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Inspection on 18/12/08 for The Lodge Walton

Also see our care home review for The Lodge Walton for more information

This inspection was carried out on 18th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The Lodge provides a homely environment where residents can expect to have their personal and individual health care needs met. It has a sociable and relaxed atmosphere, visitors are made welcome and residents are treated with dignity and respect. The menu offers a wide range of meals that are home cooked, nutritious and appeatising. The manager is well respected and people feel that they can raise any issues, concerns or complaints.

What has improved since the last inspection?

Since the last inspection the home has replaced the laundry floor so that it can be kept clean and it is not an infection control hazard. They have also got lockable facilities in the two rooms where people who self medicate can stay. These are know as `respite` rooms and used on a short term basis. They are actively encouraging residents to participate in the day to day tasks around the home and intend to recruit a dedicated activities co-ordinator so that there are more opportunities for everyone to participate in meaningful activites.

What the care home could do better:

The home could improve residents experience at meal times by serving meals in the dining area. This would enable people to be more involved and allow care staff to give their full attention to residents. The plans to recuit a dedicated activities co-ordinator should be progressed without delay so that everyone has access to meaningful activities. The home provides care to people with dementia but most staff have not been provided with training in this area. This needs to be addressed so that staff have skills and knowledge required to provide good quality dementia care. The registered persons need to ensure that they meet timescales set by the Commission so that they meet legislative requirements and evidence that they have appropriate management and administrative systems in place. This refers specifically to the completion and return of the AQAA and the payment of fees.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Lodge Walton 82 Kirby Road Walton On Naze Essex CO14 8RJ     The quality rating for this care home is:   one star adequate 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: Tina Burns     Date: 1 8 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 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 Lodge Walton 82 Kirby Road Walton On Naze Essex CO14 8RJ 01255850809 F/P01255850809 ros_walton@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Rajeev Chopra,Mrs Renuka Rani Chopra,Mr Ramesh Chandra Chopra care home 20 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 20 20 0 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 2 Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 20 persons) The total number of service users accommodated must not exceed 20 persons Three persons, under the age of 65 years, who require care by reason of a physical disability, whose names were made known to the Commission in May 2003 Date of last inspection Brief description of the care home The Lodge is a detached two-storey property, situated in a quiet residential area on the outskirts of Walton-on-the-Naze. There is a car park to the front of the property and well-maintained attractive gardens to the rear. The property is on a local bus route, and has easy access to the town. The home provides care and accommodation for up to 20 older people. Accommodation is provided on two floors; access to the first floor is Care Homes for Older People Page 4 of 28 Brief description of the care home by means of a passenger lift and stairs. Communal areas include a main lounge and a pleasant dining room with small lounge area. The home charges between £367.15 and £500.00 per week for a single room with additional charges for hairdressing services and for personal items such as newspapers, toiletries and sweets. This information was provided to us in December 2008. 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection, which focused on the core standards relating to care homes for older people. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included a tour of the premises and examination of a wide range of documents and records including three residents care plans. The inspector also spoke with several residents, three care workers and two ancillary staff. Information has also been gathered from the homes Annual Quality Assurance Assessment (AQQA) submitted to the commission in October 2008, and survey forms completed by five residents and four residents relatives. Care Homes for Older People Page 6 of 28 The homes manager Mrs Rosalind Beechener and one of the registered providers, Mr Rajeev Chopra was present for most of our visit and fully contributed to the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 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. Prospective residents can be confident they will receive appropriate information about the home and their needs will be assessed before admission. Evidence: People told us that they received enough information about the home to decide if it was suitable before they moved in. The homes AQAA tells us that the Statement of Purpose and Service User Guide are kept up to date and we found them suitably detailed and available at the home for prospective residents and relatives. We looked at three residents records and they all contained a full assessment of needs. They covered a wide range of areas such as physical health and well being, personal care requirements, sight and hearing, communication, oral health, foot care, mobility, dexterity, history of falls, personal safety risks, mental health, nutrition and social and cultural needs. Moving and handling, pressure care and falls assessments Care Homes for Older People Page 10 of 28 Evidence: had also been undertaken and peoples assessments had been reviewed so that any changes in their needs were acknowledged and could be responded to appropriately. Care Homes for Older People Page 11 