Inspection on 02/10/08 for Venn House

This inspection was carried out on 2nd October 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Venn House 01/10/07

Venn House 04/04/07

Venn House 02/08/06

Venn House 01/03/06

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Venn House Venn House Lamerton Tavistock Devon PL19 8RX     The quality rating for this care home is:   one star adequate 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: Anita Sutcliffe     Date: 0 3 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 Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Venn House Venn House Lamerton Tavistock Devon PL19 8RX 01822612322 08701270388 info@venn.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Victor Rielly Type of registration: Number of places registered: Venn Care Ltd care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 25. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category- Code OP Date of last inspection Brief description of the care home Venn House is a Grade 2 listed house set in its own grounds on the edge of the village of Lamerton. The home is registered for older people who may need assistance with personal care. Health care needs are met through the district nursing service. The property consists of the main house that accommodates 16 people and a converted Coach House, a short distance away that accommodates 9 people. The main house is of great character, with slate floors and gothic windows, however there are some steps Care Homes for Older People Page 4 of 29 Over 65 25 0 Brief description of the care home between some rooms. The majority of rooms are en suite or have a bathroom close by. The Coach House Annexe is a short walk from the main house. It has its own lounge and dining room with a small kitchen for snacks and drinks. Like the main house there are bedrooms on the ground and first floor. Meals are brought over from the main house to the Coach house and eaten in the dining room. There are some bath adaptations in some bathrooms and there is a stair lift in the main and coach house. Venn House is not suited nor registered for people who have a significant level of disability. Many rooms look out over the gardens or surrounding countryside. The home is staffed 24 hours per day and has one waking night staff per building. The Statement of Purpose and Service User Guide, which provide information about the home, are available in the office, and copies are in the entrance hall. The fees are between 430 and 680 pounds per week. Items not included are: Chiropody, toiletries, activities, holidays, magazines, newspapers, transport, and hairdressing. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Information has been collected toward this inspection since October 2006. This includes a recent assessment from the home on how well they think they are achieving outcomes for people. We also gave people who use the service and staff the opportunity to give us information through anonymous survey and we sought opinion from district nurses who attend the home frequently. Some family were met during the visit. We did one unannounced visit to the home. We visited several bedrooms, the kitchen, laundry and communal rooms. We looked closely at the care of three people, looking at their care records and speaking with them. We spoke with a group of staff and observed staff whilst they worked. Care Homes for Older People Page 6 of 29 We spoke with the registered manager and the registered provider. We looked at some records, including medicine and staff recruitment, training and deployment. We were assisted by an Expert by Experience. They are people who, because of their shared experience of using services, or ways of communicating, visit a service with an inspector to help them get a picture of what it is like to live in there. People who use the service may be described within this report as residents, service users or clients. All people involved were very helpful. What the care home does well: What has improved since the last inspection? What they could do better: Two previous requirements remain unmet. Both have the potential to put people at risk. The management of Venn House continue to operate unsafe recruitment, putting people at risk from those who may be unsuitable or unsafe to work with them. This has continued since 2006 and is the reason the home is not rated above adequate on this occasion. Where a medicine is described to be given as required or as necessary how that decision is made must be described within the persons plan of care. If it is not staff may be inconsistent in their use of the medicine. Although on this occasion it only happened where the person could themselves say whether they needed it, the home was required to do this by October 2007 and has not. Care Homes for Older People Page 8 of 29 Priority appears to be given to the look of the home and insufficient to the maintenance and safety aspects. We found a broken outside wall (people have tripped over it) and loose, uneven floor tiles where people frequently walk. Four complaints were received by the Commission as the complainants were unhappy with the homes response. People feel the manager cannot always be effective due to financial, imposed constraints and say the registered provider does not respond in the way they expect. Quality monitoring and improvements in the service suffer in the same way. All staff should receive training in how to protect people from abuse and be fully informed about how they are protected in law should they need to raise concerns which might be about abuse. They must also be instructed on the safe storage and handling of chemicals which can be hazardous to health. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are admitted following a thorough assessment of their needs and confirmation that those needs can be met. Evidence: We looked at how people are admitted to the home by examining the recent admission of one person using the service and from information received from the six people who completed surveys. The needs of the recently admitted person had been assessed prior to their admission to Venn House. The manager Paul Reilly, the person themselves and their family had been involved in providing information. The assessment was sufficiently detailed regarding care and health needs and provided some evidence of their choices and preferences, such as time of rising and going to bed. Care Homes for Older People Page 11 of 29 Evidence: We observed arrangements being made to provide for the health care of the new admission. This involved checking their medication needs and arranging for a district nurse and general practitioner to visit. We were shown a copy of the letter which confirmed their assessed needs could be met by the home. This forms part of their contract, therefore protecting them. We visited the person newly admitted and they looked comfortable and well care for. They said about the home: Very happy with the care. They look after you well. The expert by experience spoke with a visitor who said: The home was very supportive during the difficult transitional time of mum moving in and having to give up her home. Of the six surveys returned from people who use the service all said they had received a contract with the home. This should protect both them and the interests of the organization. Asked if they received enough information before moving in four said yes, one said no but added family had investigated the home on their behalf, and one made no reply. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care and health care needs are met. Evidence: We looked at how peoples care and health care needs are met at the home by looking closely at the care of three people who use the service, talking to community nursing staff and from surveys completed by people and staff at Venn House. Care plans should describe how staff are to provide the individual care and support needed and wanted by a person who uses the service. We saw that care plans were informative and staff confirmed that they use them for information. The three examined had been reviewed and updated as needs changed. They contained information relevant to any risk to the person, for example, of falling, and how that risk could be minimized. People at the home looked well care for. Each of the six people who responded to surveys said they received the care and support they needed one adding: The care Care Homes for Older People Page 13 of 29 Evidence: couldnt be better. Everything I need or want. Pleasant and helpful carers. A community nurse with good knowledge of the home said: We have a very good relationship with staff and Paul the manager. Staff are always on the ball. We do lots of teaching and staff are very receptive. Staff at Venn House have been instructed how to complete invasive procedures safely, such as giving insulin, with the community nursing service agreement. We were shown how the home manages medicines on peoples behalf. The records were orderly and clear and all medicines were recorded into and out of the home as they must. Storage of medicines is at three points of the home. We looked at two and found the storage was secure. However, the home currently keeps drugs which are on the special control register and require special storage. Currently the storage arrangements at Venn do not comply with the legislation associated with this. We also found that a previous requirement, that medicines to be taken as required should be part of care planning and risk assessed so they are given in a consistent and safe way, had not been met. However, this only related to simple pain killers at the time and the people to whom they belonged were able to say when they are needed. People spoke highly of the staff and they were seen knocking before entering a persons room in a way that respects their privacy. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Most people who use the service lead a fulfilled life and they receive a wholesome and tasty diet. Evidence: An expert by experience who visited the home as part of the inspection was told there is a named activities organizer at the home. People were aware of various activities but few admitted to taking part saying: I prefer to remain in my room and Not my kind of thing. Mention was made of a popular exercise class run by an ex member of staff but now said to have been stopped. The manager said this has been replaced with a substitute class run in-house. People said the staff supposed to do this did not always have time. Links have been established with TASS, a local charity, and we were told those wishing were assisted to attend. A couple of people who live in the Coach House said they were nervous about walking to the main house for activities one saying: I am afraid I will trip and fall. The manager said they would always be assisted. Two people, asked through survey if there were activities they could take part in, said Care Homes for Older People Page 15 of 29 Evidence: always, one said usually and two said sometimes, one adding: There are many activities arranged, but because of my disability I cant always take part. A community nurse who visits the home said Venn has started initiatives such as arts and crafts, a film on Tuesdays and coffee mornings. We were told of a balloon Olympics held during the summer. The manager says he tries hard to provide activities but, as people themselves confirmed, many choose not to be involved. There are no visiting restrictions at the home and we saw visitors during the visit. Special occasions, such as the balloon Olympics, encourage people to get involved with life at Venn. People are able to make some daily choices, such as the time they wish to rise or go to bed. Although there is no menu choice the cook is said to be aware of peoples preferences. However, people were not aware of ever being asked this. One complaint received by the Commission relates to one persons choice of a particular diet. The manager sought the advice if a dietitian. Opinion varied about the food with the majority of people spoken to saying: Food is excellent and The cook is very good. However, we were told that when the cook is away the standard of food falls. Four people said through survey that they like the meals at the home, one said they usually do and one said sometimes. The meal on the day of the inspection visit was said by the expert by experience