Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/12/08 for Rutland Residential Care Home

Also see our care home review for Rutland Residential Care Home for more information

This inspection was carried out on 9th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was evident from speaking to the people who live in the home that they were comfortable and that they felt their care needs were being met and that they felt safe in the home. The facilities the home offers are good and the residents rooms and communal areas are decorated, furnished and maintained to a high standard. The people who use the service said that the food was exceptionally good and they they really enjoyed their meals they said they were consulted about the menu and that their wishes and preferences were taken into account. The home provides a comfortable, homely, safe and protected environment for the people who use the service. The owners of the home clearly understand the personal, health and social care needs of the people who use their service and are very experienced in the care of the elderly; they also employ a trained nurse who has been with them for a number of years; they do use agency staff from an accredited agency when necessary. The home is to be congratulated on the good standard of care it provides for it`s residents who clearly expressed their appreciation of the care they receive and the environment of the home.

What has improved since the last inspection?

The home is endeavouring to comply with record keeping particularly relating to care plans, risk assessments, recruitment and selection, supervision, appraisal and training requirements; there is still some work to be done in these areas and recommendations have been made regarding these issues. The owners are in the process of appointing a new manager who is to be registered with the CSCI and who will undertake the Registered Managers Award qualification.

What the care home could do better:

The owners need to make sure that personnel records comply with the documentation required under schedule 2 of the National Minimum Standards. They must make sure that they keep records of regular meetings with staff and annual appraisals must be undertaken and documented. Mandatory training and updates relating to moving and handling, first aid, food hygiene, fire training, health and safety and Safeguarding Vulnerable Adults training need to accessed for staff as recommended in this report. Although staff are experienced and have received training in their previous employment it is necessary to make sure that this training is updated within recognised timescales. The owners need to implement a Quality Assurance policy and procedure and undertake regular monthly inspections to comply with regulation 26. The home must also review all policies and procedures and make sure that they are available to residents, relatives, healthcare professionals, visitors and inspectors. All residents must have up to date risk assessments and these must be reviewed regularly. A review of all fire procedures must be undertaken, a fire risk assessment must be completed and fire alarm testing, fire drills, checks of fire fighting equipment and fir training must be undertaken on a regular basis and fully documented.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rutland Residential Care Home Rutland Residential Care Home 51 Marlings Park Avenue Chislehurst Kent BR7 6RD     The quality rating for this care home is:   one star adequate 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: Susan Meaker     Date: 1 6 1 2 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. that people have said are important to them: They reflect the things 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 © (2009) 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: Rutland Residential Care Home 51 Marlings Park Avenue Rutland Residential Care Home Chislehurst Kent BR7 6RD 01689821560 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): mavand@ntlworld.com Mrs Mavis Fleming,Mr Andrew Albert Fleming Name of registered manager (if applicable) Mrs Mavis Fleming Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (CRH - 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 Date of last inspection Brief description of the care home Rutland Residential Care Home is a large, well- maintained, detached house that is sited on a corner plot in a quiet residential area in Chislehurst, close to shops, leisure facilities and has good access to public transport. The interior of the home provides accommodation for four elderly residents in well decorated and furnished en-suite bedrooms; there is also a well-equipped separate bath and toilet facilities on the Care Homes for Older People Page 4 of 28 care home 4 Over 65 4 0 Brief description of the care home ground floor. The home has a stair lift to the first floor giving easy access for the residents. The home has a spacious sitting room, a dining room and a well-equipped domestic style, kitchen. The home has a secluded garden to the rear, with a variety of shrubs and plants and a lawn area; there is also a patio with garden furniture easily accessible to the residents and their visitors. There is ample car parking space to the front of the property with an in and out driveway. 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: one star adequate 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 was a statutory unannounced key inspection that took place over five hours; comprising of a discussion with the owners of the home and the member of staff on duty. Before the visit we looked at information received since the last inspection site visit. We looked at the Annual Quality Assurance Assessment completed by the Registered Provider giving evidence to support what the home says it does well, and gives them an opportunity to say what they feel they could do better and what their plans are for the future. We looked at how the service dealt with any complaints and concerns since the last inspection visit. We looked at any changes as to how the home is run listening to the providers view of Care Homes for Older People Page 6 of 28 how well they care for the people who use the service; and took account of the views of the people who use the service, their relatives, staff and other professionals who visit the service. During the inspection site visit we talked to the owners of the home, the staff and the people who live in the service; there were no visitors to speak to during the visit. We looked at information about the people who use the service and how well their care