Inspection on 22/08/07 for The Dales Care Home

This inspection was carried out on 22nd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Dales Care Home 13/06/06

The Dales Care Home 14/11/05

The Dales Care Home 19/04/05

The Dales Care Home 19/10/04

The Dales Care Home 27/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Dales, The Care Home Fisher Close Repton Derbyshire DE65 6GS Lead Inspector Claire Williams Unannounced Inspection 22nd August 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dales, The Care Home Address Fisher Close Repton Derbyshire DE65 6GS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01283 238200 01283 238203 www.derbyshire.gov.uk Derbyshire County Council Yvonne Cara McComish Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2006 Brief Description of the Service: The Dales provides personal care and support for up to twenty-two older persons, both male and female. It is located in a residential area in the village of Repton, close to local amenities. The building is purpose built and the accommodation is provided on the ground floor. There are two wings, each providing a lounge and dining area, and toilets are located close by along a corridor. There are twenty-two single bedrooms, although none of these have en-suite facilities. There are suitably adapted bathroom facilities located on each wing, and equipment is provided to assist people with their mobility. The building provides level access and is therefore accessible throughout to assist those people with mobility problems. There are emergency call systems located in all private and communal areas accessed by people who live at the home. The building has several garden areas that people can access. A resource centre is attached to the building, and people living in the home are able to make use of the facilities provided. A copy of the most recent inspection report is openly displayed in the reception area, along with the Statement of purpose and Service user guide Fees charged currently commence from £325.00 per week per person. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on all the information we have received about the service over the last 12 months. This includes the previous key inspection report the completed Annual quality assurance questionnaire, notifications, and the unannounced site visit for the purposes of this inspection. All key standards identified by the CSCI were assessed during this visit. Case tracking was used as part of the methodology. This involved the random sampling of four people whose care and service provision was examined more closely. Discussions were held with those individuals (in accordance with their given capacities) and where possible their representatives and also the staff involved in their care. Individual’s care and associated records were examined and their private and communal accommodation inspected. The Registered manager was on duty and supported with the inspection visit. At the time of this visit, there was eighteen people accommodated receiving personal care and support. What the service does well: What has improved since the last inspection? Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 6 The previous requirement that was made is in the process of being addressed by the registered provider, which is to make arrangements so that the temperature in the kitchen can be regulated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 and 3 (standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have the required information and assessments undertaken so that they can be assured that the home can meet their needs. EVIDENCE: In the annual quality assurance assessment completed by the home they said they provide people with information so they are able to make a decision about moving into the home. They also ensure that assessments are undertaken including specialist assessments to assist them in making the judgement on whether the home is able to meet the person’s needs. They identified areas for improvement in relation to the provision for providing short-term care placements and explained how they would do this. During this visit discussions were held with people about the arrangements for their admission and their care needs. All said that they were provided with a contract and received good information about the home, including a copy of the home’s guide/brochure. The Statement of purpose and service user guide Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 9 is provided in standard written format, although these can be made available in large print. Information provided in the two surveys received also supported that people have access to the information they need to make a decision about the home. Some people spoken with stated that they had visited the home or was aware of the home before they moved in. One person stated “This home has a very good reputation in the community, its very good.” There was evidence in the four peoples files examined to support that a preservice assessment had been undertaken, which included an assessment of any identified risks in relation to supporting their daily living tasks. Some people commented on how supportive the staff and management team was during their transition to the home. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a person receives, is based upon their individual needs and is delivered based upon the principles of respect, dignity and privacy. EVIDENCE: In the annual quality assurance assessment completed by the home they said that they aim to maximise individuals choice and control in the home, and encourage people to be involved in the completion of their care plan. Systems are in place, to accommodate this such as the link worker system and residents meetings. They said they provide staff with the required equipment and training to fulfil their roles and aim to provide further training in areas such as chair-based exercises, and risk assessment training for the assistant managers. During this visit people spoke highly of the care and support they receive, which they said was delivered with the utmost dignity and respect. They confirmed that they felt their needs are met in accordance with their choices and preferences. Observations of the interactions between the staff and Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 11 individuals supported these comments, as staff members were patient and responsive to peoples needs. Each file examined contained a care plan which was person centred and included information about individuals preferences and how these are to be met. As this is written from the individual’s perspective, a subtle and accurate picture of the person is portrayed, which is particularly useful for all staff. People confirmed that they had access to healthcare services as they required and records detailing the appointments and outcome supported this. Observations during this visit confirmed how the staff and the management team are pro-active in seeking professional advice and support and in ensuring peoples health and well being is monitored. The information provided in the surveys received also supported that people felt their needs were met. There was evidence to support that people’s needs are regularly reviewed, including their risk assessments, and records are updated if required. People sign to support they agree with the outcome of the monthly reviews. People spoke highly of the staff team who they said, “are marvellous, kind, supportive and work very hard”. Discussions with the staff and observations of their practices demonstrated that they are enthusiastic, motivated and committed to ensuring people receive the care and support they want and need. The arrangements for the management and administration of medicines was examined and these were satisfactory. Individuals are encouraged to retain their medication if they are able to, and this is supported by an assessment to assist the person in this task. Lockable storage is provided so that people can securely store their medication. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have access to social and recreational activities that suit their preferences and receive a balanced diet that meets their expectations. EVIDENCE: In the annual quality assurance assessment completed by the home they said they aim to promote people’s choice and control over their daily lives and encourage them to participate in a range of activities and promote life long learning. They ensure people are consulted about the meals and activities available to ensure they meet their preferences. Emphasise is placed on ensuring positive outcomes for people and providing valued activities. They said they ensure people have access to advocacy services if an individual does not have a representative. During the next 12 months they aim to implement a tool/form they obtained during a dementia course, to document more detailed information about peoples life history and interests. During this visit discussions were held with people about their daily lives and access to social activities and community contacts. People said they were happy with the current provision in place, and was aware of the activities Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 13 available within the home. People spoke about the garden competition the home has entered, and the community scarecrow competition. There is a computer club that people could access in the adjoining day centre, and some people have participated in bird watching, as there is a lot of wildlife in the surrounding trees. People have also participated in growing a vegetable patch and commented on how they have enjoyed this activity and eating their produce. The adjourning day centre that can be accessed by individuals has a range of activities such as arts and crafts, and materials available for people to use. There was photographs of people’s participation in some of the activities displayed around the home with people’ agreement. People can also access the library, and people commented on how they enjoyed the hairdressing service. There is an activities co-ordinator that was recruited in the last 12 months, and she has undertaken training to enable her to facilitate certain activities such as manicures, and one to one work with people who choose to remain in their rooms. However due to a staff vacancy and some staff shortages due to annual leave, this member of staff, at times has to work in the capacity of a support worker. The Registered manager ensures that this cover is only provided for half of the staff’s contracted hours, so activities can still be facilitated for at least two days of the week. People commented on how they are supported to maintain contact with their families and friends, and this is included in their care plan. Links with the local community are promoted and people confirmed that they have accessed various local functions such as the Swadfest, which was a music festival and they have attended Repton Historical Society Meetings. Information provided in the surveys also confirmed that people felt they had access to positive recreational activities and trips out. Discussions were held with people about the provision of the food and comments received included: “the food is lovely here its great”, “there is always a choice”, “we always have plenty to eat” and “I like the meals”. The tables were well presented with tablecloths and napkins. The vegetables are served in terrines to enable people to serve themselves and people can choose where to eat their meal. The menu that was displayed in one of the dining areas was for a different day and had not been changed to reflect that it was Wednesday. Although some people was aware of what the choice of meals for that day were, not many people was aware of the choices for the tea time and one person commented “it’s a surprise”. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident they are listened to, and are safeguarded by the procedures and training provided for the staff. EVIDENCE: In the annual quality assurance assessment completed by the home they said that they are commited to protecting the rights of all people and ensure that people are aware of the complaints procedure. They said they take complaints seriously and aim to respond promptly. They said they aim to continue to consult people and give clear messages about what level of care they can provide to members of the multi-disciplinary team and to individuals and their families. Whilst at the same time, they have tried to provide a flexible approach to the range of needs the home can accommodate. During discussions with people they confirmed that they would not hesitate to raise any concerns they had with the staff or management team. People commented on how supportive and approachable the staff members are. These comments were supported by the feedback provided in the surveys. People have access to the complaints procedures as it is displayed in several areas and in the Service user guide. There were no recorded complaints about the home since the last key inspection. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 15 Staff spoken with was conversant with the procedures in place for the action required in the event of witnessing a potential abusive situation. Staff confirmed access to training in this area, and had a good awareness of the action to take. Staff members receive refresher training every 2 years in this important area, which is good practice. There have been no referrals made since the last inspection. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19, 21, 23, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are satisfied with their surroundings, which are homely, safe and well maintained. EVIDENCE: In the annual quality assurance assessment completed by the home, they said that they have a positive approach to ensuring the home is clean and hygienic. All communal areas of the building are level so all individuals can access them. They said they ensure that people have access to the required equipment and aids, and that they consult individuals about any redecoration or garden plans and choice of furnishings. They identified key areas of improvement over the last twelve months, which included staff training in infection control, which is important in order to provide a hygienic environment. They also plan to sort out the difficulties they have faced in the servicing of some of the equipment, Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 17 and a new system will commence, which will result in all equipment being serviced on a six monthly basis. People spoken with stated that they were happy with the cleanliness of the home, and one person said, “it’s always like this, “ it never smells”, the domestic staff do a very good job”. People commented on how they liked their rooms, and those visited were personalised with their belongings. People confirmed that they had access to aids and adaptations in order to assist them in daily living tasks. People commented about the garden, which was very colourful and welcoming as a result of all the plants, and hanging baskets displayed ready for the garden competition. There are various seating areas for people to access and people commented on how they enjoyed working in the garden or on the vegetable patch and the rewards they receive from achieving this. Information provided in the surveys also supported how people are happy with their surroundings and feel at home here. On the day of the visit the environment was well maintained and homely in design. People were recently consulted about the choice of carpets and decor in one of the areas that has recently been redecorated, and people commented on how nice it now looks. As a result of the provision of two wings, (each providing a combined lounge and dining area), this creates a homely environment as small numbers of people access a respective area. There is a renewal programme in place in order to maintain the current environmental standards. A recent environmental Health visit was undertaken and the requirements made have been addressed. An outstanding requirement previously made about the temperature in the kitchen is also currently being addressed. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27, 28, 29, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being supported by a competent and committed staff team who have been recruited to ensure their well being is safeguarded. EVIDENCE: In the annual quality assurance assessment completed by the home, they said they have an experienced staff group in both management and care assistant roles and have a commitment to staff training for all personnel. They said they listen to feedback provided by indivduals about the staffing ratios and meeting needs, and try to engender a good staff mix and rota pattern re skills, abilities, and diversities. They said there recruitement procedures are robust and staff are supervised in an enabling way. They aim to impove by recruiting staff into the currnet vacant posts. During the discussions with people they spoke highly of the staff team and were confident in the staff’s abilities, and comments included: “they are very caring and helpful, “Nothing is too much trouble for them”, “we have a laugh which is important”, “they are around when we need them”, Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 19 “it would be nice to have more staff and more time, but they do there best and do a really good job”. Positive interactions were observed between the staff and individuals and friendly banter, creating an inclusive atmosphere. Discussions with the staff team confirmed they had a good knowledge of people needs and demonstrated their commitment and motivation to deliver a good standard of care. The feedback provided in the surveys also supported