Inspection on 14/10/08 for Sisha House

This inspection was carried out on 14th October 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sisha House 31/01/07

Sisha House 14/12/05

Sisha House 14/07/05

Sisha House 02/03/05

Sisha House 27/10/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sisha House 124 Brondesbury Park London NW2 5JP     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: Julie Schofield     Date: 1 4 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 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: Sisha House 124 Brondesbury Park London NW2 5JP 02084593455 02086219736 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Nurjehan Bhanji Type of registration: Number of places registered: Mr Ramzanali Bhanji care home 3 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: 3 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Sisha House is a care home, which provides accommodation and personal care for 3 elderly persons. All service users enjoy their own single bedroom and each bedroom has en-suite bathing and toilet facilities. There is sufficient communal space for service users and for the proprietors who live on the premises. There is also a very large open plan kitchen/dining/seating area. The house is just off Willesden High Road with its shops and transport connections. It is within a couple of minutes walk of Willesden Library. The home has off street parking for 3 cars at the front of the property. Although a busy area, there is street parking within a 5-minute walk from the home. Care Homes for Older People Page 4 of 29 Over 65 3 0 Brief description of the care home The home has a well-maintained garden at the rear of the premises. At the time of the inspection there were no vacancies. Information regarding the fees charged is available, on request, from the manager of the home. 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 inspection took place on a Tuesday in October and started at 9am. It finished at 1.10pm. During the inspection we met and spoke with the three residents and would like to thank them for participating in the inspection. We would also like to thank the manager and her husband for their assistance. During the inspection a site visit took place, records were examined, the care pathways of residents were case tracked, compliance with previously identified statutory requirements was checked and the serving of a meal was observed. Care Homes for Older People Page 6 of 29 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 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 Care Homes for Older People Page 7 of 29 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 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. A comprehensive assessment of the needs of the resident, prior to admission to the home, enables the home to determine whether a service tailored to the individual needs of the resident can be provided. Standard 6 was not inspected as the care home does not offer an intermediate care service. Evidence: There are 3 residents living in the home. The last resident moved into the home in 2001. No concerns were identified prior to this in respect of the homes pre-admission procedure. The procedure includes obtaining the relevant documents from the funding authority and an assessment carried out by the manager. The resident or their representative is fully involved in the assessment. With all this information the manager is able to decide whether the home can provide a service that will meet the Care Homes for Older People Page 10 of 29 Evidence: individual needs of the prospective resident. The home does not offer an intermediate care service. Care Homes for Older People Page 11 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. Reviewing care plans on a regular basis ensures that changes in the needs of residents are identified and can be addressed. Residents health care needs are met through access to health care services in the community. Supporting residents to take their prescribed medication helps the residents to maintain a healthy lifestyle. Residents live in a home where they are shown respect and where their dignity is maintained. Evidence: We looked at each of the residents case files and noted that they had a brief care plan. The care plan contained a risk assessment in the event of falls and care plans also included other risk assessments, that were tailored to the individual needs of the resident. The manager has previously told us that either she or her husband can verbally translate the care plan into Gujarati or Karchi if the resident would prefer. This is a care home for three residents and where the proprietors live on site. The manager and her husband were very knowledgeable about the individual needs of each resident and gave examples of how the religious and cultural needs of the residents are met. When we spoke with residents they confirmed that support was given so that they Care Homes for Older People Page 12 of 29 Evidence: could follow their chosen lifestyles. Care plans and placements were reviewed on a regular basis and the minutes of these were on file. However, the monthly evaulations of the care plans had ceased. We discussed health care support with the residents. They appreciated having someone from the care home to accompany them to appointments, particularly hospital out patient appointments. A resident said that the care home provides them with transport when they attend these appointments. When a resident was having problems booking a health care appointment they said that the managers husband chased it up for them. Residents told me that they have had the flu jab recently. There was evidence on the case files that residents have regular appointments with the optican, dentist and chiropodist and residents confirmed this. There was also evidence that residents have access to routine blood tests and screening. Each of the residents is mobile and they are encouraged to take some exercise each day. We looked at the storage facilities for medication and noted that they were safe and secure. Only two of the three residents are prescribed medication. The home uses a blister pack system and we noted that a photograph of the resident was attached to