Inspection on 19/06/06 for The Cedars Rest Home Limited

This inspection was carried out on 19th June 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.

Other inspections for this house

The Cedars Rest Home Limited 11/01/06

The Cedars Rest Home Limited 19/07/05

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Cedars Rest Home Limited The Cedars 23 Langham Road Bowdon Altrincham Cheshire WA14 2HX Lead Inspector Michelle Moss Key Unannounced Inspection 19th June 2006 9:45 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 The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 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. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cedars Rest Home Limited Address The Cedars 23 Langham Road Bowdon Altrincham Cheshire WA14 2HX 0161 928 4361 0161 929 5929 cedars@elfcare.u-net.com 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) The Cedars Rest Home Ltd Ms Christina King Care Home 34 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0), Old age, not of places falling within any other category (0), Physical disability (0) The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 34 service users will be accommodated. All service users will fall within the category of old age, but may in addition have mental disorder (excluding learning disability), dementia or physical disability. The service user accommodated in the 2nd floor bedroom must be independently mobile. If their health deteriorates a transfer to a more appropriate bedroom must be undertaken at the earliest opportunity. 11th January 2006 Date of last inspection Brief Description of the Service: The Cedars is a residential care home providing 24-hour personal care and accommodation for 34 older people. The Cedars is a large detached property situated in Bowdon. The main building consists of a ground floor and two upper floors. The basement of the building has been used to accommodate the kitchen and laundry facilities. A new extension has been added and this has bedroom accommodation on two levels and has been sympathetically blended into the slope of the garden area. Altrincham town centre is within easy access. The home has wheelchair access and there was provision for parking at the front of the building. The rear of the house has a terraced area, where there are two well-appointed patios, with extensive views of the surrounding countryside and well kept garden areas. The patios are used for special events during the year such as birthday parties and other celebrations. The current range of fees for the home at £427.00 - £670.00 per week. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector went to the home without telling anyone she was going to visit on the afternoon of Friday 16th June 2006. This was followed by a second visit on 19th June to talk with the manager. The total time spent at the home was 3 ½ hours. This included meeting a number of residents. The inspector also: • Spoke with the manager. • Looked at some files. • Completed a tour of the premises • Watched how the residents were cared for by the staff. • Made a number of telephone call to relatives to find out about their experiences from having a family member living at the home. To help the inspector to write the report the home was asked to provide a selfassessment report /questionnaire which was completed by the manager and received by the Commission on 19th May 2006. The inspector also took into account other information, which the commission knew about the home. There were some important things the inspector wanted to find out about the care given by the home. These were: • How the health needs of residents were met. • How the residents personal care needs were met. • How the staff helped to kept residents safe. • How the home respected residents’ rights, diversity and identity. If you want to get a full picture of what it is like to stay at The Cedars you might like to read the last report as well. You can find the address or website details on page 2 where you can obtain the report. The term of address preferred by the users of the service was confirmed as “residents”. It was felt that this best reflected the function and purpose of the home. What the service does well: These are some of the good things that the Inspector found out about the home. From talking with relatives they were able to give details about their experiences of the home. Below are listed some of their comments:• The staff are always found to be very good with the residents. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 6 • • • • • • The staff and manager kept families well informed if their relative was poorly. The care was described by a number of relatives as “excellent”. The staffs’ approach to residents gave the families the impression that nothing was too much trouble. The staff team’s care practices came over to families as being sensitive to the needs of residents who are affected by different degrees of mental awareness. The Staff seemed happy in their work. The manager and staff listened and kept families informed. All the comments showed that the staff in their care of residents were ensuring care was done respectfully, that families are kept informed and that a positive atmosphere was achieved. The care planning system was very informative and provided a lot of important information that the staff needed to know to make sure they were able to meet the care, health and individual needs of residents. This showed that the staff were being well informed about how to keep the residents healthy and safe with staff being aware of the importance of respecting individual identity. The training provided to the staff was good. This included having 85 of the staff team with an NVQ award or an equivalent qualification. This showed that the staff had knowledge, which helped them better understand about the health and care needs of older people. The residents had lots of different activities going on a regular basis. A small example of these included physiotherapy and occupational therapy and recreational sessions. This showed that the residents were provided with a varied range of social activities and exercise, which helped to keep them healthy and promote social inclusion. What has improved since the last inspection? The home was seen to take a proactive approach to improve the service. This included making the environment and facilities safer for residents by installing more water safety valves to water outlets accessed by residents, and providing safety covers over radiators in corridors. This meant the residents safety was further protected. Care plans had some new records which provided staff with more information about things that were important to residents including their likes and dislikes, which they needed to take into account when providing care to the residents. This meant residents could receive care which respected their personal preferences and valued their beliefs. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 7 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. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 8 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 The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 9 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents were having information made available to them and their individual needs and aspirations assessed, which meant the home was sufficiently informed to meet their needs and prepare for their admission. EVIDENCE: Wherever possible the home encouraged prospective residents and their families to visit the home and spend time getting to know the staff and other residents. It was acknowledged that this was not always possible. The home had a booklet/ brochure, (service user guide) which informed families and prospective residents about the home. The home’s manager and her deputies were completing the assessment of needs for prospective residents. On examining a sample of these assessments, they were found to be detailed and were very informative about the needs of the resident. Where necessary these included other assessments from health professionals and referring social workers which helped to inform the initial assessment. The process of forming a care plan was started within the first The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 10 week of any new admission. This was updated as the home became more familiar with the preferences of care of the individual resident. The home did not provide intermediate care. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents were receiving positive outcomes through the home’s care planning system and by having their health needs met by a competent staff team that delivered individualised care specific to caring for residents with dementia. However, these positive outcomes were compromised by the management of medication which had the potential to affect the health of a resident and this has affected the overall quality rating. EVIDENCE: A sample of care plans were examined. These were found to be well maintained. The plan commenced with admission details which provided all essential information. From here the plan went into different areas of care. These included assessment review, analysis of residents dependency, medication profile, health workers records and reports. All the different elements of the care plan were reviewed and updated monthly where necessary. Newly admitted residents had their care plans reviewed weekly for the first month while the home was learning about preferences and what worked best in meeting their needs. The plan attempted to take into account The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 12 the needs of residents balanced with their aspirations for independence and choice. The manager was ensuring summary care plans were provided to staff that gave them essential information for meeting the needs of residents. The risk assessment process was comprehensive and resident specific. The risk assessments covered a comprehensive range of risk affecting older people. Some examples included the risk factors relating to wondering / confusion, water safety and risk of falling. Where risks were identified, the safeguards required to minimise the risk were recorded. Residents had details within their care plan specific to their medication. This was found to help staff have a good understanding of the reasons why medication was important to a resident’s health. The health needs of residents were found to be recorded in the care plan. The training provided to staff was seen to be critical in meeting the health needs of residents, in particular staff completing Dementia care training. The families spoken with all indicated that they felt the health needs of the relatives were well met by the home and they were kept well informed if any concerns were raised relating to health. This included families saying that things such as test results and decisions over care were discussed with them and they were given the opportunity to attend appointments and meetings. The records relating to health concerns were detailed and demonstrated that the appropriate health professionals were contacted if staff observed any changes in the residen’ts health. The manger kept up to date with all relevant literature and guidance about the health needs of residents and made sure this was available to staff and relatives where appropriate. Maintaining good health was also supported through the employment of a physiotherapist who did sessions twice a week at the home. Overall the medication records were detailed. However, on examining a couple of residents medication records some missing signatures within the records were found and shared with the manager. On examining the blister packs two separate residents morning medication still had their medication in the blister. On checking the administration record this indicated the medication had been administered. The manager was immediately made aware of the findings, and she advised the staff who had completed the morning medication round of the errors. These were remedied while the inspector was at the home. Because of the importance medication has on the well being of residents a requirement has been made to the home to ensure medication is accurately administered and appropriately signed out by the staff. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 13 The families were consulted about the care plan, including asking them to help by providing details about the history of the individual resident’s life to inform the “reminiscence plan”. This helped staff to engage with the residents and to be sensitive about matters that had affected the residents’ personal life. However, it was acknowledged this was not always possible as families were sometimes not able to contribute information. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents were able to exercise their rights, including having their cultural/religious needs, privacy and their diverse needs valued by The Cedars. Furthermore, the home enabled residents to choose their own daily routines, receive a varied and nutritious diet and have access to a comprehensive activity programme which helped to develop self esteem, retain independence and promote overall well-being. EVIDENCE: Every week a range of activities were offered to residents. These included Physiotherapy, Occupational Therapy and reminiscence sessions. These activities were provided by qualified occupational therapists. In addition, more informal activities were offered which included staff either sitting or talking with residents or completing board type games. Furthermore, the staff, with the support of an occupational therapist, would organise small group activities where they would debate matters including current affairs, or organise local trips. A record of the various topics covered in the sessions were maintained and examined as part of the site visit to the home. These provided a source of evidence of the extensive range of activities and the degree of enjoyment residents received. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 15 When residents completed Art and Craft sessions the range of activities were comprehensive. These included salt dough, glass and model making to different types of exploring painting. Each activity session carried a learning skill through assessment and qualification assessment (AQA) and achievements in these different areas resulted in the residents receiving a certificate of the achievement. A sample of menus provided to the Commission and the meal served on the day of the visit indicated that a varied and balanced diet was offered to residents which included two hot meals a day most days of the week. The main meal was served at lunchtime. Both the lunch and evening meal were two courses. Families spoken with all indicated they were made to feel welcome when they visited the home. They described their experiences as very positive. This included staff always offering them a drink, keeping them well informed about their relatives care and their achievements / activities they had completed. Descriptions used included “nothing is to much trouble”. An additional part of the care plan had been set up by the manager aimed at ensuring residents known preferences were respected and things which gave enjoyment promoted. This was completed in a booklet method for easy access by care staff. Examples of the contents included, making sure a resident’s TV was put on when it was football and that a resident who loved sherry was offered a sherry in the evening. These were good examples of how the home were attempting to be person centred in their care to meet the diverse needs of residents. Families spoken with further supported this by saying their experiences of the home were that staff tried hard to get residents involved in activities and respected daily routines and preferences. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The relatives on the main were the voice of the resident. Overall they were able to raise their views and felt listened to. Furthermore, policies and procedures and training programmes were in place that staff were required to attend and adhere to. These ensured that residents were safeguarded from all forms of abuse. EVIDENCE: From speaking with a selection of families they all indicated they felt able to raise concerns with the staff and in particular the manager, who was described as “very approachable”. All families spoken with said they had never found it necessary to make a complaint about the quality of care provided by the home. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 17 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, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to accommodate their possessions, pursue their chosen interests and activities and offered sufficient privacy. Furthermore improvement in the standard of accommodation were being improved including better safety measures which meant residents welfare and safety were being adequately safeguarded. EVIDENCE: Over the past 18 months the home had undergone a major redecoration programme, upgrading bedrooms and the communal areas of the home. However, due to unforeseen problems with damp, some essential structural work has arisen which had unfortunately impacted on the progress of the improvement. Although the home was addressing these problems the standard of the cosmetic appearance in some parts of the home was slightly affected. Also, some carpets that were planned to be replaced were starting to show some signs of wear and tear, although the home had purchased the new carpets and were awaiting the go ahead for fitting. It was anticipated that the work required to address the damp would commence shortly. It was noted the The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 18 management were doing everything possible to ensure these shortfalls in the environment were not causing any direct impact on the welfare of residents. From talking with families they had no concerns about the standard of the environment. It was noted that the home had improved the residents’ safety by fitting more water safety values to sinks accessed by residents and fitting radiator covers in the different parts of the home. The manager spoke about the ways residents were encouraged to bring personal possessions including photographs. The manager them showed how the staff helped the residents to display these items within their bedrooms. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff team were appropriately recruited and trained with the skills that met the needs of residents and protected them from potential abuse. EVIDENCE: The training of staff was high with over 85 of all staff holding an NVQ award in care or equivalent qualification. The percentage of staff with the award was well above the current level expected set under the National Minimum Standards. The manager had completed the IOSH managing safely qualification. The manager provided details of the range of courses completed by staff in the past 12 months and planned for the year. It was highlighted that Dementia Care, Mental Health Awareness and Challenging Behaviour were given priority to ensure all staff were adequately skilled to meet the needs of residents the home cared for. Other courses that had taken place so far this year included the Care of Medicines (at Foundation Mental Health and advanced levels) Moving & Handling, epilepsy awareness and Death, Dying and Bereavement. From talking with the manager, the families and reviewing the training matrix, evidence could be seen that training was given a high degree of importance to meet the needs of residents the home supported and exceeded the levels set under the National Minimum Standards, The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 20 At the time of the inspection 4 care staff plus the manager and deputy were on duty supported by house keeping and catering services. The home’s recruitment of staff was confirmed by the manager and in the information sent to the Commission this showed that checks were completed including CRB at enhanced level, obtaining two written references, one being the last employer, a full employment history and where necessary the checking of nurse PIN numbers. In conversations with families they all spoke positively about the staffs’ approach to caring for the residents. Things important to families such as staff acknowledging them on they arrival including introducing themselves were all seen as good practice. Furthermore, families said they always found staff around the living areas and in sufficient numbers to meet the care needs of residents. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 21 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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall outcomes for residents were positive. This was because the manager showed leadership and managed the home in the best interest of residents, which included having good health and safety procedures and by monitoring standards of care though a quality assurance system. EVIDENCE: The management of the home was continuously improving the service to meet the needs of residents. Improvement in areas of care planning, care practices and keeping training as a high priority were all seen to be benefiting the residents’ overall care. Additional comments from relatives also indicated the management team were approachable and caring. The home had just started their 2006 resident / relative survey. The previous year’s survey findings were copied to the Commission in accordance with the required regulation. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 22 The maintenance and monitoring of health and safety were all found to be well maintained. This included records being held that recorded the outcomes of the various tests. For example, fire safety and water testing. The home does not deal with any aspects of residents’ finances. The home only keeps small amounts of residents’ money for covering things such as hairdressing. The details of all transactions are recorded and made available to both residents and relative on request. Of the families spoken with, all indicated finding the manager very approachable and good at keeping them informed about the care of their relatives. The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no 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 OP9 Regulation 13 Requirement Medication must be accurately administered and recorded out to ensure the health of residents are not compromised Timescale for action 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 The Cedars Rest Home Limited DS0000005600.V300779.R01.S.doc Version 5.2 Page 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!