Inspection on 13/01/09 for The Chestnuts

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

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 Chestnuts 02/01/07

The Chestnuts 07/02/06

The Chestnuts 16/09/05

The Chestnuts 28/01/05

The Chestnuts 23/09/04

The Chestnuts 29/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Chestnuts The Avenue Ross-On-Wye Herefordshire HR9 5AW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Blake     Date: 1 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: The Chestnuts The Avenue Ross-On-Wye Herefordshire HR9 5AW 01989562031 01989567608 caring@chestnutsha_freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Caroline Powell Type of registration: Number of places registered: The Chestnuts (Ross-On-Wye) Housing Association Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 30 Physical disability - over 65 years of age (PD(E)) 30 Dementia - over 65 years of age (DE(E)) 30 Date of last inspection Brief description of the care home The Chestnuts (Ross-on Wye) Housing Association Limited (also a charitable organisation) has operated this home since 1991. The provider leases the building from Herefordshire Council and must carry out the maintenance and any Care Homes for Older People Page 4 of 29 Over 65 30 30 30 0 0 0 Brief description of the care home improvements to the property. The home is registered to accommodate up to thirty people aged at least sixty-five. People who live at the home may require care due to a range of care needs arising from the ageing process, including physical disability and dementia. The Chestnuts is a large Victorian house, set in private grounds, and is situated in a residential area within a reasonable walking distance of Ross-on-Wye town centre. The property was converted to a care home many years ago and an extension was added to the original house in the 1960s, which has been totally upgraded within the last few years. All of the bedrooms are single, sixteen of them having en-suite facilities, and are located on three floors with two shaft lifts provided. The home offers two sitting rooms, a separate dining room and a sun terrace as communal space for the people who live there. The garden is spacious, and provides a very pleasant and easily accessible area. An up to date copy of the Service Users Guide is available at the home. It includes details of the homes charging policy. A copy of this inspection report is available at the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection. We spent a day at the home, talking to the people who use the service and the staff, and looking at the records, which must be kept by the home to show that it is being run properly. These include records relating to the care of people who use the service. The service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Some of the managers comments have been included within this inspection report. Care Homes for Older People Page 6 of 29 We also received completed survey forms from people who use the service, their relatives and health professionals who work with the home. The information from these sources helps us understand how well the home is meeting the needs of the people using the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 8 of 29 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information to help people decide if they wish to move into The Chestnuts. The home carries out assessments to make sure that the staff can meet peoples individual needs. Evidence: The home provides good written information, which is available in large print if required, to help people decide if they wish to move into The Chestnuts. Everyone who moves into the home is given a copy of the Service Users Guide, which contains detailed and useful information about life at the home. We received five surveys completed by people living at the home, and they all told us that they had received enough information for them to be able to make an informed decision about moving into the home. One person told us: my wife and I had a lot of support before I moved into the Chestnuts. Much care and consideration was given to Care Homes for Older People Page 11 of 29 Evidence: me and another said living in this area, we always knew the Chestnuts was a good home. The Annual Quality Assurance Assessment told us prospective residents are invited to spend a day at the home, have a meal and mix with the other residents to see how they feel about living in residential care. We looked at the records for someone who had recently moved into the home. The records showed that a senior member of staff had visited them before they moved in, and had carried out an assessment of their needs. The assessment was thorough, and contained information that would help staff to know exactly what care needs to be provided. This pre-admission assessment also enables the home to be sure that it can meet peoples individual needs before they move into The Chestnuts. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a good standard of personal care, which respects peoples individual wishes and choices. Medication is managed safely. Evidence: We looked in detail at records for two people who live at the home. These showed that the home assesses peoples needs and plans their care in a person-centred way. This means that the care plans focus on the preferences, needs and wishes of each person. We saw that one persons care plan included details of how they prefer their personal care to be provided, such as likes someone to go in and get clothes ready and likes to take her time in the mornings. We saw that any potential risks to people, such as allergies or mobility problems, were highlighted in large red print in peoples notes. This makes it very easy for staff to see any issues which they need to be especially aware of. Care Homes for Older People Page 13 of 29 Evidence: In our surveys, people told us that they receive the care and support that they need. One person said the staff are always there with their support. On the day of the inspection, we saw that staff were very good at anticipating if someone needed help, and they offered assistance in a respectful and caring manner. For example, we saw that one person was having difficulty getting into a standing position. A member of the care staff watched, and when the person appeared to be getting tired, she intervened and asked if any help was needed. When the person said that they would like some help, the staff member provided it with good humour and in a way which promoted the persons dignity. Later on, the member of staff explained that she always tries to make sure that people retain as much independence as possible, and she only intervenes if she sees that people are getting tired or distressed. We saw in the records that someone who was confined to bed had bed rails in place. The home had not carried out a risk assessment for the use of bed rails, nor gained the consent of the person or their representative. Bed rails are potentially dangerous, and they should only be used after a full risk assessment has been carried out. As bed rails are a form of restraint, consent for their use needs to be obtained. We saw that the person still had the bed rails on their bed on the day of the inspection. We made an immediate requirement that the home must carry out a full risk assessment and gain consent. The manager co-operated with us fully, and subsequently sent us copies of the risk assessment which she had carried out. The Annual Quality Assurance Assessment told us a specific GP is assigned to the home and telephones one week to discuss more minor issues with residents and visit if necessary and the second week with a visit to see residents for non-urgent issues. This is in addition to the normal GP service and gives the senior staff the opportunity to speak with the GP in a more relaxed consultation. People told us in the surveys that they always get the medical support they need. Records in the home showed that GPs and District Nurses have been called in whenever necessary. We looked at the records which the home must keep to show how they manage medication on behalf of the people who live there. We saw that people are asked if they wish to take responsibility for their own medication, and we saw that one person does manage their own medication. The home provides lockable storage, so that this persons medication can be kept securely. We saw that the homes stores medication safely and securely, and has good procedures for administering medication. Staff who administer medication have received appropriate training for this. We spoke to a senior member of staff, who showed excellent knowledge of her role in the safe storage and administration of medication. Care Homes for Older People Page 14 of 29 Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a range of activities for people to participate in if they wish to. Meals are varied and nutritious, and provide a balanced diet. Evidence: The home has a friendly and informal atmosphere and people who live there are encouraged to pursue interests and hobbies. Staff organise a weekly Bingo session, and there is a musical movement session weekly. A Pets as Therapy (PAT) dog visits with his owner fortnightly. The home organises minibus outings monthly to garden centres or local places of interest, and some people visit the local pub for a lunchtime drink on Sundays. Some people walk into town for shopping, and one person attends an art class locally. The local vicar celebrates Holy Communion at the home monthly, and the Roman Catholic priest visits regularly. Currently the home has nobody living there of other faiths, but the manager told us that she would try to meet peoples faith and cultural needs. The Annual Quality Assurance Assessment told us residents are able to have daily Care Homes for Older People Page 16 of 29 Evidence: newspapers delivered. The Hairdresser visits weekly and the Chiropodist every 8 weeks. Both are flexible and are always able to visit to suit the resident. We saw that visitors were made welcome and the manager told us that visitors are free to visit at any time. On the day of the inspection, we saw people sitting in the lounges. Some were reading newspapers, others were knitting, doing puzzle books, or chatting to each other. Staff were attentive but not intrusive. We saw that staff noticed if people might be cold and offered them rugs. We spoke with four people in the lounges, and they told us that they dont get bored. One person said we enjoy chatting to each other and watching the world go by. We saw that the home had given everyone gifts at Christmas. These had been chosen by peoples key workers based on their knowledge of the persons likes and dislikes. One person showed us their gifts of a pair of pyjamas and a bottle of sherry. The home employs a catering manager who provides a nutritious menu of home cooked food. On the day of the inspection, the menu board in the home showed that lunch was gammon steaks with pineapple, potatoes, broccoli, swede and carrots; or chicken curry and rice, with fruit pie or rice pudding to follow. We watched as people were served their lunch. Staff offered mango chutney with the curry and white sauce with the gammon. Drinks were