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Inspection on 19/06/07 for Uvedale Hall Residential Home

Also see our care home review for Uvedale Hall Residential Home for more information

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

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

What the care home does well

The service offers a high standard of support in attractive and spacious surroundings. Residents have choice about their pastimes and outings and can participate or not as they fancy. The activities offered are imaginative, varied and suitable for the client group. The care plans are well constructed and residents are consulted about their preferences and care needs. Medication is recorded to allow an audit trail. Staff are employed only after full recruitment checks have been made and documentary evidence is retained on file. Full induction programmes are followed and a rolling programme of updating training is in place. The environment is maintained to a high standard both in the building and outside in the gardens.

What has improved since the last inspection?

The home has employed an activities co-ordinator since the start of the year to organise in-house pastimes and external outings and trips for the residents. Since the last inspection the home has had a new passenger lift fitted and five of the bedrooms redecorated and refurbished. Some new moving and handling equipment has been purchased and a grant applied for and achieved to upgrade the bathrooms and put in electric hoists to make the baths more accessible to more residents. A dedicated laundry person has been employed to manage the laundering of all the personal items as well as the larger things such as bed linen and towels.

What the care home could do better:

Some care plans did not have interventions for all the resident`s assessed care needs. The protection of vulnerable adults (POVA) policy needs to be expanded to cross-reference it with the county guidelines and give guidance on how a referral should be made. During medication administration the monitored dosage packs (MDS) need to be locked in the trolley if the carer leaves the trolley out of their sight.

