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Inspection on 16/09/08 for The Churchley Rest Home

Also see our care home review for The Churchley Rest Home for more information

This inspection was carried out on 16th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a very low turnover of staff which means that many of the staff have been working at the home for several years and this has enabled continuity of care for the residents. Over 50% of the staff have attained the National Vocational Qualification level 2, or above, in care. Prospective residents receive sufficient information about the home and are encouraged to visit the home prior to making a decision over whether they wish to live there. Residents spoken with were pleased with the standard of personal care they received and also said that health care professionals visited the home when they required to see them, and that they could be accompanied to hospitals and surgeries. Each resident had a care plan which had been compiled and reviewed with the individual resident and included all the details about their personal and health care. A resident said "Staff are mostly very good. They treat us with dignity and are always cheerful and respectful, they always answer the call bells promptly". "I think we are well looked after here, they are very caring and they get the doctor or the nurse in pretty quickly if there is something wrong. They don`t rush you when they are helping you with washing and dressing and that is worth a lot when you are older". The home does not receive many complaints, and received none in the past year. There were records in the home to show how minor concerns raised have been dealt with, and residents said that they would feel comfortable in raising concerns. The home provides some activities. An Art therapist visits, and this is very popular with the residents. There is some musical entertainment and staff join in with Bingo and board games. Staff take some residents out from time to time. The home is clean and well maintained with the required risk assessments in place and evidence of regular servicing of equipment.

What has improved since the last inspection?

There was one requirement made at the last inspection, this was to ensure that all prospective residents were assessed by the manager or another suitably qualified person and these assessments were formally recorded in the home. The service has complied with this requirement and preadmission assessments were in place and formed the basis of the care planning process. Fire prevention strips have been fitted around all the doors in the home to increase resident`s protection in the event of fire.

What the care home could do better:

Several residents spoken with said that they wished that staff had time to take them out more, and that there were more general outings. This was discussed with the manager.Whilst residents generally said the food was `Alright`. `Usually good`. Several of them said that they wished that there was more choice of main meals; some felt that the supper menu could be improved and two residents said that they thought that the meals were too repetitive. The manage should ensure that all care staff have up to date medication training which includes administration of eye drops and ear drops. It was noted that some areas of infection control need attention, including on going training of staff. A requirement has been made that the service improves both on the procedures in place and facilitates up to date staff training in this. The manager must ensure that staff practice what they have learned at the training. Not all staff have received their mandatory health and safety training, such as moving and handling and fire training, within the periods required by legislation. A requirement has been made around this. Some policies in the home need reviewing to ensure that are in line with current practice and research. There were some issues found that are identified in the main body of report, for which requirements have not been made. The manager gave assurances that these would be addressed and these will be checked at the next inspection.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Churchley Rest Home 91 New Church Road Hove East Sussex BN3 4BB     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: Elizabeth Dudley     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 27 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 27 Information about the care home Name of care home: Address: The Churchley Rest Home 91 New Church Road Hove East Sussex BN3 4BB 01273725185 01273725185 kdlewis@churchleyrh.freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Deborah Lewis Type of registration: Number of places registered: The Churchley Rest Home Ltd care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Service users should be aged 65 years or over on admission That one named service user who has dementia may be accommodated in the home The maximum number of service users to be accommodated is 18 Date of last inspection Brief description of the care home The Churchley rest home is registered to provide accommodation and personal care for up to 18 older people. The registered provider is the Churchley Rest Home Limited and the registered manager is Karen Lewis. The home is located in Hove with good access to local transport and amenities. It is a large property that is set out over three floors. There is a passenger lift from the ground floor to the first floor and a chair lift from the first floor to the second floor. There are sixteen bedrooms, fourteen of which are single. Seven bedrooms have en-suite facilities. There is a good range of communal space. Care Homes for Older People Page 4 of 27 Over 65 18 0 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on the 16th September 2008 over a period of six hours, and it was facilitated by Mrs K Lewis, owner and registered manager. The methodology used in forming the judgments made in this inspection included discussions with staff and residents, a tour of the home and examination of documents and other records necessary for the smooth running of the service and the care of the residents. A health care professional and a care manager from the Local