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Inspection on 30/09/08 for St George`s Hotel

Also see our care home review for St George`s Hotel for more information

This inspection was carried out on 30th September 2008.

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

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

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

What the care home does well

The home provides a comfortable homely environment that is clean and safe for residents, staff and visitors. There is sufficient communal space and suitable washing and toilet facilities. The service is well managed by the registered manager and the owners are very involved in the day to day running of the home. People using the service spoke very positively about their care and the facilities provided. Staff are perceived as kind and caring and provide a friendly atmosphere for both residents and visitors. People said they are able to live their lives as they choose and the daily routines are flexible within reason. New people are assessed prior to living in the home to ensure their needs can be met. Each person has a plan of their care to direct staff on how individual care is to be provided. Activities are on offer with posters displayed. People said they enjoy the activities and trips out but they do not have to join in if they don`t want to. The menu shows that a nutritious diet is on offer with choices available, homemade cakes, fresh fruit and vegetables are included. People said the food is good and they can choose what they have to eat each mealtime. There is a robust system for the recruitment of staff that ensures checks are undertaken prior to employing anyone to care for vulnerable people. The rotas show that a suitable number of staff are on duty at all times. There is low staff turnover and agency staff are not employed which ensures a consistent team of workers. Records, policies and procedures are maintained to a good standard. Health and safety precautions are well maintained. There are suitable systems for dealing with complaints and abuse. Staff and residents said they could approach the manager if they had a problem.

What has improved since the last inspection?

Risk assessments have been introduced for people at risk of falling and others have been improved by including more detail. The people using the service are taken out for walks or in their wheelchairs when the weather permits. A library of talking books is available and a massager has been purchased which residents enjoy. The menus have been reviewed and are provided in large print. Other documents such as the service user guide can also be provided in large print on request. The recruitment system has improved to ensure that appropriate checks are undertaken prior to people commencing work in the home. A second head of care has been employed which ensures there cover seven days a week. A matrix has been compiled electronically for statutory training to demonstrate thatstaff attend according to the legal requirements. A new training system has been introduced whereby staff work through packs, at their own pace. There are test papers that are sent away for assessment with certificates provided when the required standard has been achieved. Some new chairs have been provided in the dining room and decoration has been ongoing.

What the care home could do better:

