Inspection on 27/11/08 for Spring Lane Care Home

This inspection was carried out on 27th November 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Spring Lane Care Home 09/01/07

Spring Lane Care Home 31/10/05

Spring Lane Care Home 20/07/05

Spring Lane Care Home 02/11/04

Spring Lane Care Home 06/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Spring Lane Care Home 168 Spring Lane Lambley Nottingham NG4 4PE     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: Angela Starr     Date: 2 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 29 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 29 Information about the care home Name of care home: Address: Spring Lane Care Home 168 Spring Lane Lambley Nottingham NG4 4PE 01159670341 01159674928 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Spring Lane Nursing Home Limited Name of registered manager (if applicable) Ms Nicola Jane Harrison Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 60. The registered persons 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 are within the following category: Old age, not falling within any other category - Code OP. Dementia - Code DE. Date of last inspection Brief description of the care home Spring Lane is a care home providing personal care and accommodation for 60 older people and for people who have dementia. The home provides short term, long term and respite care. The home is owned by Spring Lane Care Homes Limited, which is run as a family business. The home is located in a rural area between Mapperley and Lambley where there are shops, pubs, the post office and other amenities. The home Care Homes for Older People Page 4 of 29 care home 60 Over 65 0 60 60 0 Brief description of the care home was opened in May 1996 and consists of a purpose built building. 52 of the bedrooms are single, and 11 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has large gardens that are well maintained and easily accessible. There is ample car parking available. The manager said in the pre inspection questionnaire that the fees for the service range from 294.00 pounds to 450.00 pounds per week depending on dependency needs. There are additional charges for hairdressing and chiropody. 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 focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner. It Care Homes for Older People Page 6 of 29 provided us with some information to assist in planning our visit and deciding what areas to look at. We also reviewed all the information we have received about the service since we last visited on the 9th January 2007 and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service, some relatives and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and four relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. A copy of the last Key Inspection Report can be found on the Commission for Social Care Inspection web site at www.csci.org.uk 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 8 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to live at the home have their needs assessed to ensure their needs can be met. People are given information about the service to assist them in making a decsion about their choice of home. Evidence: The manager told us in the written information she provided, People who consider moving to Spring Lane are invited into the home where we make them and their relatives welcome and have a chat with them. We also give them the option to have a short stay with us before a decision is made. We offer a copy of our last Inspection Report for them to read. We looked at files for three people living at the home as part of our case tracking Care Homes for Older People Page 11 of 29 Evidence: process. All three files contained a full assessment of need and a service user plan. The assessments were thorough and it was evident that some of the information had been obtained prior to a person moving to the home. All three files contained a contract and where relevant, there was a copy of a community care assessment completed by a social worker. We sent out ten questionnaires to people living at the home, ten to relatives and a further ten to staff. Three people who live at the service returned them and where we asked Did you receive enough information about the home before you moved in? all three replied yes and comments included I have never regretted the move here. I was shown round by the owner and told to ask any questions. Four relatives responded and all said they had all the information they needed. Three staff responded and where we asked Are you given up to date information about the needs of the people you support? all three replied Always. The Statement of Purpose and Service User Guide are comprehensive and informative. They contain information about the accomodation and the support that is available to people living at the home and are detailed enough to help people make an informed choice. During our partial tour of the home, we saw copies of these documents in all the bedrooms. People we spoke with told us that they either already knew of the service or that they looked around and chose to live at the home. A relative we spoke with said I am very pleased that my relative came here. I had heard and could see that this home was excellent. One person we spoke with who lives at the service told us I came here in an emergency and have never regretted the move. The written information provided to us by the manager does not make reference to any pre-admission assessment process but when we talked with her, it was clear that she does do an assessment of a persons needs before a place is offered to them, therefore ensuring that their needs can be met. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: The manager told us in the written information she provided Monthly up dates of care plans take place, in which all staff are involved. Attention is taken to address any new needs. Everyone who lives at the home is encouraged to be as independent as possible and all health issues are dealt with immediately. We looked at the care plans for three people who live at the home, including the last person to be admitted. These were thorough but did not show evidence of having been developed in conjunction with the person or the persons relative thus enabling the delivery of consistent and reliable person centred care. Care Homes for Older People Page 13 of 29 Evidence: We found the healthcare needs of people living at the service are being assessed and there is clear evidence in the records that they are referred for specialist advice and treatment as needed. We asked a visitor What happens if your relative is unwell? How do they see a Doctor? The reply was Doctors visit frequently. There is good medical support. We asked a relative what happens if a person has a hospital appointment and were told I choose to go but if I couldnt, staff would go. People told us that the staff treat them with respect, The staff are lovely. If I want to be alone I can, if I want privacy thats ok. The carers really look after me and comfort me. We observed staff knocking on peoples doors before entering and speaking with people in a respectful manner. A relative we spoke with told us they have never seen any of the staff be impatient or unkind, The staff are nice with the residents, they talk to them a lot. A questionnaire returned from a member of staff said, The staff in the home give good care and support to the residents. We spoke