Inspection on 22/10/08 for Sandhurst Rest Home

This inspection was carried out on 22nd October 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.

Other inspections for this house

Sandhurst Rest Home 29/05/08

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sandhurst Rest Home 142 Barnhorn Road Bexhill-on-Sea East Sussex TN39 4QL     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: Sally Gill     Date: 2 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 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: Sandhurst Rest Home 142 Barnhorn Road Bexhill-on-Sea East Sussex TN39 4QL 01424844405 01424845144 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sanctuary Care Homes Ltd Type of registration: Number of places registered: care home 24 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 to be accommodated is 24. The registered person may provide the following category/ies of service only: Care home only - (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 (OP). Date of last inspection Brief description of the care home Sandhurst Rest Home is registered to provide accommodation for up to 24 older people and admits people with low through to medium dependencies. Sanctuary Care Homes Ltd purchased the home in February 2008. A manager was appointed in June 2008 and has day-to-day control of the home. They are not yet registered with the Commission. The owners are involved in running of the business. The premise is an older detached building with ground floor extensions added. There are 22 bedrooms on the ground and first floor. Two of these are doubles. Twenty-one rooms have ensuite facilities, Care Homes for Older People Page 4 of 28 Over 65 24 0 Brief description of the care home although some quite small. A passenger lift provides access to the first floor. There are two assisted bathrooms one on each floor and one assisted shower. The home has a large lounge, conservatory and dining room. The home is non-smoking. The slopping gravel driveway leads to the front of the house, which is level and mainly laid to lawn with trees, shrubs and a flowerbed. To the side is a level paved area with tables and chairs. The home is suitable for wheelchair access. There is parking on the front drive for several cars. The home is located on the main road between Pevensey and Little Common. The home is approximately one-mile from local shops, churches, pubs and other community facilities in Little Common. A bus stop is sited approximately 40 metres away. The staff compliment consists of the manager, care assistants and ancillary staff. Care staff work a rota that includes a minimum of two care staff on duty during the day and a carer on duty at night with another person on call sleeping on the premises. Current fees charged at the time of the visit ranged from 346.00 to 500.00 per week. Additional charges are made for hairdressing, dry cleaning, telephone, toiletries, newspapers and chiropody. Previous inspection reports are available from the home or can be downloaded from www.csci.gov.uk. 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: The previous inspection took place on 29th May 2008. This key inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.10am and 4.10pm. The manager and staff assisted during the visit. People that live in the home, a relative and staff were spoken to. Observations were made throughout the day. Twelve people were living at the home on the day of the visit and another two were staying for respite care. Surveys were sent to the home for the manager to distribute to residents, staff and health and social care professionals. Ten were returned from services users and five from staff. Comments were generally very positive. Care Homes for Older People Page 6 of 28 The care of people was tracked to help gain evidence as to what its like to live at Sandhurst Rest Home. Various records were viewed during the inspection and a part tour of the home undertaken. The home has worked hard to improve the outcomes for people that live in the home. Further work is still required and the home also needs to demonstrate sustainability to improve the rating and be a good service. What the care home does well: What has improved since the last inspection? What they could do better: The detail in the pre-admission assessment undertaken by the home needs to be improved. This is to ensure the home is making a sound judgement that they are able to meet all the needs of the person assessed. Copies of the Care Management Care Homes for Older People Page 8 of 28 summary of needs assessment must also be obtained before admission when people are funded by a local authority. Medication systems and records need to be improved further to fully protect people. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need in order to make an informed decision about the services the will home provide. Peoples needs are assessed but improvements are needed to ensure full information is available. People have contracts of terms and conditions. People have the opportunity to visit the home and look round before moving in. Evidence: People have access to information they need in order to make an informed decision as to whether this home is right for them. Since the last inspection the statement of purpose and residents guide (service user guide) has been updated. One person said I was very happy with the information I received. People are protected by contracts of terms and conditions. People have agreed terms and conditions with the home. They receive a copy of their signed contract. Care Homes for Older People Page 11 of 28 Evidence: People have their needs assessed prior to moving in. Each person that has moved in since the last inspection has had his or her needs assessed. Copies of the assessments are held on file. Four were examined. Two were not signed and there was no indication as to who had completed them. At times the assessments lacked detail. For example bathing and in and out of bed/chair stated assistance but there was no detail as to what assistance was required. Some areas were left blank which could be confusing. The manager advised that one person spent considerable time in a wheelchair during the day but this was not mentioned in their assessment. Some assessments contained no mention of interests or hobbies and how people like to spend their day. Preadmission assessments must detail all of peoples needs in order for the home to make a judgement that these can be met. A local authority funds one person. A copy of the summary of Care Management assessment had not been obtained prior to moving in. A requirement is made in relation to pre-admission assessments. People confirmed that they had been able to visit the home prior to moving in. People spoken to confirmed that they had had the opportunity to look round the home before moving in. One had made several visits and brought their friends and family. Others said relatives had looked round. Intermediate care is not provided but short-term care can be vacancies allowing. 