Inspection on 18/12/07 for Thornbank Residential Home

This inspection was carried out on 18th December 2007.

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

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

Other inspections for this house

Thornbank Residential Home 19/03/07

Thornbank Residential Home 18/01/06

Thornbank Residential Home 11/05/05

Thornbank Residential Home 20/01/05

Thornbank Residential Home 22/09/04

Thornbank Residential Home 18/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Thornbank Residential Home 6 Westerfield Road Ipswich Suffolk IP4 2UJ Lead Inspector John Goodship Unannounced Inspection 18th December 2007 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 Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thornbank Residential Home Address 6 Westerfield Road Ipswich Suffolk IP4 2UJ 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) 01473 253346 01473 639218 thornbank@greensleeves.org.uk www.greensleeves.org.uk Greensleeves Homes Trust Mrs P O Hadden Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th March 2007 Brief Description of the Service: Thornbank Residential Home is situated in a pleasant residential area of Ipswich and provides accommodation and care for up to 33 older people. The home is owned and administered by the Greensleeves Homes Trust, a nonprofit making organisation and looks out onto Christchurch Park. The home is sited within easy reach of Ipswich town centre with all its facilities and resources. The building has been registered as a care home since 1945 when it was first purchased by the WRVS. In 1995 the neighbouring property was acquired and an extension with a link between the two houses was built. Accommodation is sited on three floors but all are accessible via a passenger or stair lift. The home has 29 rooms for single occupancy and two shared rooms all of which benefit from ensuite facilities with a minimum of a washbasin and toilet. Twenty-nine rooms also have the advantage of an ensuite shower facility. Additionally the home has 5 assisted bathrooms, which are located across 3 floors. The home has three communal lounges, and a large dining room. One of the lounges is located on the first floor of the building and is often used for religious meetings or hairdressing services. The range of fees at the date of this report as stated in the Service User Guide was £450.00 per week to £520.00 per week. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a weekday and lasted four and three-quarter hours. The manager was present throughout, together with staff on the morning shift and, later, those on the late shift. The inspector toured the home, and spoke to residents, and staff. The inspector also examined care plans, staff records, maintenance records and training records. A questionnaire survey was provided to the home for completion by residents, relatives, staff and health professionals. Four residents responded, two relatives, two staff and one health professional. Their answers to the questions and any additional comments have been included in the appropriate sections of this report. For the first time, the manager was required to complete an Annual Quality Assurance Assessment (AQAA) by the Commission. Information from this document has been used in this report. On the date of the visit, 31 residents were being cared for in the home. What the service does well: The atmosphere created at Thornbank is one that is friendly and relaxed. The staff are approachable and cheerful and they convey this to the residents. The environment is comfortable and attractive. Residents’ interests are identified and actively promoted on an individual basis. The home is clean, tidy and attractively decorated, each bedroom viewed reflected the individuality of the service user. There is a planned programme of redecoration and improvements. Staff interaction with residents was seen to be friendly, positive and respectful. Staff were observed to be attentive to the residents’ needs and choice. Staff receive a comprehensive training programme, which provides them with the knowledge they require to enable them to do their job effectively. The home is good at identifying and addressing residents’ specific and individual care needs as evidenced in care plans and risk assessments. The home also provides a varied activities programme. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. 6 is not relevant to this home. Quality in this outcome area is good. Prospective residents can be assured that they will have sufficient information to decide if this home is where they wish to live. The home will also collect information to assure the person that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose was appropriate in content and included all required information. The service users’ guide was in an accessible format, which included all required information including comments about the service made by residents. The statement of purpose and the service users guide both included contact details for the Commission for Social Care Inspection, and a statement of the range of fees charged by the home. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 9 The AQAA stated that all prospective residents were assessed on their care needs prior to being offered a room to ensure that the home was able to meet their needs. This was confirmed when the files of recently admitted residents were examined. The assessment format covered all aspects of daily living and potential care needs, including personal care needs, mobility status, mental ability, medical conditions, and likes and dislikes. The AQAA stated that new residents entered the home on a 6 week trial basis to allow time for them to be sure they want to make Thornbank their home, for their relatives to satisfy themselves that they were providing good care and for the home to ensure that it was able to provide this. Contract documents seen in residents’ files included information on the trial period, as well as identifying the room to be occupied. Three residents had been diagnosed with dementia since their admission to the home.Their files listed their medical conditions and medication on admission which confirmed that dementia had not been diagnosed at that stage. Staff had received training in dementia awareness to allow these residents to continue being cared for in the home. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. Residents can expect staff to identify and review their care needs to ensure appropriate care is given. Their safety is protected by the home’s medication procedure and medication audits. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Five care plans were examined. These were developed after admission based on the initial Residential Care Assessment (an in-house format). Those seen were signed by the resident. All care plans were written in the Greensleeves national format which covered issues relating to personal care and well being, diet and weight (monitored by MUST, a nutritional screening tool), sight, hearing, communication, oral and foot care. The residents mobility, dexterity, mental, emotional and cognitive states were monitored and recorded. Preferences about daily life, religious and cultural needs and social interests and hobbies were written in their care plan. All residents had Waterlow Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 11 assessments for skin integrity. No residents were identified in the AQAA as having presure area problems currently. There was evidence of monthly reviews and continuous assessment of risk. Moving and handling support was reviewed monthly for one resident whose needs were changing. The frequency of reviews of other areas were according to need. Senior carers were responsible for the reviews. Staff who spoke to us said that they were kept up to date about any changes to care needs. The residents’ files seen all had records of the resident’s GP and other health professionals such as the district nurse, chiropodist, optician and dentist. Visits by these specialists were recorded, as were residents’ visits to them and to hospital outpatients. The manager stated that, as staff had been trained to use the MUST tool, the home had direct access to a dietitian when needed. The resident’s preferred daily routine was described with guidance for staff on how much support a resident wished or needed. The daily report was completed at the end of each shift. The entries were mostly helpful and professional, although some were not very informative. The care plan format included space for a Life History of each resident. This section had been completed in one of the care plans we examined. The manager had stated in the AQAA that she intended to complete them for all residents. This would increase the knowledge of carers about a resident and had been shown to be particularly important for those with dementia, to recognise memory triggers. The home maintained a register of falls, recording time and place. We examined the register which recorded 20 falls in November, 11 in October and 15 in September. All were minor incidents, none requiring the admission of the resident to hospital. There was no pattern of occurences by resident or time or place. A visiting health professional stated that the home was well able to care for dying residents if they wished to remain within the home. The medication administration records (MAR sheets) were seen and each one had a recent photograph of the resident for identification. No gaps were seen in the signature boxes. When a code was used a written explanation was recorded. There was evidence that the manager regularly undertakes an audit of the MAR sheets. A senior carer was observed during the medication round at lunchtime. The medication was given to the resident discreetly and the carer stayed until it had been taken. However we noted that the carer signed the MAR sheet before giving the medication, contrary to the home’s medication policy. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. Residents are supported to take part in a variety of activities within the home and the local community. They are helped to maintain family links, and their wishes are respected. Residents’ nutritional needs are monitored, and they have a good choice of meals with safe catering procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ care plans contained details of next of kin and other significant people with contact details. Some of the life story work covered details of extended family members and their connection with the resident. Final wishes were also recorded. Visitors were welcome at any time and according to the service users’ guide were welcome to have a meal at a nominal cost. Residents were provided with a monthly programme of activites devised by the Activities Co-ordinator in conjunction with suggestions from the residents, Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 13 which they were welcome to attend if they so wished. The range of activites was listed in the Activities Diary. Several activities were linked to Christmas time, including a trip to the local school’s carol concert. One resident attended a weekly Luncheon Club organised by their Church. The AQAA reported that monthly Holy Communion services had been reinstated at the request of some residents. A monthly Newsletter for residents was produced by the Activities Co-ordinator with input from residents. Residents reported that there were always or usually activities arranged by the home that they could take part in if they wished. One person said that they spent a great deal of time listening to the radio and to audio books. Records viewed showed residents’ likes and dislikes and what they enjoyed doing, and a record of their activities was maintained. One of the health professionals surveyed said that the organisation of activities was one of the things the home did well. The menus provided three choices of main lunchtime dishes and two choices for supper. A member of the care staff consulted with residents each afternoon to enable the residents to make their choice for the following day. A carer told us that should a resident change their mind on the day an alternative would be provided. We observed lunch being taken in the dining room. Because the lift was being repaired at the time of the inspection, only 15 residents were able to access the room and have their lunch there. The others had their meals taken to their rooms. All three choices of main course were in use: cottage pie, baked cod and luncheon meat salad. Dessert was fruit crumble and custard. All those who spoke to us said they had enjoyed the meal. We saw one person using special cutlery to help them eat without requiring further assistance. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Residents can be confident that their concerns will be listened to, and that they will be protected from abuse by the home’s training for staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information from relatives and residents indicated that they knew what to do if they were unhappy about something in the home, and who to raise the matter with. The home’s complaints log recorded two complaints since the last inspection. The record described the issue and the action taken. No complaints have been received by the Commission in this period. The manager described a current matter which the home was investigating with the relatives of a resident. Appropriate action was being taken. The home no longer held any monies for residents. Invoices were generated monthly for expenses incurred by residents. The home had a policy for the protection of vulnerable adults and a whistleblowing policy. Staff spoken with had received training and were able to identify appropriate action to take in the event of an allegation being made. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 15 No formal updating training on abuse had taken place since 2004. It was noted however that this topic was covered during the induction programme, with staff signing to say that they understood the policy. The topic was also covered later by some staff during studies for NVQ. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,26. Quality in this outcome area is good. People who use this service can expect to live in a clean, safe home with specialised equipment available to maximise their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We found that the lift in the home had been out of action for three days. Service engineers had visited but had not yet solved the problem. During this inspection, the manager received information that a new part was required and would be fitted the next day. Although the home had stair lifts which some residents used, other residents on the first and second floors could not leave their rooms. Staff explained to us how they were coping especially at mealtimes and during medication rounds. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 17 One toilet had been refurbished and redecorated, and an additional toilet had been installed, both on the ground floor. They were bright, clean and with suitable space for residents with walking aids. Bathrooms were equipped with grab rails and bath and shower seats for residents’ safety and comfort. The home had storage space where wheelchairs were stored; staff confirmed that there were sufficient hoists available. Residents were observed using walking frames in the home. All rooms were provided with call systems, including communal areas, bathrooms and bedrooms. All bathrooms were provided with hand wash gel and disposable towels. We visited some residents’ bedrooms during a tour of the building. All bedrooms contained individual belongings including memorabilia, ornaments and photographs. Some residents’ bedrooms contained their own furniture, and the manager confirmed that they could bring their own furnishings to the home if they chose to and this was practical and safe. We noted that those residents whom we visited in their rooms had ready access to the call bell when seated in their chair. Two residents also had call pendants which they wore. The AQAA described refurbishment work which had recently taken place, which we were shown. In addition the manager described the work planned for the next year. This was part of an annual plan which the provider developed for each of their homes. An additional washing machine and drier had been installed in the laundry. The home did all their own laundry including linen. There was separate staffing during the day for this work. A relative commented that the home was always clean and bright and the staff were warm and friendly. However they felt that some of the maintenance and building work that had been done had taken a long time and caused extra disruption to the residents. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. Residents and relatives can be assured that residents’ needs will be met by the numbers and skill mix of staff and that the home will provide training to ensure that the staff are competent to do their jobs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current staffing consisted of the manager, a deputy who is responsible for care and medication, and five senior carers, who share responsibility for producing and reviewing care plans, checking timesheets, liaison with specialists such as the continence nurse, and staff supervision. There were four staff on duty during the day, with two staff on at night. Discussions with two staff, a senior carer and a carer, confirmed the staffing arrangements. They believed they were adequate although the level of support needed by some residents was increasing. They agreed that there was sufficient equipment for the safe care of residents, such as hoists, special mattresses, and protective clothing. The training record for each person was examined and showed that staff were receiving the required range of training and refresher courses. Dementia Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 19 awareness was included to help staff support those who became diagnosed with dementia after they became residents. One member of staff was qualified to teach First Aid and Basic Food Hygiene. Thirteen out of the twenty one care staff had achieved NVQ Level 2, with two more studying for it, and two due to start shortly. Senior carers who administered medication were trained to do so. Staff confirmed to us the training they had done. The files for two recent starters were examined. All recruitment documentation was in place including the application forms, two references and the Criminal Records Bureau disclosure certificates. Although these had been received after the person had started work, the home had obtained a POVA First check prior to their start date to allow them to start the induction training under supervision. Induction training records were being completed. Since the last inspection, the home had reorganised the staff files with indexing to make them clearer and easier to use and refer to. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38. Quality in this outcome area is good. Residents can be assured that there is a system for obtaining their views on the running of the home to ensure it is run in their best interests. A process of staff supervision protects residents by continually monitoring and improving the skills of the staff. The system of quality assurance, and the regular maintenance checks ensure that the home is safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager had been registered with the Commission since 2002, and had many years experience of working with older people. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 21 Quarterly meetings of residents were held. The minutes of the most recent meetings were seen. They included discussions on food, laundry matters and medication. The manager reported that the last catering survey had found that the majority of residents would like fish and chips to be on the menu. The manager explained that this choice had been removed after a chip pan fire. However a new fryer had been ordered and fish and chips, and other new choices, would be back on the menu in 2008. Staff meetings were held quarterly, with separate meetings for catering staff and senior staff. A representative of the providers visited the home monthly. A report was completed after each visit which met the requirements of the Regulations. These were seen and were up-to-date. Residents’ files were sampled and reflected that there were appropriate arrangements made by residents and their families or appointed representatives to safeguard their financial interests. The home’s staff members were not appointees for residents’ money and were not authorised in this capacity. The home did not handle residents’ monies. The schedule of supervision sessions for staff was up-to-date with staff signatures confirming sessions had taken place. Staff who spoke to us said that these sessions took place regularly. Health and safety documentation was available and evidenced that the home kept up to date and appropriate records of maintenance. The fire risk assessment was examined and had been reviewed in 2007. A fire drill had been held at the beginning of December 2007. The fire log listed the testing procedures, dates of testing and which equipment was tested. Records were seen of the Legionella Monitoring Programme. The temperature of hot water outlets was tested regularly, and the records were kept in each room. All the records were securely kept. Files were ordered and accessible. Staff files had been re-organised. Care plans followed the provider’s policy on content and layout. Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Medication must not be signed for until it has been given. Timescale for action 19/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Thornbank Residential Home DS0000024512.V356817.R01.S.doc Version 5.2 Page 25 - 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!