Authority were telephoned following the inspection in order to gain their views on the service provided by the home. Positive comments were received including It s a pleasant and very Care Homes for Older People Page 6 of 27 homely place, residents usually are very happy there and the staff turnover is very low. The Annual Quality Assessment, required by regulation was returned when we asked for it. This told us what the service has achieved in the past twelve months and the plans for the next twelve months. It also provided us with quantitative data on issues such as complaints, staff training, numbers of staff employed and numbers of residents in the home. Residents spoken with made positive comments about the home: It is a pleasant place to live, the staff are good, they make my visitors very welcome and we can more or less do as we please. The home is warm, clean and comfortable and we have enough activities offered. The staff are helpful and I feel very settled here. Thanks are extended to the residents, manager and staff for their courtesy, help and hospitality during the inspection. Current fees range from 381 pounds to 520 pounds per week. Extra services such as chiropody and hairdressing are charged sepaggrately and details of these are available from the manager. What the care home does well: What has improved since the last inspection? What they could do better: Several residents spoken with said that they wished that staff had time to take them out more, and that there were more general outings. This was discussed with the manager. Care Homes for Older People Page 8 of 27 Whilst residents generally said the food was Alright. Usually good. Several of them said that they wished that there was more choice of main meals; some felt that the supper menu could be improved and two residents said that they thought that the meals were too repetitive. The manage should ensure that all care staff have up to date medication training which includes administration of eye drops and ear drops. It was noted that some areas of infection control need attention, including on going training of staff. A requirement has been made that the service improves both on the procedures in place and facilitates up to date staff training in this. The manager must ensure that staff practice what they have learned at the training. Not all staff have received their mandatory health and safety training, such as moving and handling and fire training, within the periods required by legislation. A requirement has been made around this. Some policies in the home need reviewing to ensure that are in line with current practice and research. There were some issues found that are identified in the main body of report, for which requirements have not been made. The manager gave assurances that these would be addressed and these will be checked at the next inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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 sufficient information to prospective residents to enable the individual to decide whether the home can meet their needs and whether they wish to live there. The manager sees all prospective residents to ensure that the home is able to meet their needs and expectations. Evidence: The Statement of Purpose and Service User Guide contain all information as required by regulation, but the manager must ensure that these documents are reviewed on a regular basis to accurately reflect the current situation in the home. All residents have a copy of the Service User Guide and receive a copy of the homes brochure prior to admission. Residents are also provided with a copy of the homes terms and conditions of residence and a contract following their admission. Care Homes for Older People Page 11 of 27 Evidence: Residents are admitted for one months trial period and can visit the home to meet the other residents and staff, prior to deciding whether they wish to move into the home. The manager assesses all prospective residents to ensure the home can meet their personal care needs and there has been one new admission since the last inspection. The preadmission assessment for this resident contained sufficient information to enable the home to be aware of the individuals needs before they were admitted, and to commence the formation of a care plan. Residents are admitted for both permanent and respite care but not for intermediate or transitional care. Care Homes for Older People Page 12 of 27 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. Care plans within the home have been reviewed on a regular basis and adequately reflect the care needs of the individual. Health care professionals are accessed in a timely manner. The standard of medication administration safeguards the residents Evidence: Five ( 33 ) of the care plans were examined during the inspection. These had been regularly reviewed in consultation with the residents or their representative and generally contained sufficient information to ensure that the personal care given met with the residents needs. Care plans contained information including nutritional assessments, Waterlow (risk of pressure damage) assessments, and visits from health care professionals. Individual risk assessments were in place. More information is required to ensure that continence care plans reflect the assistance required and the continence aids used. In some care plans more instructions were needed for staff on how to give the Care Homes for Older People Page 13 of 27 Evidence: appropriate care to the individual; i.e. one resident had a previous unhealed fracture of the arm, there were no specific instructions for staff regarding giving personal care in a manner which would cause the least pain to the resident. The manager gave assurances that care plans would be expanded and be more detailed. Residents are weighed on a regular basis and receive visits from appropriate health care professionals as required. Residents spoken with said that General Practitioners were accessed in a timely manner and assistance was given in attending the local surgery or hospital. District nurses visit as required and the home also benefits from the services of a modern matron supplied by the local authority, who visits residential homes and advises