Inspection on 10/12/08 for The Old Vicarage

This inspection was carried out on 10th December 2008.

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

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

Other inspections for this house

The Old Vicarage 06/01/10

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Old Vicarage Stockton Road Ryhope Sunderland SR2 0LS     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: Andrea Goodall     Date: 1 0 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. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 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 29 Information about the care home Name of care home: Address: The Old Vicarage Stockton Road Ryhope Sunderland SR2 0LS 01915211980 01915214029 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sharon Melissa Cowburn Type of registration: Number of places registered: Mr Stephen Potts care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: The maximum number of users who can be accommodated is: 34 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, maximum number of places: 34 Dementia - Code DE, maximum number of places: 20 Physical disability - Code PD, maximum number of places: 4 Sensory impairment - Code SI, maximum number of places: 4 Date of last inspection Brief description of the care home The Old Vicarage is a detached Victorian building set in its own grounds in the former mining village of Ryhope. It has operated for many years as a care home for older Care Homes for Older People Page 4 of 29 20 0 4 4 Over 65 0 34 0 0 Brief description of the care home people. It provides up to 34 places for older people some of whom may have dementia care needs or physical disabilities. It does not provide nursing care, so people continue to receive local community health care services. The home was purchased by a new Provider in June 2008, who has operated similar homes for older people in the North East. The home provides all single bedrooms, except one room that can be shared on request. There are lounges, bathrooms and bedrooms on both of the two floors, which are served by a lift. There is level access into the home and around the ground floor, and ramped access into the rear garden. Main corridors are wide enough for wheelchairs. As with most older buildings there is an on-going redecoration and refurbishment programme. Much of the home has been redecorated over the past couple of years, and there are continuous improvements to the building. The weekly fees are in line with those set by the local authority. Care Homes for Older People Page 5 of 29 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: Before the visit we looked at information we have received since the last visit on 22nd April 2008.We looked at how the service dealt with any complaints & concerns since the last visit. We looked at any changes to how the home is run, for example since the last inspection a new Provider has bought the home. We made an unannounced visit on date 10th December 2008. This is the first inspection of The Old Vicarage since the new Provider took over the running of the home. During the visit we talked with people who use the service, relatives, and staff. We joined residents for a meal and looked at how staff support the people who live Care Homes for Older People Page 6 of 29 here.We looked at information about the people who use the service and how well their needs are met. We looked at records which must be kept by a care service. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around parts of the building to make sure it was clean, safe and comfortable. We told the deputy manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 8 of 29 The Statement of Purpose and the Service Users Guide (which give people information about the home) must be up to date to show the details of the new Provider and the type of care that the home provides. Care records must include information about peoples weight and how the home is going to help them get to a healthy weight. It would be better if staff only use one way of recording when as and when medication has not been wanted by a resident. It would be better if people who have poor sight had information on cassette or CD. The home must make sure that all staff have up to date training in all health & safety matters.There should be individual training plans for each staff to show when they have had training. It would be better if the Provider kept at least a monthly record of his visits to the home to show any actions that need his attention. 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 29 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 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not have up-to-date information about the home in order to make a decision about whether it can meet their needs. Evidence: In June 2008 the new owner was registered and began running this home. A letter was sent to all existing residents and their relatives to let them know about the change of ownership. At that time the homes registration certificate was also changed to show that the home can now take more people with dementia care needs. However the homes Statement of Purpose and Service Users Guide (which is an information pack for residents) has not been updated to show these changes. This means that potential new service users would not have up-to-date written information about the home before they made a decision about whether to move here. Also the sign at the driveway to the home still has the name of the previous owner on it. Care Homes for Older People Page 11 of 29 Evidence: (Shortly after this inspection the manager updated the Service User Guide so that new residents now have the contact details of the new provider.) Before moving here people are assessed by care managers of the Social Services Department to see if they need a residential care service. The manager of The Old Vicarage also carries out an assessment with prospective new residents to make sure their needs can be met at this home. Since the last inspection the assessment records of potential new residents has improved so that these now include some details of peoples mental health needs, including any dementia care needs. This is very important as it is the most significant need of some of the people