The home has returned to a medicines system that involves the secondary dispensing of medicines. This is clearly not safe and open to errors occurring. This must stop and the system must be reviewed so that medicines can be dispensed directly to the individual person. A requirement has been set in this report. The storage for controlled drugs has improved since the last inspection but must further improve to be in line with current legislation. A specific controlled drugs cupboard must be purchased and installed according to legislation. A requirement has been set in this report. The daily records should reflect how people have spent their day and include their social and emotional wellbeing. A sluice with a washer disinfector would be beneficial for the cleaning of commode pots and urinals. Paper towels are provided, by dedicated sinks, for staff to dry their hands, it would be very good practice to extend this to all sinks.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St George`s Hotel St Georges Road Truro Cornwall TR1 3JE     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: Diana Penrose     Date: 3 0 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 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 26 Information about the care home Name of care home: Address: St George`s Hotel St Georges Road Truro Cornwall TR1 3JE 01872272554 01872242162 info@stgeorgeshotel.biz Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Julie Coon Type of registration: Number of places registered: Mr Rolf Little,Mrs Christine Elizabeth Little care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home St. Georges Hotel is a care home that is within level walking distance of Truro city centre. The property originally belonged to the church and still has some ecclesiastical characteristics. The accommodation and facilities occupy two floors with a stair lift provided; the ground floor is wheelchair accessible. The home provides care and accommodation for up to twenty-two residents with low dependency needs who are over 65 years of age. An appropriate skill mix of staff provide care in a relaxed and friendly atmosphere. The home is decorated and maintained to a high standard and the grounds are tidy. The garden at the front is accessible to residents. Information about the home is available in the form of a residents guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £390 to £470 per week; information was supplied to the Commission during this inspection. Additional charges are made in respect of private healthcare Care Homes for Older People Page 4 of 26 0 Over 65 22 Brief description of the care home provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Care Homes for Older People Page 5 of 26 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: An inspector visited St Georges Hotel Care Home on the 30 September 2008 and spent seven hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that peoples needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 05/10/06. All of the key standards were inspected. On the day of inspection 19 people were accommodated in the home. The methods used to undertake the inspection were to meet with a number of residents, staff and Care Homes for Older People Page 6 of 26 the registered providers and registered manager to gain their views on the services offered by St Georges Hotel Care Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. Residents and relatives expressed great satisfaction with the care and services provided at the home. What the care home does well: What has improved since the last inspection? Risk assessments have been introduced for people at risk of falling and others have been improved by including more detail. The people using the service are taken out for walks or in their wheelchairs when the weather permits. A library of talking books is available and a massager has been purchased which residents enjoy. The menus have been reviewed and are provided in large print. Other documents such as the service user guide can also be provided in large print on request. The recruitment system has improved to ensure that appropriate checks are undertaken prior to people commencing work in the home. A second head of care has been employed which ensures there cover seven days a week. A matrix has been compiled electronically for statutory training to demonstrate that Care Homes for Older People Page 8 of 26 staff attend according to the legal requirements. A new training system has been introduced whereby staff work through packs, at their own pace. There are test papers that are sent away for assessment with certificates provided when the required standard has been achieved. Some new chairs have been provided in the dining room and decoration has been ongoing. 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 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 26 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 26 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. People are only admitted to the home following an assessment of their needs to ensure the home can provide appropriate care. Evidence: The home has a specific form for recording the initial assessment. The registered manager told us that she tries to visit all prospective residents to undertake the assessment but sometimes the person visits the home. Information from Adult Social Care and hospital staff was seen in the files. Forms inspected were completed appropriately, but not dated or signed by the person doing the assessment and this was discussed with the manager who said she would address it. The Annual Quality Assurance Assessment (AQAA) completed by the registered manager, states that a meeting is held with the manager, registered providers and head of care to determine that the persons needs can be met prior to admission. An individual plan of care is then compiled from the assessment. Care Homes for Older People Page 11 of 26 Care Homes for Older People Page 12 of 26 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. Individual care plans are generated for each resident that inform and direct staff in the care to be provided and people say their healthcare needs are met. There is a system and policy in place for dealing with peoples medicines but there are urgent issues that must be addressed to ensure the system is safe and errors are prevented. Evidence: People spoken with said their health needs are met and they have access to their GP or other health professionals when required. There are records of visits by doctors and community nurses. There is suitable equipment provided for moving and handling purposes. Survey comments include,It is a happy well run home, The staff and residents have an extremely good relationship, Staff At the home never fail to consult the District Nursing service if they have any concerns about the residents and All round care for each individual treating each ones needs and respecting their rights and wellbeing. The