Inspection on 12/01/09 for The Croft

This inspection was carried out on 12th 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 Croft 14/01/08

The Croft 27/11/06

The Croft 19/04/06

The Croft 27/01/06

The Croft 26/07/05

The Croft 07/03/05

The Croft 16/09/04

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Croft Barracks Road Bickershaw Wigan Greater Manchester WN2 5PR     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: Lucy Burgess     Date: 1 2 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. 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 28 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 28 Information about the care home Name of care home: Address: The Croft Barracks Road Bickershaw Wigan Greater Manchester WN2 5PR 01942867186 01942867386 k.idle@ntlworld.comthecroftcarehome@tiscali.c o.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Kevin Harper Name of registered manager (if applicable) Mrs Karen Idle Type of registration: Number of places registered: 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 home is registered for a maximum of 23 service users to include: Up to 23 service users in the category of OP (Older People) . Up to 17 service users in the category of DE(E) (Dementia over 65 years of age) Up to 1 service users in the category of PD(E) (Physical Disabilities over 65 years of age) One named service user in the category of DE(E) (Dementia uner 65 years of age ) may be accommodated within the overall number of registered places. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 0 0 0 Over 65 17 23 1 care home 23 Care Homes for Older People Page 4 of 28 Brief description of the care home The Croft Care Home is located in semi-rural surroundings just off the main road through the village of Bickershaw, and provides residential care and accommodation for up to 23 people. The Homes registration also permits them to accommodate people with a diagnosis of dementia. Nursing care is not provided. Accommodation is provided on the ground floor and has been adapted to meet the physical needs of people. All bedrooms are single with 11 rooms having en-suite facilities. The range of fees are 352.58 to 590.00 depending on the persons assessed needs and funding arrangements. An optional top up fee of 40.00 is also made, which covers the cost of toiletries, hairdressing, newspapers, small items of clothing and activities. Care Homes for Older People Page 5 of 28 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 announced visit to the home as the original date was postponed due to illness at the home. The inspection was carried out over one day, between the hours of 9.30am to 5.30pm. During the visit time was spent looking at paperwork, how medication is managed and the environment as well as observing and speaking with staff . As part of the inspection process the manager was asked to complete an Annual Quality Assurance Assessment (AQAA). This was completed and returned to us prior to the site visit. Other information and comments were gathered from the feedback surveys sent out to staff and people who live at the home. Completed surveys were returned by 9 people Care Homes for Older People Page 6 of 28 at the home and 8 staff. Their comments have been added to the report. During the visit we also spoke with a relative and a visiting training assessor. Discussion and feedback took place with the manager and deptuy manager. What the care home does well: What has improved since the last inspection? What they could do better: Handwritten entries on the medication administration sheets should be double signed making sure information recorded is accurate and reflects what has been prescribed so that people are not placed at risk. The manager should ensure that where employment gaps have been noted on application forms that this is explored and information recorded. Evidence should also be made where references have been verified. This ensures that those people working at the home are suitable to do so. Care Homes for Older People Page 8 of 28 The manager must confirm that health and safety checks in relation to the electric and call bell system have been completed and satisfactory certificates have been received ensuring the home is safe and well maintained. 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 28 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 28 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 assessment process is thorough and ensures that only those people whose needs can be met are admitted to the home. Evidence: A thorough assessment process is undertaken to ensure that only those people whose needs can be met are admitted to the home. Information is gathered by the manager or a senior member of staff as well as information being sourced from other relevant parties including the local authority, health care professionals and day care services. Information seen was comprehensive and provided a good overview of the person, what they liked, their routine and the level of care and support they needed. This enabled the home to make an informed decision about the suitability of the placement prior to the person moving in. Care Homes for Older People Page 11 of 28 Evidence: Placements are reviewed following the initial settling in period ensuring both parties are happy with the placement. This may involve the local authority and family members. People confirmed they had received a contract and that visits had taken place prior to them moving into the home. People felt their needs were being met and commented in the surveys, I love living at The Croft, the staff are very caring, loving and understanding and I feel safe at The Croft. Standard 6 does not apply as the home does not provide intermediate care services. Care Homes for Older People Page 12 of 28 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. Information about people clearly promotes their health and well being ensuring they have a good quality of life and are kept safe. Evidence: Individual care records are maintained. Information was looked at for three people who had been identified due to their changing needs and health. Files were orderly and divided