the blister pack. When we looked at the blister packs we saw that the blisters had been opened in accordance with the day of the week and the time of day that the inspection took place. Records were examined and these were up to date and complete. One of the residents self medicates for one item of medication and this is with the agreement of their GP. The resident has a lockable storage facility in their bedroom to keep the medication. Both the manager and her husband have had medication training. When we talked with a resident who was sitting in their room we discussed privacy. The resident said that he was a naturally private person and preferred being on his own. He enjoyed spending time in his room. He told us that if someone wanted to come and talk with him when he was in his room the person knocked on the bedroom door and waited to be invited in before entering. He agreed that he was free from any unnecessary interuptions or intrusions. We discussed the issue of privacy with the manager and she said that each resident had their own single bedroom and that each bedroom had en suite facilities that included a toilet and either a bath or shower. Residents said that they appreciated having their own facilities. Residents are supported with their personal care and this can take the form of direct assistance or prompting. The manager said that it was important to provide support tactfully and to be sensitive to the wishes and feelings of the residents. We noted during the inspection that the two Asian residents were addressed using a title that respects their senior status. Care Homes for Older People Page 13 of 29 Care Homes for Older People Page 14 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. Taking part in activities, particularly in the community, gives residents the opportunity to become more independent and to enjoy an interesting and stimulating lifestyle. The support of staff enables residents to maintain family contact. The right of residents to exercise choice is respected. Residents have a varied and balanced diet, with dishes to satisfy religious, cultural and dietary needs. However, records of what food each resident has consumed on a day to day basis had lapsed. Evidence: We spoke with residents during the inspection about their daily routines and what they enjoyed doing each day. Although one elderly resident spends most of their time at home the resident is supported to attend the mosque and cultural events within the community. Residents have access to a television that can receive satellite channels with religious programmes broadcast in Hindi. Two of the residents travel independently in the community and one resident told us that she liked to go out each day. She said that she went to a community centre for five days per week and attends the bhajans that are held there in the afternoons. The resident also likes to go to the library, to the shops and to the cinema that shows Asian films. The other resident also likes to go to the library and said that they used their bus pass to go out to the pub. Care Homes for Older People Page 15 of 29 Evidence: One resident said that occasionally friends come to the home to visit them and the resident confirmed that visits took place in the privacy of their room and that the owners always made visitor welcome. Another resident has visits from their family, including the grandchildren, and on a previous inspection a family member confirmed the warm welcome given by the owners and said that refreshments are provided. A resident said that they were looking forward to Diwali because they were going to stay with their relatives for the festival. The manager said that residents have the right to choose not to see visitors and one of the residents has done this when a relative has called at a time that is inconvenient to the resident. The manager said that she provides a hotel service for residents and that they are given a key to the front door so that they can have access to the home at all times. A resident confirmed that they are able to have their meals at the time they choose and that the time could vary from day to day, according to what they were doing. The manager said that each resident liked to have their evening meal at a different time and that as this was a small home they were able to support the residents different lifestyles. The manager said that it was not a house but a home, the residents home. One resident manages their own finances and the manager helps the other two resident with managing their personal allowances. We saw that after an inspection by an Environmental Health Officer from the Food Safety department the home had been awarded a Score on the Door of 4 stars. We looked at the menus. The menus follow a four week cycle and included Asian and English dishes. The menu appeared to be varied and wholesome. Residents confirmed that the food prepared and served meets their religious, cultural and dietary needs and is in accordance with their likes and dislikes. During the inspection a lunch was prepared and the food smelt appetising. A meal of roast chicken was being prepared for one of the residents and another resident had requested a dish with cauliflower. Residents said that the meals were good. Fresh ingredients are purchased for the meals and one of the residents sometimes goes to choose these from the local shops. There was a variety of fresh fruit in the home and residents are able to help themselves, when they wish. One of the residents enjoys helping with the preparation of the vegetables and this is encouraged, under supervision. One resident said that if they wished to eat their meal in their room, they were able to do so. Care Homes for Older People Page 16 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. There is a complaints policy in place to protect the rights of residents. Residents said that they knew whom to talk with if they had a problem. An adult protection policy and procedure contributes towards the safety of residents. Protection of vulnerable adults training for all people working in the home would assure residents that the service provided benefits from an understanding of adult protection issues. Evidence: The home has a complaints procedure in place