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. Peoples health, personal and social care needs are set out in an individual plan of care. Risk assessments need further improvement to detail actual risks and any systems in place to reduce the risk. Peoples health needs are met although records to monitor some areas need review or improvement to evidence this. Medication systems need minor improvements to fully protect people. People are treated with respect and their right to privacy and dignity upheld. Evidence: Peoples health, personal and social care needs are set out in an individual plan of care. People have signed their care plans as a sign of their agreement. Care plans have greatly improved and contained some good detail although further improvements are required. Staff confirmed that the new care plans are much better and more informative. Risk assessments are in place and regularly reviewed. Detail in some should be improved such as recording the detail of mobility rather than just a tick. A moving and handling risk assessment only listed equipment and not staff intervention. At times relevant information to a risk assessment is recorded elsewhere and should Care Homes for Older People Page 13 of 28 Evidence: be cross-referenced. An example is using a mobility scooter. Some documents are headed risk assessment but are not. For example peoples choice to have a key to their room and Body Mass Index (BMI) monitoring. A requirement is not made at this time but the above shortfalls must be addressed and the improvements sustained. Daily reports made by staff and monthly reviews contained good detail although at times were not signed in full which would be good practice. Peoples health needs are met although there is tendency to over monitor in records. The use of charts to monitor some areas of peoples health should be reviewed. Within the care plan some monitoring charts are in place when there is no evidence they need to be also people are independent and therefore the information is not complete. Such as monitoring when people have their bowels open or monitoring fluid output. For example one persons bowel chart showed that they had not had their bowels open for 22 days. The manager advised this would not be the case. Discussions and records confirmed people have access to health care professionals such as GP, district nurse and a physiotherapist. Some people organise their own appointments etc. A new system has been introduced to ensure information relating to visits by health professionals is known to the home and clearly recorded. Medication systems need minor improvements to fully protect people. The medication systems were examined and medication administration observed which confirmed there have been improvements. Staff that administer medication have received training. Where prescription creams are stored in bedrooms a risk assessment should be in place. Risk assessments for self-administration must also identify the storage arrangements of the medication. The Medication Administration Records (MAR) charts were examined and showed appropriate use of signatures and codes. Over the counter medicines are recorded on the MAR charts but it is not clear these are not prescribed medicines which would be good practice. The MAR charts must evidence quantities of medicines handed over for self-administration. Controlled drugs are handled and recorded appropriately. Medication awaiting return must be recorded in the returns book to ensure a clear audit trail. The temperature of the medication cupboard appeared warm. The temperature of the medication cupboard should be monitored to ensure medications are stored correctly at all times particularly given the cupboard backs onto the oven. Some of the above shortfalls were highlighted at the previous inspection and therefore a requirement is made. People feel they are treated sensitively and with respect. Observations and people spoken to all confirmed that staff are kind, caring and respect their privacy. 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. People enjoy the activities provided or their own company and some are able to access the community independently. People are able to exercise choice and control over their lives. People enjoy their meals in pleasant surroundings with good company. Evidence: People enjoy activities provided or their own company and some are able to access the community independently. A programme of activities is in place with something taking place each morning and afternoon. Activities include exercise, reminiscence, music and sherry, crosswords, gardening morning, bingo, bean bag target, film star pairs, darts, skittles and hoops. One person spoke of their enjoyment of their own container garden situated outside their patio door. Other people whose windows overlooked them also said they enjoyed the containers. One person said they joined all the activities and enjoyed them. Another said I like the motivation and co, music for health, bingo, ball games, hoopla, exercises, reminiscing and crossword. Another said they like to spend time in their own company and this was respected. Two people said they regularly access the local community using a