Inspection on 28/11/08 for Stoneham House

This inspection was carried out on 28th November 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stoneham House 02/12/09

Stoneham House 05/12/07

Stoneham House 25/05/07

Stoneham House 15/01/07

Stoneham House 28/04/06

Stoneham House 01/09/05

Stoneham House 13/04/05

Stoneham House 19/10/04

Stoneham House 12/05/04

Stoneham House 14/01/04

Stoneham House 11/07/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stoneham House 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG     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: Chris Johnson     Date: 2 8 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 30 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 30 Information about the care home Name of care home: Address: Stoneham House 4 Bracken Place Chilworth Southampton Hampshire SO16 3NG 02380760112 02380768585 stonehamhouse@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs W L Bellett Name of registered manager (if applicable) Mr Peter Eckford 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 to be accommodated is 37. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE). Date of last inspection Brief description of the care home The home is located on the outskirts of Southampton with easy vehicular access to local amenities. The home was opened in 1995 and is a large detached property standing in extensive grounds. There is a car parking area at the front and the side of the building. The building stands on a slight hill, so has three floor levels, which can be accessed with a shaft lift. The home has some shared bedrooms, but the present Care Homes for Older People Page 4 of 30 care home 37 Over 65 0 37 37 0 Brief description of the care home philosophy of the home is to operate at less than full capacity, thus ensuring that current service users have a single room. Communal space is provided by way of a large lounge, a dining room and a conservatory area. There are also two patio areas, with some furniture. The current range of fees is four hundred and fifty to five hundred and twenty five pounds per week. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards, compliance with regulations, previous requirements and to assess what the outcomes are for people who live at this home. The findings of this report are based on a number of different sources of evidence. These included an unannounced visit to the home, which was carried out over one day on 28th November 2008 whereby we looked at all key standards. All regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Commission for Social Care Inspection. The manager completed an Annual Quality Assurance Assessment (AQAA) prior to the inspection and this information was taken into account and forms some of the evidence for this report. Care Homes for Older People Page 6 of 30 We sent surveys to people living at the home and some of the staff team. At the time of writing this report we had received completed surveys from eight people living at the home and one member of staff. During this visit we looked at the physical environment including, peoples bedrooms and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day to day interactions with those living at the home. We examined records, policies and procedures. We spoke with people who live at the home. The manager was present throughout the visit to answer questions and discuss issues. 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 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 30 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 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes assessment process is thorough and this helps to lessen the chance of someone moving into the home whose needs could not be met. Evidence: At our last inspection of the home on 5th December 2007 we found that, Individuals are only admitted to the home following an assessment to ensure their needs can be met by the service. The Annual Quality Assurance Assessment (AQAA) completed by the manager provide sufficient evidence and information that the home continues to assess the needs of people before offering them a place at the home. During our visit to the home we saw evidence to support this. We examined the care files of several people these included people who had moved into the home since the last inspection. We saw that each person had undergone an assessment process prior to being offered a place at the home. This included the Care Homes for Older People Page 10 of 30 Evidence: gathering of assessment information from referring agencies such as Social Services, the homes own assessment documentation and a visit to the home by the person and or their representative. Everyone living at the home who returned a survey told us that they had been given sufficient information about the home prior to moving in and that they had all been issued with a contract of terms and conditions. People spoken with told us that the manager had been to see them in their previous accommodation to carry out an assessment and that they had visited the home before moving in. Care Homes for Older People Page 11 of 30 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. whilst each person has a care plan detailing his or her care and support needs, the current staffing arrangement means that these are at times difficult to meet. Medication is safely managed and plans are implemented to minimise risks. Evidence: Following the last inspection of the home on 5th December 2007, there was one requirement made in this outcome area. This was that Care plans must detail service user preferences for the use of footplates with wheelchairs and associated risk assessments to ensure their health and safety is protected. In discussion with the manager it was confirmed that all people who required the use of wheelchairs used footplates. During this visit to the home we observed that footplates were being used on wheelchairs at all times. The Annual Quality Assurance Assessment (AQAA) stated that, The home offers care Care Homes for Older People Page 12 of 30 Evidence: and support to service users throughout their lives and towards the end, it also