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. People living at the home can expect to have their health and personal care needs met and the principles of respect, dignity and privacy are put into practice. Evidence: Three care plans were examined. They were clearly linked to peoples assessments and included clear information about residents needs and preferences. There was also good evidence that residents and their relatives were fully involved in the development and review of their care plans. Records seen during the inspection confirmed that the home works in partnership with a range of health care providers so that residents health care needs are met. One health care professional told us that the home seeks support appropriately and acts on advice given. Peoples weight and nutrition is monitored and special needs, for example diabetic diets and monitoring of blood sugars, are addressed. Comments we received from residents included They all look after me very well and I have only been here a few months but I feel so much better in myself. Care Homes for Older People Page 12 of 28 Evidence: Information provided in the AQQA and observations made on the day of inspection confirmed that the home had appropriate procedures in place for the safe storage and administration of medication. One member of staff was observed administering lunch time medication. They were polite and respectful throughout the process, they ensured people had a drink to take their medication with and they waited with them while they took it. The Medication Administration Records (MAR charts) examined had been appropriately completed, there were no gaps identified and staff administering the medication had signed with their initials. There was no one self medicating at the time of the inspection but the AQQA tells us that residents wishing to do so are able to following a satisfactory assessment. Observations were that staff interacted positively with residents and were polite and respectful at all times. All personal care was given in the privacy of residents rooms. Care Homes for Older People Page 13 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 adequate 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 home can expect to benefit from an increase in planned activities. They are also able to maintain good contact with family and friends and enjoy good quality healthy meals. Evidence: Observations made and people we spoke with confirmed that visitors are made welcome at the home and residents are supported to maintain contact with their friends and family. We were told that in addition to routine visits from their relatives most residents have guests attend at the homes open days, or at special celebrations such as the christmas party that took place the week before our visit. On the day of our visit one resident went to a day centre for the day but the majority of the others spent their time together in the communal lounge. Although there was no evidence of any structured activities being provided some of the residents were observed participating in light household tasks, such as laying the tables for dinner, and another enjoyed showing the inspector around the home with assistance from the homes maintenance man. Care Homes for Older People Page 14 of 28 Evidence: Feedback from residents surveys told us that there is usually or sometimes activities arranged by the home to participate in. In one survey a relative told us that there were no activities and stimulation was poor, but the three other relative surveys confirmed that people are always supported to live the life they choose. Information we received tells us that a local minister holds regular services at the home and once a month an entertainer is booked for the enjoyment of the residents. The manager and owner advised that the need for more planned activities had been raised at one of the relatives meetings and they had responded by employing an activities co-ordinator who had since left, they were now looking to recruit again as they recognised that they could improve in this area. Some of the comments that we received from people we spoke with on the day of our visit included I mainly watch the TV, it suits me, Theres always someone to talk to, We get out more in the summer and Theres a lovely family atmosphere. Staff were frequently observed chatting with residents in the lounge and there was a warm, friendly and sociable atmosphere. During a tour of the building several bedrooms were seen. They were individually decorated and personalised with residents own possessions such as photographs, ornaments or pieces of furniture. Further more extra care had often been taken by the home to add a personal touch, for example consideration had been given to the choice of plant one resident could see from their bedroom window. People confirmed that they were able to spend their time, entertain their visitors or have their meals in the privacy of their own room if they prefered. On the day of inspection dining tables were attractively set with tablecloths, placemats and flowers and the lunch provided looked wholesome and appetising. Residents confirmed that there is always a choice of meals and the main options that day were beef curry or chicken pie. Everyone we spoke with said the food was good and the meal we were given was very nice. However meals were not served at the tables, they were served onto plates in the kitchen and taken into the dining room one at a time by care staff. Consequently it took sometime for the care staff to serve the meals and they were unable to involve the residents at all. Of the five residents surveys we received three said that they always liked the meals and two said that they usually liked the meals. Comments included There is a very good cook, Its very good, very nice and Its too big for a small appetite. The kitchen looked clean and tidy and when we spoke with the cook they confirmed that they followed food hygiene guidance. They also confirmed that they catered for diabetic diets and demonstrated that they had a good knowledge of peoples likes and dislikes and these were considered when they devised the menus. The homes service Care Homes for Older People Page 15 of 28 Evidence: user guide