sent to CSCI indicated that residents and their relatives are happy with the home, residents feel safe and well supported by the organisation. There is a complaint procedure displayed in the home but although there was record for complaints there was no organised complaints log. Mrs Baylis was told that the home needs to have dated records on when a complaint comes in, when it is dealt with, and what the outcome is as well as when the complainant was replied to. CSCI have received two complaints in the last year, the home investigated these and we are satisfied that the correct procedure for the investigations were followed. One complaint was partially substantiated and the other was not substantiated. Care Homes for Older People Page 18 of 29 Evidence: Residents confirmed that their legal rights are protected and that they are able to participate in local and national elections. The policies and procedures for safeguarding adults are available in the home and give clear guidance to those using them. Staff are trained in safeguarding and those spoken to did know the procedure, but training records were not up to standard and some were not available to evidence that all staff have been updated in the procedure. There has been two safeguarding alerts at the home in the last year, both were instigated from the home and the correct safeguarding procedure was followed. One, that was related to an agency member of staff was substantiated. The other was send by the home on behalf of a resident for an incident that happened before they were admitted to the home. Care Homes for Older People Page 19 of 29 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. Residents live in a clean, safe, well maintained environment with their own possessions around them. They have access to comfortable indoor and outdoor communal facilities. The home provides sufficient toilet and washing facilities and in the majority of cases have the specialist equipment to maximise their independence. Evidence: The home presently is divided into two units, one for residential and one for nursing. Both units have a homely environment and are fitted with domestic furnishings, the furniture of a good standard. The residential unit is a converted large house and the nursing unit is more functional but has been made as comfortable and homely as possible. The communal areas in both units are pleasant and comfortable with radios, televisions books and games. Residents have been able to furnish their bedrooms with personal items and small pieces of furniture to make them more homely. The home has spacious well maintained gardens, we were told one resident is particularly fond of gardening and has had input into the planting and layout of the enclosed garden. All bedrooms in the nursing unit and some in the residential unit have en-suite bathrooms. There are other communal bathrooms with appropriate equipment which Care Homes for Older People Page 20 of 29 Evidence: meets the needs of the more dependant residents. Both units have a passenger lift to access the first floor, some rooms in the residential unit also have to be accessed by three or four steps however risk assessments are in place. On the day of the visit the lift in the residential unit was out of order, we were told that it had been reported and staff were waiting for an engineer to repair it. We did note that staff were very good about making sure the residents upstairs in their rooms did not feel isolated and we heard staff asking if anyone needed help going downstairs. One window in a corridor in the residential unit was open wide when we arrived and was a health and safety risk for residents as they could have fallen out. We informed Mrs Baylis and by the time we were ready to leave it had been restricted to a safe opening width. Since the last inspection some residents who wanted to have their doors open have paid for, or are expected to pay for automatic closures which would close automatically in the event of a fire. Mrs Baylis was told this is not acceptable, a risk assessment should be carried out and if an automatic closure is required it is the home’s responsibility to provide any equipment to meet the residents needs. We did note that some of the carpets needed a deep clean and we spoke to Mrs Baylis about this at the end of the visit. Policies and procedures are in place for infection control and staff were seen to follow safe procedures to protect residents. Care Homes for Older People Page 21 of 29 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. There was not enough staff on duty on the day of the visit to meet residents needs during lunchtime, staff deployment should be reviewed to ensure residents who need individual attention receive it. We are told that staff do receive training but not all records were available to evidence this. The home operates a thorough recruitment procedure ensuring the protection of residents. Evidence: A staff rota was available which showed staff to be present in sufficient numbers and with the appropriate skills to meet the needs of the residents accommodated. Senior care assistants are in day-to-day charge of the residential care unit but are supported by the deputy manager and the manager. Registered nurses are on duty in the nursing unit. Surveys returned to CSCI indicated that residents thought there was enough staff on duty to meet their needs and that they had the right skills and experience. Staff do receive training and they told us about this, but the training records are not up to standard and could not evidence that staff are receiving mandatory training at specified intervals, the fire safety training records for night staff in the nursing unit Care Homes for Older People Page 22 of 29 Evidence: could not be found at all. A requirement has been made. The home has over 60 of staff who have National Vocational Training to level 2 and above. Staff recruitment files were examined and showed that the home is following safe recruitment procedures. Care Homes for Older People Page 23 of 29 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. Mrs Baylis the Registered manager is qualified, competent and experienced and staff and residents benefit from the ethos and leadership approach to the home which is run in the best interests of the residents. Residents financial interests are safeguarded and staff are supervised although records must be updated. In the majority of cases the record keeping is to a good standard and the health and safety of residents and staff promoted and protected. Evidence: The AQAA completed by Mrs Baylis and sent to us provided clear relevant information and in the majority of cases could be backed up with evidence. It also told us and what changes are planned for the future in the home. Mrs Baylis promotes equal opportunities, has good people skills and understands the importance of person centered care and effective outcomes for residents living at the home. The home has sound policies and procedures which in the majority of cases are Care Homes for Older People Page 24 of 29 Evidence: followed by the staff. The majority of records are maintained to a good standard and routinely completed. Risk assessments are in place and are updated on a regular basis. People are supported to manage their own money where possible. The home does not manage any money on behalf of residents but does keep small amounts for sundries, records of these were seen. The quality assurance system in the home needs to be more organised, some audits are carried out but there is no continuous self monitoring using an objective, consistently obtained and reviewed method. A full quality assurance audit should undertaken on an annual basis and any outcomes, especially residents surveys results should be on display with what action if any is going to be taken as a result. The views of family friends and stakeholders in the community should also be sought on if the home is achieving positive outcomes for residents. There is a staff supervision and appraisal system in operation but again the records of these need to be more organised and clearer. In the majority of cases the health safety and welfare of residents and staff is promoted and protected but some records were not available to confirm training is taking place at the required intervals. Care Homes for Older People Page 25 of 29 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 26 of 29 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 The registered person shall make arrangements for the accurate recording, safe handling, safekeeping, safe administartion and disposal of medicines received into the care home. That staff adhere to the policy for the safe administartion and accurate recording of medicines. 28/11/2008 2 15 4 The routine for serving ,meals should be reviewed so that residents are helped individually when eating. Residents should be offered assistance with their meals discreetly, sensitively and individually. 28/11/2008 3 30 18 Records must be available to 28/11/2008 evidence that staff have received training appropriate to the work they are to perform and to keep residents safe. Care Homes for Older People Page 27 of 29 Records to evidence training must be available in the home. 4 37 17 Records required by regulation for the protection of residents and for the effective and efficient running of the home are maintained, up to date and available for inspection. That records to evidence staff training and supervision are available. 28/11/2008 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 Care Homes for Older People Page 28 of 29 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. 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