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Inspection on 10/05/06 for Sunridge Court

Also see our care home review for Sunridge Court for more information

This inspection was carried out on 10th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

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 residents express a high level of satisfaction with the home. The service is well managed in an efficient manner, providing a safe and relaxed environment. Residents live in a home that is very comfortable and attractive, and the relationship between residents and staff is very strong. There is a very varied programme of stimulating activities available within the home and outside in the community. The accommodation and catering provided for residents is of a high quality. There are robust recruitment procedures for staff and there is a strong emphasis on staff training and development.

What has improved since the last inspection?

An activities coordinator has been appointed and there is a new wide-screen television for residents` enjoyment. The dining room has been redecorated and new drapes put up. All bedrooms have thermostatic valves fitted to the radiators. The medication records now administration of medicines. contain appropriate codes for the safeThe G.P service to the home has improved. The manager and members of the committee are more aware of their responsibilities in relation to dealing with serious incidents and they will be attending a training event, which will enhance their skills in managing in the home.

What the care home could do better:

All residents must have a care plan, and a risk assessment should be carried out on new residents within twenty-four hours of admission. This is required to ensure that all staff are aware of the residents` needs. An accurate record of the medication administered to residents, and a record of staffs` signatures must be maintained to ensure residents` safety. An audit of the quality of the service must be carried out annually, and the results must be made known to residents and their representatives. Regular monitoring of the hot water supply in the home should be carried out to protect residents, staff and visitors from the risk of injury. An annual business and financial plan for the home must be drawn up and sent to the Commission for Social Care Inspection to reflect how the service is to be developed and to confirm the viability of the service.

