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Inspection on 18/11/08 for Stowlangtoft Hall Nursing Home

Also see our care home review for Stowlangtoft Hall Nursing Home for more information

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 good quality personal and health care support to meet the individually assessed needs of each resident. The home is effectively managed and staff are well trained and supported to enable them to provide a good level of service within a homely and safe environment. Residents consulted all said that they felt themselves to be very well cared for at Stowlangtoft. One comment received said that `All the staff are very good and work well together whether it is a cleaner a carer or a nurse nothing seems to be too much trouble for any of the staff` The environment is well maintained and being a period building it is very spacious but still manages to provide a homely and relaxed atmosphere. Residents bedrooms are well equipped and furnished in a personalised manner that suits each individual. Without exception residents all said that they were happy with their bedrooms. The home retains a stable staff group whose numbers are adequate to meet the needs of the residents and they were seen to be doing so in a calm unhurried manner on the days of this inspection. Recruitment procedures for new staff are thorough with evidence of all the required checks having been made before the new staff commence duties this to ensure protection for the residents

What has improved since the last inspection?

Since the last inspection a number of improvements have been made both to the fabric of the building to the care records and to the processes of management of the home. The Activity programme has been further developed since the appointment of a permanent activity organiser and the equipping of a dedicated activities room. The new catering Manager has introduced new menus offering greater choice following consultation with the residents. Ongoing refurbishment works in the home have included redecoration of bedrooms some new carpeting and soft furnishings, the establishment of a staff training room, completion of the refitting of the kitchen for which new cooking items have been purchased. The care plans have all been reviewed and some greater detail added to some sections including better recording of risk assessments and regular monitoring of residents weights.This is to more fully evidence all the care given to individuals. Staff training records now fully evidence all training undertaken to meet the standards. A quality assurance system is in place and feedback from residents relatives and other stakeholders of the home about all aspects of the quality of the service have been analysed and a report compiled.

What the care home could do better:

Better written detail of each residents activity programme along with their attendance record at their chosen events should be maintained. This was seen to have been actioned and completed on the second day of the inspection. Residents who are able and have understanding should be encouraged to sign their care plans to evidence their involvement with the planning of their care. Maintenance of the building is generally good but attention to the following would give further improvement painting of the scuffed skirting boards and door frames, fitting of mirrors in all the bathrooms and the re enammelling of one bath.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stowlangtoft Hall Nursing Home Stowlangtoft Hall Nursing Home Stowlangtoft Bury St Edmunds Suffolk IP31 3JY     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: Jan Sheppard     Date: 2 4 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 26 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 26 Information about the care home Name of care home: Address: Stowlangtoft Hall Nursing Home Stowlangtoft Hall Nursing Home Stowlangtoft Bury St Edmunds Suffolk IP31 3JY 01359230216 01359233346 iain@stowlangtofthall.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Hilary Anne MacDonald,Mr Hector Iain MacDonald Name of registered manager (if applicable) Mrs Hilary Anne MacDonald Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home The present Stowlangtoft Hall was built in 1859 for the Maitland Wilson family and stands in seven acres of garden and woodland. In 1939 the property was let to London County Council as an evacuation centre for mothers and babies from the East End of London. The Hall has been used as a nursing home since 1969. Many of the original features of the hall have been retained for the enjoyment of the residents and visitors, including an Orangery with a glazed dome roof where residents may sit in the warmer weather. The home has established strong links with the local community and the larger grounds around the home are often used for community events. The home is currently registered for 37 places for older people or those with physical disabilities Care Homes for Older People Page 4 of 26 care home 37 Over 65 37 0 0 37 Brief description of the care home and are admitted for either short or long term care. The home actively encourages prospective residents and their relatives to visit and talk to management and residents about the services provided and to attend for trial visits. Consult with the Manager for detials of current fees. 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: 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: This unannounced inspection took place over twelve weekday hours.This was a key inspection that focused on the key standards of the Care Standards Act 2000 relating to Older People. The report is written using accumulated evidence gather prior to the inspection including information contained in the AQAA ( Annual Quality Assurance Assessment) completed by the manager, information given in pre inspection surveys and also takes account of statutory notifications sent periodically to the CSCI by the home. Mr. MacDonald , the registered manager Mrs. MacDonald,the deputy manager and the nurse manager were all available throughout the inspection and assisted fully with the process. During the inspection the inspector made a tour of the building had in depth Care Homes for Older People Page 6 of 26 discussions with the managers, spoke with a number of the residents and with staff on duty and with some visitors. Spot checks were made on a number of the home records. It was found that the requirements made at the last inspection had been met. Two good practice recommendations are made following this inspection. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 8 of 26 Better written detail of each residents activity programme along with their attendance record at their chosen events should be maintained. This was seen to have been actioned and completed on the second day of the inspection. Residents who are able and have understanding should be encouraged to sign their care plans to evidence their involvement with the planning of their care. Maintenance of the building is generally good but attention to the following would give further improvement painting of the scuffed skirting boards and door frames, fitting of mirrors in all the bathrooms and the re enammelling of one bath. 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. Prospective residents can expect to have the information they need to make an informed choice about whether or not the home is suitable and able to meet their needs.An assessment of the care and social needs of all prospective residents is made by one of the homes managers prior to them being invited to visit the home. Evidence: The records of three residents recently admitted to the home were examined and were seen to include details of the pre admission needs assessment carried out by the manager along with evidence of any local authority or medical assessment recently carried out. The managers needs assessment included information concerning their current medicine needs, allergies, daily living preferences and needs, communication, breathing, eating and drinking, weight and nutritional needs, elimination needs,personal care needs,mobilization problems and history of falls, sleeping and recreation preferences.Since the last inspection additional details about the applicants Care Homes for Older People Page 11 of 26 Evidence: social history including any previous occupation,their interests and hobbies and details of their preferred life style have been added. The AQAA stated that before admission an information pack is sent to the potential resident and their family outlining the environment and the services offered. Potential residents and their families are invited to visit the home prior to admission. Feedback from the residents confirmed that this did happen and all reported that their admission to the home had been handled sensitively and had been planned in a manner and at a speed that they had been comfortable with. All told the inspector that they felt happily settled in the home and that they were being well looked after.One commented The home is very nice the staff are kind and friendly and I feel well cared for another said I have everything that I need here.Staff told the inspector that they do all they can to make a new resident feel welcome into the home. Fresh flowers and a welcome card are left in their room.Observations during the inspection were that the residents were assisted appropriately and call bells responded to in a timely fashion. The home does not offer intermediate care. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to have their nursing and social care needs properly assessed and recorded in their care plan and to have these needs met in a planned dignified manner in accordance to their individually expressed wishes and preferences. Residents are protected by the safe administration and storage of medication. Evidence: The care plans for three residents were examined during the inspection. These were found to contain good details of their assessed care needs with comments as to how these should best be met. Records of the reviews of these plans were well recorded and seen to be carried out regularly but none could be seen to be signed by the resident thereby evidencing their involvement with the review .The care plans were seen to contain a good level of detail about the action required by staff to support the resident to meet their assessed needs.References that reminded staff to assist residents to do as much for themselves as they possibly could even if this took a little longer were noted to evidence good practice. Residents spoken with confirmed that they were happy with the way that the staff supported them and the choices and Care Homes for Older People Page 13 of 26 Evidence: opportunities they were given. One said the staff look after me very well indeed they are always cheerful and let me go at my pace. The care plans contained good records of contact with other health care professionals including doctors physiotherapists and the chiropodist.Dental, optical and audio specialists were also seen to have been consulted. The manager stated that the home is wanting to improve its end of life care practices following the Liverpool Pathway model and has established links with a local hospice who are able to offer training. Staff were observed knocking on doors before entering bedrooms and bathrooms.Interactions between staff and residents were relaxed friendly and respectful and residents spoken with said that they had no concerns that their dignity would be compromised by poor practice. The home has a good sized secure medication storage area.The nurses who administer medication who were spoken with were familiar with the homes medication policies and procedures and were seen to be following these when administering medication to residents. The MAR sheets were examined and found to be accurately recorded and it was noted that regular management checks of these records are maintained.The home has a Controlled Drugs cabinet and the records relating to the two controlled drugs which were being administered on the days of this inspection were found to be correct.The nurse manager confirmed that medication is not disguised in food unless this is at the specific request of a resident and then this would only be done with the agreement of their GP. Part of an evening medication round was observed and it was seen that each residents medication is administered to them individually in their rooms and that the nurse then returns to the medication room to record the MAR sheet. The Manager showed the inspector the individual medication storage cabinets that they propose having in each residents bedroom thereby giving the resident better ownership of their medication. At the time of this inspection no resident was self administering their own medication this through their choice and or lack of ability to do so. The Manager confirmed that the home has a good rapport with the three local GP surgeries that serve the home. Two separate pharmacies and one dispensary supply the homes medication and a pharmacist visits regularly to check the homes records and drug arrangements.It was seen that the home makes its own regular audits of medication taken into and sent out of the home. 