tells us that in addition to meal times hot and cold drinks are served during the morning, afternoon and evening and are available twenty four hours every day. It also tells us that visitors can be catered for. One member of staff we spoke with also told us that snacks were available at request and said If they want something to eat at midnight they get it. Care Homes for Older People Page 16 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. Residents can expect their complaints to be listened to, taken seriously and acted upon. Further more they can expect to be safeguarded from abuse. Evidence: The homes complaints procedure was included in the Service User Guide. It clearly detailed the stages of the complaint process and gave relevant contact details. At the time of the inspection the procedure had not been updated to reflect the change to the Commissions contact address but the owner agreed to ensure it was appropriately amended. Information we have received since the last inspection tells us that that there has been two complaints about the home and one safeguarding referral. The safeguarding referral was concerning an allegation against a member of staff that was appropriately addressed by the local authority with the co-operation of the manager. Discussion with the manager and examination of the homes complaints and compliments records evidenced that complaints are documented and thoroughly investigated. Residents spoken with and surveys returned confirmed that residents know how to make a complaint but concerns are usually dealt with and resolved informally and before they reach the complaints stage. Staff we spoke with were confident that they knew how to report any signs of abuse or Care Homes for Older People Page 17 of 28 Evidence: neglect and confirmed that they undertaken safeguarding adults training. Discussion with the manager and information provided in the AQAA tells us that staff complete training packs provided by the Essex Vulnerable Adult Protection Committee and the Essex Vulnerable Adults procedures and No Secrets policy has been adopted by the home and was in place and available to all staff. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a safe, clean, comfortable and well-maintained environment. Evidence: At the time of inspection all areas seen were clean and comfortable and with the exception of one bedroom that was in the process of being cleaned the home smelled fresh and pleasant. Out of five residents surveys returned three said that the home was always clean and two said that it was usually clean. The furniture, decor and facilities provided were comfortable and pleasant and created a homely and relaxing environment. Observations made, information provided in the AQAA and discussion with the manager confirmed that the home has an ongoing redecoration and maintenance plan in place. During a tour of the premises we noticed that two of the bedroom carpets had begun to ripple and needed stretching or replacing. The manager agreed to ensure that the matter was given urgent attention to avoid them becoming a tripping hazard. It was also agreed that the ongoing work to cover all of the radiators throughout the home was completed quickly and as as a matter of priority so that residents are safeguarded from the potential hazard of hot radiators. In the meantime the manager assured us that they would ensure a suitable risk assessment was in place. Care Homes for Older People Page 19 of 28 Evidence: Communal space available consisted of a main lounge to the front of the home and a lounge/diner at the rear. Most of the residents spent their time in the main lounge except for meal times when they used the dining area. At the time of our visit the groundwork for an extension to the main lounge had begun. Most of the bedrooms seen were decorated to a high standard and those that were a little outdated were part of an ongoing refurbishment plan. Each bedroom was very individual and personalised with residents own belongings, photographs and trinkets. At the time of our visit none of the rooms had lockable facilities for valuables or money although two had been provided with lockable facilities for medication. This shortfall was discussed with the manager and provider who explained that it was their intention to provide secured cash tins in each room early in the new year. The home had a commercial washing machine with sluice facility. The damaged floor that we noticed in the laundry room at our last inspection had been replaced. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to be supported by a caring and committed team of staff. They can also expect to be safeguarded by robust recruitment procedures. However, residents cannot be certain that all staff have the skills and expertise they require to have their needs fully met. Evidence: Information provided to us and discussion with staff on duty at the time of inspection confirmed that appropriate recruitment checks are undertaken, for example Enhanced Criminal Record Bureau (CRB) checks, verification of identity, references and health checks. Feedback from residents, staff spoken with and records seen confirmed that the home provides appropriate training in core areas such as safeguarding adults, health and safety, fire safety, infection control, first aid and manual handling. The AQAA tells us that over fifty percent of staff hold NVQ level 2 in care or above. However, discussion with staff on duty and information provided by the manager and provider confirms that most staff at the home have not undertaken dementia care training. Dementia care had been identified as a priority training need by the home for all care staff but no specific training had been arranged at the time of our visit. Care Homes for Older People Page 21 of 28 Evidence: Observations on the day of inspection confirmed that staffing levels are appropriate to meet the needs of the residents. There were thirteen residents at the time of our visit and they were supported by one senior carer and two care staff plus a cleaner and a cook. The manager and provider arrived specifically to participate in the inspection process and would not have otherwise been there on the day. People we spoke