replenished as required. People with small appetites had their lunch served on smaller plates. People who needed support to eat were helped kindly and appropriately. People told us I always have what I like and were always given a choice if wanted. We saw that afternoon tea was served in china cups with slices of homemade cake. The catering manager told us that breakfast is porridge or cereal, with a cooked breakfast on Saturdays. We saw that a notice on the board said about breakfast: may be served in your room if preferred. The notice also stated: supper sandwiches available in the evening if required. We saw that plates of sandwiches were ready in the fridge, and the catering manager told us that people can have snacks and yoghurts whenever they like. The catering manager told us that she discusses peoples food likes and dislikes with them when they move into the home, and also makes sure she chats to people monthly to find out any changes they would like. One person told us the cook prides herself on getting us different food and another said in a survey form cook takes a Care Homes for Older People Page 17 of 29 Evidence: personal interest. The home sources its meat and vegetables from local suppliers. We saw a Food Hygiene certificate dated October 2008 which rated the home as very good. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a clear complaints procedure, which is easily available to everyone who uses the service. People know who to talk to if they have any concerns, and can be confident that these will be taken seriously. The homes recruitment procedures help to protect people living at the home by making sure that only suitable staff are employed. Evidence: We saw that the homes complaints procedure is displayed on the notice board in the reception area, and is also contained in the Service User Guide. We saw that the home keeps full records of all complaints and concerns. The records showed that complaints are investigated fully and are managed sensitively by the manager. We saw that people had raised issues about areas of life within the home which did not quite meet their needs. The fact that minor concerns are raised with the manager shows that people have confidence that she will take them seriously and try to resolve them. It also shows that people are not worried that they will be disadvantaged by complaining. In our surveys, everyone who responded told us that they knew who to talk to if they had any concerns. They told us Julie (the manager) is always available and staff and management always ready to help. One person living at the home told us I dont Care Homes for Older People Page 19 of 29 Evidence: like to bother them, but theyre all very kind if I do need anything done. We received two completed survey forms from local health and social care professionals, and they both told us that the home responds positively to any concerns raised by them. The homes recruitment procedures protect people living at the home by making sure that only suitable staff are employed. The home does this by carrying out preemployment checks such as Criminal Records Bureau (CRB) checks and taking two written references, one of which is from a previous employer. All staff working at the home have recently attended training in the protection of vulnerable adults. We spoke to two staff who showed a good knowledge and understanding of their role in keeping people safe from potential abuse or neglect. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Chestnuts provides a safe and comfortable environment, with a friendly and welcoming atmosphere. Some staff would benefit from a better understanding of infection control. Evidence: The home has a welcoming and friendly atmosphere. There are two lounges, both of which are spacious and have comfortable armchairs arranged so that people can chat to each other. One lounge is known as the quiet lounge, and has French windows opening onto the garden. There is a sun lounge with ramped access to the garden. The garden is mainly paved with some flower beds, and has benches and garden furniture. The manager told us that there are plans to upgrade the garden so that it is easier for people to sit out when the weather is good. The dining room is next to the kitchen, with a serving hatch. We saw that the dining room was clean, with plenty of space between the tables, which were laid with linen cloths and napkins. Throughout the home there are silk and dried flower arrangements, done by members of the housekeeping staff. Care Homes for Older People Page 21 of 29 Evidence: We saw that peoples bedrooms contained items of their own furniture, photos and ornaments. One person had brought their own bedding with them. This means that bedrooms are homely and personalised. The records showed that people are asked if they wish to have a key to their bedroom. We saw that, in the laundry, unwashed bed linen had been left on the floor close to a pile of clean laundry in a basket. The manager told us that care staff had not put the dirty laundry in a red bag, as they should have, and that the housekeeper would speak to care staff to ensure that they were clear about the importance of separating clean and dirty laundry. If dirty laundry is not kept separately from clean laundry, there is a risk of cross infection. During the day, we saw staff practising good infection control, by washing hands and using gloves and aprons appropriately. In discussion, the manager showed excellent knowledge of infection control. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at The Chestnuts are kind and caring, and are sensitive to peoples individual needs. Staff receive the training they need to enable them to provide care to the people living at the home. Evidence: On the day of the inspection we saw staff supporting people with their personal care needs. The staff were kind and caring in their manner and spoke to people with respect. One person living at the home told us we all have a good laugh with the girls and another said the staff are always there if you need them. In our surveys, one relative told us the staff are excellent with my mother. The home makes sure that each person living there has a key worker, who communicates with families; ensures that the person has all the toiletries and other sundry items that they need; writes a monthly report, and chooses Christmas and birthday gifts based on their knowledge of the persons likes and dislikes. We spoke with staff members, who showed a good knowledge of peoples individual needs. One care worker told us I think if that was my mum or dad, how would I want things done? and then thats how I do things. Staff were able to explain in detail how they would provide care for someone with mobility needs, and their answers showed Care Homes for Older People Page 23 of 29 Evidence: sensitivity towards the person. In our surveys, almost everyone said that there are always staff available when required. On the day of the inspection, everyone we spoke to said that staff are always available. One person said theyre there before youve taken your finger off the bell. In the AQAA, the manager told us The Management Committee agree to extra staffing if required and are very aware of the needs of the residents. The homes staffing rotas showed that there are always sufficient staff on duty to meet peoples needs in a timely manner. We looked at the records for three members of staff. We saw that the homes robust recruitment procedures had been followed and therefore the home had made sure that only suitable staff were employed. The home has developed its own induction folder for new staff, based on the Skills for Care Common Induction Standards. The induction folder is very comprehensive and includes space for staff to sign that they have read the homes policies. The homes training records show that staff receive a range of training, including all mandatory training. New staff shadow more experienced staff, and this, combined with training, helps to ensure that they have the skills and knowledge to carry out their roles. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed by an experienced and knowledgeable manager, who makes sure that the home is run in the best interests of the people who live there. Evidence: The home is managed by an experienced and competent manager, who is supported by a Management Committee, which meets monthly. On the day of the inspection, the Chair of the Management Committee was at the home to discuss the possible purchase of some new equipment for the home. The manager told us in the AQAA Committee members (all of whom provide their services gratis) complete unannounced monthly Regulation 26 Inspections; they evaluate views and suggestions of the residents and make recommendations regarding necessary expenditure and are able to give expert advice given that amongst the members we have a doctor, solicitor, retired health service manager and post office owner and chartered surveyor. The provider supports the Care Manager and visits the home normally twice a week or more to keep up to speed with ever changing developments. Care Homes for Older People Page 25 of 29 Evidence: The managers office is near the front door, and she told us that she has an open door policy, meaning that she makes herself available to people living at the home and to staff. People living at the home told us Julie (the manager) is always around the place, checking that everythings OK and She runs the place well. The manager told us that the home does not currently hold meetings for the people who live there, as, when they did hold them, people failed to attend. The manager feels that, because staff know the residents so well, and because people raise things as they occur, these meetings are not necessary. The people we spoke to did feel that their views are taken into account and that the home is run for their benefit. One person told us I dont think theres anything they could do better, but if I did, Id soon tell Julie. The home does not take responsibility for peoples personal money. If people need money for day to day expenses, this is given to them and invoiced to them later. Some people do keep their own money but the home prefers that personal money or valuables are not kept on the premises if possible. The manager completed the AQAA in full and sent it to us promptly. The AQAA contained useful information, and clearly showed that the manager recognises areas where the home could make improvements. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 8 13 (4)(c) You must ensure that 22/01/2009 the use of bed rails is governed by a comprehensive written risk assessment, and that consent is gained for their use. This is to ensure that people are not put at risk of harm or injury, and to ensure that they have given consent to the restraint provided by the bed rails. The timescale for this requirement is 18/01/2009. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 13 (3) You must ensure that clean and dirty laundry can be stored separately This is to prevent the spread of infection within the home. 16/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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. 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