and it includes information on how to contact other agencies including the CSCI. The manager said that no complaints have been recorded since the last key inspection in January 2007. She said that she speaks to each resident on a daily basis and encourages him or her to give feedback. Residents confirmed that if they had a problem they would speak to the manager or her husband. Residents that spoke with us confirmed that they were satisfied with the service provided. The home has an adult protection procedure in place and it includes a link to the local authority guidelines for the protection of vulnerable adults. The home has a copy of the local authority guidelines. The manager said that no allegations or incidents of abuse have been recorded since the last key inspection and she was clear about reporting lines in the event of any allegation or incident. The manager and her husband have attended refresher protection of vulnerable adults training in 2007. The Care Homes for Older People Page 17 of 29 Evidence: domestic/carer working in the home has not attended this training. There are policies in respect of handling resident finances. Care Homes for Older People Page 18 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. Sisha House is located in the heart of the community and residents benefit from easy access to community facilities. Residents enjoy a comfortable and homely environment with pleasant communal facilities. Some replacement of furniture would assure residents that the upkeep of bedrooms is maintained. Residents live in a home where standards of cleanliness are good. Single rooms with en-suite bathing and toilet facilities afford residents their privacy. Evidence: The home is within walking distance of Willesden Green Library, the High Street and transport facilities and two of the residents are able to make full use of this. Since the last key inspection a programme of redecoration has taken place in communal areas and the manager said that the programme will continue with the redecoration of the residents bedrooms in 2009. We noted that some items of furniture in the bedrooms is showing signs of wear and will need to be replaced. A carpet in one of the first floor bedrooms is stained and needs to be cleaned or replaced. The manager said that this carpet was new. The net curtains on the ground floor at the front of the house need to be cleaned. There is a small neat garden at the rear of the premises for the residents to enjoy. Communal facilities in the home consist of a large split level lounge and dining area at Care Homes for Older People Page 19 of 29 Evidence: the front of the house and a large kitchen, dining and seating area at the back of the house, with access to the garden. The communal area at the back of the house has been refurbished since the last key inspection,, with a new kitchen being installed. The total communal space in the home is sufficient for the needs of the three residents and the proprietors, who live on the premises. The various areas enable residents to have a choice of where they sit and relax. Each of the residents bedrooms has an en suite facility consisting of a wash hand basin, toilet and either a shower or bath. One en suite also contains a bidet. In addition there is a toilet on the ground floor, close to communal areas. The proprietors also have their own bathroom, with toilet, on the first floor. Toilet and bathing facilities in Sisha House are sufficient to meet the needs of the three residents and proprietors. Residents said that they liked their bedrooms and liked having their own private en suite. All areas seen during the site visit were clean and tidy and were free from offensive odours. Cleaning takes place each day. Laundry facilities are included in the fitted kitchen as this is a care home for three residents, which was registered when the local authority was the regulatory body. The manager has undertaken training in infection control procedures. Care Homes for Older People Page 20 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. Staffing levels are sufficient to support the current needs of the residents and residents enjoy a service tailored to their individual needs. Residents benefit from a service provided by carers whose work practice is based on an understanding of the needs of the client group. Their understanding has been developed and enhanced by NVQ training. Undertaking refresher training at recommended intervals would assure residents that people working in the home have a knowledge of safe working practices that is up to date. Evidence: The home accommodates 3 residents, 2 of which enjoy going out each day. The manager confirmed that either her or her husband or both of them, are on duty during the day. They live on the premises and at night they are asleep, but on call. A call alarm system has been installed. Alarm buttons can be pressed in bathrooms, toilets or bedrooms so that a resident can summon assistance at any time during the day or night. Suitable arrangements are in place to cover the caring duties if the manager and her husband are both off duty. Only the manager provides assistance with personal care tasks and the residents are mainly self-caring. A domestic is employed for cleaning the home. The domestic will occasionally help with some caring tasks, under the supervision of the manager. The manager cooks the meals. All staff working in the home have the linguistic skills to communicate with residents and have Care Homes for Older People Page 21 of 29 Evidence: knowledge of the cultural and religious needs of residents. The manager has an NVQ level 4 qualifiction and her husband has an NVQ level 2 qualifiction. The person who carries out domestic and caring duties has not undertaken NVQ training. However the home has met the target of 50 of staff holding an NVQ qualification. No recruitment has taken place since the last key inspection and the domestic has worked in the home for approximately nine years. A CRB disclosure was available for both proprietors and the domestic. The home does not have a team of carers other than the manager and the proprietor and the domestic who occasionally undertakes some caring duties. Attendance certificates were available to demonstrate