protects service users by reviewing their health needs and appropriate drug administration. Everyone who returned a survey responded that they received the care and support including medical care that they needed. From discussion with staff at the home on the day of the visit it was established that there were sixteen people resident at the home. Of these sixteen, staff reported that three people were able to attend to most of their own care needs. The remaining people had needs associated with dementia. During this visit we examined the care plans and associated care files of four people. These consisted of people with dementia care needs as well as people without such needs. Care plans were available for each person requested and each one had been kept under regular review and updated as necessary. Risk assessments and associated risk management plans were in place for all identified risks. Whilst care plans identified the level and type of support that people required the home could not fully demonstrate that they were able to meet all these needs. For instance, one persons care plan stated they needed, some sort of engagement for about five minutes every twenty minutes or they become aggressive. We observed this person to wander on several occasions and to wait by the main front door. On each occasion the manager intervened as there did not seem to be any staff attending to the persons needs. During our visit to the home we observed the tea-time medication administration. Medication was administered to one person at a time, the trolley was locked on each occasion before medication was taken to each person, checks were made by the staff member that the person had taken their medication before signing the medication administration record (MAR) or before administering any further medicines. Examination of the MAR showed that staff were recording the administration of medication appropriately. A sample of records were checked against the actual stock held within the home and these balanced. The storage of medication was safe and secure. We also looked at the storage and administration of controlled medication. These were found to be stored appropriately and from a sample of records looked at we saw evidence that staff were following correct recording practices and administration practices such as double signing and keeping a running total of stock balances. What was apparent however was that the tea time period was a particularly busy time for staff. Several people require the assistance of two staff members and during the tea time medication period this is not possible as there are only two members of staff on duty. One person was observed to ask staff to help with going to the toilet on several occasions. They were not assisted for some time as one staff member was engaged in the administration of medication and the other was not in the vicinity or able to assist. This does not ensure that peoples dignity can be fully maintained when one member of staff is doing the medication. Care Homes for Older People Page 13 of 30 Evidence: Equally if during the evening shift two members of staff are sometimes engaged in assisting one person, they would not be able to offer assistance to anyone else. Care Homes for Older People Page 14 of 30 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 are offered a healthy diet appropriate to their needs. They can make their own decisions about how they spend their day and can receive visitors as and when they wish. Evidence: Seven of the eight people who returned a survey to us responded that the home, Always provided them with activities that they could take part in and one said Sometimes. In discussion with people living at the home they told us that they could make their own decisions about how they spent their day and that there were not any restrictions placed upon them. They said that they were free to receive visitors as and when they chose and that their visitors were always made to feel welcome and offered tea and biscuits. People named several activities that were available to them such as, daily exercises, quizzes and a visiting musician and trips out in the homes transport. One person said that they enjoyed being able to prepare and fold the serviettes ready for meal times. Care Homes for Older People Page 15 of 30 Evidence: People who returned a survey told us that they were happy with the food at the home. This was reiterated by people spoken with during the visit. Care plans highlighted any support needs associated with eating, drinking and diet. One person spoken to during the inspection commented that, they were happy with the meals and support that had been given as they said when they first came to the home they were only able to manage a liquid diet but due to the support of the home in contacting and arranging for advice from a dietician they were now able to eat and enjoy their food again. The last report made comments regarding one person needing assistance with feeding. We looked at their care plan during this inspection and saw that there were specific written instructions regarding this and that the persons personal choice was being respected. Staff were observed to be on hand throughout the meal time and to offer assistance appropriately. Care Homes for Older People Page 16 of 30 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. Satisfactory systems are in place for people to address any concerns or complaints that they may have. People are protected by the homes policies and procedures and staff receive related training. Evidence: At the last inspection of this home it was found that the home had suitable procedures for dealing with concerns and people who use the service were protected by the homes policies and procedures. The Commission for Social Care inspection had not received any complaints about the home since the last inspection. Data recorded in the Annual Quality Assurance Assessment (AQAA) told us that the home had not received any complaints in the last twelve months. Everyone who returned a survey responded that they knew who to speak should they be unhappy about anything and that they also knew how to make a