Inspection on 20/02/06 for The Poplars

This inspection was carried out on 20th February 2006.

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 Poplars 15/12/08

The Poplars 22/02/07

The Poplars 20/08/05

The Poplars 07/03/05

The Poplars 14/09/04

The Poplars 09/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Poplars Alsagers Bank Stoke On Trent Staffordshire ST7 8BA Lead Inspector Peter Dawson Unannounced Inspection 20th February 2006 09:30 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 The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Poplars Address Alsagers Bank Stoke On Trent Staffordshire ST7 8BA 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) 01782 721515 The Poplars Limited Care Home 33 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (33), Physical disability over 65 years of age (13) The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th August 2005 Brief Description of the Service: The Poplars is a privately owned care home registered to care for 33 older people. The home is situated in the centre of Alsagers Bank, a village community in a semi-rural setting near to Newcastle-under-Lyme. The home is on a regular bus route and there is easy access to local facilities and amenities. It is situated in a prime location that affords extensive views over open countryside and of the Cheshire plain. There are attractively laid out gardens surrounding the home with patio areas and garden seating so that service users are able to sit and enjoy the view should they so choose. There are parking facilities in the front of the home. The Poplars is a two-storey building with service user bedrooms situated on both the ground and first floor. The home is spacious, comfortable and well maintained. On the ground floor there are spacious and comfortably furnished lounge areas, a dining room, kitchen, reception area. At a slightly lower level off the dining room there is a training room, laundry, workshop and food store. A local GP practice, community nursing services and pharmacy provide medical and specialist services and support to the residents in the home. The proprietors of the home are also the joint registered care managers and support a team of twenty-four care workers and seven ancillary staff members. The managers provide an on-call cover throughout off duty hours by day and night. The residents have a very good rapport with both management and staff. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection there were 32 people in residence including one in hospital. Most residents were seen and approximately 10 spoken to directly either together or separately. Several were seen in their bedrooms. Residents were seen privately. All spoke readily about the care provided at The Poplars and were very positive about the commitment of staff to their needs. They expressed satisfaction with the environment, care practices, food and the delivery of personal care. None had complaints about the home. One did indicate that heating in an en-suite room would be positive, the owners intend to address the matter. Very positive engagement and exchanges between staff and residents were noted during the inspection personal care was given with sensitivity and privacy. These matters were confirmed in verbal discussions with residents. Three residents are over 100 years of age and been resident at the home for sometime. Their sustained care and independence being a testament to the homes high standards of care. The traditional high standards of care provided at The Poplars are evidenced by the high occupancy levels achieved and also the small waiting list for admission to the home. Several visitors were seen accessing the home throughout the morning of the inspection and friendly and relaxed exchanges noted between visitors and staff. Two visitors were spoken to at length with the inspector. The son of a recently admitted resident expressed his satisfaction with care, he had chosen the home because of the very positive experiences in the home of another member of his family. His mother had been on the waiting list for admission and transferred from another home. He felt that staff had done everything they could to help his mother settle at The Poplars. Another relative of a 102 year old lady who had been resident for 3 years was present because of a recent swift deterioration in her aunt. She had been kept informed of her condition over the weekend and was due to see the visiting GP on the day of the inspection. She expressed the family’s satisfaction with the excellent care provided over a long period of time for her aunt. The family wished to avoid transfer to hospital. Staff support them in this wish and continue to care on the homes philosophy of a Home for Life basis. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 6 There was an inspection of the communal areas of the home and a sample of bedrooms. The kitchen and lower ground floor area were not inspected. There is a high standard environment which is well maintained and there is an ongoing programme of redecoration and renewal. Records were inspected and requirements are made in relation to risk assessments and pre-admission assessments. What the service does well: What has improved since the last inspection? 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 Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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 The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1–5 There is adequate information for prospective service users to make an informed choice about the home. Care Management assessments are not always provided, the importance of at least the homes own assessment is therefore imperative. These assessments are carried out prior to admission but not recorded. The home must confirm in writing and prior to admission that following assessment their needs can be met in the home. Both prospective service users and their families are invited to visit the home prior to admission. EVIDENCE: The statement of purpose/service users guide is readily available in the home for residents and visitors. Information allows prospective residents and their families to make a considered choice about the suitability of the home. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 9 It is the homes preferred option that prospective residents visit the home prior to admission, wherever possible. Sometimes this may not be possible, and relatives are always involved in visits and final choice of home. Contracts are provided by the Local Authority for funded residents and by the home for self-funding residents (not seen). It was reported that all residents have a copy of the contract. Needs assessments are usually provided from 2 sources: the Local Authority in the form of Care Management Assessments and the home in relation to preadmission assessments. The records of 2 recently admitted residents were inspected, there was a Care Management Assessment in relation to one, but not the other. One had been admitted from hospital and assessment provided (not seen) the other transferred from another home, self-funding and no Care Management Assessment provided. Residents are always seen in their current setting prior to admission and assessed by the Manager or Senior Carer. This had been done in both instances but no record of the assessment made as outlined in Standard 3.3. Pre-admission assessments provide the basis for care planning information and must be recorded prior to admission. A requirement is made in relation to the provision of pre-admission assessments. It is not the homes practice to inform the service user in writing as required under Regulation 14(d) that “having regard to the assessment the home is suitable for the purpose of meeting the health and welfare needs of the person” This should always be done. A resident admitted 6 weeks prior to the inspection was being re-assessed by Care Management personnel. It was felt that her needs had changed and could not be met by the home. This is an example of the importance of notification in writing to prospective residents. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 & 11 Care plans provided basic required information but there were no risk assessments. These must be provided and regularly reviewed. The home are requested to consider hourly checks of residents throughout the night. Health care interventions were well documented. Tracking confirmed ongoing hospital appointments etc. were met. Residents and visitors said they were treated with respect and privacy was upheld. This confirmed observations during the inspection. EVIDENCE: Care plans are located in bedrooms for easy access by residents and families. A sample of 3 care plans were seen 2 relating to people recently admitted to the home and the other for a long-term resident. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 11 Health care needs were well documented in a health care record sheet giving a chronological record of all interventions by health care personnel. This included GP’s, District Nurses, Hospital Consultants etc. An example of a good and necessary comprehensive social history was seen in relation a long-term resident. Care plans generally gave the basic information required in relation to health care, person and social needs. There were no pre-admission needs assessments for the plans seen as stated previously. Information had been recorded following admission. There were daily notes recorded for all residents by both day and night staff. Night records indicated checks at 2 hourly intervals generally 2am 4am and 6 a.m. but these were not always carried out/recorded. It is recommended, unless residents request otherwise, that all residents are checked at hourly intervals throughout the night in the interests of their health, welfare and safety. The overall dependency levels were reported to be unchanged since the last inspection. An excellent working relationship was reported to be established with the local GP practice and the District Nursing Service. A good chiropody service was available on a regular 3 monthly basis, the Chiropodist spending half a day in the home. Local Optician and Dentist provide a service to residents with domiciliary visits to the home as required. One person over 100 years old had become very ill in the days prior to the inspection and the GP visited again on the day of the inspection. The person had been resident at The Poplars for 3 years and a visiting relative was spoken to in private who spoke very highly of the care provided to her aunt throughout the 3-year period. She said that staff care had been excellent and had treated her and her relative with care and sensitivity. She was a regular visitor, a former nurse and was totally satisfied with all aspects of care. Her praise was positive and conclusive. Her anxiety only was to ensure that her aunt could remain at The Poplars and avoid transfer to hospital. Her wishes were shared entirely by the staff. A recently admitted residents dependency level had changed significantly. Specialist assessment had been sought from the Continence Advisor and Physiotherapist but the deterioration meant that 2 and sometimes 3 staff were required for aspects of personal care. A reassessment had correctly been requested from the Social Work Care Manager. All residents have allocated key workers and all plans had been reviewed on at least a monthly basis by staff as required. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 12 There were no risk assessments completed in relation to the moving and handling of residents as required under 7.3. of this standard. One record showed “falls out of bed and prone to falls and constipation” but no risk assessment had been compiled. The person had had a fall since admission and because there was no initial risk assessment there had been no review of risk following the fall. Moving & Handling risk assessments must be completed for all residents as required in Health & Safety and Manual Handling Regulations. They must be reviewed regularly and following all falls. Time and circumstances did not allow inspection of medication in the home. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 There was evidence through observations and discussions with both residents and relatives that individuality and chosen lifestyles were central to the homes philosophy. Contacts with relatives are promoted as part of care provision. Residents and visitors confirmed this. Several examples of residents exercising control over their lives were seen during the inspection. All residents spoke highly of food provision in the home. Standards relating to Daily Life & Social Activities were found to be met. EVIDENCE: There was a relaxed atmosphere in the home. Most residents were seen and approximately 10 spoken to – together, separately and several in their bedrooms. Conversations were generally private with residents freely expressing their views about the care and facilities provided. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 14 There were many examples of chosen lifestyle: Only 10 residents chose to have breakfast in the dining room at varying times to suit their needs and rising times. The remaining 20 people had breakfast served in their bedrooms. Some have all meals served in their bedrooms as their chosen option. One example was of a 104 year-old lady who was fiercely independent and very prescriptive about her care. She had all meals served in her room and other routines for personal care were dictated only by her. Her routines of watching, TV, receiving visitors etc were central to other personal care routines which she defined to suit her chosen lifestyle. Several people do spend time in their bedrooms for the majority if not all of the day. Others spoken to said they liked and needed the social stimulation of being with other people and were found in the lounge area reading or chatting to others. The usual early morning TV was not compulsory in this home and there was a peaceful and relaxed atmosphere as residents moved freely around the lounge/communal areas taking life at a slower pace. All residents spoken to stated quite clearly that their chosen lifestyles were known and accommodated at The Poplars. There was no formal activity programme and the usual indoor activities were reported to be provided, usually in the afternoons by staff and on a spontaneous basis. Entertainment is brought into the home usually on a monthly basis. A monthly religious service is led by visiting clergy and residents spoken to felt that this met their pastoral needs. Visitors were seen arriving throughout the morning of the inspection with friendly and positive exchanges between visitors and staff. Two visitors were spoken to at length and stated they were always well received into the home, free to visit at any time and that they were kept informed about any events affecting the health or welfare of their relatives. Both residents and visitors confirmed the commitment of all staff to resident care and stated clearly that they were treated with respect at all times. There are clearly long-established affectionate and friendly relationships between residents, visitors and staff. Residents spoken to said that the food provided at The Poplars was of very high standard. They confirmed that this had always been the case. The quality, quantity and choice of food was excellent. None had any complaints about the food at all. The main and smaller dining area had well laid tables with quality crockery, cutlery, linen and table decorations providing an attractive setting for eating and socialising. Residents confirmed there was always a choice of dish and that their known preferences and dislikes were known to the catering staff. The kitchen was not inspected on this visit. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The standard in relation to Complaints & Protection was found to be met. EVIDENCE: There is a clear and concise complaints procedures displayed in the home. Additionally there is a copy with care planning information in all bedrooms. No complaints have been received by the Commission or the home since the last inspection. The home is anxious to deal with any concerns which residents or visitors may have and to this end have traditionally dealt with domestic-type concerns at the point of referral and ensured that they have been swiftly addressed and resolved. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 - 26 The Poplars provides a good standard environment which is well maintained and suitable for its stated purpose. Standards of cleanliness and hygiene throughout the home are high . The home meets the standards relating to Environment. EVIDENCE: The Poplars is located in a superb position in a village setting with views across the Cheshire plain to The Wirral. There is a pleasant front garden with good seating areas and shade for the summer. There is an extensive patio area to the rear giving the excellent views mentioned. The building has been in the ownership of the present proprietors since its inception as a care home 21 years ago and been extended over subsequent years to provide a high standard of accommodation. There has been a constant re-investment into the home with an ongoing refurbishment/redecoration programme which continues. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 17 The home is suitable for its stated purpose allowing easy and safe access both internally and externally to all areas by residents. Furnishings, fittings and décor are to a high standard and provide a comfortable, pleasant and homely setting. There is a large communal lounge area extending the width of the building with smaller adjoining lounge area. There is a separate main dining area also with smaller area adjoining. All areas are bright and pleasant with adequate natural light. The ground and first floor are accessed easily by residents. There is a lower ground floor area, not accessible to residents which contains staff accommodation, laundry and storage. The lower ground floor was not inspected on this visit. All communal areas and a sample of bedrooms were inspected. All bedrooms seen were extremely well personalised indicating the individuality and interests of residents. Most have TV, 6-7 have telephones installed at residents own expense and all were adequately furnished. There was evidence of items of furniture and other effects being brought from home by residents. Bathing facilities are good providing 2 bathrooms with assisted Parker-type bath, a walk-in shower room and further unassisted bathroom. All have toilets and wash hand basins. Only 4 bedrooms do not have en-suite facilities. Some have commodes as preferred and there are have areas located close-by. All areas of the home were clean and hygienic and there were no mal-odours. There was evidence of good infection control with good hand-washing facilities and protective equipment conveniently located near to all resident areas. The heating in the home was quite adequate, although a 104 year lady did say that there was no heating in her en-suite room and she was cold when washing. The proprietors were informed of the comment and intend to consider the possibilities. There are individual heating controls in all bedrooms allowing individual choice of temperature. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The staffing complement met required standards. Time did not allow inspection of Qualifications, Recruitment and Staff Training. EVIDENCE: The home provides 640 care hours per week. This allows the following staffing levels: 0800 – 1500 - 1 Senior Carer 4 Carers 1 carer 7am – 11 am. 1500 – 2200 – 1 Senior Carer 3 Carers 2200 – 0800 – 1 Senior Carer 1 carer. (The 2 Registered Managers/Proprietors are on-call most nights on-site). When they are not on call 3 waking night staff are provided. The Managers/Proprietors provide a daily input into the home augmenting the figures referred to above. There are 40 domestic hours per week. 4 Catering staff providing 45.5. hours, a 12-hour maintenance person and 3 hours per week administrative support. The staffing hours are satisfactory for the perceived dependency levels of the present resident group. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 and 36 - 38 The home is well-managed and run and high standards maintained. Risk assessments must be provided and reviewed regularly to protect residents. EVIDENCE: The two proprietors of the home are also the Registered Managers. They have extensive experience in the care of older people. They have high standards of care and provide a very positive lead in the home, ensuring the high standards are maintained. They have a daily input into the home and Two Senior Carers are presently studying for the NVQ4 in Management & Care (Registered Managers Award). There was a very positive dialogue between the all members of the senior staff and appeared an open dialogue between all members of staff, residents and visitors. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 20 In relation to safe working practices: Moving & Handling, fire training, first aid, food hygiene training have been completed for all staff. Fire records were not inspected on this visit. Hot water temperatures are tested regularly and sample tests during the inspection proved there were no risks of scalding. The environment is very well maintained and all areas of the home provided good safe access for residents. All external doors are alarmed providing safety for residents and the building. Moving & Handling risk assessments must be established for all residents as required under the Management of Health & Safety at Work Regulations 1999 and the Manual Handling Operations Regulations 1992. The assessments must be reviewed regularly. This is vital to ensure all steps are taken to prevent falls. All required notifications to the Commission under Regulation 37 have been received. Staff induction training was seen to meet NTO standards. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 21 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 2 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 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 x 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x x 3 3 2 The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 22 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. 1 Standard OP7 Regulation 13(4) Requirement Moving & Handling risk assessments must be completed for all residents and regularly reviewed. Pre-admission assessments must be completed and recorded. The registered person must confirm in writing to service users that following assessment the home is suitable to meet their needs. Timescale for action 21/02/06 2 3 OP3 OP3 14(1) 14(1)(d) 21/02/06 21/02/06 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 Refer to Standard OP7 Good Practice Recommendations It is recommended that the home considers hourly checks of residents throughout the night. The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 The Poplars DS0000005023.V283973.R01.S.doc Version 5.1 Page 24 - 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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