home has a medicines policy that allows people to administer their own medicines if they wish, according to their ability and risk assessment. The policy needs to be reviewed to ensure that it reflects the practice used in the home. The Care Homes for Older People Page 13 of 26 Evidence: manager has computer programme specifically for medicines. All medicines received are recorded on the computer and an order form is printed and signed by the manager. The manager types the individual administration charts on the computer. She signs these when printed but does not get another carer to sign to witness that the medicines recorded are correct; as she agreed at the last inspection. It is recommended that this be done to reduce the risk of errors occurring. The administration and disposal records seen were signed and up to date. We saw that some people are prescribed medicines for use when required. There is no reference made in the care plan about the use of these medicines, nor are there any directions on how to make an assessment if they are required, this was discussed with the manager who agreed to develop individual protocols for the use of as required medicines. At the last key inspection on 05 October 2006 there were serious concerns regarding the secondary dispensing of medicines, which the registered manager informed us had ceased. It states in the AQAA completed by the registered manager on 16 October 2007 that following the last inspection a system had been put in place whereby medications were moved around the home in a locked trolley and box and dispensed directly to service users. We were informed in the next AQAA, received on 19 August 2008, that a monitored dose system had been introduced. This has now been discontinued and the home has reverted back to secondary dispensing. This is clearly not acceptable and may put people at risk. The medicines system must be reviewed and secondary dispensing must stop. The general storage of medicines is safe and secure. Controlled drugs are stored in a locked cupboard within a locked cupboard, it is required that a metal cupboard specifically designed for controlled drugs is purchased and installed according to current legislation. Medicines requiring refrigeration are stored correctly with the fridge temperature recorded daily. The records show that the temperature is maintained within normal limits. Patient information leaflets are kept and there are reference books for staff. Staff said they receive training in the safe handling of medicines and the records confirm this. Residents privacy was upheld during the inspection. Residents said they are treated with respect and their privacy is upheld at all times. All residents have a key to their room and a lockable storage facility in their room. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a range of activities, promotes contact with family and friends, and endeavours to offer a lifestyle that meets peoples individual needs. Dietary needs are well catered for, with a varied and nutritious selection of food that is designed to suit everyones taste and preference. Evidence: People using the service said that activities take place in the home and that trips out are sometimes organised. They told us that they play bingo and games and that singers and other entertainers come into the home. One person commented There is entertainment but it is my choice not to take part. A volunteer worker was in the home during the inspection and some people enjoyed a massage. There are posters displayed to inform people of the activities taking place but the activity book has not been kept up to date. There is little written evidence of the activities undertaken by individuals, their involvement and enjoyment and so on. This was discussed with the manager who felt that more should be documented in the daily records. There is a record of visitors to the home and people said they could receive visitors in private and at any time. People using the service said they choose when they get up Care Homes for Older People Page 15 of 26 Evidence: and go to bed. They choose what clothes to wear and how they spend their day. Residents rooms are personalised with their own possessions. There is a four-week rotating menu on offer with regular specials and seasonal dishes. The menu was displayed in the dining room. There are up to three choices at mealtimes and everyone spoken with said the food is very good. Survey comments include The meals are very good and there is always an alternative to the main course, Perfect meals and Meals are marvellous. Fresh fruit and vegetables are included on the menu and cakes are homemade. Refreshments were on offer throughout this inspection and there is a water dispenser situated in the lounge. Meals are served in two dining rooms or individual bedroom if preferred. Care Homes for Older People Page 16 of 26 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 are suitable policies in place for complaints and adult protection to ensure that people using the service are safeguarded. Evidence: There is a suitable complaints policy in the home that is available to residents. There have been no complaints to the home or the Commission in the past year. People using the service said there are no barriers to raising concerns with the management. There is an abuse policy in place that does not fully explain the local authority procedures, however, the manager explained the process appropriately. She said that all staff have watched a training video with her and some staff have attended the local authority courses, others have successfully completed the in house training pack. She said she would urgently ensure that all staff have completed the pack or attended an external course. There have been no safeguarding referrals. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is clean with no offensive odours making it a pleasant place for people to live in. Evidence: The home is very clean, warm and comfortable with no offensive odours. It is decorated, furnished and maintained to a high standard and decoration is ongoing. Assisted bathing facilities are provided and there are sufficient toilets. There are two lounges to sit and relax although some people prefer to spend most of their time in their bedrooms. One lounge is a quiet area while the other is equipped with a very large screened television. There is a large dining room and the quiet lounge has been provided with a dining table and chairs at one end. The tables are laid with linen tablecloths and napkins. The grounds are tidy with attractive flowers and shrubs. The front garden is accessible to residents with seating provided. Laundry is dealt with in house and people using the service said they are happy with the arrangements. A sluice with a washer disinfector would be beneficial for the cleaning of commode pots and urinals. Paper towels are provided, by dedicated sinks for staff to dry their hands, it would be very good practice to extend