Inspection on 10/12/08 for The Conifers

This inspection was carried out on 10th December 2008.

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 Conifers 11/03/10

The Conifers 21/12/06

The Conifers 30/12/05

The Conifers 25/08/05

The Conifers 03/03/05

The Conifers 01/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Conifers 66 Victoria Road East Thornton Cleveleys Lancashire FY5 5HQ     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: Jeffrey Pearson     Date: 1 1 1 2 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. that people have said are important to them: They reflect the things 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 Conifers 66 Victoria Road East Thornton Cleveleys Lancashire FY5 5HQ 01253860531 01253310073 coniferscare@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Suzanne Marie Clague Name of registered manager (if applicable) Mrs Patricia Annette Thompson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies 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 - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home The Conifers provides accommodation and personal care for fifteen residents over sixty-five years old. The home is situated in a residential area of Thornton near Cleveleys and is close to shops and local amenities. It is a single storey, detached property with a private front garden. A ramp is provided to provide access for wheelchair users. Accommodation is provided in eleven single rooms, one of which has en-suite facilities and two double rooms also with en-suite facilities. There is a lounge dining room and a separate sun lounge, which is a designated smoking area. The owner of the home is Suzanne Clague Care Homes for Older People Page 4 of 27 care home 15 Over 65 15 0 Brief description of the care home and the registered manager is Patricia Thompson. In the entrance hallway, the home had a Statement of Purpose and Service User Guide and previous inspection reports, providing details of the services available. This information should help people make an informed choice about moving into The Conifers. At the time of this inspection the fees were between £390 and £475 per week, with added optional expenses for hairdressing, private chiropody and newspapers. 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: The last inspection on this service was completed on 21st December 2006. An unannounced inspection which included a visit to the service was conducted at the Conifers on the and 10th and 11th December 2008. The visit took 12 hours and was carried out by one inspector. Staff at the home were invited to complete surveys, to tell the Commission what they think about the care and service provided at The Conifers, some were returned to us. Before the visit the manager was required to complete and return to us an annual Quality Assurance Assessment (AQAA). This was to enable the service to show how Care Homes for Older People Page 6 of 27 they were performing and provided details about arrangements, practices and procedures at the home. The files/records of 3 people were examined as part of case tracking, this being a method of focusing upon a representative group of people living in the home. We spoke with people living in the home; the owner, senior staff, care staff and cook. Various documents, including policies, procedures and records were looked at. Most parts of the home were viewed. What the care home does well: What has improved since the last inspection? The home has continued to be upgraded and redecorated, to provide a good standard of accommodation for the residents. Care Homes for Older People Page 8 of 27 Several polices and guidelines for staff have been revised and modified, to provide more up to date information and instructions. The staff training programme has been further developed, to help ensure staff have the knowledge and skills to provide a good service for the residents. The home now has a purpose built training suite, which provides a useful learning environment for staff. 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 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 admission process ensured peoples needs; abilities and preferences were known and planned for before they moved into the home. Evidence: The admission process was discussed with the home owner and senior staff. Policies and procedures were available to help ensure best practice when new people move into the home. The AQAA (Annual quality Assurance Assessment) completed by the owner provided very detailed information about the homes admission practices. Potential new residents were being invited to visit the home, for the afternoon or the day, or whatever was best for them. This meant they could see the home, meet current residents and staff, and hopefully make an informed choice about moving in. One resident spoken with said they came to look around the home before deciding to accept a place. Care Homes for Older People Page 11 of 27 Evidence: The home owner said senior staff had been trained to asses and consider peoples individual needs and abilities. Also that they were always getting information and support from Social Service for funded people. Records seen, showed assessment booklets had been completed to find out about peoples individual needs and abilities in matters such as, medical history, diet, daily activities, sleep patterns, religion, mobility and communication. The owner said a decision would not be made at the time of the assessment, a meeting would be held to consider the information obtained to discuss if the persons needs could be met. Letters then being sent to people indicating the outcome of the assessment. The AQAA and documentation seen at the home showed the assessment process had been further developed to ensure a more thorough approach, for example, more attention was being given to peoples mental ability and behavioural needs. At the time of this inspection The Conifers did not provide intermediate 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. Most health and personal care practices were effective in ensuring peoples needs are sensitively met. Evidence: The residents spoken with were happy with the care and attention they