these comments. The staff members spoken to commented about their job satisfaction, and enjoyment of working with this client group. They said the staff group work well as a team and communicate well to ensure a consistent deliver of care, and monitoring of peoples well being. Staff confirmed that they had been recruited in accordance with the legislation and the annual quality assurance assessment supported this. Staff also confirmed access to positive training opportunities, which included the mandatory areas and service specific areas such as dementia, hearing and visual impairments and learning disability. Both the staff team and people in the home felt that the staffing levels were satisfactory. Staff stated that at times the dependency needs of the people who visit for respite can affect the staffing ratio’s. At the time of this visit there was two staff members on duty supporting 18 people. Staff did state that at peak times the management team are supportive and assist them in their role. The Registered manager said that she monitors and reviews the staffing levels in accordance with people’s dependency. There is currently one care staff vacancy, which after three recruitment efforts has not yet been filled due to the lack of response. The relief staff that used to cover these shortfalls has moved on, which has resulted in some staffing difficulties covering sickness and annual leave. Staff have access to an induction and training in accordance with Skills for Care standards, and are given the opportunity to undertake an National Vocational Qualification (NVQ). The annual quality assurance questionnaire stated that of the 15 permanent staff, nine have achieved an NVQ level 2 or above and one staff member was working towards to this. There is an ongoing training plan, which is regularly reviewed with staff, both on an individual and group basis. The home operates an equal opportunities policy and the staff team receive training in relation to equality and diversity. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed to create an inclusive atmosphere that is run in people’s best interests and ensures their health, safety and welfare is always well promoted. EVIDENCE: In the annual quality assurance assessment, completed by the home, they said they have a qualified and experienced management team who work closely along one purpose lines and work towards the positive home philosophy. They are able to involve people and staff directly in the runnning of the service due to the size of the home, and foster good teamworking through not being distant which they stated helps with all aspects of care and safety within the home. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 21 Discussions with the Registered manager during this visit confirmed that she continues to keep herself updated with mandatory training, and changes in legislation and policy initiatives. She has a good knowledge and awareness of the client group and promotes a positive supportive environment within the home. People spoken with, and the staff employed all spoke very highly of the registered manager, who they said was “always approachable”, “ supportive”, and “always made time for them”. They said the manager always listened to them and operated an open door policy, and gave clear guidance and support regarding the aims and objective of the home. Staff stated that the manager “would not hesitate to assist them” if she was required. People stated that they felt “consulted” about the general running of the home and said: “the home is very well managed and we are very lucky to have such a good manager”. People have access to regular meetings with the management to discuss both the general issues about the home and about future plans for the amenities fund. A quality assurance survey has recently been sent out to people, their representatives, and the staff team. The Registered manager is waiting for the responses, and then she intends to complete a report of the findings. Systems and arrangements for the management and safekeeping of people’s finances was examined and these were satisfactory. The system in place is computerised so there is an audit trail of all transactions and receipts are given for all money received or given. Information provided in the annual quality assurance assessment gave details concerning the servicing and arrangements for the health and safety systems within the home. A sample of this documentation was also examined and it appeared to be satisfactory. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X 3 X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3. 4 5 6 Refer to Standard OP1 OP3 OP4 OP7 OP8 OP15 Good Practice Recommendations People’s views about the home should be included in the Service user guide. The manager should sign the pre-admission assessment to evidence that she undertook this assessment and the outcome should then be recorded based on her judgment. There should be evidence in peoples file to support the judgment that the home is able to meet their assessed needs following the pre-admission assessment. Care plans completed by the home should be in place for people visiting on a short term care basis. Health risk assessment should be completed on all people visiting on a short term care basis so any risk can be identified and minimised. The menu on display should be in accordance with the menu being followed in the kitchen. Information about the DS0000036259.V341919.R01.S.doc Version 5.2 Page 24 Dales, The Care Home 7 OP15 choices available for the evening meal should be displayed, so people know what choices they will have. Individuals dietary preferences should be recorded for all individuals including those who visit on a short term care basis. Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Dales, The Care Home DS0000036259.V341919.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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