complaint. In discussion with one person living at the home they said that they did not have any complaints and if they did they would tell the manager. The home has written complaints procedure and this is on display in the home. The Annual Quality Assurance Assessment (AQAA) stated that, There is a policy on Protection of Vulnerable Adults and a copy of Hampshires Joint Protection of Vulnerable Adults from Abuse available to ensure that the correct procedure is followed Care Homes for Older People Page 17 of 30 Evidence: in the event of suspicion of abuse or harm of a resident. The Home has a whistle blowing policy and procedure to enable staff to report any bad practice without fear of reprisal. Our examination of staff training files substantiated this. We also saw that the home carries out thorough recruitment checks prior to employing someone. The home had a policy and procedure for handling peoples money and we saw evidence that this was being followed. Care Homes for Older People Page 18 of 30 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 adequate 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 safe clean environment to live in. Improvements to some communal areas would provide a more homely feel to the home as at present these are quite bare. Evidence: The home was found to be clean and tidy on arrival. A cleaner is employed to work at the home and a housekeeper who has responsibility for laundering clothing. Everyone who returned a survey said that the home was kept clean. The home has systems in place for infection control and staff receive training in this and domestic staff undertake NVQ training. We saw evidence that maintenance issues are dealt with promptly and on arrival at the home a tradesperson was present carrying out repairs to fire doors to make certain that they offered people approriate protection. The home has redecorated several bedrooms since the last inspection and some new carpets had been fitted. The last report stated that there were plans to replace one of the bathroom suites. This had not been done and it was reported that this was due to financial constraints. We also reported at the last inspection that some of the chairs in the lounge were worn. The AQAA stated that there were plans to replace some of Care Homes for Older People Page 19 of 30 Evidence: these. The Annual Quality Assurance Assessment (AQAA) told us that, A number of bedrooms have been re carpeted. New bedroom furniture have been purchased and that it is proposed that all the bedrooms would have new furniture in due course.The bedrooms can be seen as tastefully decorated. The Residents survey confirmed that they were satisfied with the decor and standard of cleanliness of the home. In conversation with one person living at the home they said, I am happy with my room. It is decorated with family pictures and I can spend time in there if I like. At the previous inspection of the home we commented that, Some of the communal areas, such as the lounge and dining room, while being functional, did not in our opinion appear welcoming and homely but rather institutional. Worn looking chairs were placed around the lounge in a uniform manner and the dining room was rather bare. As previously stated the home plans to replace some chairs. However chairs in the lounge are still placed around the lounge in a uniform manner and the dining room is still rather bare. While the size and shape of the lounge and the number of chairs required does dictate to some degree the layout of the furniture, there is room for improvement especially in the dining room which could not be described as homely. We were not able to get the view of people living at the home about this. However subsequent to this inspection the manager has told us that people are happy with the layout of the rooms. Care Homes for Older People Page 20 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff receive training appropriate to their work and the needs of the people living at the home. The homes recruitment procedure offers people protection. Staffing levels at certain times of the day need to be reviewed to ensure that all needs can be met. Evidence: There was one outstanding requirement in this outcome area from the last inspection of the home. This was that, Staff must be trained to meet the specialised needs of people using the service and supported to put this training into practice so all people using the service receive appropriate care and stimulation. This was due to the fact that records of staff training indicated that, while some staff had undertaken training in dementia care, this had not been updated and newer staff had not received such training. The Annual Quality Assurance Assessment (AQAA) stated, We have expanded our Dementia care training to include the disease process for a better understanding of individuals. During this visit to the home we looked at the staff files of three members of staff. We saw evidence that all three had received recent training specifically for the care of people with dementia. Topics covered in this training included; types of dementia, the Care Homes for Older People Page 21 of 30 Evidence: awareness of the signs and symptoms in early, mid and late stages of the illness, diagnosis, the importance of the individual, maintaining dignity, the importance of good communication recording and reporting and everyday challenges. The Annual Quality Assurance Assessment (AQAA) also stated that, All staff have attended core training, which includes Moving and Handling, Fire Awareness, Health and Safety, First Aid, Protection of Vulnerable Adults and other training programmes relevant to the needs of the residents. The homes uses skills for care common induction programme which is robust and comprehensive and the new data sets. All new staff members have individual record of induction and the training given covers all areas of service provision. Examination of the staff files during the visit to the home substantiated this. The home had not recruited any new staff since the last inspection on 5th December 2007. On that occasion we found that correct recruitment procedures were being followed. Since