on health care of the residents. Care plans are also reviewed annually in consultation with the residents and their care manager where appropriate. Comments received from residents included Staff are mostly very good. They treat us with dignity and are always cheerful and respectful, they always answer the call bells promptly. I think we are well looked after here, they are very caring and they get the doctor or the nurse in pretty quickly if there is something wrong. They dont rush you when they are helping you with washing and dressing and that is worth a lot when you are older. There are medication policies in place and staff who administer medication have had the relevant training. In some cases this requires review to ensure that staff are aware of current national policy. The standard of medication administration safeguards the residents. Medications are kept in a locked cupboard and had been signed on their receipt into the home, on administration to residents and on disposal. The manager must ensure expiry dates are checked on prescribed medications that are rarely used. Medication records were accurate.The home is purchasing a controlled drugs cupboard and has a controlled drug register in place. No residents are currently prescribed controlled drugs. There is a policy in place to safeguard residents who self medicate, residents who choose to do this have a lockable facility in which to store their medication. The self medication policy and other policies relating to medication require review. Care Homes for Older People Page 14 of 27 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. The quality of life afforded to residents by the home meets their expectations. Residents generally enjoy the food provided by the home although some residents said that the menus were repetitive. The quality of food and quantity of food provided appeared good. Evidence: Some activities are provided by the home for residents. These include some outings, musical entertainment and an art therapist. Staff take residents out for walks to the local shops and sea front and organise small groups of residents to play board games. Residents are encouraged to pursue their own hobbies, one resident knits soft toys and garments and also has an art table, for her individual use, set up in the lounge. Visitors are encouraged most hours of the day but are asked to avoid mealtimes and visiting after ten at night. Various ministers of religion visit the home and a monthly religious service takes place. Residents spoken with said that they could make choices regarding activities of daily living including times of rising and retiring. The home provides a varied menu, whilst only one main choice of lunch meal is shown on the menu, residents and staff said that Care Homes for Older People Page 15 of 27 Evidence: alternative choices were available and staff knew the likes and dislikes of individual residents. Food was attractively presented the residents could take their meals either in the dining room or in their rooms. The supper menu provides choices of which include a cooked option and a cold option .Dessert menus have recently been changed following consultation with residents. Residents comments about the food were that Meals are repeated too regularly and If you say you like something you get it over and over again. The suppers get a bit tedious, not much imagination used. The food Is reasonable, some days are better than others. but the general consensus was that meals on the whole were good and well presented. There was a good supply of fresh, dried and frozen food and the appropriate records as required by Environmental Health Authority were in place. All staff who cook and serve food have the Food Hygiene Award. The home has been awarded four stars in the Environmental Health Authority’s scores on doors initiative. Care Homes for Older People Page 16 of 27 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. Complaints received are addressed in an open and transparent manner, and staff are aware of their responsibilities in safeguarding the residents in their care. Evidence: The home has a complaints policy which is displayed in the home and in the service user guide and is presented in a manner which is accessible to residents and visitors. There have been no complaints since the last inspection but it was seen that records are kept both of any complaints and minor concerns previously received. Residents said that they felt comfortable with making a formal complaint if necessary, but normally spoke with the manager or the staff if they had any concerns. They were satisfied with the manner in which any minor concerns had been addressed. Both the complaints policy and the adult safeguarding policy are in the process of being reviewed. Staff have had adult safeguarding training but it is recommended that the manager and deputy manager update their training with the local authority to ensure that they are familiar with the reviewed reporting protocols. Care Homes for Older People Page 17 of 27 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 adequate 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 maintained and clean providing a pleasant environment for resident. Some areas and practice within the home may not maximise infection control Evidence: The home is clean and well maintained. Residents have the use of a lounge, dining room and pleasant garden. Residents accommodation is in single rooms, spread over three floors, there is a shaft lift giving access to the first floor and a stair lift from the first floor to the second floor. Seven of the single rooms have ensuite facilities and the other rooms have washbasins provided. Residents can bring their own possessions into the rooms to personalise them. The majority of the residents rooms have a lockable facility and residents have the choice about whether to have keys to their rooms.All rooms have restricted window openings and protected radiators. Temperatures to residents hot water outlets have been monitored on a regular basis and temperatures fall within recommended parameters. The home provides assisted bathing facilities and it was noted that some attention is required to the cleanliness of the underside of the bathing chairs. It