to be: Very tasty liver, bacon and sausage with gravy, mashed potatoes, peas and carrots served in the silver service style, followed by an excellent bread and butter pudding with pouring cream. People also commented positively about the chicken the day before. Care Homes for Older People Page 16 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples complaints are not always handled to their satisfaction but they are protected from abuse. Evidence: We looked at how the home manages complaints and keeps the people who live there safe from abuse. People told us that they were aware of the Complaints Procedure. They also said that residents meetings are used to: Moan about trivial things, so they have that opportunity to make their feelings known. The Complaints Procedure was displayed on a notice board where visitors will see it. One person said: The manager Paul always as time to see you. We have received four complaints about the home since the last key inspection of the service, each because the person was not satisfied with the way it was handled at the home. One was in February; the complainant agreed to take the complaint back to the manager who dealt with it. One related to increase in fees and two related to staffing, diet and environment. Although people said they were aware of the Complaints Procedure and would approach the manager in the first instance they said they were equally aware that his hands were tied by constraints imposed by the owner. Care Homes for Older People Page 17 of 29 Evidence: Information is available to staff and visitors on the safeguarding of vulnerable adults. However, the Whistle Blowing policy (which describes the actions staff should take to protect people where they have a concern) does not explain to staff how they are legally protected if they do this. It does not contain information about the Local Authority Safeguarding team and domestic staff in the home were completely unaware of it. A senior member of staff was able to describe how to alert any concerns but other staff interviewed did not know about the Local Authority Safeguarding team although they said through survey that they knew what actions to take if they had concerns. Staff have not received training in how to safeguard vulnerable adults since 2006. The manager says he is trying to find suitable training. We recommend that staff receive this as a priority. There have been no concerns of abuse raised in relation to the home. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a very clean, homely and nicely decorated environment which they like but should be better maintained. Evidence: We saw that the home was very clean and nicely decorated with good quality furnishings and fittings. There has been new carpeting and en suite bathrooms have been upgraded. There are two new assisted Jacuzzi-style baths for people to enjoy. The expert by experience felt that rooms were generally very spacious, well decorated, homely and personalized with peoples own furniture and things of importance to them. People told us how much they liked their rooms. There has been ongoing concern, part of a complaint to us, about the pathway between the Coach House and the main building. Because it is gravel it puts people off using it which restricts them. We also found the low remains of a broken wall and were told visitors had fallen over it in the dark. This was made safe by our second visit. People said that the small step from the Coach House dining room to the outside pathway was an obstacle to those with walking aids, they had requested a small ramp, but nothing was done about it. We found some broken tiles in a bathroom which would pose a trip hazard. The manager and provider confirmed they would be made safe immediately. Care Homes for Older People Page 19 of 29 Evidence: The home has taken steps to ensure adequate hygiene. Soiled laundry is kept separate from other laundry which reduces the likelihood of cross contamination and staff have protective clothing available to them and were seen using it. People said the home is kept very clean one person adding: Excellent. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service continue to be put at risk by the way the home recruits staff, but those currently employed are competent. Evidence: We looked at how staff are recruited and trained and if people have confidence in their ability. Each of six people who responded to survey said they receive the care and support they need and staff are available when they need them one adding: When I ring the bell they are very prompt. The four staff who responded to survey said there are usually enough staff to meet peoples needs. People told the expert by experience that when there is shortage of staff due to sickness the manager helps out and the manager said that when necessary agency staff are employed to meeting staffing shortfalls. Some people continue to express concern that there is only one staff in each house at night. We were told by the manager and staff that there is an on call arrangement with staff living close to the home and additional staff are brought in when there is the need for additional care, for example end of life care. Care Homes for Older People Page 21 of 29 Evidence: Four staff said through survey that the induction training they receive is mostly adequate. They say they receive the ongoing training they need and are kept up to date with new ways of working. A district nurse said the nurses do lots of teaching at the home and staff are always receptive and very much on the ball. Staff are encouraged to undertake National Vocational Training (NVQ) in care, achievement of which is an indicator of their competence. One is currently doing her Registered Managers Award, two have NVQ 3 and three have NVQ 2. The home has been required to ensure new staff are only employed following completed safety checks so that they are safe to work with the vulnerable adults in their care. This requirement goes back to Autumn 2006. We looked at the recruitment records of the four people employed in the last year and found each started work before those checks were complete. Neither were all references satisfactory, as some were not from previous