mobility scooter or public transport. Some outside entertainers also come into the home regularly. A Care Homes for Older People Page 15 of 28 Evidence: physical motivation group and music for health are both held monthly. An aroma therapist is available to come in. On the morning of the visit a holy communion was held which is a monthly event. This was followed by sherry and exercises. The owners have previous spoken of introducing outings in the future and are looking at ways to achieve this. One staff member felt there is always room for improvement this could be a better outside activities e.g. taking residents out for drives or to the seafront. People are able to exercise choice and control over their lives. People have been able to bring in their own possessions, which have made some bedrooms very homely. The home is not involved peoples financial affairs. When people are asked about food preferences for the following day this now includes all vegetables to ensure people only get what they want. A choice of drinks in jugs was also evident on the lunchtime tables. Two residents meetings have been held. Minutes evidenced that peoples views are taken into account and changes made. People enjoy their meals in pleasant surroundings with good company. Breakfast is mainly on trays in peoples rooms. A breakfast card is in place for each person, which clearly states what they have chosen to have, and the preferred time. This can of course be changed at any time. Breakfast is a choice of grapefruit, cereals, toast, eggs or porridge. The main meal is at lunchtime. This is soup or grapefruit to start followed by a choice of two main dishes and two desserts. On the day of the visit everyone had chosen homemade vegetable soup followed by roast pork, roast and mashed potatoes, swede, broad beans, gravy and apple sauce. Dessert was homemade jam sponge and custard or fruit cocktail. Supper is soup or grapefruit followed by a light meal or sandwiches and a dessert. It was pleasing to see people had been able to choose various places to sit and have lunch (conservatory, lounge and dining room), which has resulted in people sitting with others whose company they enjoy and there was plenty of conversation. Comments about the food include they get to know your likes and dislikes. The food is very nice, quite varied and they will always do you something else. The food is adequate they listen to my complaints and Im quite satisfied. The food is excellent a good variety and homemade cakes. Better but still room for improvement often plate to over loaded and I have difficulty seeing what I am eating (this person is partially sighted). Regarding supper meals it appears due staff shortages enough care is not always taken when preparing the supper meals. The meals are very good, the food is mainly excellent. There is a very good choice of food always 2/3 choices and it is of very good quality. 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. People feel able to voice their concerns and action is taken. People feel safe living in the home but further staff training could enhance this. Evidence: People feel able to voice concerns. One person said I would complain to X (the manager) I know they would sort it out. The complaints procedure is displayed in every bedroom. The necessity of this was discussed with the manager as it does distract from a homely environment. The complaints log was examined. One complaint had been received since the last visit. This was not upheld. Details of the investigation and outcome were clearly recorded. The Commission has received no complaints. A grumbles book is in place. Several were recorded together with action taken. Two residents meetings have been held where people are asked about any concerns they may have. People confirmed that the manager and owners are very approachable. One said I would talk to X or Y (members of staff). One relative said all the staff and management are always listening and acting on any of my concerns over my Xs care. I have never had any reason to complain. People confirmed that they feel safe living in the home. Previous information received from the home confirms that policies and procedures are in place for safeguarding adults. One of the owners has undertaken an East Sussex Social Services train the trainer course in safeguarding adults. Most staff have now received the updated Care Homes for Older People Page 17 of 28 Evidence: training although all must receive this training regardless of their role. 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. People have a pleasant, homely, well-maintained and safe environment in which to live. Evidence: People live in a nice, comfortable, homely, safe and maintained home. Parts of the home were viewed during the visit. Since the last visit the communal areas, hallway, stairs and further bedrooms have been re-carpeted. Further bedrooms have been redecorated. A bathroom has been refurbished. The home must ensure that locks fitted to rooms used by people can be accessed in an emergency. Most parts of the home have now undergone redecoration and refurbishment, which provides a pleasant homely environment to a good standard for people to live. Some bedrooms still need to be completed and these are included in the development plan of the home. New pictures and lighting has enhanced the lounge and dining room. The gardens and lawn are well maintained and people spoke of their enjoyment of the planted containers outside the home. People have been able to personalize their bedrooms, which has resulted in individual homely rooms. People confirmed they were very happy with their rooms. Care Homes for Older People Page 19 of 28 Evidence: The home appeared clean on the day of the visit and no unpleasant odours were apparent. One person said it is always spotlessly clean. Paper towels and liquid soap is provided in all toilets and bathrooms. However it is not good practice to have towelling towels in shared facilities. People confirmed there is always plenty of hot water. 