into sections so that relevant information could be easily found. One person has overall responsibility for maintaining and updating on a monthly basis files ensuring information reflects the current and changing needs of people. Staff confirmed that they are actively involved in the development of plans. Where necessary they would add relevant information so that information is passed to all members of the team. Care files include the admission form, names of relevant people and their contact details, record of visits, the care plan, risk assessments, activity records, fluid and food intake, weight records, daily reports, professional visits, hospital admission form, care Care Homes for Older People Page 13 of 28 Evidence: plan agreement, communication sheet, audit sheet, room inventory and a book of life, which provides a pen picture of the person, their past, family, significant events and things that may be important to them. Care plans are written in the first person, for example, please can staff remind me to do..., please encourage me to ... and I would like the staff to help me with.... One person expressed, I receive plenty of encouragement from the staff and I like to talk to the staff, they always listen to me. Periodic reviews are held with relevant health and social care professionals. Where agreed relatives are also encouraged to be involved in reviewing the care provided. Information seen for the 3 people was current and up to date and evidenced what action had been taken to address the changes in their health. Where necessary referrals had been made so that additional support and advice could be provided ensuring peoples health and well-being is maintained. One person commented on their survey, I always receive the care I need and staff are quick to make appointments if they are needed. Comments were received from one person whose relative had until been living at the home. They spoke highly about the level of care and support stating, my wife was totally looked after and wanted for nothing, they are always welcoming, a good team who offer the personal touch and I will stay in touch. The medication system was also looked at. Only designated trained staff administer medication. Medication is supplied by BOOTS pharmacy and an audit of the system was carried out by them in November 2008. No issues were identified. One of the senior staff takes responsibility for the ordering of medication. A communication book has been introduced and a colour coding system, which informs staff giving out medication if their have been any changes or if someone has recently been seen by the GP. This is to ensure staff administering medication are aware of any changes so that people receive the appropriate medication. Separate storage is available for controlled drugs and items that need to be refrigerated. A controlled drug register is maintained and found to be in order. Fridge temperatures are also recorded on a regular basis. All items are stored safely and individual records maintained (MARs). The home is advise to double sign handwritten entries on the MAR sheets to ensure that the information recorded is accurate and reflects what is stipulated on the prescription so Care Homes for Older People Page 14 of 28 Evidence: that people are kept safe. Care Homes for Older People Page 15 of 28 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 social and recrational needs of people are met in a way they would wish affording them choice and control over their lives. Evidence: Routines within the home are relaxed. People are offered occasional activities or are to follow activities of their own choosing. Some people prefer to spend time relaxing in their own rooms, watching television or reading whilst others spent time in one of the lounge areas. Activities continue to be provided both on a group and individual basis. An activities worker is available each afternoon, however has recently been off sick. Alternative arrangements have been made to cover these hours. On the day of our visit people were offered arts and crafts. Another resident went out for the afternoon with a relative and another person had arranged to go to a local shop with a member of staff. Individual records are maintained showing how people have spent their day. People commented in the surveys that they enjoyed th activities provided. Comments included, I enjoy walks with staff to the shop, I enjoy playing dominoes and I enjoy talking with staff and being with other people. Care Homes for Older People Page 16 of 28 Evidence: Visitors are also welcome at any time and are able to see relatives in private or in one of the communal areas. There is also a hairdresser who visits the home on a regular basis. A relative who still visits the home has agreed to help develop a newsletter. This will be provided to people living at the home as well as relatives and visitors showing them what events have taken place and introducing new people to the home. We also looked at the kitchen and food provided. At present the kitchen staff are working from a three week rota however the cook explained that these are now being reviewed ready for spring and will include 4 weeks. The main meal is served at lunchtime, with a lighter meal in the evening, which includes both hot and cold options. Alternatives would be provided for those people on special a diet. Suitable arrangements are also in place with regards to refreshments served throughout the day and supper items. There are two dining rooms where people can choose to sit for their meal. Comments were received from people about the quality of food provided. People said, I always enjoy the meals and If I dont like the meal the staff will always change it for me. The kitchen area and stocks were looked at. Records continue to be made of all safety checks, temperatures and cleaning carried out including the safer food better business documents. Food stocks continued to be ordered on-line from local supermarket and deliveries are made several times a week. Certain fresh items are provided on a daily basis. There are currently 4 catering staff who are responsible for preparing and serving all meals throughout