with staff and they demonstrated a good understanding of the principles of respect and dignity. They told us, I have never seen anyone behave in a negative way towards residents. A relative told us I think they treat my relative with great care and respect in a very dignified way. Another relative said My relative was not easy to deal with, but never once did we see any unkind treatment towards them. They were treated with the utmost respect and dignity at all times and they were well looked after and cared for until their life came to a dignified end. We looked at storage arrangements for medication and medication records. We found the records to be well maintained and the storage appropriate. Staff we spoke with who administer medication told us that they feel confident to undertake this task and have had training to do so. They work in pairs when administering medication to ensure that no errors occur. The training records we looked at confirmed that staff have had training to administer medication and that this training is regularly reviewed. Care Homes for Older People Page 14 of 29 Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service experience a flexible lifestyle which is in accordance with their needs, abilities and preferences. Evidence: The manager told us in the written information she provided People are encouraged to participate in activities we have in the home and to follow any hobbies if possible. Activities are normally planned on a weekly basis and an Activity Co-ordinator is employed on a full time basis. The range of activities are decided by the people living at the service in conjunction with the activities co-ordinator. The records we looked at confirmed this and it was recorded when people had declined to join in with any activity. The questionnaires we sent to people living at the home asked Are there activities arranged by the home that you can take part in? Three were returned, two said Always and one said Usually. Comments included The home seem to have constant activities and entertainment. There is knitting, quiz, and lots of chats in the evenings. Care Homes for Older People Page 16 of 29 Evidence: We saw items that have been made by people living at the home, including Christmas decorations. People we spoke with told us that they enjoy the activities and one person said there is always something to do. In one of the lounge areas we observed a group of people enjoying a Bingo game whilst in another lounge, staff were working with people on a one to one basis. The manager told us in the written information, We have a residents committee which makes decisions on matters relating to their life in the home. We have religious services to accomodate all denominations. Staff we spoke with demonstrated a good knowledge of the individual routines of people living at the home, including visits from family and friends. One relative spoken with said they are welcomed into the home, My brother or myself are in virtually daily and are always made welcome. another told us, They make the person and their friends/relatives feel part of the home. The staff also confirmed that relatives are welcome to come to the home whenever they wish and are encouraged to ask any questions and to become involved in any activities. Relatives are also encouraged to take people out when possible. Comments received in the questionnaires returned by staff include We always offer choices to residents and we do lots of activities with them. We observed lunch being served in the dining room. Choices were offered and people who needed assistance to eat were supported by staff in a discreet, caring and supportive manner. The meal time was quiet and relaxed. People living at the service told us, we get a choice in what we would like at mealtimes which I find nice. and we get lots to eat, good, hot food. The standard of the meals is very high. A relative told us The home provide a very high standard of food, using produce delivered from the local farm shop. The menu is varied and always offers choices. Variety and quality seem to be the order of the day. The staff we spoke with demonstrated a good understanding of the importance of choice and a healthy intake of food and drink. They know if someone is losing weight and this is monitored to identify any action that needs to be taken. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 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. People know how to complain and are confident that any concerns would be acted upon and responded to. The people living at the service are safeguarded from harm and abuse by robust policies and procedures. Evidence: The manager told us in the written information she provided that there is a comprehensive complaints procedure and all complaints would be acted on immediately and recorded. The outcome would then be put in writing to relevant persons. We looked at the records of complaints as part of our inspection process. Three complaints had been recorded since our last visit and these had all been investigated and concluded. The outcomes had been shared with the complainant. We saw the complaints procedure on display in the home, and the people we spoke with all knew they could complain and how to do this. In the questionnaires we sent to relatives, we asked Do you know how to make a complaint about the care provided by the home? Comments we have received include, Any concerns so far have been sorted out immediately by staff and the manager. Never had the need to do so but I know they would handle a complaint in a very professional way. Care Homes for Older People Page 19 of 29 Evidence: We asked people living at the home Do you know who to speak to if you are not happy? One person told us The proprietor and manager are always available and have never failed to deal with any problems to my satisfaction. I am never made to feel apprehensive about approaching them if I feel there is a problem. The questionnaires returned by staff told us As a carer, I always pass anything of concern to my manager. I would speak to the care manager about a persons cause for concern. The manager told us that all the staff understand the Whistle Blowing policy and would respond appropriately if they witnessed something of concern. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. Staff that we spoke with confirmed that they were familiar with the whistle blowing procedures and that they have received training in Safeguarding Adults. The training records that we saw did show that some Safeguarding Adults training has taken place and further training has been arranged, with the dates to be confirmed. Since the last Key Inspection that took place on 9th January 2007 we have received two complaints about the service. Both of these complaints were investigated by the manager of the service and the outcomes shared with the complainant. There have been two referrals under Safeguarding and in each case, the matters were thoroughly investigated by the manager and resolved. Care Homes for Older People Page 20 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. People live in a clean, safe and comfortable home which is well maintained and designed to meet their needs. Evidence: The manager told us in the written information she provided The environment is maintained to a high standard The whole home has been newly decorated and a new water boiler has been installed. Some of the outside areas have been re-vamped and there are