CARE HOMES FOR OLDER PEOPLE Sunridge Court 76 The Ridgeway Golders Green London NW11 8PT Lead Inspector Tom McKervey Key Unannounced Inspection 10th May 2006 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunridge Court Address 76 The Ridgeway Golders Green London NW11 8PT Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8458 3389 020 8455 0902 Sunridge Housing Association Mrs Pamela Venita Darroux Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Eight specified service users who are diagnosed with dementia may remain accommodated in the home for so long as the home is able to meet their needs. The home must advise the registering authority at such times as any of the specified service users vacates the home. 6th October 2005 Date of last inspection Brief Description of the Service: Sunridge Court, which is owned by Sunridge Housing Association, provides care and support for up to 46 older people, male and female, from the Progressive Jewish Community. The building has three storeys, with accommodation on the first and second floors for the more independent service users. All rooms have en-suite facilities. The majority of this group of service users live quite independently and have a very active lifestyle. Some residents still drive their own cars. There is a ten-bedded area, referred to as the care unit, on the lower ground floor of the home, which accommodates service users who are more frail, and require more support. Some of these service users have dementia. There is a separate small dining area provided for this group. There is a large dining room, a lounge and conservatory, on the ground floor. The administration area and an office are situated on the third floor, and there is a large attractive garden at the rear of the premises. The home is situated in a pleasant area of Golders Green, and shops, restaurants and other amenities are a short distance away. The home is easily accessible by public transport. The fees for residential care range from £540 to £590 per week. The fee for respite care is £540 per week. Following “Inspecting for Better Lives”, the provider must make information about the service, including inspection reports, available to service users and other stakeholders. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of six and a half hours. The inspection was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. At the time of the inspection, there were six vacancies. The registered manager was present throughout the inspection and fully cooperated in the process. The inspection consisted of a tour of the premises, including visiting some residents in their bedrooms. In all, thirteen residents were spoken to about their experience of living in the home. Three relatives, who were visiting during the inspection, were also spoken to about their views of the service. A discussion also took place with several staff, individually and as a large group, following the shift handover. These interviews were conducted independently of the manager. As part of the inspection process, residents’ records and other documents relating to the efficient running of the home were examined. What the service does well: What has improved since the last inspection? Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 6 An activities coordinator has been appointed and there is a new wide-screen television for residents’ enjoyment. The dining room has been redecorated and new drapes put up. All bedrooms have thermostatic valves fitted to the radiators. The medication records now administration of medicines. contain appropriate codes for the safe The G.P service to the home has improved. The manager and members of the committee are more aware of their responsibilities in relation to dealing with serious incidents and they will be attending a training event, which will enhance their skills in managing in the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 Standard 6 does not apply. The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. There is very good information provided about the service to enable potential service users to assess the home’s suitability to meet their needs and the contract clearly identifies the fees and what they cover. There are thorough assessments carried out of people’s needs, however, the manager or a senior carer should always be involved in this process, whether carried out in people’s homes or in hospital. This will further prevent the risk of inappropriate admissions occurring. The home provides a culturally sensitive service that fully meets the particular needs and expectations of the residents and potential service users are invited to visit the home and have trial stays before deciding to take up residence. EVIDENCE: Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 9 There is an updated Statement of Purpose and a Service User Guide/House Rules, both of which provide full information about the service and the fees charged. The records of three recently admitted residents were examined. They contained contracts of the terms and conditions of the service and were signed by the service users or their representatives. The trust board has a policy whereby members of the committee assess potential service users who are living at home, and the manager assesses people who are being referred from hospital. A recommendation is made that the manager or a senior carer who is skilled and experienced at assessing service users, is involved in all assessments to ensure that the home will be able to fully meet their needs. A further, more detailed assessment is carried out after the resident is admitted. The home only admits people from the Jewish community, which meets the expectations of the residents. Their religious and cultural needs are met by the provision of appropriate meals and religious services. For example, there is a synagogue provided within the home. A separate area in the home is provided for the care of more frail residents, some of who have dementia. However, these residents also have access to all parts of the home. At the time of the inspection, a process was taking place to find a more appropriate home for a resident whose health had deteriorated and whose needs were not able to be met by this home. The case file clearly documented this resident’s care, which was being provided with additional staff on a oneto-one basis. This person’s social worker and relatives were involved in the process of finding alternative accommodation. The home also accommodates married couples and double rooms are provided for this purpose. Sunridge Court enjoys a very good reputation in the Jewish community, and several residents and relatives who were spoken to, said that they had learned of the home by word of mouth. They also said that they were able to visit the home prior to moving in. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 The quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The residents are well cared for and treated with dignity and respect and residents know that their wishes regarding the time of their death will be respected. In some instances, care plans have not been provided for residents, which could result in their needs not being known and met by all the care staff. Failures in properly recording the administration of medicines could put residents at risk of harm. EVIDENCE: Case records of four residents were examined. In two cases, there were appropriate care plans, which provided guidance for staff in how to meet residents’ needs. However, in the case of two other residents who had been living in the home for some four weeks, no care plans had been provided. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 11 The manager and these residents’ key worker said that this was because the two residents stated they “were not ready yet”. While this demonstrates that residents are invited to be involved in their care planning, nevertheless, it is a minimum standard for all residents to have at least a basic care plan which includes a risk assessment, to ensure that their needs are documented and known to care staff. A requirement is made to address this matter. Residents’ blood pressure is monitored monthly and there are records of hospital appointments and visits by the G.P, district nurse, chiropodist and optician. Residents said that they were well cared for by the staff. Since the last inspection, a meeting had taken place between the managers and the G.P to discuss concerns expressed by some residents about the G.P service. The inspector was assured that this had been satisfactorily resolved and the service had improved. At the time of the inspection, no one had a pressure sore or was bed-bound. The medication standard was assessed in the “main house” and the care unit. Several residents self-medicate, for which written authorisation had been obtained from their G.P. The records for the administration of medicines were an acceptable standard in the care unit. However, there were gaps in the MAR sheets in the main house. In addition, there was no record of the signatures of staff who are authorised to administer medication. A requirement is made to address these issues. Some thirteen residents were spoken to about their experiences of living in the home, particularly about their care. They said that they were always treated with respect and dignity, especially when personal care was being provided. The inspector’s observation of the interactions of staff with residents were, that they were courteous and there was a very relaxed and friendly atmosphere. The case files of residents contained records of their wishes for their funeral arrangements. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Residents enjoy a good quality of life with stimulating activities and a full range of choice about their lives. Relatives and friends can visit at any time and they are warmly welcomed. The majority of residents are happy with the high standard of catering. EVIDENCE: The home now employs an activities coordinator, who takes the lead in organising the activity programme. This includes musical movement and reminiscence therapy, which is provided by an occupational therapist. Sessions are also provided by outside entertainers. Trips are organised to places of interest. There were photographs on display of an “International Day”, when the staff, who come from various parts of the world, dressed in their national costumes for the entertainment of the residents. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 13 Residents are also visited by children from nearby schools to entertain them. Jewish religious holidays are observed and there is a synagogue in the home. Residents described living in the home as equivalent to living in a hotel, with no unreasonable restrictions on their movements. They described the range of choices available to them, including when to rise and go to bed and whether or not to join in activities. Visits by friends and relatives, some of whom the inspector met during the inspection, were recorded in the visitors’ book. They said that they could visit at any time and the staff always welcomed them and treated them warmly. Regular meetings are held with residents and staff to discuss activities in the home, and one meeting is dedicated to discussing the catering. The inspector joined three residents for lunch, which was very nutritious and attractively presented. The menus showed a good variety of meals with plenty of choice. There were forms available each day in the dining room, for residents to indicate alternative choices to the planned meals and they stated that they could have meals provided in their rooms if they preferred. The dining room provided a pleasant environment and there were side tables containing various condiments to supplement the meals. There was a fridge in the dining room for residents to store personal items of food. All of these elements contribute to this standard being exceeded. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Residents’ complaints about the home are addressed properly and resolved within appropriate timescales, and there are systems in place, including staff training, to safeguard residents from potential abuse. EVIDENCE: The complaints log showed that six complaints had been made by residents since the last inspection, all of which had been resolved satisfactorily and within appropriate timescales. Residents who were spoken to, said that the home was excellent, for example the following quote was typical; “This is a wonderful home. We are so well looked after”, and “ I’m really glad I found this place. I’ve made many friends and there is nothing to complain about”. Written tributes to the staff by relatives of residents who were deceased, were also seen by the inspector. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 15 There were records of staff training in adult protection and staff who were spoken to, demonstrated a good understanding of their responsibilities in relation to reporting suspected abuse. The home has a copy of Barnet’s Adult Protection Procedure. Residents’ financial affairs are either managed by themselves or their representatives. The manager is not an appointee for any service user. The records of one resident whose personal money is held in safekeeping in the home were found to be satisfactory, with receipts kept for all purchases. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 24 & 26 The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. The property is homely, very attractively presented and well maintained. The residents have comfortably furnished bedrooms with their own possessions around them. EVIDENCE: A tour of the premises was carried out. The home was generally well maintained and there was a good standard of décor throughout the building. A requirement from the last inspection to address cracks in the paving around the side and rear of the building, had been complied with. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 17 At the time of the inspection, two married couples were living in the home. Two rooms had been provided to allow for a bedroom and a sitting room for each couple. Eight bedrooms were visited. They were spacious, light and tastefully decorated. Residents said they were able to bring personal items of furniture and various ornaments into the home. All the residents spoken to stated they were very happy with their accommodation. The home employs its own team of cleaning staff. At the time of the inspection, there was a high standard of cleanliness and there were no offensive odours. Staff were wearing disposable gloves and aprons, which was appropriate to the duties they were performing. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. There are always sufficient numbers of staff on duty to meet residents’ needs and residents’ safety and welfare are protected by thorough recruitment practices. There is a positive approach to developing and training staff to ensure their competency to carry out their duties. EVIDENCE: Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 19 The staff rotas showed that there is normally five staff on in the morning, three in the evening and three waking night staff plus a senior carer on each shift during the week. The rotas indicated that this level of staffing is maintained at the weekends. In addition, there are cleaning staff, a cook, a maintenance person and an administrator. At the time of the inspection, a member of staff was supporting a resident who had special needs, on a one-to-one basis. There are currently ten staff who have attained National Vocational Qualification level 2, three have attained level 2 and the deputy manager and assistant manager have level 4 in management studies. The records of two new members of staff showed that proper recruitment procedures had been used, appropriate checks had been carried out, and they had undergone a written induction to the home when they started work. There is a staff development plan, which identifies training courses for the year; including mandatory subjects, foundation in care, and dementia care. The staff said they were very pleased about the amount of training courses available to them. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 33, 34, 35 & 38 The quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is well managed and there is proper accounting for personal money held on behalf of residents. There are good systems in place to safeguard the health and safety of the residents, but regular monitoring of the hot water supply is necessary to protect residents and visitors from scalding. A business and financial plan for the home, and a quality assurance audit need to be carried out to ensure that the aims and statement of purpose of the home are being met. EVIDENCE: Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 21 The registered manager has been in post for approximately three years. She has obtained the Registered Managers Award at NVQ level 4, and recently was awarded the Diplomacy in Dementia Care. Residents, relatives and staff who were spoken to, said the manager was very competent at running the home and said she was very approachable. A deputy, two assistant managers and an administrator, support the manager in running the home. There was a relaxed and friendly atmosphere in the home during the inspection. Since the last inspection, an issue of concern arose regarding a serious incident of theft from the home, which had not been notified to the police or the Commission for Social Care Inspection. It was also of concern that disciplinary procedures had not been properly followed. Consequently, a meeting was held with the registered person and representatives of the Trust Board from the home and the Commission, to discuss these matters. The managers of the home accepted that they had failed to act appropriately in this instance, and following a letter from the Trust Board to the Commission for Social Care Inspection, expressing confidence in the registered person’s competence, this matter is now concluded. The residents’ personal finances are usually managed either by themselves or relatives. The home manages some personal money on behalf of one resident, and the inspector examined their records and found them to be in order. A business and financial plan for this year was not available for inspection and a requirement is made for this to be sent to the Commission for Social Care Inspection. A quality assurance audit had not been carried out this year to seek residents’ and other stakeholder’s views about the service. A requirement is made for this to be done. The inspector saw certificates of safety relating to gas, water supply, fire and electric installations. Portable electrical appliances had been tested, and the home had a current employer’s liability insurance certificate. The fire log recorded that the fire alarms were tested weekly and that fire drills took place. Staff records showed that training in health and safety had been provided. The water supply in the visitors’ toilet and in one of the bedrooms felt very hot, and a requirement is made to regularly sample and record the temperature of Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 22 the hot water supply and adjust as necessary. This is to prevent the risk of scalding. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 2 3 X X 2 Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1)(2) Requirement The registered person must ensure that a care plan and risk assessment is available for all residents. The registered person must ensure that; • All administered medication is signed for. • A sample of staffs’ signatures who are authorised to administer medication, is recorded. The registered person must carry out a quality assurance audit of the service and, • Send a summary to the Commission for Social Care Inspection • Include the summary in the Service User Guide. The registered person must provide an annual business and financial plan for the home and send a copy to the Commission for Social Care Inspection. The registered person must ensure that the temperature of the hot water in the home is monitored to prevent scalding. DS0000010526.V293615.R01.S.doc Timescale for action 30/06/06 2. OP9 13(2) 30/06/06 3. OP33 24(1)(2) 31/08/06 4. OP34 25(1)(2) 31/08/06 5. OP38 13(4) 30/06/06 Sunridge Court Version 5.1 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations The manager should be involved in all assessments of potential service users prior to their admission. Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sunridge Court DS0000010526.V293615.R01.S.doc Version 5.1 Page 27 - 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. 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