received at The Conifers; one comment made was Theres nothing I dont like about living here another person said, Its wonderful, Im well looked after Care plans were looked as part of case tracking, they include some good information, but did not provide sufficient details of the action to be taken by staff to address individual needs in a person centered way. For example, in relation to personal care, each person had the same care plan, which was not reflective of the actual specific care and attention people needed. One person had a care plan for a condition they did not have. Social care needs were not properly included the care plans. Care planning was discussed at length with the home owner and senior staff. By the second day of the inspection, the owner had taken action to revise the care planning system. Care Homes for Older People Page 13 of 27 Evidence: Although care plans were lacking in specific detail, we found individual needs were being responded to and people living at the home considered they were being well looked after. Good systems were in place to review peoples needs and circumstances, relatives were being involved as appropriate. Staff indicated in surveys they were being kept aware of peoples needs. Individual risk assessments had been carried out in relation to moving and handling, nutrition, falls and pressure area care. People were getting attention from health care professionals such as GPs, District Nurses and Chiropodists. Records and discussion showed staff had a received appropriate training and guidance on health care matters. Records and discussion indicated staff had received medication management training, the owner explained, that all staff receive training so they can be vigilant in recognising any poor practice. On the first day of the inspection, we found some matters needing attention to promote safer medication storage, these were attended to on the second day. Medication management policies and procedures were available, along with information leaflets on each prescribed item. None of the residents were managing their own medication, but this was being considered as part of the admission process. It was suggested peoples abilities and choices to manage their medication be more effectively considered and reviewed, to make sure the arrangements were appropriate. There were a number of discrepancies on the medication records, which meant it was not always clear if people were being safely or properly supported with their medication. For example, there were gaps on the records and some staff had entered wrong, or unclear information. Although guidance was available, for when necessary and variable dose medication, there were no specific instructions to ensure staff responded properly to peoples individual needs. The owner began to take action to rectify these matters during the inspection. The homes response to promoting privacy and dignity was very well reflected in the AQAA (Annual Quality Assurance Assessment) The owner emphasised that the underpinning approach was do as you would be done by. A Key worker system in operation which linked individual residents with a specific staff member to provide a more personal service. Staff were seen to treat people with respect, it seemed positive relationships had been developed. They treat me well commented one resident. Privacy of space was respected for example, staff knocked on bedroom doors and waited for a reply before entering. 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. People living at The Conifers had opportunities to make choices and had lifestyles which matched their expectations. Evidence: All the residents spoken with indicated they were content living at the home, I like living here, I am quite happy said one person. Daily routines seemed flexible, people could spend time in their bedrooms, or communal areas as and when they wished, I like sitting in the conservatory, I can come in here anytime was one comment made. Another person explained that there are various bed times, late or early It depends on how I am feeling People were seen to be consulted about day to day matters which affected them, such as how they spent their time. Systems were in place to ask each resident daily, if things were okay at the home. The value of informal group discussions, to keep people involved and informed about every day matters which affect them, was discussed with the owner and staff. People had been encouraged to personalise their bedrooms with their own belongings, which helped create a sense of home and ownership. Care Homes for Older People Page 15 of 27 Evidence: A notice board in the hallway showed ongoing and planned events and activities. Various games were seen to be available in the home, including skittles, darts and dominoes. A small group of residents were seen enjoying playing snakes and ladders with staff. There was a selection of books available in the conservatory. Local entertainers were visiting the home and some residents had been out to a nearby theater. Records were being kept of peoples involvement with various activities and pastimes. However, social care needs were not properly included in care plans, which meant staff were not given clear instructions on responding to individual needs and wishes. The visiting arrangements were included in the homes guide and rules for visitors displayed in the entrance hallway. Good arrangements were in place to promote security, staff had been trained to ask for peoples identification. Residents spoken with said they were keeping in touch with relatives and friends. One person was being supported to stay in touch with family by e-mail. Relatives had been invited to have Christmas dinner at the home. Representatives from various Churches were visiting the home on a regular basis, to see individuals and small groups of residents. The owner said they working closely with local schools and a nursery. The residents spoken with were happy with the food provided at The Conifers, they said, The foods alright, I would give them 11 out of 10 for dinner today, The food is very nice and We get ordinary good home cooked meals. Peoples individual food preferences were known and recorded. The days set menus were placed on dining tables, they stated ask staff if you want something different People were also being reminded each day that alternatives were available. However, it was suggested specific options be routinely offered, to further promote choices and decision making. Jugs of water and juice were readily available and the residents were being offered wine, or any other drink with their meals. Special diets were being catered for and individual nutritional matters considered accordingly. The dining room provided pleasant environment for the residents to socialise at mealtimes, tables were set with cloths, place mats and flowers. People could have meals served in their rooms if they wished, and this practice was observed during the visit. Meals and snacks could be provided at any time, fresh fruit was being offered routinely twice each day. 