that in 2007 the proprietors have atended fire safety awareness, first aid and manual handling training. Both the manager and the dometic have attended food hygiene training and the domestic has also attended fire safety awareness, first aid and manual handling. Some training had not been refreshed at the required intervals. Care Homes for Older People Page 22 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. A competent manager promotes the efficient and effective running of a care home. Comments or suggestions made by residents or by those acting on their behalf are used to improve the quality of care provided. Residents finances are safeguarded by clear and complete accounts. Regular maintenance of the property and of the fire precautionary systems assist in providing a safe environment for residents. Training in safe working practice topics promotes the health and safety of residents although training needs to be updated on a regular basis. Evidence: The manager has run the care home for over 11 years. She has completed her NVQ level 4 in Management qualification and the certificate has been previously made available for inspection. There are a number of certificates on file for both the manager and the proprietor, which demonstrate that they have undertaken periodic training to update their knowledge and skills. These certificates were obtained in 2007, since the last key inspection. She has not yet attended Mental Capacity Act training. Care Homes for Older People Page 23 of 29 Evidence: As the home accommodates only three residents feedback is on a one to one basis. All residents are able to communicate with the manager and proprietor and communication is in the residents first language. If relatives of the residents visit the home the manager is available, if required, and she said that she asks for feedback from them on the quality of the service provided. She said that she acts on suggestions or comments made. The records of money kept on behalf of service users were available for inspection. One resident manages their own finances while the home gives support to the other 2 residents. One resident receives their personal allowance each week and signs a receipt for this. The receipts were up to date. The other resident draws what they wish, when money is needed. Again a signature is obtained as acknowledgement that the money has been received. There is a running total in respect of the balance held. Residents have been given assistance when a letter has been sent by the resident to the Benefits Office. A discussion took place with the manager and proprietor regarding health and safety in the home. There were certificates to demonstrate attendance on training courses in respect of safe working practices. Although the manager has attended manual handling training since the last key inspection, this was in July 2007 and is now overdue. There were records of the weekly testing of the smoke detectors and fire alarms and of 6 monthly fire drills being held in the home. A servicing certificate for the fire precautionary systems and for the gas appliances was available. The electrical wiring installation certificate was valid for 5 years from 2008. Valves to regulate the temperature of hot water leaving the taps in the residents en suite facilities have been fitted. The home has copies of risk assessments for the building and in the event of fire. There was also a fire hazard analysis and a fire hazard action plan. A letter from the LFEPA, following a visit in July 2008, confirmed that the care home is complying with the regulations. A copy of a valid Employers Liability Insurance certificate was available for inspection. Care Homes for Older People Page 24 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 25 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 14 13 When residents help with food preparation in the kitchen a risk assessment must be in place. This will ensure that, if necessary, risk management strategies can be set up to protect the safety of the resident. 01/12/2008 2 15 17 Records of what food each resident has consumed on a day to day basis must be kept. This will ensure that the home can demonstrate that the food served meets the religious, cultural and dietary needs of the resident. 01/12/2008 3 18 13 To assure residents that people working in the home have an understanding of adult protection issues everyone must undertake safegarding adults training. 01/02/2009 Care Homes for Older People Page 26 of 29 This will make sure that residents are in a safe environment. 4 19 16 The maintenance programme for the home must include the cleaning or the replacement of the stained bedroom carpet. This will ensure that the resident continues to have a pleasant bedroom in which to relax. 5 19 16 The maintenance programme for the home must include the replacement of items of bedroom furniture as they show signs of wear. This will ensure that residents continue to have a pleasant bedroom in which to relax. 6 30 18 All training in safe working practice topics must be refreshed at the recommended intervals. This will ensure that the health and safety of all persons in the home is protected. 7 31 10 The registered manager 01/03/2009 must attend Mental Capacity Act training. This will make sure that the implications for care homes of new legislation is known and understood. 01/04/2009 01/06/2009 01/03/2009 Care Homes for Older People Page 27 of 29 8 38 13 All the persons working in the care home must undertake refresher training in manual handling This will make sure that a safe system for moving and handling residents is in place in the care home. 01/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Evaluating care plans on a monthly basis enables the care home to identify changing needs, whether significant or relatively minor, and to address these. Recording the evaluations enables the care home to demonstrate that the evaluations have taken place. Curtains should be checked on a regular basis and taken down and cleaned as necessary. 2 19 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. 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. Care Homes for Older People Page 29 of 29 - 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!