Inspection on 08/12/08 for Webb Road (1a)

This inspection was carried out on 8th 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Webb Road (1a) 23/08/07

Webb Road (1a) 02/08/06

Webb Road (1a) 16/02/06

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Webb Road (1a) 1a Webb Road Blackheath London SE3 7PL     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: Lorraine Pumford     Date: This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Webb Road (1a) 1a Webb Road Blackheath London SE3 7PL 02083051920 02088588918 tomlindsay@avenuestrust.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Avenues Trust Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home 1a Webb Road is a residential care home for six younger adults with both physical and learning disabilities. It is a modern chalet style detached building near to Greenwich Park and Blackheath Village. Accommodation is over two floors. Bedrooms are on the first floor and communal areas on the ground floor. A passenger lift enables residents to access all areas of the home. To the rear of the property is a raised garden. This has steps with support rails leading to a gazebo. French windows open from the lounge onto the rear garden. Parking space is provided to the front of the property. 6 6 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over two days. We met with a number of people who live in the home and with the manager, area manager, visiting relatives and staff on duty. We looked at the Annual Quality Assurance Assessment, AQAA, sent in by the provider. This self-assessment document focused on the outcomes for people using the service and plans the provider is making for the future operation of the service over the forthcoming months. The last inspection report was viewed. We looked at what the provider had told us about events that have happened in the service, these are called notifications and are a legal requirement. During the time we spent at the home we examined a number of policies, procedures and documents and undertook a tour of the buildings. Care Homes for Adults (18-65 years) Page 5 of 29 Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Action is required in relation to the transporting of medication outside of the home. Staff must take action to ensure that people who have additional dietary requirements receive a suitable diet. Some residents would benefit from being helped by staff to personalise their own bedroom. Care Homes for Adults (18-65 years) Page 7 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 2,4 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from their individual needs being assessed and the opportunity to visit the home before being offered a permanent place. Evidence: The manager stated that one person has been admitted to the home since the last time we undertook an inspection and records were examined in relation to this persons pre admission assessment. The assessment included participation by relevant health and social care professionals, the resident has profound learning and physical disabilities and therefore the persons relatives were involved in the process and had provided comprehensive information in relation to his care needs. There was evidence that the person had been able to visit the home on a number of occasions and had stayed overnight for short periods of time to enable him time to Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: familiarise himself with the home, peers and members of staff. This also gave staff the opportunity to ensure they could meet the persons needs before he was offered a permanent placement. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 6,7 and 9 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home can be confident that they will be supported to have an individual care plan and risk assessments which helps staff to meet their needs. Residents benefit from staff helping them to make choices in their daily lives. Evidence: Care plans were examined for two people, one who had lived in the home for more than a year and one for less. We also spoke to the manager and care staff about the care plans. The present system is spread over more than one file and the amount of paperwork means it is difficult to find the record needed and it is recommended action is taken to address this, however when located both people had comprehensive care plans in place, which provided staff with guidance on how to meet the residents needs. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: There was evidence that care plans had been reviewed and residents advocates had been involved in the process. Parents spoken with confirmed they were invited to attend reviews. Each resident has a named key worker and they are responsible for helping with personal shopping, attending healthcare appointments, and organising leisure activities. The people living in the home have profound learning and physical disabilities and therefore their ability to make decision that effect their daily lives is limited. However staff have tried to address this by recording peoples likes and dislike and by offering people choices of refreshments, where they want to be in the home etc. We read the risk assessments for the same two people who live in the home. It was possible to see that staff had identified areas of personal risk. One person requires specialised aids and adaptations to be used and there was comprehensive risk assessments in place in relation to staff using this equipment to support the resident. One person is at risk of self harm and there was clearly written information in relation to the behaviour the person is likely to exhibit and the action required by staff to minimise the risk of harm to the person concerned. The two residents assessments and care plans clearly stated what arrangements were in place to support them to manage their personal finances including who acts as their appointee and how they can access their monies. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 12,13,14,15,16 and 17 were inspected. People using this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of activities although action is required to increase these. People living in the home are supported to maintain links with family and friends. Staff must take action to ensure that all of the people living in the home receive an appropriate varied nutritious diet. Evidence: The manager stated that due to the level of residents disabilities none of the current resident group are able to access employment or formal education. Some residents attend day centres for part of the week, the health care needs of some people have increased and the day centres have said that it is no longer possible for them to Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: attend. The manager stated staff were still trying to find appropriate activities to fill the additional time people now have. Records showed residents are supported to go out shopping and attend a number of social clubs. Two people are supported to attend Charlton football club matches. Relatives spoken with stated that the home had been allocated a minibus however this was not being used. The manager stated