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. Policies, procedures and practices provided safeguards for people using the service and supported an effective complaints process. Evidence: None of the residents spoken with had any complaints or concerns about the home. Secure suggestion boxes were available for residents, relatives and staff to offer people the opportunity to raise any issues in confidence. The complaints procedure was within the homes guide and was displayed in the homes entrance hallway, an audio version of the homes guide was also available. The procedure explained how to make a complaint and included timescales for responding. It was suggested, the contact details of Social Services and Advocacy Agencies be include within the procedure. Records and discussion showed previous concerns had been responded to and improvements made as necessary. A system was in place for recording complaints, it was advised this be developed to further support the process, including devising investigation strategies and the recording of any interviews. There was a significant emphasis on safeguarding people at the Conifers. The owner had devised and introduced an extensive training programme, which included a number of learning materials, such as case studies, DVDs and role play. All staff, Care Homes for Older People Page 17 of 27 Evidence: including office and maintenance staff, had received the POVA (protection of vulnerable adults) training and this was to continue. Staff completing surveys indicated they were aware of how to respond to any concerns raised by residents and relatives. The owner and staff spoken with expressed a good understanding of the action to be taken in relation to allegations, incidents, or suspicions of abuse. Safeguarding policies and procedures seen, included some good, appropriate practice guidance for staff to follow. It was suggested, very clear instructions be given to staff on the wording to use if making a safeguarding referral. The staff whistle blowing policy was seen, it included appropriate information and contact details for the Commission, it was advised Social Service deatils also be included to provide further safeguards. Policies and procedures were available in relation to anti discriminatory practices, anti bullying and harassment. These policies had been summarised in the staff handbook and contracts of employment, which meant they were well informed. Care Homes for Older People Page 18 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 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 comfortable, clean and safe environment for the residents. Evidence: The AQAA (Annual Quality Assurance Assessment) indicated the home was to be continually upgraded and refurbished. There were good systems in place to monitor and plan for improvements at the home, including communal areas and the residents bedrooms. The basement of the home had previously been damaged due to flooding, the Commission had been kept aware of this matter and the action taken to ensure people using the service were not affected. The owner said the situation had been resolved, it was apparent much work had been carried out to restore the facilities to a very good standard. The residents spoken with very much appreciated the accommodation provided at the Conifers, in particular their own rooms. Where possible people were being enabled to choose their bedroom colour scheme as part of the admission process. One comment from a resident was I like my own bedroom very much. The communal areas were decorated and furnished to a good standard and provided a comfortable and homely living environment for the residents. Bathrooms and toilets were domestic in style, Care Homes for Older People Page 19 of 27 Evidence: efforts had been made to provide appealing yet functional facilities. A portable oil filled radiators was seen in one bedroom, it was not guarded and presented as a possible risk from scalding. There were no specific risk assessments or risk management strategies in relation to the heater. Individual room risk assessments were being carried out, but the radiator had not been included, the owner took action in response to this matter during the inspection. Discussion took place on providing lockable facilities in all bedrooms, to enable people to always have access to such facilities, the owner agreed to give this matter further consideration. The home was found to be clean and free from any unpleasant odours. The basement laundry was seen to be in good order following the flood damage, the floor covering and walls were of cleanable materials. Industrial washers and dryers were provided, also a wash basin with liquid soap and towels. Protective gloves and aprons were also available, infection control polices and procedures were on display along with clear instructions on the use of the laundry equipment. Good systems were in place to manage the laundry such as, separate bags for differing items and individually named baskets for returning peoples clean clothes. Care Homes for Older People Page 20 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. Most staffing arrangements provided people with effective care and support, but recruitment practices did not fully protect the residents. Evidence: The residents spoken with made positive comments about the staff team, they said, The staff