plans to build a new conservatory within the next twelve months. People living at the home told us that they like the homely and comfortable environment. The bedrooms and lounge areas are cleaned daily. We did a partial tour of the home and found it to be clean, comfortable and homely. The home was hygienic, fresh and odour free. Peoples bedrooms were furnished with personal belongings as well as any necessary equipment required for support. The communal areas, consisting of two lounges, a dining room and a conservatory were all clean and comfortable. People commented in questionnaires, There are never any stale smells and everything is always clean. The home is kept extremely clean. Care Homes for Older People Page 21 of 29 Evidence: People we spoke with who live at Spring Lane told us, The home is clean, homely and warm. We saw the maintenance log book that told us all the necessary Health & Safety checks on services and equipment are up to date. Care Homes for Older People Page 22 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. People are supported and protected from harm by experienced and well trained staff in sufficient numbers to meet their needs. Evidence: We received questionnaires back from four relatives, three people who use the service and three members of staff. Relatives told us I find the staff and the standards of this care home to be extremely high and they should be commended for the work they do. The staff are very caring and have all the right skills and experience. The care my relative receives is of the highest standard. Usually provide excellent staffing levels. We looked at the staff rota and saw that a high number of staff are employed to work on each shift enabling them to spend more time with each person whilst assisting them. During the visit to the home we spoke to three relatives and they were all very complimentary about the staff. One relative told us that the people who live at the home are treated with kindness, calmness and friendliness. This person said I look forward to coming here. They preserve peoples skills. My relative is safe, very Care Homes for Older People Page 23 of 29 Evidence: safe. When my relative was dying, right to the end, the dignity was there. Another relative told us that there are always plenty of staff around and they can always find someone to speak to. People we spoke with who live at the home told us The staff always listen. They are very attentive, kind and caring. Nothing is too much trouble. They just quietly, calmly and professionally do their jobs. Another person said Every member of staff shows a very positive attitude to any requests I make and are always very happy to listen to any suggestions or queries I may have. We observed staff being polite and considerate with people and treating them with respect and dignity. We asked staff in the questionnaires we sent out Do you feel you have the right support, experience and knowledge to meet the needs of people who use the service? Replies included I feel I have experience. I have been given regular training opportunities and have completed an NVQ (National Vocational Qualification.) As part of our case tracking, we looked at the files of three members of staff. Records and certificates of training were present in all three files. Training records showed us that out of the thirty six staff employed, eighteen have achieved a National Vocational Qualification and the rest of the staff group are currently working towards this. We looked at three staff files as part of our case tracking process, including the last person to be employed at the service. All contained two written references and evidence of all the necessary pre-employment checks having taken place. (Criminal Record Bureau and Protection of Vulnerable Adults.) Staff we spoke with confirmed that they had all had a formal interview before commencing work and had a period of Induction training before working alone. Staff we spoke with told us that they receive enhanced pay rates when they achieve certain qualifications and they are paid higher rates for any overtime they work. Care Homes for Older People Page 24 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. The service is well managed and is being run in the interests of the people who live there. Evidence: The manager of Spring Lane Care Home has achieved her Registered Managers Award and has a level four National Vocational Qualification as well as eight years experience in care home management. The Annual Quality Assurance Assessment was returned to us by the manager, within the required timescale. However, the information it provided us with was brief and was not clearly presented. During our visit to the service we spoke with the manager, several members of staff, relatives and people living at the home. Care Homes for Older People Page 25 of 29 Evidence: Relatives told us Cant fault it. Best round here. Nothing is too much trouble, especially for the manager. Another relative told us The manager is very good. Always around and knows all the people who live here, very well. Three staff returned questionnaires and where we asked Does your manager meet with you to give support and discuss how you are working? all responded Regularly and comments included, My manager is very supportive at all times. We have regular meetings and discussions. The manager told us that the home have introduced a quality assurance system, where they send questionnaires to people who live at the home to ask for their views about the service they receive. The information provided in these is recorded and is used to improve services. Residents meetings are also held and relatives are invited to make any comments. People we spoke with told us that they feel their views are listened to and taken into account. We looked at the financial records for three people who live at the home and have their money managed by the service. All records were clear, accurate and up to date. We looked at the records relating to the servicing of equipment and maintenence of the premises. These were up to date and complete. We also saw the Health and Safety policy for the service which has been reviewed along with other policies. Accidents and incidents are recorded in a suitable register and relate to staff, visitors to the home and people living at the home. We observed that a large number of accidents relate to people having falls. The manager informed us that she is going to seek advice from the local falls prevention team to look at developing a strategy of avoiding these and also to look at how the staff are deployed around the home. Care Homes for Older People Page 26 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 27 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 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 2 3 4 3 7 30 38 The service could develop a more robust and consistent pre-assessment process for people wishing to live there. Care plans should provide clear evidence that the person was involved in their development. The service should develop a more robust training matrix and record of training for each staff member. The manager should consult with the relevant falls prevention service in order to develop a strategy to reduce the number of falls. 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 © (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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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