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Inspection on 10/12/08 for Weatherstones House Nursing Home

Also see our care home review for Weatherstones House Nursing Home for more information

This inspection was carried out on 10th December 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.

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

There was a friendly atmosphere and residents were observed to be relaxed and comfortable with the staff. The activities organiser was present and sorting out the arrangements for the Christmas period. Social events were seen to be well managed and the activities organiser meets with the residents Monday to Friday either as a group or on a `one to one` basis if preferred. Residents said they enjoyed the social arrangements that she arranges and that they have a lot of fun and enjoyment with the staff. Discussion with the manager and staff confirmed their knowledge of the residents` social and care needs which are assessed on admission to the home. Staff were seen to be attentive to the residents with their support requirements, for example, help with washing and dressing and meals. Residents said they were pleased with the standard of care and that staff were always `on hand` to help. Resident comments included, "Very good care" and "I only have to ask and they come and help me." The routine was seen to be flexible and residents could choose how they wished to spend their day. Residents are encouraged to maintain contact with their family and friends, so that they can continue to be part of family life. Visitors were seen at different times of the day and made welcome by the staff. Good communication was evident between everyone. A resident said, "The staff are very friendly."

What has improved since the last inspection?

New care plan documentation has been introduced following the last key inspection and care plans seen recorded up to date information and instructions to the staff on how to give the care. A recommendation is made under `What the home could do better` to help them make the care plans more person centred which means they are unique for the individual. Medicine charts were maintained accurately so that the staff and residents knew about the medicines prescribed. Residents said they are offered fresh fruit during the day as part of the menu. Records were locked away when not in use to ensure confidentiality of the information held.

What the care home could do better:

Staff require training in safe working practices for food hygiene and first aid. This will ensure they have the skills and knowledge to undertake this work in a safe manner and to provide improved outcomes for the residents. A staff training plan should also be developed to evidence courses attended and future training. Resident care plans should contain more detail to the make the plan of care more person centred which means they are unique to the individual. This will help provide more information to staff on how to treat and care for a resident according to their individual need and wish.The temperature of the medicine fridge should be recored daily to ensure medicines are stored at the correct temperature so as not to spoil them. A complaint log should be kept for any concerns received. This will provide evidence of the complaint and any investigation conducted. To help protect residents staff should receive adult protection training. This will enhance their knowledge of adult protection procedures should an allegation of abuse be received.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Weatherstones House Nursing Home Chester High Road Neston Wirral Cheshire CH64 7TD     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: Claire Lee     Date: 1 0 1 2 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 27 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 27 Information about the care home Name of care home: Address: Weatherstones House Nursing Home Chester High Road Neston Wirral Cheshire CH64 7TD 01513368383 F/P01513368383 Noemail Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dawn Clair Holland Type of registration: Number of places registered: Weatherstones House Care Ltd care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Weatherstones House is a large sandstone detached property set in two acres of grounds. It is registered to provide care to frail older people. It is situated on the A540, close to the village of Willaston and the town of Neston. A private drive leads to the house and there are good parking facilities. Accommodation for residents is on two floors, with a passenger lift providing access to the first floor. In certain areas ramps have been constructed to provide access to rooms that are on different levels. On the ground floor there are two lounges, a conservatory and a dining room. The ground floor also has eleven bedrooms, an office, nurse station and kitchen. The first floor has a small sitting area, thirteen bedrooms and the clinical room. There are assisted toilets and bathrooms on both floors and a nurse call system and fire alarm system are installed throughout. Fees for accommodation are set at 480.00 pounds a week plus a Care Homes for Older People Page 4 of 27 Over 65 31 0 Brief description of the care home nurse banding of 103.00 pounds a week according to assessed need. The Commission for Social Care Inspection reports were available for people to read at the home. Care Homes for Older People Page 5 of 27 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 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: A site visit took place as part of the unannounced inspection. It was conducted over one day for a duration of approximately eight hours. Twenty two residents were accommodated at this time. The previous inspection was conducted on 18th December 2007. A partial tour of the premises took place and a number of care, staff and health and safety records were viewed. Discussion took place with four residents, one relative, four staff and the manager. During the inspection three residents were case tracked. This means that their care files were looked at and their views of the home obtained. Other residents also took part in the inspection process and all the key standards and other standards were inspected. Care Homes for Older People Page 6 of 27 Satisfaction surveys called Have Your Say forms were distributed to a number of residents and staff prior to the inspection. A number of comments included in the report are taken from interviews conducted and surveys received. Some weeks before the inspection the manager was asked to fill in a questionnaire called an AQAA (Annual Quality Assurance Assessment). The AQAA comprises of two self questionnaires that focus on the outcomes for people. The self assessment provides information as to how the manager and staff are meetings the needs of the current residents and a data set that gives basic facts and figures about the home, including staff numbers and their training. The AQAA was completed to a satisfactory standard and helps us to determine if the management of the home see the service they provide the same way that we do. People living at the home like to be called residents and this term is used through the report. What the care home does well: What has improved since the last inspection? What they could do better: Staff require training in safe working practices for food hygiene and first aid. This will ensure they have the skills and knowledge to undertake this work in a safe manner and to provide improved outcomes for the residents. A staff training plan should also be developed to evidence courses attended and future training. Resident care plans should contain more detail to the make the plan of care more person centred which means they are unique to the individual. This will help provide more information to staff on how to treat and care for a resident according to their individual need and wish. Care Homes for Older People Page 8 of 27 The temperature of the medicine fridge should be recored daily to ensure medicines are stored at the correct temperature so as not to spoil them. A complaint log should be kept for any concerns received. This will provide evidence of the complaint and any investigation conducted. To help protect residents staff should receive adult protection training. This will enhance their knowledge of adult protection procedures should an allegation of abuse be received. 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 27 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 27 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. The care and social needs of the residents are assessed prior to admission to ensure the staff can provide the care and support they need. Evidence: The manager is not a registered nurse and therefore the care needs assessments are completed by the deputy manager who is a registered nurse. She takes the clinical lead on assessing the care and support residents need prior to admission. This is carried out with the full support of the manager. Two assessments were viewed for residents recently admitted to the home to ensure the staff can meet their health and social care needs effectively. The information identified what the resident could do and could not do for themselves. A resident said that they were comfortable living at the home and that the staff had made a point of finding out what level of support they needed. Care Homes for Older People Page 11 of 27 Evidence: Intermediate care is not provided at the home and this standard was not assessed. Care Homes for Older People Page 12 of 27 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. Residents receive their care and support in a respectful manner that meets their expectations. Evidence: Residents have a care file with care documents that record information to keep them well and safe. Three residents were case tracked and their respective care files were seen. The care files contained a plan of care which gave details of the care and support they needed and instructions to staff on how to provide this. The AQAA states that reviews have taken place of the care documents since the last key inspection and improvements were seen with regard to the information recorded. New care plans have been introduced to help with this process. Care plans included areas such as, personal hygiene, mobility, communication, continence and nutrition. Advice was given on how to make them more person centred which means they are unique to the individual. This will help provide more information to staff on how to treat