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. Residents are very well supported to make individual choices about the pattern of their daily lives and can choose from a wide range of activities. Residents are offered a choice of nutritionally balanced home cooked meals. Evidence: Without exception all the residents spoken with said that they able to participate in a wide range of activities and that outings and external entertainment was also available to them.Since the last inspection the home has appointed a full time activity organiser who also has a nursing qualification.She has consulted with all the residents and with relatives and arranges a weekly programme which is displayed on the homes notice board and is also circulated to each resident so that they may choose any events groups or classes that they wish to attend.The home provides a spacious activities room where various craft activities were seen to be in progress. During the days of this inspection a chair exercise class led by a visiting physiotherapist ,a paper craft class, a news review group and a poetry discussion were all seen to be taking place.The inspector discussed with the manager how further improvements could be made to the recording of each residents activity attendance and participation. Works to refurbish the kitchen have recently been completed and a new chef has been Care Homes for Older People Page 15 of 26 Evidence: appointed.He is a qualified and experienced chef who had previously worked for many years in a residential school. A new assistant trainee chef has also been recently appointed he works under the supervision of the chef whilst he is completing his studies at West Suffolk College.The kitchen is very spacious and well appointed with a number of new pieces of cooking equipment having been recently purchased.The chef explained the manner in which he regularly consults with the residents and plans menus.Residents told the inspector that the food was very good hot,tasty and with good availability of choices.The serving of lunch was observed during this inspection. It was seen that the residents had a choice of tables which were all laid with fresh linen small flower decorations and coordinating china.The meals arrived fully plated from the kitchen named for each individual resident. The staff confirmed that the kitchen took good account of individual requirements for example no greens but likes a lot of potatoes.Staff were seen to assist residents who needed help with feeding in a discreet manner which did not compromise their dignity. A choice of two main meat dishes and three vegetables were offered for this meal along with a choice of sweets and a selection of fresh fruit.One resident said the food is excellent and the chef is always asking us for new ideas for fresh dishes. 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. Residents can expect to have their complaints listened to and taken seriously. All staff have received adult protection training and the home has adult protection policies and procedures in place that should keep the residents safe . Evidence: A copy of the complaints policy is displayed in the entrance of the home and is included as part of the statement of purpose.Complaints referred to the home would be investigated and complainants would be provided with written feedback, at the conclusion of any investigation.The home has not received any formal complaints since the last inspection.All residents asked said that they would know what to do if they had any reason to make a complaint.Several said that they felt sure that if they spoke directly to the manager the problem would be sorted out promptly. The home has detailed policies and procedures for the safeguarding of residents from abuse . A copy of the guidelines issued by the vulnerable adults protection committee for Suffolk and a comprehensive whistle blowing policy to protect staff and residents was seen in the home to be available for the staff.Training records evidenced that all the staff had been trained to identify signs of abuse and that refresher sessions on this subject are on going.Staff spoken with during this inspection were all able to demonstrate a good understanding of their roles and responsibilities if they ever had cause to suspect abuse.No incidents concerning the Safeguarding of Adults had arisen Care Homes for Older People Page 17 of 26 Evidence: in the home since the last inspection. Senior staff have attended ( MCA ) Mental Capacity Act training and (DOLS) Deprivation of Liberty Safeguards training. Care Homes for Older People Page 18 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 residents can expect to live in a home that is odour free, clean and hygienic and that this environment will meet their individual needs and preferences in a safe and homely manner. Evidence: Stowlangtoft Hall stands in seven acres of garden and woodland. The house is large and has been adapted to offer suitable accommodation for residents on separate floors which can be accessed by lifts. Residents all have single bedrooms some of which are very spacious. They were all found to be very well decorated to be furnished in a comfortable and homely manner with furnishings that reflected the residents taste and choice. Residents all told the inspector that they were happy with their rooms they confirmed that they were always warm and kept very clean and tidy. One resident showed the inspector the bird table that had been fixed outside her window as she enjoyed bird watching another resident explained to the inspector that she was being helped by one of the house keepers to pack her things as she was temporarily moving to another room whilst hers was redecorated. She confirmed that she was happy with these arrangements