that none of the staff working in the home were able to drive the bus. The manager was asked to discuss this with senior managers to ascertain if it was possible for them to allocate a member of staff from another home for some additional hours to enable people living in Webb road to benefit from having their own transport. From evidence seen and relatives spoken with it is apparent that staff help residents to maintain contact with their families and friends. Relatives stated they were kept informed about important information. On the first day we visited residents were eating a pasta bake there were no vegetables with the dish and it looked bland and dry. Record seen indicated that one of the people eating the food has a health condition which meant this food was not an appropriate option for this person. Staff were asked to talk to the doctor with a view to referring the person to a dietician to ensure staff were provided with appropriate information regarding a suitable diet for the person. Staff were seen to support residents requiring assistance with eating in a calm unrushed manner. On first day we visited the home staff had not been keeping a regular record of meals provided to people for a number of weeks. On the second day that we visited the manager stated that staff had been asked to ensure that action was taken to address this and we were shown the relevant documentation. The manager stated people living in the home have limited abilities to manage housekeeping tasks however one or two residents have shown an interest in helping staff to prepare meals and these people are given regular opportunities to do this. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 18, 19, 20 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are supported in a manner that protects their privacy and dignity. Each person benefits from access to professional healthcare input based on their individual needs. Medication procedures help safeguard people in the home although action is required in relation to the transporting of medication outside of the home. Evidence: We looked at the healthcare records for two people living in the home. They had all been supported to access a range of healthcare professionals including the GP, physiotherapist, occupational therapist and other appointments according to their individual needs. Staff maintain a record of residents healthcare appointments. We looked at the homes medication practices, storage, recording and administration records. Medication was found to be securely stored. A record of staff signatures was Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: being maintained, this enables persons inspecting the records to undertake an effective audit. A photograph of each resident was attached to their MAR sheet. Where hand written entries are being made to the medication record the document had been signed by two members of staff to reduce risk of error. We talked to staff on duty about the procedure for medication being transported from the home to peoples day centres and back again. This process appears informal and action must be taken to ensure that there is a clear procedure for staff to follow in relation to safely transporting medication. Protocols for the administration of PRN medication was seen to be in place. Staff stated they receive training in relation to medication and are assessed as competent before undertaking the task independently. We observed during the inspection that staff spoke to residents in a respectful manner and address them by their preferred name. People that we met were wearing clean and age appropriate clothing which reflected the weather and activities that residents were participating in on that day. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 22 and 23 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people living in the home have access to an appropriate complaints procedure. Procedures and training on safeguarding vulnerable adults are in place to protect and safeguard residents. Evidence: Relatives spoken with stated they felt able to speak to either the manager or The Avenues Trust directly if they had any concerns regarding the care or service provided in the home. Information provided in the AQQA completed by the manager prior to the inspection indicates that five complaints have been received since the last inspection. Two of the complaints were processed within 28 days of being received and were upheld, at the time of writing the report three complaints are still being investigated by the provider. Information provided in the AQQA indicates that two incidents have occurred in the home which have been forwarded to social services to be investigated under the joint working safeguarding adults protocol. The manager stated that a new complaints log has been introduced and this forms part Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: of the providers monthly audit and is monitored to enable them to identify areas of improvement that need to be made. Staff receive training regarding safeguarding adults and the Avenues Trust whistleblowing policy at the time of their induction and regular additional training is provided in relation to this. We checked the personal finances for two residents including their cash record, cash and receipts. Residents are supported by staff to manage their monies. There is an individual finance record for each person and their cash is held in a lockable filing cabinet. All expenditure is recorded and receipts are available. The record of expenditure was inspected and money had been spent appropriately and receipts were available, money held tallied with the records seen. Care Homes for Adults (18-65 years) Page 19 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, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 24 and 30 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use this service continue to benefit from the ongoing redecoration program. Some residents would benefit from being helped by staff to personalise their own bedroom. The home is kept clean and hygienic and is a pleasant environment for the people who live here. Evidence: The home is a purpose-built two-storey building. The office is situated on the ground floor and there is a spacious lounge and kitchen diner. There is a room suitable for private conversation although this is currently used for storage and would benefit from being suitably furnished. There is a bathrooms and toilet situated on the ground and a shower room and toilet on the first floor, both are provided with appropriate aids and adaptations to meet the needs of the people accommodated. People living in the home benefit from there being a lift. Bedrooms are situated on the first floor, unfortunately rooms have their windows located in the roof so it is not possible to view the outside from any of the bedrooms in the home. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: All of the residents bedrooms were seen. Two of the bedrooms seen were individually personalised and contained lots of photos and mementos, one person had a Charlton Athletic Football Club quilt cover, however in contrast other rooms appeared stark and impersonal. One person had a number of black plastic refuge sacks filled with clothing left in their bedroom which detracted from a homelike environment. This was discussed with the manager, and it is recommended, that all residents, particularly those not supported by relatives are helped by staff to personalise their own bedroom. Discussion took place with staff in relation to the appearance of residents beds. All of the quilt covers were badly creased, beds had not been made properly and bottom sheets have not been smoothed. Not only did this look unkempt but also may be uncomfortable for people sleeping in them. The area manager stated that action would be taken to address this. A requirement was made at the time of the last inspection regarding the need for work to be undertaken to a fire door and the need to replace the fascia to a radiator which was potentially hazardous and action has been taken to address this. It is evident that the home continues to benefit from ongoing refurbishment and redecoration. On the day that we visited the home was warm, comfortable and free from unpleasant odours. Staff spoken with stated that the laundry equipment meets the current needs of the residents accommodated. Care Homes for Adults (18-65 years) Page 21 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, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 32,33,34,35 and 36 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a sufficient number of staff being employed to meet their needs. Staff receive a range of training and are supported by regular supervision sessions. Sound recruitment procedures help safeguard people living in the home. Evidence: We checked the rota for the home and this showed that in addition to the manager there is a team of fifteen staff who work on a shift bases through out the day. The home has one member of staff awake at night. Three of the people living in the home require the assistance of two members of staff for help with personal care, the manager stated that on some occasion one person may require the help of three members of staff. Discussion took place around the care needs of people during the night, the manager stated that at present none of the residents required assistance during the night however in the event of their needs changing an additional member of staff would be provided. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: The manager stated that the home has experienced staffing difficulties over the past few months. The home operated with a number of vacancies which they were unable fill due to the providers legal obligation to offer employment to staff working in another home which they had decided to close. Prior to the new staff transferring to Webb road the manager stated that he had managed to achieve staffing levels by staff working additional hours and covering further shifts with bank or agency staff. Relatives spoken with raised concerns about the current staff group and felt that the amalgamated staff teams did not get along together and that this caused an unfortunate atmosphere within the home and they were worried about the effect this may have on people living there. This matter was discussed with the manager and area manager who stated that initially staff had found it difficult working together in terms of getting used to colleagues various approaches however staff had worked through these issues. The area manager stated that senior managers recognised the difficulties that staff had experienced and arranged for team days to help staff work through this period of time. We looked at training provided for staff working in the home. The manager stated that all staff are required to participate in the organisations comprehensive induction programme. More than seventy percent of staff hold an NVQ 2 or above in care. Copies of staff training certificates were seen and these indicated staff had undertaken all mandatory training as well as specific training to support the residents they care for. We looked at supervision records. All staff received regular individual supervision. A requirement was made at the time of the last inspection regarding the need for the provider to be able to show that sound recruitment procedure had been followed. We looked at the recruitment records for two people who have been working in the home for more than twelve months. There was evidence that the provider had taken up two references, people had provided proof of ID and a POVA and CRB disclosure had been completed. The manager stated that the Avenues Trust has a system to routinely update employees CRB checks. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 37,39 and 42 were inspected. People using this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Health and safety measures are in place to safeguard the people living in the home. The responsible person must ensure that night staff are included in fire drills.The quality improvement system seeks the views of people involved in the service. Evidence: The manager informed us that he would shortly be leaving his post. The area manager has provided us with information regarding the day-to-day running of the home until a new manager is recruited to the post. The manager explained that a quality assurance system is in place including regulation 26 monitoring visits. Copies of reports written in relation to these audits were available for inspection. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: The Avenues Trust has questionnaires which seek the views of people who use their services, relatives and other care professionals as part of a quality improvement plan. Records seen indicate the fire alarm and fire extinguishers had been serviced. The fire alarm records showed the alarm is checked weekly and fire drills have been taking place regularly, discussion took place regarding the need to ensure that night staff are included in this training. Records seen show that staff have completed health and safety training, food hygiene and infection control. The AQAA showed that all the health and safety maintenance checks had taken place. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 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 17 16 The responsible person must 02/03/2009 ensure that people receive a nutritional diet that meets their needs. To maintain good health. 2 20 16 The responsible person must 02/03/2009 ensure that there are appropriate procedures in place for handling medication outside the home. To minimise the risk of an error occurring 3 42 18 The responsible person must 31/03/2009 ensure that night staff are included in fire drills. So that people working in the home know what to do in the even of a fire. 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 Care Homes for Adults (18-65 years) Page 27 of 29 1 2 3 6 24 24 Reorganise care plans so that key information can be more easily located. Residents beds should be made so they are comfortable to sleep in. Residents need to be supported by staff to personalise their own bedrooms. Care Homes for Adults (18-65 years) 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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