was noted that there were some cloth towels, bathmats, block soap and toiletries left in bathrooms. These could cause cross infection and put residents at risk. The provision of disposable towels and soap dispensers in residents rooms was discussed with the manager. Subsequent to the inspection the CSCI received information that these have been ordered for the home. Care Homes for Older People Page 18 of 27 Evidence: It is recommended that red disposable bags are used for the collection and laundering of soiled linen .Whilst some staff have attended infection control training, this should be extended to all staff. Policies and procedures in line with current research must be produced to minimise the chances of spread of infection.It was noted that one member of staff did not wear disposable gloves and aprons when assisting a resident with personal care. Care Homes for Older People Page 19 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty with suitable training to meet the needs of the residents in the home. Not all mandatory training has been undertaken at intervals as required by regulation and this may impact on the safety of staff and residents. Evidence: The duty rotas and discussions with staff and residents showed that there are sufficient staff on duty over a twenty four hour period. Four staff were spoken with in depth, they said that there are good training opportunities within the home, they have regular formal supervision and receive encouragement to undertake the National Vocational Qualification level 2 or above in care. Over 50 of the staff now have attained this qualification at level 2 or above. The home has a very low staff turnover with most staff having been working at the home for a number of years. The home has provided a local induction course over the period of a day and now should consider the nationally recognized Skills for care Induction course for any new staff that they may employ. Staff said that they were encouraged to undertake training including first aid, infection control and medication training. Some staff had some training in the mental capacity act. Fire drills take place every two months. Care Homes for Older People Page 20 of 27 Evidence: The training matrix showed that some staff had not had a formal fire or moving and handling training in the last year ( although some training has now been booked -however it is a few months overdue) and the manager must ensure that all mandatory training takes place at the designated intervals. Two staff files were examined and these contained the documentation as required by regulation for the safeguarding of the residents in the home Care Homes for Older People Page 21 of 27 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. Management listens to residents views to ensure that the service offered meets their expectations. Systems within the home, with the exception of regularity of staff mandatory health and safety training, generally safeguard the residents. Evidence: The manager and owner has trained as a registered nurse and has the Registered Managers Award, she is registered with the CSCI and has owned a managed the home for a number of years. Staff and residents spoken with said that the home was run for the benefit of the residents and that the manager was always available. The Annual Quality Assurance Assessment was returned within the due dates and provided accurate information about the home. The manager told us what had been achieved in the home in the past year and what the plans are for the next twelve months.Some quality monitoring takes place, the home providing its own Care Homes for Older People Page 22 of 27 Evidence: questionnaires to residents on an annual basis and by collating the results of these. Staff meetings take place. Policies and procedures are in the process of being reviewed, this should be done with reference to current research and approved practice. Staff supervision has not taken place within the timescales as directed by the national minimum standards and this should be put in place. The home keeps money for safekeeping for residents spending, records were examined and were in order. Certificates of examination of utilities and equipment were in place and in date, however there was no landlords gas certificate issued and the manager is addressing this. The manager must ensure that mandatory training takes place at the intervals directed by regulation- fire training had not taken place since last year and is overdue and some staff require an update of moving and handling, this was addressed in a previous section in this report and a requirement has been made around this. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 13 Towels and soap must be 30/12/2008 removed from communal bathrooms. Staff must attend infection control training and policies and procedures regarding infection control brought up to date and ensure practices meet current research and procedure To ensure that the spread of infection within the home is minimised for the protection of service users and staff. 2 30 13 Staff must undertake 01/01/2009 mandatory health and safety training at intervals directed by the Health and safety regulations Staff must undertake moving and handling and fire training at intervals required by regulation, to ensure their safety and that of the residents is maintained Care Homes for Older People Page 25 of 27 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 That regular auditing of medication takes place to ensure that no medications are stored when out of their expiry date. That the manager ensures that menus are reviewed on a regular basis. That the manager and other senior members of staff undertake training in adult protection with the local authority, to ensure that they are clear about the updated reporting protocols. That red alginate bags are used for the laundering of soiled linen. That staff receive ongoing supervision within the timescales directed by the National Minimum Standards That policies and procedures reviewed to take into account current recognised research and practices. 2 3 15 18 4 5 6 26 36 37 Care Homes for Older People Page 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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