and had been consulted fully about them. The home records evidenced that an ongoing refurbishment programme is in place and generally the maintenance of the interior of the home is good. One bath was seen to Care Homes for Older People Page 19 of 26 Evidence: be in need of re enameling and some of the skirting boards in the corridors were in need of repair and repainting. Many of the communal rooms had been freshly decorated and refurbished with colours and furnishings sympathetic to the period of the house.Residents told the inspector that they liked being able to see over the estate fields from the lounge and dining room and that in warm weather the Orangery with its glazed dome roof made a very pleasant sitting area. Since the last inspection a number of refurbishment works have been completed including the fitting of a new kitchen the Establishment of an activity room and the creation of a staff training room. Works in all these areas had been completed to a high standard.Other works to make new individual toilets on the ground floor are in progress Care Homes for Older People Page 20 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. Residents are supported by sufficient numbers of trained and experienced staff and are protected by the homes recruitment procedures. Evidence: The staff duty rota seen during this inspection reflected the number of staff found to be on duty.The home is fortunate in retaining a stable core group of staff many of whom have worked at the home for many years and this provides good continuity of care for the residents.At the time of this inspection the home did not have any staff vacancies and the manager explained that when agency staff have to be used they are usually provided by one agency that knows the home well.Residents told the inspector that there were always staff available to help them one said If you ring the bell you never have to wait long and the staff are so kind and helpful I know that they will do anything I ask of them. The recruitment records of the three recently appointed staff were examined and it could be evidenced that all the required references identity security and CRB checks had been carried out.An induction programme and a further training needs assessment had been carried out for each.Staff told the inspector that they were very well supported by their managers and were given very good training opportunities. 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. Residents can expect the home to be responsively run by managers who are appropriately trained and experienced. The residents can also expect that their health,safety and welfare will be promoted and protected by the maintenance of good records and that their managers will responsively address any concerns or worries. Evidence: The home benefits from a stable management team who are all well qualified and experienced professionals whose ethos is very clearly to put the needs of the residents first.Their confident and calm approach to their work positively influences the homely and relaxed atmosphere in the home where meeting the nursing and social care needs of the residents was found to be well integrated Staff spoken with all confirmed that the home was well managed and that they were well supported by their managers and that their opinions were listened to.One younger carer said I am very well supported and all grades of staff work well together here and the managers are always available for consultation.I find the work rewarding and am enjoying doing the training. The Care Homes for Older People Page 22 of 26 Evidence: home has appropriate systems in place to enable good communication between various groups of staff. The daily communications book was seen to be very well consulted as new staff came on duty and staff were heard to also give each other verbal updates concerning significant recent events which might affect the manner in which care was given to a resident. Records of staff meetings, nurse meetings and meetings between the partners of the business,the home manager the nurse manager and the catering manager all evidenced good planning and recording of minutes and decisions. The home does not deal with any of the residents personal monies. All the residents have a lockable facility in their bedrooms for the safe keeping of valuables and finances. Arrangements for staff supervision have been strengthened since the last inspection and the records evidenced that they are planned ahead and held regularly. Staff consulted with all reported that they had regular supervision meetings which they found helpful and enabled them to talk about their own professional development as well as to talk through any day to day problems. A formal quality assurance programme has been established in the home and the Manager showed the inspector the report of the the results of surveys completed by relatives residents and other professional stakeholders. The home gives good priority to promoting the health safety and welfare of the residents and staff through regular maintenance of safety checks, training and record keeping. The records relating to fire testing and the monitoring of water temperatures were found to be regularly completed along with servicing and safety checks for the homes equipment. Staff training records showed that staff receive appropriate health and safety training during their induction period and on going through regular updates to support them in having the knowledge and skills to maintain a safe environment for the residents. 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 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 Residents who are able and have understanding should be encouraged to sign their care plans to evidence their involvement with the planning of their care. Better written evidence of each residents assessed activity needs along with records of their attendance at their chosen events should be maintained. Maintenance of the building is generally good but attention to the following would give further improvement painting of scuffed skirting boards and door frames, fitting of mirrors in all the bathrooms and the re enameling of one bath. 2 12 3 19 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 © (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 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!