needs were being met. We looked at other records kept including medication, care plans, health and safety and financial documents. We checked that staff had the knowledge, skills and training to met the care needs of the people living in the home. We looked around the home to make sure that it was clean, comfortable and safe for the people who live and work in the house. We checked the improvements that had been made since the last visit and before undertaking the inspection we sent out Have your Say questionnaires for the people who use the service to complete. What the care home does well: 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 Care Homes for Older People Page 8 of 28 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 service provides good information for prospective residents and their relatives enabling them to make an informed decision about moving into the home. Prospective residents and relatives receive a contract giving details of the terms and conditions relating to their tenure. Prospective residents have their personal, health and social care needs prior to moving into the home, so they can be assured that the service can meet their identified needs. Evidence: The service provides information to prospective residents, in the form of a brochure detailing the care services they provide and a statement of terms and conditions of the accommodation and facilities offered to the people who are going to live in the home. Residents spoken to said that they and their relatives had information about the home and care services offered prior to making a decision as to whether or not the service could meet their assessed personal, health and care needs. Care Homes for Older People Page 11 of 28 Evidence: Either the provider of the manager undertakes a full assessment of people before they move into the home; thus making sure they are able to meet their care needs. Referrals are made by the local social services and the home receives an in depth assessment document from them detailing the persons health, personal and social care needs and a care plan as to how those needs were to be met. Residents and their relatives said that they were consulted during the assessment process and felt that the home cared for them sensitively respecting their privacy and dignity and thereby helping them to live the life of their choice. Prospective residents and their relatives are encouraged to visit the home prior to admission and to spend time with the provider, manager and staff; to have a meal, meet the other residents and to choose their bedroom. New residents are provided with a 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. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care Plans need to be more person centred; risk assessments need to be completed in depth ensuring that the people who use the service are safe at all times. The home manager must ensure that the care plans, risk assessments and medication documentation is reviewed on a regular basis ensuring the information they have is up to date and appropriate to the individual. The home manager ensures that they have details of how the person and their family are to be treated at the time of death making sure that their wishes are respected. Evidence: The three residents currently residing in the home have a basic care plans; one of the residents is privately funded and the other two residents were referred by the local social services. The provider and manager use notes made at the assessment for the care plan and use the care plan from social services to make sure they meet the assessed health personal and social care needs. The care plan includes basic information necessary to deliver the residents care but it is not detailed or person centred. Care Homes for Older People Page 13 of 28 Evidence: The residents spoken to during the visit were complimentary about the care they received and said they were very happy and comfortable with their life in the home saying it was home from home. They said that the staff were very good and very caring - they felt safe and protected in the home. The homes management are aware of the need to complete risk assessment documents; however they spoke verbally of how they keep the people who use the service safe and protected but the should at least have risk assessments completed that give basic information and they need to focus on keeping people who use the service safe. There is basic information available to inform the residents of their rights and there is evidence that they are consulted and their suggestions and concerns are listened to and acted upon, residents are kept informed of changes to their care and environment.The home consults with the people who use the service on their satisfaction with the service they are receiving. 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 home is able to offer the people who use the service the opportunities to take part in appropriate pastimes enabling them to maintain a varied lifestyle. The people who use the service are encouraged and supported to keep their links with family, Friends and the local community ensuring that they do not feel isolated. The home offers a choice of food making sure that the people who use the service have a nutritious, balanced and healthy diet. Evidence: The people who use the service are supported and encouraged to pursue their hobbies and interests; it was evident from speaking to the residents that they do maintain their chosen lifestyle and do the things they like to do in their own time. Their activities included reading a newspaper on a daily basis and discussing news items with the home manager and staff ; they also enjoyed reading books and had access to an extensive library within the home; they also said they enjoyed watching films and listening to music. The home has a very nice outside space a very pleasant garden with garden furniture Care Homes for Older People Page 15 of 28 Evidence: they said they enjoyed sitting outside in the good weather and sometimes had afternoon tea in the garden. The people who use the service are encouraged to invite their relatives and friends to the home; relatives spoken to said they always felt welcome in the home and were always offered hospitality; the home does not have a private area from relatives and friends to have confidential conversation, however their rooms are spacious and well furnished, they said they converse privately. The people who use the service converse well with each other and have become friends; the owners of the home and the staff they employ spend time with them and