and care for a resident according to their individual need and wish. Care Homes for Older People Page 13 of 27 Evidence: Any risk to the resident had been recorded with instructions to staff on how to keep the resident safe and minimise any injury to them. This was seen in relation to moving and handling, falls and eating and drinking. Residents interviewed said they could see their doctor at any time and that staff would arrange appointments on their behalf. Evidence was seen in the care files to support the fact that residents see different health professionals. This helps to keep them well. Staff interviewed were knowledgeable regarding the care needs of the residents and the level of support they needed with their daily tasks. Resident care needs had been reviewed regularly to make sure their needs were met in a way they preferred and according to their current state of health. Resident comments included, The care is really good, I could not ask for more and I get lots of help. Staff have access to policies and procedures for safe medicine administration and the medicines are administered by the registered nurses. Medicines were well managed and medicine charts seen showed that residents had received their medicines as prescribed. A resident said that they receive their medicines on time and were able to discuss them with the staff. No residents were administering their own medicines. If they wish to do so this practice would be risk assessed to ensure this is managed in the safest and best way for them. Medicines were seen to be appropriately stored however the temperature of the medicine fridge was not being written down each day. This should be undertaken to ensure medicines are stored at the correct temperature so that they do not spoil. The staff were seen to communicate well with the residents and they were respectful in their approach and manner. Residents spoken with said that the staff were polite, caring and that nothing was too much trouble for them. Staff were seen to provide care in an unhurried manner and they used equipment and aids to help the residents move safely. A resident said, I have all the support I need, I just ring my bell and they come to me. Details in the AQAA and talking with staff confirmed that they receive a hand over at each shift where information is exchanged regarding the residents care. This helps them to know what care and support each resident needs and to report any changes in their health. Care Homes for Older People Page 14 of 27 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. Social activities and meals are both well managed and provide daily variations and interest for the residents. Evidence: Residents can take part in a good range of social events and activities. An activities organiser is employed to undertake the social arrangements in the home and she was on duty at the time of the site visit. The activities organiser was enthusiastic regarding her role and how she seeks to provide an entertaining programme to suit individual need. A resident said, I like to join in as it makes the day fun. Families and staff help the residents to to complete a social history which details their preferred hobbies, interests and family background. A record was also seen of what the residents take part in each day and whether they have enjoyed the activity. This included bingo, music, quizzes, manicures, sensory equipment, hand massages and one to one therapy. The sensory equipment is portable, has bright colours and relaxing music. This provides a pleasant and calming activity for residents to enjoy. Christmas activities were also underway and families have been invited to join their family member for Christmas lunch. Some residents are going to friends and family over the Care Homes for Older People Page 15 of 27 Evidence: Christmas period . The AQAA reports that a new sun terrace has been built to help the residents enjoy the garden. The gardens are spacious, landscaped and used by the residents during the warm months. Visitors were seen at various times of the day. A relative confirmed that they could visit at any time and that staff were always friendly and welcoming. Staff were observed to spend time chatting to residents and the activities organiser was discussing the news and important events to help them keep abreast of current affairs. Residents can attend church services at the home so that they can continue to worship their chosen faith. A chiropodist and hairdresser service is available as part of meeting the residents preferred needs and wishes. Residents are offered a four week menu which is kept under review and the residents are asked what they would like to eat each day. Meals are served in the dining room or in their private room if preferred. The menu offered a good choice of nutritious foods and although meal times are set the staff ensure flexibility. This is to accommodate individual need, for example, hospital appointments and family visits. Residents were pleased with the standard of the meals and the quality of the foods purchased. Residents are asked about their dietary preferences to ensure the chef cooks meals to their liking. Lunch was seen to be served in a relaxed and unhurried manner and it was a social occasion for residents to get together. The dining room tables were attractively laid for lunch. Resident comments included, Lovely food, The lunch is served hot and I can ask for what I want and the girls will try and get it for me. Care Homes for Older People Page 16 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents were protected by the complaints and safeguarding procedures, which were understood by the staff. Evidence: There is a complaint policy and procedure and the details could be found the in the service user guide and on display in the home. Residents interviewed were satisfied with the care they were receiving and they said they would speak to the manager if unhappy regarding anything. The AQAA reports that no complaints have been received however it is recommended that a formal log be kept if a person raises a concern. This would provide details of the complaint and any investigation conducted. The manager has adult protection procedures to protect the residents and staff. Local guidelines were also available so that staff can contact the relevant local authorities should they need to report any incident. A staff member interviewed discussed the various signs and types of abuse however it is recommended that all staff receive adult protection training to to ensure they know how to deal with an allegation of abuse. Care Homes for Older People Page 17 of 27 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 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 safe, comfortable, well maintained accommodaiton. Evidence: Weatherstones House provides homely accommodation and areas seen were accessible, safe, clean and well maintained. There is a passenger lift for resident use and bedrooms and communal areas have an alarm bell system to enable residents to call for assistance. There is also equipment and aids such as hoists and hand rails to help them to maintain their independence. A handy person is responsible for keeping the premises in a good state of repair and also undertaking some decorative work. The AQQA reported that new carpets have been fitted and some bedroom decoraton has taken place. This was seen whilst touring the premises. Residents spoken with were pleased with the standard of furnishings and fittings and the general upkeep of the home. Residents said they could bring items in from home to help their room feel special to them. Their comments inlcuded, I have everything I need with me and my bedroom is cleaned most days and The bedroom has a comfortable bed. There are two lounges, one of which is used as a quiet room. This provides residents with a quiet place to sit if they wish. Both rooms had comfortable arm chairs. There is Care Homes for Older People Page 18 of 27 Evidence: a dining room on the ground floor and a small seating area on the first floor. The staff had put up Christmas decorations throughout the