employers. The references of one staff could not be found at all. However, where previously the record of employment history did not provide sufficient information to the manager this time there was more detail. Staff confirmed that new staff are extra to numbers and only work supervised by a senior member of staff. However, this was not recorded on the staffing roster as it should have been. (Please also read the section: Management and Administration). Care Homes for Older People Page 22 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The many positive aspects of the home are overshadowed by a very poor approach to the safety of people using the service. Evidence: We looked at how well the home is run and whether peoples best interests and well being are promoted. Staff said of the manager Paul Reilly: He cares a lot, he is hand-on and he sees everybody every day. Asked to rate him as a manager they gave him nine out of ten. People told the expert by experience that: Paul always has time to see you and I see Paul frequently. However, people also said he had his hands tied by financial constraints outside his control which they gave as a reason why complaints and requests are not always met. We saw Mr. Reilly spending time ensuring a person who required a doctor had this arranged immediately and he also escorted a person to an appointment. Care Homes for Older People Page 23 of 29 Evidence: District nurses speak highly of Mr. Reilly and the care provided at the home. People confirmed that there are residents meetings but added that very few people attended and: What is the point when the manager cant do anything. We saw the records of the last meeting held in September; they remained hand written and contained very little detail. Mr. Reilly added that people had not had their opinion surveyed: for some time. The person responsible on behalf of Venn Care Ltd. now does the required visits to the home and produces a report of his findings for the manager. The September report showed that one person who uses the service was asked their opinion of the home, but only one. Neither were any staff interviewed for their opinion as they should be. Staff said they would like him to take more interest. The home sent us their annual quality assurance assessment (AQQA) which focuses on how well outcomes are being met for people and provides statistics about the home. It was not very detailed and therefore did not provide us with much information. Staff confirmed that they have meetings where they discuss peoples needs and issues connected with the home adding that they are able to be honest and open at the meetings. They also confirmed that they receive regular supervision of their work and feel supported. Mr. Reilly said the home does not get involved in peoples finances other than cashing cheques for them. We were told that a mini safe or lock for the bedroom door will be made available if wanted. We looked at some policies and procedures including quality assurance, whistle blowing and the safe management of substances hazardous to health (such as cleaning fluids). This policies says: All employees will be provided with comprehensive information and instruction about hazardous chemicals, but staff said they had never received that information or instruction. However, staff do receive training in other aspects of health and safety such as first aid, fire safety and food hygiene. In 2006 the home was required to improve recruitment procedure so that only staff confirmed as safe to work with vulnerable adults are employed to do so. Once again this requirement was unmet. (Please see the standard on Staffing). It is the managements responsibility to ensure staff recruitment is robust. There was also a repeat requirement regarding the handling of medicines. Care Homes for Older People Page 24 of 29 Evidence: We found that environmental hazards are not given sufficient priority; the broken wall in the garden and the broken tiles in the Coach House both posing a trip hazard. A ramp to help people over a step from the Coach House to the garden would help those with poor mobility. People told us they had requested this. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13(2) There must be a record of 18/11/2008 when medicines, prescribed to be taken `as necessary or `as required, may be administered. This must be part of care planning and risk assessment so that medicines are given in a consistent and safe way. Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 (2) 18/11/2008 There must be a record of when medicines, prescribed to be taken as necessary or as required, may be taken. This must be part of care planning and risk assessment. This requirement was not met by 31/10/07. So that medicines are given in a consistent and safe way. 2 9 13 (2) Controlled drugs administered by staff must be stored in a metal cupboard, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973 To reduce the likelihood of mishandling. 31/12/2008 Care Homes for Older People Page 27 of 29 3 33 24 Peoples requests for 30/11/2008 improved quality in the service they receive must be met where ever this is a reasonable request. So that the home is run in the best interest of people who use the service. 4 38 13 Recruitment practice must ensure people employed are safe to work with vulnerable adults through completing safety checks prior to employment commencing. To protect people who live at the home. 17/11/2008 5 38 13 All staff must receive training in the safe handling of chemicals. For staff and peoples protection and in line with the homes own policies and procedures. 31/01/2009 6 38 13 Trip hazards must be identified and made safe. To prevent accidents. 17/11/2008 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 16 The registered provider should reconsider his approach to the handling of complaints so that people who use the service and their family do not feel the need to take complaints outside the service. Staff should receive regular training in how to protect vulnerable adults from abuse. 2 18 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) 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. 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