Inspection on 01/07/05 for The Chaseley Trust

This inspection was carried out on 1st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Chaseley Trust 20/12/05

The Chaseley Trust 07/01/05

The Chaseley Trust 07/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Chaseley South Cliff Eastbourne East Sussex BN20 7JH Lead Inspector Debbie Calveley Unannounced 1 & 7 July 2005 6:30 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 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. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chaseley Address South Cliff Eastbourne East Sussex BN20 7JH 01323 744200 01323 744208 Telephone number Fax number Email 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 Trustees of the Chaseley Trust Ms Helena Barrow Care home with nursing 55 Category(ies) of Old age, not falling within any other category registration, with number (OP) 55 of places Physical disability (PD) 55 Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is fifty-five (55). 2. The service users will be sixty-five (65) years on admission. 3. That service users with a physical disability must be aged eighteen (18) years and over on admission. 4. That a maximum of eight (8) day care service users can receive rehabilitive care. Date of last inspection 7 January 2005 Brief Description of the Service: Chaseley is a care home registered to provide nursing and supporting care for fifty-five service users, who meet the registration category of elderly and physically disabled. It provides nursing care and support for a wide range of disabilities including spinal injuries and acquired brain injuries. It is a large detached victorian property situated on Eastbourne seafront, which has been extended and adapted extensively to provide an environment where severely physically disabled residents can live and receive nursing care. Chaseley provides further facilities for day care and specialist services including physiotherapy and occupational therapy. The accomomdation consists of ample communal areas, an activity suite, a physiotherapy/sensory room, large lounge areas, a dining area. There are forty-five single bedrooms without an ensuite, four with ensuite, two double without an ensuite and one double with an ensuite. there are ample disabled bathing facilities in the home to meet the specialised needs of the residents. On the day of the unannounced inspection there were fifty-four service users in the home. Eastbourne town centre is approximately 2 miles from the home and Meads Village with its shops and amenities is approximately ¾ mile. A regular bus service runs from Meads to Eastbourne, passing near the home. There is a parking facility for residents and staff to the rear of the home and parking for approximately eight vehicles is available at the front. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two mornings on the 1 and 7 July 2005. The visits commenced at 6.30 am and the total hours spent was ten hours. There were fifty-four residents living in the home at this time. The methodology of the inspection included a tour of the building, inspection of documentation and records, the delivery of care for ten residents and informal interviews with eighteen residents, three relatives and eight members of staff. What the service does well: What has improved since the last inspection? The requirements and recommendations from the previous inspection have been met or continue to be monitored. The care plans are reviewed on a regular basis, and the individual plan of care now sets out clearly the action, which needs to be taken to ensure that all aspects of health, personal and social care needs are met. Some minor shortfalls were discussed during the inspection. The audit for medication administration is in place and was viewed. The audit is to continue to ensure good practice continues. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 6 The call bell audit has been beneficial to highlight times of the day that are busy and then reviewed as to whether the staffing levels are sufficient to meet the needs of the residents. 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. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4 & 5. The homes Statement of Purpose and Service Users guide are good providing residents and prospective residents with details of the services the home provides, thus enabling an informed decision about admission to the home. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. EVIDENCE: The Statement of Purpose and Service Users Guide were viewed, it was found to be up to date and contained information that prospective service users need to make an informed choice of where to live. There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room booked, the type of admission, either respite or permanent and the fees to be paid. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 9 Chaseley Trust use an assessment tool, which covers all the needs as defined in standard 3.3. Ten pre-admission assessments were viewed, which were found fully completed and informative. The assessment takes place at the prospective residents’ place of residence, and involve the relatives whenever and input from other relevant professionals is sought when required. Four residents spoken with, said they remembered someone from the home coming to see them before they left hospital and felt it was helpful to have met someone from the home before they arrived. One resident could not remember being involved, but said she had been very poorly at the time. Five others had evidence of family or other professional’s input. As previously mentioned the pre-admission assessment identifies any specific needs of the prospective resident and this informs the admission process. These can then be discussed with the resident and their representative to ensure that the home can meet their needs. The Statement of Purpose also gives information regarding the services they provide. Prospective residents can visit the home to meet residents, to look at rooms that are available and the facilities provided before they make any decision regarding accepting a place. These visits can be a day or a weekend if it is preferred. One resident said “she had come for a holiday and decided to stay as she “felt supported and enabled to be as independent as possible, more so than in her own home with support from carers”. Unplanned admissions are avoided whenever possible but should they occur, then an assessment is undertaken within forty eight hours and a GP is requested to visit as soon as possible. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 & 10. All residents have an individual plan of care, which meets their health, social and recreational needs. The care planning system is clear and consistent and provides staff with the information they need to satisfactorily meet residents’ needs. The residents are treated with respect and courtesy in all aspects of their care. EVIDENCE: Ten care plans were viewed, and were found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The risk assessments were clear and were seen to have been updated on a regular basis. There is evidence of resident/representative consultation in individual plans. Twelve residents said they had been involved in the discussions regarding their care plan, one said that she could not remember being consulted, but she knows that she has been consulted during the reviews which take place every six months. The care plans also evidenced the formal six monthly reviews which are attended by the resident, a relative or other key person. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 11 From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the service users were met. Specialist equipment was found in place where required, e.g air mattresses, cushions and various hoists with different slings. All the bathrooms have shower tables or an assisted bath. One resident said “staff were very helpful” and always made sure he had everything he needed” as he was unable to leave his bed. Another said that he felt he “was well looked after”. Another said, “ The care here is excellent and I am encouraged to be as independent as possible”. Four residents were able only to communicate by signals but were able to convey they felt well looked after and were happy in the home. The clinical rooms were clean and tidy, the equipment well-maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and are of an acceptable temperature to maintain dressings and medications. The medicine administration charts are audited by a senior nurse, on a weekly basis, and any gaps are identified and followed up. Poor practice was identified regarding the omission of dates on the medicine, when first commencing eye drops and antibiotic suspensions as they have a shelf life of one month once opened/made up. The storing of antibiotics previously prescribed and not used for residents needs to be reviewed and discussed with the G.P and pharmacist to ensure safe practice and a policy put in place regarding this practice. Oxygen bottles need to be secured and stored safely and all masks and tubing are to be appropriately stored. This was addressed during the inspection. Residents are registered with a G.P surgery and are referred to allied health professionals including Tissue Viability Nurses if required. It was noted that the relationship between staff and residents is friendly and relaxed and throughout the inspection it was observed that residents were treated with dignity and respect. Staff were seen to be having lunch at the same time as residents and the atmosphere was found to be inclusive. One relative said that “ the staff always show respect to residents and nothing was too much trouble”. A resident remarked that” she felt the staff respected her feelings and that she never felt she was a nuisance”. Another said that staff were always respectful when dealing with their personal needs. Good practice was observed when residents were receiving personal care and staff were seen assisting residents with their meal in a calm and dignified manner. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 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 standard(s) 12, 13,14 & 15. The routines of the home are flexible, which enables residents to have control over their lives and encourages them to make choices about all aspects of their day to day life. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets the residents’ tastes and choices. EVIDENCE: Chaseley endeavour to promote independence and freedom of choice, and residents that were approached confirmed that they are enabled to choose their daily schedule including their meal times and venue. They also said that they were assisted in choosing activities out of the home environment. The activities and the day care centre continues to develop and this is evidenced by an activities programme that is full of a wide variety of activities, in the home and outside of the home. A new development is the Cas Bar which recently opened and is proving successful. Residents spoke positively about the variety of activities and about events that were happening. The Eastbourne Air show was one mentioned. Not all residents wish to participate in activities, and they were seen visiting other residents in their room or enjoying the privacy of their own room, where they use computers, watch television and listen to music, one resident was Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 13 making models. All residents are encouraged to have goals they wish to achieve, and are then enabled to achieve them. Residents are encouraged to make choices about all aspects of their lives and are supported if they wish to make changes to their daily routine. Residents are encouraged and facilitated to personalise their bedrooms and bring in items of their own furniture. The majority of rooms have been individualised and many residents have their own fridges and electrical items that allow them independence with in a risk assessment framework. Residents’ artwork is displayed in rooms and corridors An advocacy policy is in place and there is information regarding how to access this service in the service users guide. There is open visiting, with relatives and friends able to visit at any time with the agreement of the residents. Residents, relatives and friends spoke positively of the care and support provided at Chaseley, they felt that they were listened to, and that their opinions were an important part of the care and support provided. The dining area is spacious with natural light, pleasantly decorated with tables of varying heights to allow wheelchair dependent service users to choose where they sit. The food is displayed in a servery, which enables residents to choose their meal and mix and match with what takes their fancy. There are dispensers now in place for soft drinks, hot drinks and soup which service users can help themselves, thus promoting their independence. Lunchtime servings are divided in that the more heavily dependent use the dining area first followed by the more abled and the dining room is open from 1200-1330. Residents were in the main complimentary regarding the choice and quality of the meals offered, one resident said that the most popular choice sometimes run out if they were towards the end of the lunchtime serving. One other resident said they “preferred to have their meal in their room, but the food was good and they felt it was nutritious and there was always a choice”. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 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 standard(s) 16 & 18. The complaint procedure is clearly detailed in the Statement of Purpose and Services Users Guide and is available to residents and their families enabling them to share their concerns formally and confidentially. Staff interviewed had a good understanding and knowledge of Adult Protection policies and procedures, which protect the residents from harm and abuse. EVIDENCE: There are appropriate policies and procedures in place regarding complaints and it was confirmed that these are followed when investigating any concerns raised at the home. The staff interviewed were knowledgeable of the complaint procedure and of how to start the process if the manager is not available. Six of the residents referred to their information folder when asked if they knew how to make a complaint, whilst one resident said he would bring it his named nurse attention. One resident said she would talk to the nurse in charge if she had a problem. There have been no complaints received by the CSCI. The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in adult Protection. The staff in the home are very aware of how vulnerable their residents are, especially as they promote independence and encourage them to lead active lives inside and out of the home. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19, 20, 22, 23, 24,25 & 26. The home provides a comfortable, clean and safe environment for those living there and those visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the residents personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. All areas of the home are clean and hygienic with satisfactory infection control systems in place to protect residents and staff. EVIDENCE: Chaseley provides a comfortable, homely and well-equipped environment for its residents. There is ample communal space for the use of the residents and their visitors; and these include a dining room, sun terrace, bar and function area and three other quiet areas. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 16 Service users are enabled to smoke following individual risk assessment, and the bar area is an allocated smoking area. There are attractive garden areas that have sea views and fully disabled access. The home has been designed and modified to meet the needs of its nonambulant service users who have complex needs. There is assured accessibility to service users both internally and externally. Large lifts provide level access to all floors. Internal redecoration continues to be on going. Individual rooms are decorated to the service users specific colour choices. One resident proudly showed me her co-ordinated linen and the accessories she had chosen on a recent shopping trip. Chaseley’s Statement of Purpose promotes the facilities available to meet the needs of residents with severe physical disability and promote their independence. There is continual fund raising to purchase equipment to enhance the lives of those with disabilities. There is a Physiotherapy and Occupational Therapy unit on site and the input from the staff is discussed regularly as part of a multi disciplinary team to discuss the on-going needs of the residents. All the bedrooms are equipped with the needs of the individual service user in mind, the necessary adaptations have been made to ensure that the rooms are easily accessible, comfortable and provide as much privacy as the residents require. The doors are opened and closed by the use of a touch pad. The size of the rooms is beneficial for those who use an electrical wheelchair, encouraging independence. Separate facilities are provided to store and recharge the wheelchairs. The home was clean at the time of the inspection, and there are systems in place to prevent the spread of infection. Staff demonstrated a clear understanding of the correct use of gloves and aprons as part of this process. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 30 Staffing levels were adequate to meet the assessed needs of the residents. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their designated roles. Staff are provided with training pertinent to meeting the needs of the residents and to do their jobs competently. EVIDENCE: Staffing levels are assessed according to the dependency levels of the residents. This system is new and is currently on a trial period. On the two mornings of the inspection, the staffing levels were seen as adequate for the needs of the residents. The call bell audit is to be continued as there were some delay in answering on a couple of occasions. There is a dedicated team of staff working at the home, they have a wide range of skills and receive training to meet the varied and complex needs of the residents. All care staff receive TOPSS(Skills for Care) induction and foundation training, this was supported by talking to staff working in the home. The staff are supported and encouraged to work towards NVQ 2 and 3. On talking to staff members, they were enthusiastic regarding the training provided and were able to discuss in depth the training they have completed in order to perform their job. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 38. The manager leads a strong dedicated team of staff by clear leadership throughout the home with staff demonstrating an awareness of their roles. The environment and working practices of the staff protect and promote the residents health, safety and welfare needs. EVIDENCE: The management approach is open and encourages residents, staff and relatives to be involved in the decisions about the services provided. There are regular meetings and reviews held, which give people the chance to air their views and be involved. The relatives, residents and staff spoken with said that they felt their views mattered and that they were consulted about all aspects of care and support provided and any changes that were considered. Staff informally interviewed, were able to discuss the training they had received whilst working in the home. One carer said she had had training in Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 19 moving & handling, infection control, fire safety, and also study sessions on different illnesses that they care for in the home. She had had her induction training and she felt “well supported by the senior staff and that the training and supervision she had received had enabled her to give a good standard of care”. Another carer said she felt that the standard of care in the home is high and that the senior nurses were pro-active in providing relevant training. Another carer said that the induction training she received was a good introduction to the home and the job. Staff were able to discuss the training they received and said that they were kept up to date with changes to policies in connection with fire safety and health and safety. The staff are issued with certificates yearly for Manual Handling, twice yearly for Fire Safety and Food and Hygiene. The home has a comprehensive set of policies and procedures, which govern the running of the home. All relevant legislation and procedures are in place in respect of Health and safety. There were two Health and Safety issues identified, that were dealt with on the day of the inspection. An immediate requirement was left to ensure that cleaning fluids are not left unattended and are safely stored at all times to ensure the residents health and safety. The call bell audit is to continue as there were delays in responding to calls during the visit on the 7 July 2005. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 4 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 x 3 x x x x x 2 Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 21 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 9 Regulation 17 (1) (a) Requirement Timescale for action 1 July 2005 2. 38 13 (4)(a) (b) That all medication that has a expiry date is clearly dated on opening/commencement. That all medication stored is discussed with the G.P and pharmcist, especially those that have been presribed for residents no longer at the home. That all cleaning fluids are safely 1 July 2005 stored at all times 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. 2. 3. Refer to Standard 22 & 38 9 38 Good Practice Recommendations That the call bell audit continues. That the medicine administration audit continues. That all oxygen bottles are safely stored and masks covered. Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Chaseley H59-H10 S13972 Chaseley V222898 010705 Stage 4.doc Version 1.30 Page 23 - 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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