this to all sinks. Care Homes for Older People Page 18 of 26 Evidence: Alcohol cleansing gel is in use and infection control training is provided for all staff. Surveys were very complimentary about the cleanliness of the home with several people stating, It is spotless. Care Homes for Older People Page 19 of 26 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 meet the needs of residents and staff morale is good. Recruitment procedures are robust and offer protection to the people using the service. Appropriate training is on offer to staff, which helps them to be more competent in their roles and ultimately benefit the people using the service. Evidence: People using the service said the staff are kind and caring. Survey comments include Staff are very experienced, sympathetic, kind and understanding and All the staff have a very calming and skilful attitude to my mother and the other residents, nothing seems to be too much trouble. The manager stated that there are on average 3 care staff on duty in the mornings until eleven oclock, then 2 in the afternoons and 2 at night (one sleeps in from 11pm). The rota was seen and managers hours are included. There is an on call system in place for out of hours support. People using the service said there are enough staff and they answer the call bells promptly. There are sufficient cooks, housekeeping and maintenance staff employed. 48 of care staff have achieved an NVQ either at level 2 or 3 and copies of NVQ certificates were seen in staff files. The manager told us that people progress to the Care Homes for Older People Page 20 of 26 Evidence: NVQ 2 course following induction if they are not already qualified. Some staff are currently undertaking NVQ training. The recruitment system is robust and there is an equal opportunities policy in place. Three personnel files were inspected, two were new members of staff, the records required by legislation were included and relevant checks have been appropriately undertaken. The training records are held electronically and most training is up to date. A few people need updates for health and safety, food hygiene, and medicines. All staff have undertaken moving and handling training recently and fire training is up to date. Staff said they are working through packs to bring them up to date. Some people said they have attended training other than that required by law, for example dementia and dealing with aggression, which has helped them to improve the care for residents. The manager explained that the owners have invested in a training system from a reputable company and there are packs for most subjects. This enables staff to undertake training at their own pace. They then undergo a test paper that is sent to the company for assessment. Certificates are provided for all training and were seen in the staff files. An extra package has been purchased covering Mental Capacity Act 2005. There is an induction programme for new staff with booklets to work though and a separate checklist to be signed when each part has been completed. Care Homes for Older People Page 21 of 26 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 registered manager is competent in running the home and systems are in place to monitor and improve the service for residents and staff. There is a suitable system in the home for dealing with peoples money and residents, staff and visitors are safe guarded by the health and safety training and systems in place. Evidence: The registered manager is very competent in running the home. She has qualified to NVQ levels 2, 3 and 4 in care and has achieved the Registered Managers Award. She is also an assessor for other staff undertaking NVQs. She told us she keeps herself up to date on current issues by reading relevant magazines, using the Internet and attending courses. She has recently had training to enable her to implement the in house training packs. Residents, visitors and staff said the home is very well run. Survey comments include Care Homes for Older People Page 22 of 26 Evidence: I would feel comfortable to speak to the manager or owner if there was anything wrong, The manager is always on hand at any time if needed to discuss problems or issues concerning work and It is a happy well run home. The manager told us that the annual quality assurance survey has just been undertaken but the results have not been collated yet, last years results were seen and were very positive. We were told that some audits take place, for example accidents and health and safety the menus are also reviewed regularly with the people using the service. Staff meetings take place and minutes were seen. There have been no residents meetings for some time but people said they see the manager and the owners most days and can air their views freely. The registered manager returned the Annual Quality Assurance Assessment (AQAA) to the Commission on time for it to be used as part of this inspection. There is a policy and a suitable system in place for the handling of residents money. Some people deal with their own money or have a representative to deal with it for them. Monies held on behalf of people using the service are stored individually and securely with appropriate records and receipts kept. Individual residents money checked was correct according to the records. There is satisfactory evidence that health and safety precautions are in place. There are health and safety policies, procedures and risk assessments for the home. There is a fire risk assessment and fire safety procedures and checks are in place. Relevant service checks and maintenance takes place as required with records maintained. The accident records were inspected and nothing untoward found, there are on average two accidents per month and most are not witnessed. Machinery and equipment service checks are undertaken regularly and certificates show that these are up to date. Statutory training takes place and there is a matrix to show who has attended and when (See previous section). The food safety manual has been well implemented. Appropriate cleaning takes place in the kitchen with records maintained and fridge and freezer temperatures are recorded daily. Care Homes for Older People Page 23 of 26 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 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 There must be a review of the system in place for medications Secondary dispensing must stop to ensure people using the service are not put at risk. 26/01/2009 2 9 13 Arrangements must be made to ensure that controlled medicines are correctly stored To comply with current legislation 26/01/2009 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 The daily records should give more detail on how people have spent their time to ensure their social and emotional needs are being met Care Homes for Older People Page 25 of 26 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 26 of 26 - 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!