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. A qualified, trained and skilled staff team supports people who live in the home. Evidence: The numbers and skill mix of staff meet peoples needs. In addition to the manager the home has three care assistants on duty in the morning 8am-2pm and two 2-8pm. A cook is on duty each day 8-2pm and a domestic assistant 8-2pm six days per week. Five days a week a kitchen assistant or additional care assistant is on duty 5-8pm to help with the suppers. One person said at this time carers can seem stretched on occasions. In addtion care staff complete the laundry each day and domestic tasks on Sundays. People said the staff were good, very friendly and helpful. One relative said the staff stay here which is good because people get continuity. There was one negative survey comment regarding early evening about staffing levels. Staff do not always answer my bell particualy in time (early evening) and I would like help getting my night clothes on this is dependant on staffing levels. The last comment was discussed with the manager and later the provider and it has been agreed that they will review this issue to ensure that peoples needs are being responded to in a timely manner at key times of the day. The provider also stated that all call bell times are logged and regualarly reviewed by the home. People receive care from a qualified team. Records indicated that eight staff have Care Homes for Older People Page 21 of 28 Evidence: obtained National Vocational Qualification (NVQ) level 2 or above. This meets the 50 target recommended for good practice. People are generally protected by the homes recruitment procedures. Two files were examined of staff recently recruited. The files showed that required checks were in place including an application form, references, Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. It was unclear on one file if a reference had been obtained from the last employer or a work colleague. A reference must be obtained from the current/last employer. One file did not evidence proof of identification. The manager was sure this had been obtained and miss filed. A copy of the miss filed document was sent to the Commission following the visit. Staff have received further training for their role. An induction to Skills for Care has been introduced and completed by a new staff member. Further staff have received training in safeguarding vulnerable adults, medication administration, Containment of Substances Hazardous to Health (COSHH), fire, moving and handling and incontinence management. There remains a shortfall in staff training numbers, which the manager and owners are aware of. Further courses are booked such as first aid and moving and handling. The manager advised that food hygiene and infection control are still to be booked. 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 management and administration of the home is based on openness and respect. The home has effective quality assurance systems. Evidence: People live in a home where the manager and owners are working hard to improve standards. Since the last inspection the home has appointed a new manager. They have experience in managing a care home. The manager has not yet submitted their application to register and must. Staff confirmed that the new manager has made improvements, the home is running more smoothly and they are kept informed about things. One person said they are very pleasant never had a problem. The owners play an active role in the management of the home. People confirmed both the manager and owners are very approachable. One person said Mr & Mrs Brooker work very hard. The home is run in the best interests of people that live there. People who have an Care Homes for Older People Page 23 of 28 Evidence: interest in the home have completed a quality assurance questionnaire. Results are displayed on notice boards around the home. A grumbles book is in place. Two residents meetings have been held and records indicate that any suggestions have been implemented. The owners have undertaken visits required by legislation (regulation 26). Reports on these visits are held at the home. Not all have been sent to the Commission as required previously. Missing reports were sent following this visit. Reports could be enhanced to show who/how many people were spoken to (staff/residents). Reports no longer need to be sent to the Commission. The home is not involved in holding monies for people that live there. Staff supervision has been started. The manager advised most people have now received a supervision session. Staff said they felt well supported. The health, safety and welfare of people is protected and promoted. See staff training for details regarding mandatory training. Work to complete the periodical electrical test has been finished since the last visit. Regular health and safety testing and monitoring is carried out including hot water testing and fridge and freezer temperature monitoring. Accidents are recorded and report appropriately. Fire safety servicing and testing is undertaken. One person confirmed there was a fire drill last night. Visual monthly checks on extinguishers still need to be recorded. 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 2 14 The registered person must ensure pre-admission assessments undertaken contain details of all the needs of the propective service user in sufficient detail. Copies of the summary of Care Management assessments must be obtained No service user moves into the home without having their needs fully assessed and can be assured these will be met 22/11/2008 2 9 13 The registered person must 22/11/2008 have a safe system for medication management. In particular it must be clear on the MAR chart whether medications are prescribed or not, risk assessments must be in place for unsecure storage of prescribed creams, MAR charts must clearly show the quantities of medicines Care Homes for Older People Page 26 of 28 given for self administration, there must be a record of medication awaiting return Service users are protected by the homes policies and procedures for dealing with medicines 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!