who come to live at this home. The Old Vicarage is a well-known resource in the local community and many people are from the local area. Some people had previously stayed here for short-breaks and said that this had made it much easier for them to make a decision about moving here when they needed to. Care Homes for Older People Page 12 of 29 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. Overall peoples personal care needs are met in a way which upholds their dignity. Evidence: Care plans are records that are used by all care services to show staff what each person needs help with. There have been some good improvements to the detail in care plans at this home so that most of these now show staff exactly how to support people with their individual needs. The monthly evaluations are now much better, as in most cases they now show any change in need or progress. It is very clear from discussions with staff and observations of their practices that they are very aware of the individual needs of each resident. Staff are able to describe peoples needs in a person-centred and respectful way. Staff clearly value the individuality of each resident and know each residents preferred way of being supported. Care Homes for Older People Page 13 of 29 Evidence: The home ensures that people have good access to health care services for example a local GP visits the home weekly and there are good contacts with district and psychiatric nursing services. However some residents records do not show the dates and outcome of health care appointments (instead these has been recorded communally in a staff communication book.) There are still some health care needs of residents that are not set out on a specific care plan, for example one person has epilepsy but there is no guidance in their care records about what to do when that person has a seizure. There are also still gaps in recording the nutritional needs of residents. For example staff were able to describe how a small number of people have poor nutritional health, but in some cases there was no care plan to show this and there were no weight records for several months to demonstrate the extent of their weight loss. Some people need a lot of support with their mobility. In some cases their moving and assisting record had not been completed to show how staff should support them with this. It is likely that gaps in care records are due to the fact that it is still only the manager and deputy manager who take responsibility for care plans, even though they have many other managerial and supervisory tasks to carry out. Senior and care staff have daily contact with each resident and are fully able to take responsibility for these records in order to keep them up to date. Residents can be supported to manage their own medication if they wish and if they are assessed as capable of doing so. At this time none of the long stay residents manage their own medication, so senior staff manage this on their behalf. It is good practice that two people staying for a short-break are still managing their own medication as they will have to continue to do this when they return to their own home. Medication is delivered to the home by a local pharmacist in blister packs so that they are easy to use at the right times of day. Medication is securely stored and at the right temperature. Medication records are up to date and in good order, although staff are using two different ways to record when someone has not wanted as and when required medication. Throughout all visits to this home, including this inspection, there has always been a warm, friendly interaction between residents and the staff. Residents and their relatives had many positive comments about the care and respect shown to them by staff at The Old Vicarage. One resident said, They are all very nice. Some people can be difficult to help, but staff take it all in their stride and are so caring to everyone. Care Homes for Older People Page 14 of 29 Evidence: One visitor said, The staff are all very kind to everyone - no matter what care they need. Care Homes for Older People Page 15 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have very good opportunities to make choices about their own daily routines so that they lead a lifestyle that matches their individual preferences. Evidence: In discussions residents commented that they can continue to follow their own lifestyle whilst living in the home. Some people like a lie-in and a later breakfast and this is respected. Some people like to spend time in different areas of the home and in the privacy of their own bedrooms and this is supported. It is good practice that a married couple who are staying for a short-break have two rooms, one of which staff have turned into a small sitting room for their sole use. It was clear from observations that staff listen to residents, respect their choices and decisions, and support them to do what they want to do. Residents (and their visitors) talked about activities that they enjoy at the home including bingo, dominoes, films, and entertainment. During the afternoon of this unannounced visit there was a organist entertaining the residents whilst they had a glass of bucks fizz and chocolates. Residents also talked about occasional trips out in the homes minibus in better weather. Most of all, residents enjoy a good natter with Care Homes for Older People Page 16 of 29 Evidence: staff and visitors, and this supports their emotional and social well-being. This home continues to have a friendly, welcoming and active atmosphere. Residents, visitors and staff commented on the family feeling in the home. Many residents, relatives and staff are from the local area and share a knowledge of the local history and culture. Some residents commented that they have known some of the staff members since they were children, and many have been neighbours. One resident said, You have a good laugh with staff - theyre all very nice and friendly. The Old Vicarage is part of the local community and residents still have the opportunity to use the village facilities such as shops, clubs and church. At this time two teenagers from a local school were taking part in works experience at the home. Residents and their visitors remain very complimentary about the very good quality of the meals