with were complimentary of the staff. Comments included They work hard, Theyre very good, theyre all very goodand All the staff are very caring. They look after me well. Four out of five surveys completed by residents said that staff listen and act on what they say, one said they sometimes listen and act on what they say. Two said staff are always available when they need them, two others said they are usually available and one said not always. One relative said staff always have the right skills and experience, two said they usually have the right skills and experience and one said that they sometimes have the right skills and experience. Feedback from residents and discussion with the staff on duty confirmed that some care staff do not have English as a first language and at times this has caused some communication difficulties. The provider confirmed that there has been some difficulties and they are being more thorough in their recruitment processes to ensure new employees have a suitable level of English. Further more, we were told that existing staff from overseas are working very hard to improve their English. Care Homes for Older People Page 22 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect the home to promote and protect their health, safety and welfare. Evidence: Mrs Rosalind Beechener is the registered manager, she has worked in the care industry for over ten years and has obtained the Registered Managers Award and NVQ level 4 in management of care. The manager was not rostered to be on duty on the day of inspection but came in to assist with the process after staff advised her that an unannounced inspection was taking place. This was also the case for one of the joint proprietors Mr Raj Chopra. The manager and provider were fully co-operative and receptive to the inspection process and welcomed discussions about how the home could improve. Feedback received from staff and residents throughout the course of the inspection confirmed that they found the management team approachable and helpful. Care Homes for Older People Page 23 of 28 Evidence: Observations made, records seen and people spoken with confirmed that there were appropriate health and safety procedures in place with regard to fire safety, food hygiene and infection control. Hot water temperatures were regularly monitored and found to be close to 43 degrees centigrade. Staff confirmed that they had undertaken health and safety related training such as manual handling, first aid and fire safety. The home has quality assurance processes in place that include asking for the views of residents and relatives using questionnaires. People also have the opportunity to attend relatives and residents meetings and it was positive to see that some of the matters raised were being addressed, for example groundwork for an extension to increase the size of the main lounge had begun. The homes Annual Quality Assurance Assessment that had been completed by the manager was submitted to the Commission in October 2008. It was adequately detailed and provided good information. It also demonstrated that they assess what they do well and where they need to make improvements. The AQAA should have been completed and returned to us in April 2008 but was returned to us over four months late. This was despite reminders from us and assurance from the provider that it had been completed. The AQAA was finally returned to us on 7th October 2008 and it told us that it had actually been completed by the manager on 22nd September 2008. We found the providers equally slow at responding to our accounts department earlier in 2008 and information that Mr Chopra agreed to send us promptly following this inspection was received on 16th January 09, a full month after the inspection. Despite the shortfalls that we have experienced in relation to correspondence with the provider feedback from the manager and our observations on the day of our visit indicated that that there is a supportive relationship between them and a shared commitment to improving the home. The manager, having full responsibility for the day to day running of the home, felt that she was provided with adequate funds, resources and equipment to do a good job. Care staff told us that they receive regular individual supervision sessions and team meetings take place periodically. They spoke very highly of the the manager, their comments included; Ros is a wonderful manager, very fair, If we have a problem we can talk to her anytime we like and Im very, very happy to work here. Residents also confirmed that the manager is approachable and helpful. Their comments included The crowd here thats running this are very good and She is most helpful. Care Homes for Older People Page 24 of 28 Evidence: The AQQA tells us that the home holds small amounts of cash for safe keeping and records are maintained. People did not have lockable facilities in their bedrooms but the manager advised that they intended to provide secured cash boxes in each room early in the new year. Discussion with the manager, observations made during a tour of the premises and records seen confirmed that routine maintenance and health and safety tests are carried out, for example fire alarm and fire equipment tests, water temperature checks, manual handling equipment checks and portable appliance tests. Staff undertake appropriate health and safety training, procedures for reporting accidents and incidents are in place and notifications required by the Commission have been made. 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 1 30 18 Care staff must be provided with suitable training in dementia care. To ensure that they have the knowledge, skills and expertise to meed the needs of residents at the home with dementia. 31/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 12 15 The plans to recuit an activities co-ordinator should be progressed as soon as possible. The home should review how and where they serve meals so that residents are able to participate as much as possible and care staff are able to give their full attention to people in the dining room. 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. 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