the last inspection the home has expanded on the level of training that staff undergo during their induction period to include the Skills for Care Knowledge sets. The home cited this as an improvement. Alongside this all staff have now either completed or are enrolled on an NVQ course at level two or above. At the time of this visit the manager reported that two care staff were undertaking an NVQ level three and that there were plans for another staff member to undertake level three in the future. Four members of staff have completed an NVQ to level two and it was reported that all remaining staff members had been enroled on the course. The last inspection found that,People who use the service are supported by sufficient numbers of staff. We examined the staff rota on the day of the visit and found this to be a true and accurate reflection of the staff actually on duty. The home employs domestic staff as well as care staff and on the day of the visit as well as care staff there was a cook, a cleaner and a housekeeper on duty. The manager was officially on leave on the day of the visit (although he attended the home to assist with the inspection) and management cover had been arranged for his absence. Whilst staffing levels remain constant and at a level found on previous inspections, there is a need to review the current level of care staff hours to ensure that the home can meet the needs of all who live there. As discussed in the health and personal care section of this report certain times of the day such as during the tea time period are exceptionally busy and place a lot of demands upon staff especially when administering medication. Examination of the rota showed that from 4pm onwards there are normally only two members of staff on duty. Care Homes for Older People Page 22 of 30 Evidence: Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and managed appropriately. Peoples finances are safely managed. The provider needs to evidence that they monitor the quality of the service and staff need to receive more regular supervision. Evidence: Since the last inspection of the home the manager has become registered with the Commission for Social Care Inspection. This report has provided evidence that the manager has taken appropriate action to meet the requirements from the previous inspection. We saw evidence that the home has quality assurance systems in place and policies and procedures are kept under review as are records such as care plans. The home carries out a regular survey to ascertain the views of people living at the home and or their representatives. We also saw the minutes of Resident meetings that are held at Care Homes for Older People Page 24 of 30 Evidence: the home on a regular basis. The proprietor of the home lives on the premises and is present in the home on a regular basis. On the day of the visit she was observed to spend time in the lounge with people living at the home interacting with them. The manager stated that he met with the proprietor on a weekly basis to discuss issues about the home. There were not however any minutes of these meetings or any recorded evidence that the provider or a representative of the provider had completed a monthly report as defined under Regulation 26 of the Care Homes regulations 2001. This will need to be addressed and a requirement has been made. We looked at the record of staff supervision records for three members of staff. Records showed that although staff received supervsion with the manager these were not as frequent as would be expected. Although we did not discuss this with staff we saw that none of the three people had received supervision since August 2008. The home has the facility to look after peoples money on their behalf. We looked at the records for two people and checked the that the amounts held balanced with the records held at the home. They were found to be correct and records of transactions had been maintained. The manager oversees this process as set out within the homes written policy. It was noted that none of the people had signed themselves to say that they had received their money although the manager had signed on each occasion. The manager was advised that where appropriate people should also sign the records. Information recorded in the Annual Quality Assurance Assessment (AQAA) proved to be an accurate reflection of the service provided by the home. The Annual Quality Assurance Assessment (AQAA) gave details and evidence that maintenance checks, tests and servicing of equipment are carried out regularly, evidence seen during the visit substantiated this. Examination of the fire logbook confirmed that weekly fire alarm checks are undertaken. We saw recorded evidence that regular fire drills take place. On the day of the visit work was taking place to ensure that all fire doors were fully rebating and certificates were available to demonstrate that hoists, stair lifts and gas and electricity appliances were regularly serviced. This inspection did not raise any concerns as to safety within the home. Care Homes for Older People Page 25 of 30 Evidence: ...... Care Homes for Older People Page 26 of 30 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 30 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 27 18 Staffing levels must be reviewed and adjusted accordingly to ensure that peoples needs can be met at all times of the day. Some people require the support of two carers and current arrangements do not ensure that this is possible at all times of the day. 26/02/2009 2 33 26 The registered provider must visit the home in accordance with this regulation and keep a completed report of each visit at the home for inspection at all times. At present the provider cannot demonstrate that they are adequately monitoring the quality of the service. 26/02/2009 3 36 18 Staff must receive regular supervision. 26/02/2009 Care Homes for Older People Page 28 of 30 At present the manager cannot demonstrate that staff are appropriately supervised. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 29 of 30 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). 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