at the home. Residents have a choice of two main dishes at each mealtime but can also request alternatives as well. It is good practice that the cooks spend time with residents getting to know what each person likes. It is also good practice that the cooks ask residents which of the two main dishes (or alternatives) that they would like just before the mealtime. This means people can make an informed choice based on what they fancy at that time. Visitors are invited to join residents for meals if they are visiting at that time, and some visitors regularly enjoy dining at the home. Meals are served to each resident according to their individual preferences, for example which vegetables and how many yorkshire puddings. People are offered a choice of hot and cold drinks and a choice of desserts. Tables are suitably set with table cloths, serviettes and condiments. The dining room is a pleasant and sociable place for residents to enjoy their meals. One resident said, The meals are too good - Ive put on loads of weight! Care Homes for Older People Page 17 of 29 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. Overall residents know how to make a complaint and staff have training in safeguarding the people who live here so that they are protected from abuse. Evidence: Information about how to make a complaint is in the Service Users Guide which is an information pack for residents. The guide is in large print so it is easier for people to read. However newer residents do not have the contact details of the new Provider so could not make a complaint directly to them if they wanted to.The home is still considering how it can put the information onto an audio format for the people who live here with a visual impairment so that they would have equal access to information about how to make a complaint. All the people who took part in these discussions felt that they could discuss any concerns or comments about the service (or any other matter) with the manager or deputy manager. There have been no complaints about this service since the last inspection. The home endorses the local authority Safeguarding Adults protocols. All staff have had training in the protection of vulnerable adults. They are to attend updated training in safeguarding adults in the future. All staff are aware of their responsibility to report bad practice or suspected abuse to their line manager. In discussions staff remain very Care Homes for Older People Page 18 of 29 Evidence: clear about how to protect the people who live here and to ensure that they are treated with respect. Care Homes for Older People Page 19 of 29 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. Overall the standard of decoration and furnishings in this home continues to improve so that residents enjoy comfortable and safe accommodation. Evidence: The Old Vicarage is a detached, Victorian building that has been extended. It stands in its own grounds and it provides traditional, warm, comfortable accommodation for the people who live here. Over the past couple of years several areas of the home have been improved by redecoration. The new owner has continued to make improvements to the decor within the home. The television lounge has been fully redecorated, refurnished and recarpeted. Residents are very pleased with it and commented that it is now much lighter and brighter. Work to redecorate the ground floor hallway has also started, and some bedrooms have been redecorated. The heating system has been overhauled and is more effective to the gable ends of the house now. A new nurse call alarm system has been fitted into the older part of the house. The home benefits from an on-site maintenance staff about three days a week. This staff carries out all the health & safety checks, routine repairs and some decor as well as driving the minibus for the residents trips out. As with all old buildings the home Care Homes for Older People Page 20 of 29 Evidence: needs constant attention, for example two bathrooms are now starting to show minor signs of wear and tear such as scuffed paintwork. It is anticipated that these will be repainted within the continuing programme of decoration. All the bedrooms are very individual in style and decor, and some people like to spend time in their own rooms for privacy. Some people cannot open their own bedroom doors independently due to their mobility equipment and/or visual impairment. At this time none of the bedroom doors have holding devices that would allow residents this access without compromising fire safety. The home is registered to provide care for some people with mobility needs and so has to provide equipment to support people with those needs, for example magnetic or sound-activated door holding devices. The home has dedicated domestic and laundry staff, and they work hard to keep this large building clean and fresh. During this unannounced visit the home was very clean and generally there is very good odour control throughout the building. Care Homes for Older People Page 21 of 29 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. Overall the home provides competent, suitable, trained staff in sufficient numbers to meet the needs of the people who live here. Evidence: The staff team consists of the manager, deputy manager, seven seniors and ten care staff, as well as a team of domestic staff and three catering staff. The staff rota allows four staff on duty through the day (including one senior) and three staff at night (including one senior).This is sufficient to meet the current numbers and needs of the people who live here. At the time of this inspection there were 25 people accommodated here, including two people staying for a short break. It is good that there are three male staff on the team, including one care staff. This allows some gender-appropriate support for the male residents who may prefer male support for personal and social care needs. The home continues to benefit from a very stable, experienced staff group. There have been very few changes to staff over the years and this allows for excellent continuity of care of the people who live here. In this way staff can get to know the individual needs of each resident, and residents and their relatives can get to know staff. There Care Homes for Older People Page 22 of 29 Evidence: are