Inspection on 28/10/08 for Tylecote

This inspection was carried out on 28th October 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

Tylecote 05/10/07

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tylecote 10 Furness Road Morecambe Lancashire LA3 1EZ     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: Jennifer Hughes     Date: 2 8 1 0 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 30 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 Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Tylecote 10 Furness Road Morecambe Lancashire LA3 1EZ 01524414834 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Nichola Buczynski Type of registration: Number of places registered: Sylvia Peters care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Learning disability Code LD, The maximum number of people who can be accommodated is: 9 Date of last inspection Brief description of the care home Tylecote is situated on Furness Road in Heysham. The home is a Victorian semi detached house and is registered to provide residential care for a maximum of nine adults of both sexes with a learning disability. Accommodation is provided in five single bedrooms and two double/twin bedrooms. The double room is currently being occupied by a couple and the twin room by two residents who have shared the room for many years. Communal areas include a lounge/diner and an additional lounge. A small garden area is provided at the front of the home and a patio area is available at the back for the residents to relax in and have occasional bar-be-ques. The home is relatively close to all the amenities of Morecambe promenade. The current fees for Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 9 Brief description of the care home the home range from #460.50 to #804.50 based upon the care support needs of the individual. Care Homes for Adults (18-65 years) Page 5 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced visit to the home, meaning that the owner, manager or staff did not know that the visit was to take place. This site visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. During the visit we (Commission for Social Care Inspection) spent time speaking to residents, staff and the manager. Every year the registered person is asked to provide us with written information about Care Homes for Adults (18-65 years) Page 6 of 30 the quality of the service they provide, and to make an assessment of the quality of their service. It also asks about the registered persons own ideas for improving the service provided. We use this information, in part, to focus our assessment activity. Surveys were sent and received from staff and residents from the home. During the site visit, staff records and residents care records were viewed, alongside the policies and procedures of the home. We also carried out a tour of the home, visiting both private and communal areas. Everyone was friendly and cooperative during the visit. What the care home does well: What has improved since the last inspection? The Statement of Purpose gives good and correct information about the home, and each resident holds a copy of the Service User Guide. These are in easy read formats. Care Homes for Adults (18-65 years) Page 8 of 30 Clear risk assessments are in place for all activities the residents take part in. These give instruction to staff on how to reduce the risks involved. The activities programme has been developed and residents are encouraged to participate. Residents are clear on how to make a complaint, with pictorial guidelines provided to them. The staff roles have been addressed to accommodate a cleaning schedule, and to provide appropriate numbers of staff to meet residents needs. All records required for inspection by us are held securely at the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. No resident moves into the home without having their needs and aspirations assessed and being assured that these will be met. Evidence: There is detailed information about the home for all residents, or possible residents, which provides an easy read description of the services provided, and who provides them. This is in the form of a Service User Guide, and a Statement of Purpose for the home. The manager said that she discusses the content of the Service User Guide with each resident, to try and make sure they understand as much of it as possible. A copy is in each persons room. We selected two residents to case track, where we examined the individual assessments and care of those people from admission to this home , to present day. There have been no new admissions since the new owners have been running the home, and she told us that there is an initial admission assessment procedure, to make sure the home is the right place for the individual to be cared for. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: We saw that individual records are kept for each resident, and staff told us about how anyone new would first be invited to visit the home to meet the other residents. We saw evidence of social work assessments initially giving the manager information so that she could decide whether the home was the right place for the prospective resident. The assessments we saw identified the needs, choices and preferences of the individual. The manager told us that they are in the process of reviewing the needs of all of the residents, to make sure the information held is up to date, and each persons individual aspirations are being addressed. From this initial assessment a person centred plan is developed over time. This is a care plan to guide staff on the best way to care for the individual, and centres on the needs of the person, rather than the needs of the staff. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to make decisions in their lives, meaning that individual needs and choices are met. Evidence: We saw that each individuals plan told staff how to best look after them, giving information which includes areas covering their physical and mental health needs, dietary needs and personal profile. We saw that the manager is reviewing all of the residents needs with social services. She found that this had not been done for a few years, and said that it may help to increase funding and so enable the home to provide more input to each persons care to meet individual need. The manager and staff confirmed that any plans are always devised in partnership with relevant people, such as families, friends, or other professionals. One relative commented Everyone is treated equally. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: The system used to gather information was detailed and relevant, but we noted that in some instances records were not dated and signed, and advised that staff should ensure they do this in order to provide meaningful records and enable any patterns to be clear. Residents are supported to make their own decisions about their own lives. More detailed risk assessment procedures enable a full assessment of any risks regarding activities, allowing staff to know what action to take so that people can follow their chosen activities safely. For example, the one to one support of a staff member gently linking arms with a resident who tends to wander enables the resident to maintain some independence outside of the home. Also a resident who is unsure of coins is guided when shopping, and with staff support and clear records their finances are kept up to date and correct. Were sorting my money out commented the resident while watching the staff member sort through receipts and coins in her bedroom. We saw that financial records were signed by two staff. The staff and resident chatted together while the resident listened to music and looked at photographs from a recent holiday. We saw that daily records are made for each person by staff. These produce a full picture of peoples lives, giving evidence of the constant care provided, and background information for any future incidents. We saw that residents had a care profile that had been completed with them, including information about great things about me, my preferred lifestyle, hopes and dreams, people in my life, and what makes me happy. This information is then incorporated into their care plans, and gave a picture of their individual lifestyles. A couple of residents were out at college, a couple were moving between their rooms and the lounge, where they looked through magazines, making a collage of favourite pictures. Another was happy to sit in the lounge quietly with a staff member ironing while she chatted to him. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents decisions are respected and daily routines promote independence. Residents benefit from being able to keep good links outside the home. Evidence: The manager explained how the residents were encouraged to make their own decisions on what they wanted to do, and then she would try and plan staffing arrangements around these, to make sure there was enough staff support for those who needed it. We saw that daily records gave evidence of a variety of activities residents enjoyed, plus any contact they had with family members. One resident told us she had recently been on holiday to Blackpool, and showed a photograph of a group of the residents at a tourist attraction there. Another told us of the eat well, get fit class she attended, Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: the art class she attended, how she enjoyed going swimming, and also her days at Cornerstones. She told us excitedly of how she is going to visit family abroad. Another more dependant resident attends the local MENCAP club, and staff support him to go to the cinema, enjoy meals out, and especially look forward to his family visiting. One service user was proud to show us her room I did all of these stencils. Thats a butterfly and a dragonfly, she said pointing at the self decorated walls of her bedroom. The manager said that staff discuss the activities residents are involved in, and how they can be further motivated. One resident had told the manager he had attended a lot of courses over the years and wanted to try and get work. He had been enabled to do this by staff, and told us that he was on a waiting list now and looking forward to doing something different. The manager said they are encouraging all of the residents to think about being involved in a wider range of activities, and that the person centred approaches they are using have helped the staff to be better at listening to what support people actually want. All foods eaten are monitored and recorded. The residents told us that they help plan the meals together and can have something different if they wanted. Some of the residents help with the shopping. We saw plenty of food in stock in the cupboards, fridge and freezer. We all sit at these tables, a resident told us, showing us the couple of tables in the lounge /dining room,Some of us help to set them, and then some of us clear away afterwards. I like washing up. Any dietary needs are taken into consideration. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Residents health and personal care needs are met at this home. Evidence: The individual support plans we viewed provided clear guidance for staff on how to assist a person in the way that best suits their needs. A senior staff member was on duty alongside another member of the staff team when we visited, and they clearly knew the support needs of all the residents. The residents were happy to go where they wished in the home, and join in whatever was happening, while being tactfully supported by staff. Residents were seen to come and go to their rooms as they wished. We saw residents records that confirmed they are supported by health professionals, and have at least annual health check-ups. The staff take us to see the doctor if we need to said a resident,I tell them if Im not so well and they sort everything out. We saw that the residents are involved in developing their own health action plan. There was evidence of input from psychologists, speech therapists, diabetic nurses and Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: psychiatrists. Medication is stored in a locked metal cabinet. We viewed the Medication Administration Records(MAR) and noted some missing signatures on some days, with no note of why the medication had not been taken, or why there were these gaps. The codes provided on the MAR should be used to explain this. Records for the administering of cream were not complete. There needs to be a clear audit trail of medication so that the true effects of its use can be monitored. The manager said that she carries out an audit of all records every two weeks, and would address these errors. We noted the managers comments in the communication book did instruct the staff to improve their record keeping, and she needs to ensure this is carried out. We noted that some medication had been shared. This was cough mixture, and paracetamol. This should not happen as it increases the chances of mistakes. Staff involved with medication have had training, and the manager confirmed that all staff are to attend further training in the safe handling of medicines. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. The residents living at Tylecote are protected from abuse by the policies and procedures in place. Evidence: Neither the home or The Commission for Social Care Inspection have received any complaints about the home since the last inspection in October 2007. There is a complaints procedure in place, with the aid of pictures to enable the residents to understand its content. The manager said the procedure is explained to residents supported by the service. One resident said I just tell any of the staff if I dont like something. Id tell anyone. We saw that the residents were very open with the staff on duty, saying what they liked and disliked, and what they wanted to do. A relative commented She rings us if something happens. Staff attend equality and diversity training, and abuse awareness training, and those spoken to were aware of the action to take should they suspect abuse has occurred. There is a system in place to protect peoples finances. We saw strategies in place Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: which tried to balance independence against safety, and the planning involved discussions with a psychologist and constant liaison with social services. Care Homes for Adults (18-65 years) Page 20 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a generally safe and clean home, which makes them happy to live there. Evidence: The home is a large Victorian house with high ceilings and plenty of space. It is a homely environment to live in, and a relative commented The home is very welcoming. Refurbishment is being prioritised, and the dining room, kitchen and some bedroom areas have been redecorated. A maintenance and decorating programme is underway for the home with Central Lancashire Universitys architects department. They are working with the residents to help reflect personal choice in their bedrooms and communal areas. Staff and family members also participate. The manager said that nothing matches in the bedrooms, and her aim is to get all residents some new furniture. She said she is liaising with family or representatives to discuss any expenditure. Some new furniture has already been purchased by the home. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: This large home was generally clean, and fresh at our visit. A cleaning schedule has been introduced since the last visit. The staff need to make sure out of reach areas, for example light-shades, are included in the schedule. We noted some thick dust on these. The tap on the bathroom sink was broken, and the manager told us this was a very recent event and in the process of being fixed. We saw a small, tidy, garden area at the rear of the home, with seating and a barbecue area. I like to sit out there commented a resident. Residents use the large front lounge as a comfortable sitting area. One resident was watching television there, while a staff member did the ironing and talked to him. The lounge/dining room at the rear of the house also has a television and DVD player. Some residents prefer to stay in that room, choosing either to sit on the lounge chairs, or work at the table, as a couple were doing, making a collage. We saw that the bedrooms were very personalised, and full of photographs, Cds, books and mementos. One resident had stencilled pictures onto the walls, and made her own matching curtains. The manager confirmed that all gas and electrical equipment is regularly maintained. Care Homes for Adults (18-65 years) Page 22 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 operates a good recruitment procedure, which ensures that only people suitable to this kind of work are employed. Evidence: Through the day there are usually three staff on duty to care for the residents living at the home, with two staff covering the evening time, and one person sleeping in overnight. The manager told us that there is always management available to staff on duty at the home. The five residents who were in the home at the time of the visit had attention from staff. All the individuals chose what they wanted to do, and were supported in a way that created an inclusive atmosphere in the home. The manager made sure there was always adequate staff in the home, and at this visit staff sickness prompted a change of rota, to make sure staff numbers remained appropriate. Staff files were available to be examined. We saw that recruitment procedures of the home include obtaining a Criminal Records Bureau (CRB) disclosure and a Protection of Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Vulnerable Adults (POVA) clearance, prior to starting employment. References from previous employers are also obtained. The manager told us that residents are also involved in interviews, and their opinions are asked of them. We suggested a record of the residents responses should be made. We saw that new staff complete the Learning Disabilities Award Framework (LDAF) induction training, as well as an induction into the routines at the home. Further training is accessed through the Lancashire Workforce Development Partnership, who provide all core training such as health and safety, food hygiene, and adult protection. They also prompt the home when staff require refresher training. Specific training is also attended, such as epilepsy awareness, medication, equality and diversity, person centred planning, and report writing. The manager told us in information sent to us that 50 of staff held National Vocational Qualifications, with 30 working towards them at that time. This means that the home has achieved the standard required by the National Minimum Standards for Care Homes for Adults (18-65). Regular support is given to staff, and we saw evidence of staff meetings where staff were able to discuss ways to improve the support given to individuals in the home. There is a planned programme of individual staff supervision sessions. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a home that is well managed, and where their health, safety and welfare is important. Evidence: The information sent to us told us The manager has NVQ (National Vocational Qualification)in Care level 4 and the Registered Managers Award. The manager has also obtained a certificate in the Management of Health and Social Care through the Open University The information we asked for from the home was sent to us on time, and held good information about the home and how it was progressing. Staff surveys received early in the year showed concern over lack of supervision and training for staff, and the need for senior staff to be on duty when the manager was absent. At this visit we saw that these issues had been addressed. The present residents are well established in the home. They were relaxed and Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: choosing what they wanted to do, telling or signalling the staff about what they did or did not want to do. The manager told us Our approach is person centred, which puts the individuals views at the centre and ensures everything we do is based around what is important to that individual. All residents have risk assessments and guidelines which are reviewed at least every six months. Regular forums are held for the residents, when they have the chance to share their views, and the newly implemented key worker system not only further ensures individual needs are met, but also provides another channel for residents to feedback through. A quality assurance system is in place, to help collate information from auditing records and views of people involved in the service and to help establish where the service can improve. This audit is carried out every year. We saw that the manager regularly audits records, and instructs staff on how to improve them if needed. This service is on the social services preferred provider list, and as such has to provide them with regular information on set targets and achievements of the service. All accidents are recorded on file. Appropriate fire precautions are taken and there is an alarm system in the home. The manager confirmed that all equipment in the home is maintained regularly. The manager told us she ensures safe working practises, and staff have fire safety training and moving and handling training. The manager is working on updating records, and restructuring systems so that information is always clear and easy to find. A relative commented The standard of care has been high, and everyone is treated equally. Care Homes for Adults (18-65 years) Page 26 of 30 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 Adults (18-65 years) Page 27 of 30 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 20 13 Records for the 30/11/2008 administration of medication must be made at the time the medication is given, be complete and up to date. This will show that medicines are being given to residents correctly 2 20 13 Medicines should not be shared between residents. This increases the chances of mistakes. 30/11/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Records should always be dated and signed so that a full picture of each residents life is clear, and the records are relevant. Ensure the programme of maintenance continues and scheduled cleaning is thorough to make this home the best it can be for the people who live there. The involvement of residents in the recruitment process, and their input into the final decision made, should be Page 28 of 30 2 24 3 34 Care Homes for Adults (18-65 years) recorded. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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