this creates a friendly, homely atmosphere. The provider and manager often spend time, on a one to one basis reminiscing about the past; and discussing topics relating to their personal, health and social care needs; it was evident that the people who use the service appreciated these times and said they could voice their concerns and worries and know that they would receive a sympathetic response and that if they made a suggestion it would be listened to, discussed and if appropriate put into place. The people who use the service are able to got out if they are able and if they wish possibly to church, to the shops and the local library; they are able to have their hair styled and have beauty treatments on a weekly basis; they take part in armchair exercises and walks around the large garden . The home provides a weekly menu that is discussed with the residents taking into account their likes and dislikes; the menu gives consideration to healthy eating making sure that the people who use the service have a balanced, nutritious and varied diet. Mealtimes are a social occasion and the ladies often eat with the provider, manager and staff in the spacious kitchen/diner; hot and cold drinks and snacks are available throughout the day. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has protocols in place to safeguard the people who use the service ensuring they feel safe and protected within their environment; however the home should make sure that their training relating to safeguarding issues is updated. Evidence: The home has a complaints policy and procedure available to the people who use the service, their family, friends and advocates. The residents spoken to said they knew what to do if they were unhappy with something but they also said there had not been an instance to date where they found this course of action necessary. They said they were so well looked after they had no complaints. They also said that any concerns they raised were listened to with sympathy and that they were resolved to their satisfaction at the time and that the provider and home manager always listened to their little worries with understanding and compassion. There have been no complaints at the home since the last inspection and no complaints have been made to the CSCI about this service; in fact the people who use the service, their family and friends, advocates and healthcare professionals have been very complimentary about the services provided by the home and the high quality of care given to the residents. The provider, home manager and staff member on duty demonstrated a comprehensive knowledge and understanding of POVA and the POVA register and were also aware of the local authority guidelines relating to the safeguarding and protection Care Homes for Older People Page 17 of 28 Evidence: of vulnerable adults The home has a copy of the local authoritys adult protection policy and procedures that need to be followed in the event of an allegation of abuse. 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. The home provides a clean, comfortable, safe, well maintained and homely environment for the people who live there; making sure they feel safe and protected at all times. Evidence: This is a family home maintained to a high standard; the house is decorated and furnished in a homely style providing the people who use the service a comfortable and pleasant place in which to live. The residents spoken to said that they felt at home in the house and that they were able to maintain their preferred lifestyle. The communal spaces, the kitchen, lounge/diner, the bedrooms, bathrooms and toilets are all maintained to a high standard; the spaces are light and airy well decorated and furnished. The garden is a lovely space much enjoyed by the people who live in the home; who said they like to spend time in the garden in the warmer weather; the patio has good quality garden furniture for the use of the residents and their visitor and they said they often had their tea in the garden in the summer months weather permitting. The people who live in the home have their own bedrooms with ensuite facilities; the rooms seen were spacious, light and decorated and furnished to a good standard; there was evidence of the rooms being personalised to reflect the tastes and interests of the individual; the rooms seen had personal photographs, pictures, televisions, CD Care Homes for Older People Page 19 of 28 Evidence: and DVD players, ornaments and small items of furniture; the residents confirmed that they were encouraged to bring small personal items into the home when they moved in to enable them to settle into their new home by having personal items around them. The bathroom and toilets are fitted with aids needed by the people who live in the home; these needs are assessed at the pre-admission assessment and any adaptations needed are made before the person comes into the home. The home is clean, tidy and free from odours; thereby making sure that the people who use the service live in a homely, comfortable and pleasant home. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners of the home and their trained nurse are experienced, skilled and competent in caring for the people who live in the home; they provide a good standard of care enabling them to meet the assessed personal, health and social care needs of the people who use the service they provide. The home needs to make sure that the recruitment and selection policies and procedures are reviewed in conjunction with the standards; and that all training is regularly updated and documented. Evidence: The home does not have a written rota, however the owners and a trained nurse provide the people who live in the home with good quality care 24 hours a day, seven days a week. The residents spoken to confirmed that their care needs were met by the owners and staff and that there was always someone around when they needed help and assistance; they also said that the care they received was of a high quality and that they were always treated with respect and that their dignity and privacy were always considered making sure that they lived in the home according to their wishes and preferences. The owners of the home a very experienced in the care of the elderly and were approved as carers by the local authority; the home currently employs one trained nurse and uses staff from an accredited agency when necessary. Care Homes for Older People Page 21 of 28 Evidence: The home does not have a written policy and procedure relating to the recruitment and selection of staff; the trained nurse employed has been