CARE HOMES FOR OLDER PEOPLE Uvedale Hall Residential Home Coddenham Road Needham Market Suffolk IP6 8AX Lead Inspector Jane Offord Unannounced Inspection 19th June 2007 09:00 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 Uvedale Hall Residential Home DS0000024516.V343735.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. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Uvedale Hall Residential Home Address Coddenham Road Needham Market Suffolk IP6 8AX 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) 01449 722250 01449 722964 Pri-Med Group Ltd. Mrs Sally Shadbolt Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: Uvedale Hall is an imposing period house in Needham Market, which is a lively village between Ipswich and Stowmarket. The village amenities of post office, bank, shops and church are within walking distance of the home. Needham Market also has bus and rail links to Ipswich and Bury St. Edmunds. Needham Lake with all its bird life and attractive walks is within a few hundred yards of the grounds. The accommodation is over two floors and consists of rooms for twenty-nine residents all with en suite facilities. The first floor is accessed by a curving staircase or passenger lift. The communal rooms are situated on the ground floor and offer a choice of lounges and dining rooms, a conservatory and shaded patio area overlooking the well-maintained gardens. Within the grounds is a sheltered housing complex that was built to match the architectural style of Uvedale Hall. There is ample car parking provision for both buildings. The fees for accommodation range between £490.00 and £690.00 a week but do not include the cost of hairdressing, chiropody, transport and escort, drycleaning and newspapers. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 9.00 and 16.00. The registered manager was present on the day and assisted with the inspection process. This report has been compiled using information available prior to the visit and evidence found on the day of inspection. A tour of the home was undertaken with the manager but all areas were revisited during the day. A number of residents, staff and visitors were spoken with and care practice observed. Part of a medication administration round was followed and the medication administration records (MAR sheets) were inspected. A selection of files and documents were looked at including the policy folder, some residents’ care plans, staff folders, duty rotas and maintenance records. The day of inspection was hot and sunny but the home had a number of windows and doors open to allow any breeze into the building. Residents were using all areas of the home including having tea on the patio. The home was clean and tidy with no unpleasant odours noted and fresh flowers around the rooms. Residents looked comfortable and relaxed in the environment. The lunch looked appetising and was attractively served. What the service does well: The service offers a high standard of support in attractive and spacious surroundings. Residents have choice about their pastimes and outings and can participate or not as they fancy. The activities offered are imaginative, varied and suitable for the client group. The care plans are well constructed and residents are consulted about their preferences and care needs. Medication is recorded to allow an audit trail. Staff are employed only after full recruitment checks have been made and documentary evidence is retained on file. Full induction programmes are followed and a rolling programme of updating training is in place. The environment is maintained to a high standard both in the building and outside in the gardens. Uvedale Hall Residential Home DS0000024516.V343735.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. Uvedale Hall Residential Home DS0000024516.V343735.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 Uvedale Hall Residential Home DS0000024516.V343735.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, 6. Quality in this outcome area is excellent. People who use this service can expect to have sufficient information to make an informed choice and have their needs assessed prior to moving in to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for three recently admitted residents were seen and all had a preadmission assessment document completed prior to the person moving into the home. The assessment was based on the activities of daily living (ADLs) and there were headings covering maintaining a safe environment, mobility, personal hygiene, elimination, diet, breathing, pain, sleep and communication. Further assessments covered mental state, social needs and present medication. Each file also contained a copy of the terms and conditions of residence signed either by the resident or their representative. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 9 There is a statement of purpose and service users guide containing all the required information available on request. Prospective residents may have a trial period in the home to ensure it meets their needs and expectations. Residents’ files seen showed evidence of review meetings after the trial period to confirm the admission or decide on a change of home. Visits to the home to see the accommodation and service offered are encouraged and a quality assurance questionnaire is used to monitor the impression created during the visit. It covers the level of information given during the visit, whether refreshments were offered, if adequate time was allowed for the visit and the overall impression received. Completed questionnaires seen were positive about the impression given during the visit of the prospective residents. The service does not offer intermediate care. Uvedale Hall Residential Home DS0000024516.V343735.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. People who use this service can expect to have their health needs met and a plan of care in place to help staff support them, as they would like. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The three files seen all contained an individualised care plan for the resident. Each element was signed by the resident or their representative and there was documentary evidence that the interventions were reviewed and evaluated monthly. Following the pre-admission assessment a further assessment of needs was undertaken when the person moved into the home. The care plans were clearly based on the findings of the assessments and covered areas of support such as personal hygiene, mobility, diet, continence and communication. One resident who had a diagnosis of depression and had chronic pain due to a medical condition had no interventions for either of those needs. Other interventions covered social needs and interests and sexuality. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 11 Each file had contact details for the health professionals involved with the resident such as GP, community nurse, chiropodist and out patients clinics. There were records of appointments with health professionals and treatments received such as influenza vaccines. One resident on the day was taken by hospital transport to an appointment in the hospital. There were risk assessments relevant to each resident that covered falls, skin integrity, moving and handling, nutrition and continence. One file had a risk assessment for the resident to self-medicate and an assessment of their ability to do so. Another contained a falls risk assessment and the management plan to help the resident, which included re-organising the furniture of their room to prevent trips. There was evidence the resident had agreed with the plan. The medication policy was seen and contained guidance on ordering, storing, administering and disposing of medicines. It included guidelines for residents who wished to self-medicate and what to do in the case of a resident refusing medication. The home has recently purchased a second medicine trolley that is stored on the first floor. Both trolleys are chained to a wall and locked when not in use. Part of a medication administration round was followed. The medication administration records (MAR sheets) showed no gaps in signature boxes and had ‘carried forward’ figures for medicine to enable an audit trail. The home uses a monitored dosage system (MDS) so blister packs are made up by a local pharmacy to be dispensed by the carers. The carer dispensed tablets with a non-touch technique and offered medication sensitively asking residents if they required pain killers if they were ‘as required’ prescriptions. They locked the trolley each time they left it to give out medication but on several occasions they omitted to put the MDS pack inside first. The carer said they had had medication training and assessment of competency before they could do the medication rounds. Training records seen later confirmed this. The controlled drugs (CD) register was seen and correctly completed. Some CDs at random were checked and tallied with the records. Uvedale Hall Residential Home DS0000024516.V343735.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 excellent. People who use this service can expect to be offered a lifestyle to suit their expectations and receive a well balanced diet in surroundings of their choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ files seen had records of the residents’ previous interests and a life history. Interests such as gardening, golf, quizzes and knitting were recorded. Dates important to the resident were noted and contact details of family and friends and the residents’ religion, if they followed one, were recorded. One file said, ‘XXXX likes to go to church each week with their friend’. The church in Needham Market holds a service in the home monthly for residents to attend if they wish. One resident is Roman Catholic and has monthly visits from the priest or attends the Roman Catholic Church in nearby Stowmarket. On the day of inspection a number of residents were going out with a regular driver in the minibus. There had been no specific request for their destination and the group were happy to leave the decision to the driver. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 13 The home employs an activities co-ordinator who produces a monthly activities plan so residents are aware of what is happening and can arrange to join in if they choose. Activities for June included an evening out at the War Museum in Wattisham, a clothes show, movement to music, a day out to the beach hut in Felixstowe, gardening and planting beetroot seeds and a visit from the local Brownies pack. The home also produces a monthly newsletter that includes residents’ birthdays, new arrivals, planned outings and special meals such as cream teas in aid of the hospice and days in the month for celebration. The activities co-ordinator organises sessions of quizzes, board games, bingo and arts and crafts. One resident said they had discovered in their nineties that they had a talent for painting and ceramics. They showed off some of the artwork they had achieved and used to decorate their room. The kitchen was visited and the store cupboards, refrigerators and freezers inspected. There was a wide range of fresh and frozen ingredients all correctly stored. Recorded temperatures of refrigerators and freezers showed that they were functioning within safe limits for food storage. There is a four-week menu produced with two main dishes at lunch and teatime each day. On Sunday and Wednesday one of the lunch options is a roast with an alternative such as plaice with cheese sauce or salmon with prawns. Teatime offers a cooked meal such as cauliflower cheese or a salad or sandwiches. On celebration days like St. Andrew’s Day or St Patrick’s Day a special menu was offered. For St. Andrew’s Day there was Fife miners’ stew or smoked haddock patty followed by cloutie dumpling or Caledonian ice cream and on St. Patrick’s Day there was steak and Guinness pie or Irish stew followed by sticky stout pudding or chocolate Irish truffle. Feedback on questionnaires from residents was 100 positive about the food and catering. Residents can take their meals in a choice of dining rooms or their own room. One resident with a disability that makes managing cutlery difficult, with the consequence that they are self conscious when eating, has a special small table set for them in a private dining room with only two other residents for company. On the day of inspection a further private table was set in another room for a resident having their lunch with visitors. The meal on the day looked appetising and residents spoken with said they had enjoyed it. Uvedale Hall Residential Home DS0000024516.V343735.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, 17, 18. Quality in this outcome area is good. People who use this service can expect to have their rights respected and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a robust complaints policy that is available with the service users guide and feedback from surveys of residents and relatives showed that people were aware of the policy and how to implement it should the need arise. CSCI has not received a complaint about this service since before the last inspection. The complaints log contained two entries both with regard to the laundry service. The manager said they had employed a dedicated laundry worker to improve the service offered. The protection of vulnerable adults (POVA) policy was seen and could be expanded to include detail of making a POVA referral and cross referenced to Suffolk guidelines issued by the inter agency committee for protection of vulnerable adults. Staff training records showed that they were updated on recognising abuse and the steps to take if it was suspected and this was confirmed in discussion with some staff members. The home has a policy on residents voting and remaining on the electoral register and in one resident’s file there was evidence this had been explored. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 15 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, 26. Quality in this outcome area is excellent. People who use this service can expect to live in a safe and clean home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Uvedale Hall is an imposing and attractive building parts of which date back to the Georgian period. The ceilings are high and the large windows give the home a light and airy feel. The main staircase curves around a chandelier and open stairwell with a skylight adding to the airy feel. The décor throughout the home was attractive and in good order. The communal rooms are furnished with attention to detail such as ornaments and fresh flowers. The home has several communal rooms used as lounges and/or dining areas if the large main dining room is not where a resident wishes to take their meals. The home was clean and tidy on the day of inspection with no unpleasant odours noted. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 16 Residents’ own rooms were individually furnished and used resident’s own personal items of furniture if they wished. Other personal objects such as pictures, photographs and ornaments were in evidence. All residents’ rooms have en suite toilets but some larger rooms have sitting/dining areas, fully fitted bathrooms and facilities for preparing and cooking light meals. The gardens are extensive and extremely well maintained. Attractively planted flowerbeds and well-manicured lawns surround the home. There is a shaded terrace along one side of the house and a south-facing conservatory off the dining room. The laundry was visited and found to be clean and tidy. As noted earlier in this report the home now employs a dedicated laundry worker and residents spoken with said they were happy with the laundry service offered. The laundry equipment meets the standards for managing care home laundry to minimise the risk of cross infection. Staff spoken with said they had had instruction on infection control issues. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 17 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 excellent. People who use this service can expect to be supported by correctly recruited staff who are trained to do the work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that in the mornings there are four carers on duty with three for the rest of the day and night. The manager is supernumerary and is assisted by an administrator. There is an ancillary team for work in the kitchen, laundry and undertaking the domestic cleaning. In addition the home employs an activities co-ordinator and gardener/maintenance person. Staff and residents spoken with said they felt there was adequate staffing for meeting the needs of residents. Three new staff files were seen and contained evidence that identification documentation had been seen and a full employment history had been taken. POVA 1st and criminal record bureau (CRB) checks had been made and for overseas staff a police check taken from their country of origin. Each file had two references and a copy of the terms and conditions of employment. Carers had a ‘skills for care’ induction that covered moving and handling, fire awareness, food hygiene, POVA and health and safety. Ancillary staff had an induction appropriate for the work they were to undertake. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 18 The training files seen confirmed the induction given to staff and that external consultants covered fire awareness. The training matrix showed a rolling programme of courses was offered and the staff attendance was high. The home has eighteen carers and fourteen have achieved an NVQ level 2 award or over with two further carers undertaking the study at present. This exceeds the fifty per cent recommended by the national minimum standards. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is excellent. People who use this service can expect to live in a well managed home and have their health and safety protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The present registered manager has been in post for three years but has several years experience in care home management. They are a registered nurse and have achieved an Institute of Management certificate and an NVQ assessor’s award. Staff and residents spoken with said their management style was supportive and approachable. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 20 The home holds residents and relatives meeting every three months. Minutes are taken and made available so people who are unable to attend can see what was discussed. Items on the agendas included maintenance in the home, outings and activities, new staff members and their roles, application for a local council grant to improve a bathroom and preparations to celebrate the hundredth birthday of one resident. The home also undertakes quality assurance surveys annually and the results from the most recent were very positive about all areas of care. The home holds some personal monies for a small number of residents and the system of management was explained. The money is held securely with all transactions recorded to allow an audit trail. Money checked tallied with the recorded balances. The home has recently had a new passenger lift fitted, as the previous one frequently broke down, and five bedrooms have been repainted and refurbished. New manual handling equipment has been purchased and the grant from the local council will be used to equip the bathroom with an electric hoist so more residents will have access to the bath. Some maintenance and service certificates were seen and showed that fire alarms are tested weekly and the home has fire drills and tests the emergency lighting monthly. A gas inspection was undertaken in February 2007 and a certificate issued. The Stannah stair lift is serviced quarterly and portable electrical equipment (PAT) is tested annually. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 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 4 4 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 4 Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? None. 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. Standard Regulation Requirement Timescale for action 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. 2. 3. Refer to Standard OP7 OP9 OP18 Good Practice Recommendations Residents’ care plans must contain interventions for all assessed needs to ensure residents are supported, as they would wish. All medication must be kept securely locked in the trolley when the carer is not in attendance to protect residents. The POVA policy must be cross-referenced with Suffolk guidelines and expanded to include guidance about making a referral to ensure residents are protected and any situation of concern is rapidly and correctly managed. Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Uvedale Hall Residential Home DS0000024516.V343735.R01.S.doc Version 5.2 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. 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!