the day and are rotad over a seven day period ensuring suitable cover arrangements are in place. The current kitchen area is quite small however is to be replaced as part of the redevelopment providing a more spacious and practical working environment. Care Homes for Older People Page 17 of 28 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. Arrangements are in place to listen and respond to people ensuring they are safe and protected. Evidence: Information provided on the AQAA showed that there have been no complaints or concerns raised with the home over the last 12 months. We have not been made aware of any issues. The home has a detailed complaints procedure which is provided to each person living at the home as well as being accessible to visitors. The home also has a copy of the local authority safeguarding procedure in relation to adult protection. Information seen on the staff training matrix showed that some staff have also received training in relation to the local authority procedure. However some staff still need to complete this. One staff member spoken with was aware of the term safeguarding however was unclear about the policy and procedure in place. The manager must make that all staff complete this so that they know what to do should an allegation be made ensuring people are kept safe. Care Homes for Older People Page 18 of 28 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 comfortable, warm clean accommodation, which meets the physcial needs of people living at the home. This will be enhanced once the new premises have been developed. Evidence: The provider has significant plans to redevelop The Croft,which will increase occupancy levels at the home from 23 people to 73 people. At present plans are being finalised with the relevant authorities. Once approved building with commence. It is anticipated that work will be completed before the end of the year. The new accommodation will provide accommodation on two floors, with single en suite rooms. There will also be a number of communal lounge and dining areas as well as a kitchen area/servery on each floor. A large main kitchen and laundry will also be provided. Secure outside space will be provided, which will be accessible to a shop, hairdressers etc. The manager was again advised to liaise with the CSCI registration team with regards to the plans and change in registration. One person said, I am very happy here and look forward to the new home. The manager has spent time researching groups ie Alzheimers society, for ideas about suitable facilities for people with dementia care needs. Care Homes for Older People Page 19 of 28 Evidence: The present accommodation comprises of 2 lounges and the reception seating area, one of which is designated for smoking, two dining rooms, 11 en suite bedrooms and 12 further single bedrooms. There are 3 bath/shower rooms and 2 separate toilets. Aids and adaptations have been provided which allows people freedom to move freely within the home as well as ensuring their physical needs can be met. People were seen relaxing in all areas of the home. The home was warm, clean and tidy. Suitable arrangements are in place with regards to control of infection and staff are provided with protective clothing. At present there is only 1 full time domestic staff however further recruitment has taken place and a caretaker has been employed. Care staff also complete certain domestic tasks. Care Homes for Older People Page 20 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Safe recruitment practices, on going training and development as well as good staffing levels ensures people are supported safely and in a way which meets their assessed needs. Evidence: There are currently 21 people residing at the home with 1 person in hospital and 1 vacancy. Staffing levels were good, with 4 care staff available throughout the day, 3 in the evening and 3 wake in night staff. In addition to this are the manager, care manager, office manager, and deputy care admin. The none care staff also comprises of a housekeeper (domestic), activity worker and 4 kitchen staff. A new caretaker has also been appointed and was due to take up employment following our visit. Due to the redevelopment of the service and increase in occupancy the manager is to keep staffing levels under review ensuring sufficient staff are available at all times. Staff recruitment files were looked at. Information included, a completed application, 2 written references, POVA first check, criminal record checks (CRB) and copies of identification. It was evident that new staff do not commence employment until Care Homes for Older People Page 21 of 28 Evidence: satisfactory checks have been carried out. This is good practice and ensure that people are not placed at risk. However more attention should be given to ensure that details about an applicants employment history is fully detailed and any gaps are explored and information recorded. Where necessary records should also show that references have been verified so that there is evidence the information provided is accurate. A new staff member was spoken with. They confirmed the recruitment process they had undertaken as well as the induction and on-going training and development they had received whilst working at the home. The staff member was enthusiastic about their work and felt fully supported by the management and staff team. They also said, I was initially apprehensive as I had not worked in a home before but have settled now and I like it, very supportive team, I can approach anyone if Im unsure about anything and youre encouraged to progress. Staff training and development is overseen by the deputy manager, who liaises with relevant training providers. Information about training completed and planned is detailed with the staffing training matrix along with copies of certificates for those courses completed. Over the last 12 months training has been provided for some staff in medication, food hygiene, moving and handling, health and safety, first aid and specific dementia care training including an accredited course and Yesterday, Today and Tomorrow with the Alzheimers society. Plans are