working in the home for a long period of years and the agency staff employed have their recruitment checks done by the agency they work for prior to being sent to the home. However the trained nurse employed should have a personnel file that included the documentation required by schedule 2 of the National Minimum Standards. The owners must make sure they set up a personnel file for the trained nurse and that they must have copies of the recruitment documentation for the agency staff they use; this documentation should include a copy of the application form, copies of two references, copy of the CRB check a health declaration and copies of certificated training; the owners should ask for this documentation prior to the person coming to work at the home. The owners of the home are aware of the need for robust employment checks to be carried out and are working towards complying with this requirement. Currently the home owners do not provide any training for staff; however they make sure that the staff they use have had training in their previous employment and that they are able to demonstrate that they have the necessary skills, competency, training and experience in caring for the elderly. The owners need to make sure that any staff coming into the home have updated their mandatory training relating to first aid, moving and handling, food hygiene and health and safety and fire training; it is understood that there would be difficulties in staff leaving the home to undertake training it is therefore suggested that the home owners explore the possibility of external trainers coming into the home or that staff could undertake distance learning with the local college or with the local authoritys social services. It is understood that the trained nurse employed regularly updates her own training as this is a condition of her pin number; however the home should keep an un to date record of this training; it is also important for the owners to check that agency staff have also provided evidence of their updated mandatory training and that they need to have documentary evidence that the agency has provided this training. The home is in the process of appointing a registered manager for the home; the person identified would need to apply to be registered by the Commission and would need to successfully complete the Registered Managers Award; this issue is ongoing and the owners are hoping to finalise this issue soon. The owners of the home must keep records of any training undertaken and update on a regular basis and there should be an annual training plan in place and a designated budget for training. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners of the home demonstrate that they are experienced, have the skills and are competent to effectively manage this residential home, providing a stable and comfortable home for the people who use the service. The owners of the home must make sure that the Registered manager undertakes the Registered Managers Award. The residents financial interests are safeguarded in line with regulations. The home must review and document risk assessments particularly relating to fire precautions. Evidence: It was evident during the inspection that the owners and trained nurse were aware of how they needed to meet the assessed personal, health and social care needs of the people WHO live in the home; that they are skilled, competent and experienced in the care of the elderly, working as a team to provide a good quality of care. It was evident form speaking to the nurse on duty and the people living in the home Care Homes for Older People Page 23 of 28 Evidence: that the owners, who live on site, created an open and positive atmosphere within the home making sure that they, their family and friends and staff felt comfortable with the aims, objectives and ethos of the home and the service provided to residents. The home owners are in the process of appointing a registered manager for the service and they should make sure that the registered person undertakes the Registered Managers Award qualification. The home employs one trained nurse, however there is no structured supervision or annual appraisal; the owners said that this was done on a informal basis as they all work closely together as a team; it is recommended that the owners record when these discussions take place and that a short annual appraisal be completed and recorded a dairy could be used for this purpose. Moving and handling risk assessments must be completed for each resident prior to moving into the home and should be regularly updated on their individual care plan. All financial transactions undertaken on behalf of the people who live in the home are receipted and recorded on the individuals personal file; residents are supported and encouraged to manage their own financial affaires and sometimes their family or advocate will manage them for them under the auspices of Power of Attorney. All the people who live in the home have a personal pocket money account and all monies are held in a locked facility in the home. The home complies with health and safety legislation and has provided certificates to show they have the correct insurance cover, electrical and gas certificates, fire safety records and insurance with Thames Water relating to central heating, plumbing and drains. Accidents and incidents are recorded correctly and the CSCI notified under regulation 37. The owners must make sure that the home documents when the fire alarm, emergency lighting, and fire fighting equipment are checked; a fire risk assessment must be done, and fire drills and fire training implemented and documented. 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 7 15 Service Users Plan of Care; healthcare and medication. The people who use the service must have their care plan, risk assessments and medication documentation reviewed on a monthly basis and this information is to be recorded on their personal file. 26/09/2009 2 18 12 Management and staff are 26/09/2009 suitably qualified, competent and experienced to met the health and welfare needs of the people who use the service. The Registered Person must ensure that they, the home manager and staff attend refresher training relating to the Safeguarding of Vulnerable Adults and they must document that they have attended this training . Care Homes for Older People Page 26 of 28 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 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 © (2009) 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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!