very good relations between residents, their relatives and the staff team. Some relatives spend a lot of time at the home and take part in the activities and mealtimes. Since the last inspection there has been one new staff member to start work at the home. Personnel records show that the homes recruitment and selection procedures continues to include all the necessary checks and clearances before a staff starts work here. This means that only suitable staff are employed. New staff are provided with induction training through Care Alliance (a training consortium arranged by local authorities in the Tyne and Wear area). All the staff have the chance to train towards a national care award, called NVQ in care. It is very good practice that 90 of the care staff have NVQ level 2 and the one remaining new staff is to start training towards this. Also, four seniors have achieved NVQ level 3, and two more are going to train in this. It is good practice that 16 staff have had in-depth training in dementia care needs which is essential as the home is registered to provide this care. The remaining three staff will be training towards this in the near future. One visitor said, The staff are very good - you can tell they are well trained by the way that they help people. It is evident from discussions and from training posters that staff have good opportunities for training and they are enthusiastic about this. However training records in the home are inadequate. There are no individual training records to show when each staff has attended training. This means the home cannot plan well for updated training. It also means that the home cannot demonstrate when staff last had training in mandatory health and safety matters such as first aid, fire safety and moving and assisting. Staff agreed that they now require updated training in these areas. (This was evident from some of the now-redundant moving & assisting techniques that staff used.) Updated training in these areas is now arranged from January 2009. Care Homes for Older People Page 23 of 29 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. The home continues to be well run in a way that meets the best interests of the people who live here. Evidence: The registered manager has been in post for several years. She has attained NVQ 4 in care and the Registered Managers Award. These are suitable qualifications for a manager of a care service. The manager is supported by a deputy manager who has also attained NVQ 4 in care. The deputy manager and a team of senior staff deputise in the absence of the manager. Since the last inspection the new Provider has arranged for some IT equipment to be made available to the manager to support her in the many administrative tasks involved in managing a care service. The manager and deputy manager consult regularly, though informally, with residents Care Homes for Older People Page 24 of 29 Evidence: and their relatives about the quality of the service. Residents have daily opportunities to make suggestions and comments about the home, and feel that they are listened to.The home holds occasional Residents Meetings, and there are plans for these to be held more frequently. It was stated that the new Provider visits the home frequently, and talks with residents and staff for their views of the home. However there are no reports available in the home of these visits or of any action that is required. (These are called regulation 26 visits and reports.) The home will support people to manage small amounts of monies, such as their weekly personal allowance, if they request this. The monies are held in individual wallets and are securely stored on behalf of residents. Records of any transactions (such as hairdressing or chiropody bills) are in order and include numbered receipts and two staff signatures. These records are audited at least monthly by the manager. In this way residents monies are safely managed for them. The maintenance staff carries out regular health & safety checks within the home and the records of these were up to date. Records of contracted services, such as lift and hoist services, were also up to date and in good order. There were no health & safety issues noted to the premises during this visit. All staff have had previous mandatory training in heath and safety matters, such as moving and assisting. The practices used by staff still ensure the safety and well-being of residents. However the training records are inadequate and do not show when that training took place. Care Homes for Older People Page 25 of 29 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 29 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 8 12 Where it is applicable, care 30/01/2009 records must include details of peoples nutritional needs, including regular weight records and the action being taken by care and catering staff to support and improve their nutritional health. This is to ensure that people receive the right support with their nutritional wellbeing. 2 30 18 All staff must have updated training in all mandatory health and safety matters. This is to ensure that residents are supported in a safe way by well trained staff. 28/02/2009 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 Care Homes for Older People Page 27 of 29 1 9 The home should decide on the one way that they will record when an as and when required medication is not wanted by a resident so that staff are all following the same practice. The home should provide the contact details of the new Provider in the complaints procedure for all residents and make sure that this is updated in the Service Users Guide. The complaints procedure could be available in audio format for people with a visual impairment. The provider should provide door-holding devices for those people with mobility needs and/or visual impairment to allow them easy access to their rooms without compromising fire safety. There should be individual training records in place for each member of staff that demonstrates the training they have had and these should be used to plan for refresher training. 2 16 3 16 4 22 5 30 6 33 Copies of the Providers reports of his visits to the home should be available in the home for inspection. (These are called Regulation 26 reports) Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!