in place for those staff yet to complete some of the training to do so over the next year. The induction process is set in two parts. The initial induction is carried out on the first day of employment and involves the new member of staff becoming familiarised with the home, the staff team, introduction to people living their and relevant safety procedures. A further more detailed induction is then carried out over the next 12 weeks in line with the skills for care standards. This provides staff more detailed information about their roles and the policies and procedure they need to follow. This is reviewed by a member of the management team to ensure staff fully understand their responsibilities. Relevant mandatory training is also provided to ensure safe practice. Further training is provided in relation to NVQs. Information provided on the AQAA showed that the majority of staff have completed level 2 with some progressing to level 3. Arrangements have been made for the remaining staff to complete the course. Three other staff are also completing a level 2 in Business Administration. During our visit the NVQ assessor visited the home to meet with staff. Comments were received from the assessor in relation to their observations when visiting the home. They felt that the manager is actively involved and encouraging of staff, Im always made very welcome, and staff working hard to complete what is required. They also said that Care Homes for Older People Page 22 of 28 Evidence: they were quite impressed at the initial meeting as information requested was all to hand, very organised. A number of other comments were received from staff within the feedback surveys. Overall staff are very happy working at the home and feel motivated and supported in carrying out their duties. Comments included, we work to the highest standards and we have a strong hard working team with good support from the management. Care Homes for Older People Page 23 of 28 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. Systems are in place to review the quality of serivce provided ensuring it is ran in the best interests of those living at the home. Evidence: The manager of the home remains unchanged. However further changes have taken place within the team providing further management support. Each have delegated responsibilities within the home. This is in preparation for the changes planned to the service and will ensure that a consistent and reliable service continues to be offered. The manager is clear about the aims of the home and what needs to be achieved to ensure good outcomes for people who live there. Systems have been developed to audit the service, this includes care plan, medication, staff recruitment, training and development and health and safety. An annual report is developed based on these findings and feedback sought from all parties involved with the home. The manager had recently sent out questionnaires for feedback. Care Homes for Older People Page 24 of 28 Evidence: The provider continues to visit the home on a monthly basis and is in regular contact with the manager. She also meets weekly with the accountant and is kept informed. The home also been assessed by an external quality audit group, RDB, and has been awarded 5 stars with regards to the care and supported provided to people living at the home. Both the manager and senior staff spoken with felt that communication between the team was effective and ensured that areas needing attention were addressed promptly. In relation to finances, the home does not act as appointee for anyone. Finances are either managed by the person themselves, their representative or the local authority. No money is held on site. When money is required an invoice is forwarded and payment arranged. The manager meets with the accountant on a weekly basis so that all transactions involving people or the home are accounted for. Staff supervision and appraisals are carried out on a regular basis. Responsibility for managing and supervising staff are shared between senior members of the team. Each staff member receives formal supervision on a quarterly basis and an appraisal each month. This ensures staff are fully informed about issues relevant to the home as well exploring any issues they wish to discuss and their training and development. Records are made for each meeting. Staff confirmed that regular support session were held. With regards to health and safety. The home maintains records with regards to accidents and incidents. Relevant information is forwarded to CSCI so that we too are kept informed about events within the home. Safety certificates are also held for areas that have been serviced. A sample of certificates were seen. We were told that checks had been carried out or planned with regards to the electrics and call bell system. The manager is to confirm to us that satisfactory checks have been carried out and certificates have been received. In-house monitoring is also carried out with regards to fire safety, water temperatures and maintenance. A new caretaker has recently been employed and is soon to take up post. Care Homes for Older People Page 25 of 28 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 26 of 28 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 2 10 18 Handwritten entries should be double signed to ensure information recorded is correct. The manager must ensure that all staff complete training in relation to the local aurthority safeguarding policy and are aware of the procedure to follow should an allegation be made. The manager must ensure that full details are recorded with reards to applicants employment histories and any gaps are explored and information recorded. Where necessary records should also show that refernces have been verified so that there is evidence the information provided is accurate. The manager is to confirm to us that satisfactory checks have been carried out to the electircs and call bell sytems and that certificates have been received. 3 27 4 27 5 38 Care Homes for Older People Page 27 of 28 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 28 of 28 - 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!