are very good and They are quite nice. One person explained; They dont leave you if you ask for something, they sort it out straight away A relative wrote in a survey I cannot praise them enough Records and discussion showed there were enough staff working at the home to provide care and support for the residents. However, there were only two staff on duty on the premises from 5 pm to 10 pm. As some of the residents needed support with personal care, and some needed the support of 2 care staff, this raised questions in relation to providing safe and effective support. This matter was discussed with the owner who said they would consider having 3 staff on duty with immediate effect. One member of staff completing a survey made the following positive comments, If any members of staff are absent, sickness or leave, management have always made sure there is cover at all times and All members of staff work as a team The recruitment records of two recently employed staff were looked at, they included Care Homes for Older People Page 21 of 27 Evidence: some good information and showed most checks had been properly carried out. However, the application form did not request a full employment history, therefore the applicants work backgrounds had not been fully explored. The wording in the statement requesting details of any criminal convictions was incorrect, which meant applicants may not have disclosed necessary information prior to further checks being carried out. It was also advised that the application form provide suitable guidance on appropriate referees. The owner took some action during the inspection, to ensure the application form and recruitment checking systems were improved. Records and discussions showed good systems were in place to train new staff. One senior staff had been employed as a training coordinator. A detailed induction programme was in use, with staff completing an examination following the training, to help make sure they understood their role and responsibilities. Staff surveys indicated they felt the induction training covered matters well. The AQAA (Annual Quality Assurance Assessment) showed staff training and development was being given high priority at The Conifers. The home had separate facilities for staff training which were shared with the owners domiciliary care agency. Staff made positive comments about the training and support provided at the home, one said there were regular training courses which were always beneficial. Most of the care team had attained an NVQ in care, others had commenced or just completed this training. Records showed staff training had been completed or was ongoing, in key subjects, such as first aid, infection control, moving and handling. More specialised training such as dementia care awareness, had also been provided and further training had been planned for. Care Homes for Older People Page 22 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 and administration practices were effective in ensuring the home is run for the benefit of the residents. Evidence: The residents spoken with expressed no concerns about the general running of the home, one said I think its a well run home. Staff indicated in surveys and discussion, that they felt the managers were approachable and supportive. The registered manager was not present during this inspection. However, the AQAA (Annual Quality Assurance Assessment) indicated she had 34 years experience in care, with 22 years in care management, she had relevant qualifications and was currently completing The Registered Managers Award. The general atmosphere at the home was relaxed and supportive, the owner works at the home regularly and was very much part of the management team. Lines of Care Homes for Older People Page 23 of 27 Evidence: accountability were defined and areas of responsibility clear. It was apparent much effort had been made to revise and update the homes policies and procedures. The Internet was being used extensively to access information and resources. Quality systems were discussed with the owner, the AQAA included much detailed information and was being used to identify good practice and any areas for development. It was suggested the results of quality surveys, be more effectively included in the AQAA, to show how the service responds following consultation. Quality assurance surveys were available at the home for people to complete and were being sent out every three months, any issues raised were being acted upon as necessary and positive feedback relayed to the staff team. Results from the quality assurance surveys were displayed in the home to convey good outcomes and any plans for development. There was much evidence to show health and safety was being given ongoing attention. Various risk assessments had been carried out and health and safety policies and guidelines were available. As previously indicated in this report, (see Environment section) one matter in relation to health and safety risk assessments needed of further attention, to promote the well being of the residents. Arrangements were in place for staff to receive training in safe working practices. The AQAA showed the ongoing servicing of equipment and installations. Records showed fire drills were being carried out and that fire equipment was being checked weekly. Care Homes for Older People Page 24 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 25 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 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 7 Care plans should be person centered and sufficient in detail to provide clear instructions to staff, of the actions to be taken to meet the residents, personal, health and social care needs. To ensure medication is appropriately and safely managed for the well being of the residents, action should be taken to ensure the auditing system effectively identifies and resolves inappropriate practices. The recruitment practices need to be improved, to ensure all the required checks are effectively carried out prior to staff commencing work at the home. This will help ensure staff are fully screened for the protection of the residents. 2 9 3 29 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!