home home for the festive period. A resident said, The home looks lovely and the staff have gone to a lot of trouble. A number of residents were sitting in the lounges and others had chosen to remain in their private room. Staff said that residents can choose where they wish to spend their day. Records viewed and details provided in the AQAA confirmed that the premises have been visited by a fire contractor and a safety contract was viewed for maintaining fire prevention equipment. An environmental health inspection was also conducted earlier this year as part of assessing food hygiene standards. This was found to be satisfactory. Care Homes for Older People Page 19 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A lack of staff training in first aid and food hygiene could put residents at risk. Evidence: Examination of the staffing rota and direct observation confirmed that there were sufficient numbers of staff on duty to provide the care and support to the residents. The manager was supernumerary and a registered nurse was on duty with four care staff during the day. Residents said that there were enough staff to help them with different tasks, example washing and dressing. They also said that this assistance was given in a respectful manner. Resident comments included, I get help each day with washing and they help me to the lounge, I only have to ask for help and the girls come and I have enough help. The manager has a policy for staff recruitment and an equal opportunities statement which ensures employees are recruited fairly. The AQAA reported that the manager is looking to involve residents in the interview process for new staff as part of encouraging their participation in the running of the home. Four staff files were viewed and these included the files of two new staff members. The files contained police checks and references from past employers. CRB (Criminal Record Bureau) disclosures are kept at head office and it would be beneficial to keep a record of these details at the home for the managers information and for the purpose of inspection. One file Care Homes for Older People Page 20 of 27 Evidence: only had one written reference and advice was given on how to obtain a character reference if two past employer references were not available. The manager agreed that this would be obtained. New staff receive a formal induction which gives them information regarding the home, its policies and procedures and how to work safely. This helps the staff to settle in to their new job and to assist with their training programme in care. A number of staff are undertaking infection control training and the manager has instructed the staff on how to transfer residents safely. Staff require training in food hygiene and first aid. No dates have been booked for this to ensure they have the skills to undertake this work safely and to provide improved outcomes for the residents. There was no training plan to evidence courses attended or any future training; this would be beneficial when planning staff training. The manager agreed that training would be sought in the areas identified and the Commission for Social Care Inspection advised of future training dates. The AQAA gave details of NVQ in care at Level 2 and above. Fourteen staff are employed and eight have achieved an NVQ. Four are working towards one. This provides a ratio of over 50 of qualified staff, which is evidence of their continued learning. Care Homes for Older People Page 21 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed with systems, policies and procedures to ensure the health and safety of staff and residents living there. Evidence: Ms Dawn Holland is the registered manager and she has many years experience in caring for the older person. Ms Holland has completed the Registered Managers Award as part of her managerial development and she undertakes training with her staff. Ms Holland has also completed a dementia care course which is relevant to her role and responsibilities. Staff interviewed said the manager was approachable and provided a good level of support to everyone. A resident commented that the manager was available at any time to talk to. There are clear lines of accountability with the home and the manager is supported in her role by a full compliment of staff and the owners. This demonstrates a commitment to the development of the home thus improving the quality of life for the Care Homes for Older People Page 22 of 27 Evidence: residents accommodated. A monthly visit is conducted by senior management to ensure the home is run in the best interests of the residents and a report is made of their findings. Residents and relatives are also asked to complete surveys which enables them to give their opinions of the service. Those seen reported favourably regarding the staff, the standard of care and the environment. Resident meetings were currently not being held as they had not requested at this time. Staff interviewed said they attend regular meetings and they receive supervision of their job roles as part of their development. Records seen evidenced recent dates for these. The manager and staff have been awarded an external quality award as part of assuring the quality of the service. The manager is responsible for small sums of monies held on behalf of residents. Records seen were in good order to ensure the safe keeping of their finances. The AQAA confirmed that health and safety policies and procedures were in place and that maintenance and associated records for services, for example gas, electric and fire prevention had been kept up to date. Records seen at the time of the site visit confirmed this. Fire alarms had been tested weekly and the staff receive regular fire training. These measures help to ensure the ongoing safety of people in the home. Risk assessments had been completed with regard to safe working in the home and accidents affecting residents welfare had been recorded. The AQAA reported that accidents are reviewed on a regular basis to help establish the cause and what actions can be taken to minimise risks to the residents. As previously stated under staffing (Standard 30) a training plan should be developed for the staff. They also require training in first aid and food hygiene. This will help promote safe working practices and improved outcomes for the residents. Care Homes for Older People Page 23 of 27 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 Older People Page 24 of 27 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 30 13 Staff must have first aid training. This will ensure staff have the necessary skills and knowledge to deal with emergency situations that affect a resident. 18/03/2009 2 30 18 Staff must have training in food hygiene. This will ensure they have the skills and knowledge to handle food in safe manner. 18/03/2009 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 7 Care plans should continue to be reviewed to ensure they contain more detail regarding the level of support and care residents need. This will make them more person centred which means they are unique to the individual. The temperature of the medicine fridge should be recored daily to ensure medicines are stored at the correct temperature so as not to spoil them. 2 9 Care Homes for Older People Page 25 of 27 3 16 A complaint log should be kept for any concerns received. This will provide evidence of the complaint and any investigation conducted. To help protect residents staff should receive adult protection training. This will ensure they know how to deal with an allegation of abuse. A record of CRB disclosures should be kept at the home for the managers information and for the purpose of inspection. A training plan for the staff should be developed to evidence courses attended and future training. 4 18 5 27 6 30 Care Homes for Older People Page 26 of 27 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. 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. Care Homes for Older People Page 27 of 27 - 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. 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