Inspection on 06/01/09 for Westwood

This inspection was carried out on 6th January 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Westwood 03/08/06

Westwood 17/11/05

Westwood 20/07/05

Westwood 21/03/05

Westwood 26/11/04

Westwood 01/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westwood Talbot Road Worksop Nottinghamshire S80 2PG     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: Angela Starr     Date: 0 6 0 1 2 0 0 9 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. that people have said are important to them: They reflect the things 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 28 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 Older People Page 3 of 28 Information about the care home Name of care home: Address: Westwood Talbot Road Worksop Nottinghamshire S80 2PG 01909533690 01909533691 mel.ward@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Nottinghamshire County Council Name of registered manager (if applicable) Mrs Melanie Anne Ward Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: A maximum of 5 PD 55 years and over, only to be accomodated outside of the intermediate care unit Out of the total number of beds (60), 15 may be used for PD 55 and over Out of the total number of beds (60), there will be 15 beds for DE 55 and over and/or DE(E) Service users shall be within category OP Date of last inspection Brief description of the care home Westwood is a purpose-built two-storey home which is owned by Nottinghamshire County Council and jointly funded by the local Primary Care Trust (PCT) in respect of the intermediate care unit, health care professionals are employed to work on that unit Care Homes for Older People Page 4 of 28 care home 60 Over 65 15 60 0 15 0 15 Brief description of the care home The home is registered to provide personal care and accommodation for 60 residents. 30 residents receive long-term care, 15 places are allocated for respite care and a further 15 beds for Intermediate care. There is a 20 place day centre attached, for which the manager has overall responsibility. The home is located on the outskirts of the centre of Worksop, where there are many facilities for shopping and socialising. There is a passenger lift providing access to the first floor, and the home is arranged in four separate units each having its own adapted bathroom, dining room, lounge and kitchenette. The grounds are pleasant and securely enclosed with perimeter fencing. The monthly accommodation charges for those residents who are self funding would be 377.00 pounds per week. A copy of the most recent inspection report is available in the home and on the CSCI web site at www.csci.org.uk Care Homes for Older People Page 5 of 28 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: The focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing Care Homes for Older People Page 6 of 28 us with information to assist in planning our visit and deciding what areas to look at. We also reviewed all the information we have received about the service since our last Key Inspection on the 3rd August 2006 and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service, some relatives and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 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 9 of 28 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 who wish to live at the home have their needs fully assessed to ensure their needs can be met. People are given accurate and up to date information about the service to assist them in making a decsion about their choice of home. People who stay at the service for Intermediate Care are helped to maximise their independence and return home. Evidence: The manager told us in the written information she provided Prospective residents visit the home to view and get a feel for the place. Each person is assessed to ensure their needs can be met. We provide information relating to the home and to the service. Each person is given a copy of the terms and conditions. Care Homes for Older People Page 10 of 28 Evidence: We spoke with the manager and she told us that everyone who is admitted to the service has a full Community Care Assessment completed by a Social Worker and wherever possible, people spend a day at the home to see if they will like it and to provide an opportunity for staff to spend time with them. We looked at files for three people living at the home as part of our case tracking process. All three files contained a full assessment of need and a service user plan enabling staff to meet the identified needs of the person. The assessments were thorough and it was evident that the information had been obtained prior to a person moving to the home. All three files contained a contract and a copy of a Community Care Assessment completed by a social worker. We sent out ten questionnaires to people living at the home, ten to relatives and a further ten to staff. Eight people who live at the service returned them and where we asked Did you receive enough information about the home before you moved in? Seven replied Yes. Comments included Everyone was very helpful and answered all our questions. The Statement of Purpose and Service User Guide are comprehensive and informative. They contain information about the accomodation and the support that is available to people living at the home and are detailed enough to help people make an informed choice. People are also provided with information about Advocacy services and how to access other information they may need. During our partial tour of the home, we saw copies of these documents in peoples bedrooms and people we spoke with said they had been given all the information they needed. One person said that they knew about the home from attending the day centre and another person said that they had regular respite care before moving in on a permanent basis. People we spoke with told us Its a lovely place this. Home from home. A relative we spoke with said Im very happy with this place. They couldnt have been more helpful when we came to look round. Care Homes for Older People Page 11 of 28 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. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: The manager told us in the written information she provided Everyone has a person centred care plan and where possible, people maintain control of their own medicines. Where this happens, a risk assessment is in place. It also told us that care plans are detailed and descriptive of peoples needs and preferences and they are reviewed and updated monthly or as changes occur. As part of our case tracking process, we looked at the care plans for three people who live at the home, including a person admitted for Intermediate Care. These contained all the information needed to enable staff to meet each persons needs and were developed and written in a person centred way, clearly detailing peoples preferences. All the care plans we looked at demonstrated that people had been fully consulted and Care Homes for Older People Page 12 of 28 Evidence: monthly reviews had been recorded. The care plan for the person having Intermediate Care had been reviewed weekly following a full meeting with all the people involved in the rehabilitation process. Staff we spoke with told us that they work intensively with people over a period of about six weeks to enable them to increase their independence to a level where it is safe for them to return home. People we spoke with told us that the care is excellent and they feel confident to go home. Other people we spoke with told us that they felt their health care needs are being met. They said that they see their doctor whenever necessary as well as other professionals, such as Optician, Dentist, Chiropodist. Some people said that District Nurses had visited them in the past. The records we looked at as part of this visit confirmed this. We asked a visitor What happens if your relative is unwell? How do they see a Doctor? The reply was The home ring for the doctor and let me know as well. We asked a relative what happens if a person has a hospital appointment and were told They arrange transport and I usually go with them. The manager told us that they always ask relatives to accompany people to hospital unless it is an emergency, then a member of staff would go. We observed staff knocking on peoples doors before entering and speaking with people in a respectful manner. People told us The staff are great. A relative we spoke with told us The staff are very nice. A questionnaire returned from a member of staff said, The people get excellent care and are treated with great respect by the staff. The staff we spoke with demonstrated a good understanding of the principles of respect and dignity and told us that they have attended an awareness briefing and will be undertaking training in this area. We looked at storage arrangements for medication and medication records. The last Key Inspection identified a problem with recording and monitoring the temperatures in rooms where medication is stored. We looked at the records that are now in place and they were up to date and showed that room temperatures are now maintained at an appropriate level. We found the records relating to the administration of controlled drugs to be accurate, Care Homes for Older People Page 13 of 28 Evidence: but did note some Medication Administration Records had gaps. We looked at this in more detail and concluded that staff are not consistent in their recording of medications refused or not required. A requirement was made to rectify this. Care Homes for Older People Page 14 of 28 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. People living at the service experience a flexible lifestyle which is in accordance with their needs, abilities and preferences. Evidence: The manager told us in the written information she provided We provide good, healthy, well balanced and varied food. Mealtimes are unhurried and time is given to support people who need help. We saw the results of a recent food survey which confirmed that the people who live at the service are satisfied with the food. We observed lunch being served in the small dining rooms on each unit. Choices were offered and people who needed assistance to eat were supported by staff in a discreet, caring and supportive manner. The meal time was quiet and relaxed. People living at the service told us, I have enjoyed my dinner. Its always very good. A relative told us My relative has said that the food is usually good but sometimes it is Care Homes for Older People Page 15 of 28 Evidence: not and they ask for something else. The staff we spoke with demonstrated a good understanding of the importance of choice and a healthy intake of food and drink. They know if someone is losing weight and this is monitored to identify any action that needs to be taken. The manager told us that activities are advertised around the home and are varied. The service does not employ an activities co-ordinator but a nominated team leader takes responsibility for booking entertainers on a weekly basis. There are two activities evening each week and the home are planning to re-introduce Movement to Music. One person who lives at the service told us I used to do keep fit to music but they dont do it any more. Five of the eight people who returned our questionnaires told us that there are always activities that they can take part in. Comments include Always got things going on but I would rather watch television. and Regular entertainment. A relative said They encourage my relative to take part in activities and to go on trips. The manager told us that activities are normally planned on a weekly basis and a list of what is happening is pinned up on the notice boards in each area. We saw these but they were out of date. The manager asked the staff on duty to replace the out of date schedule with an accurate list of activities. We were also told that there is a Church Service at the home on the first Sunday of each month and the Roman Catholic Priest visits people on a regular basis. People told us that they are asked what they want to do and they discuss things in the residents meetings. Staff we spoke with told us that they try to provide activity and stimulation for people throughout the day. Staff also demonstrated a good knowledge of the individual routines of people living at the home, including visits from family and friends. One relative spoken with said They make me feel at home. Always offer a drink. another told us They are incredibly accomodating. The staff also confirmed that relatives are welcome to come to the home whenever they wish and are encouraged to ask any questions and to become involved in any Care Homes for Older People Page 16 of 28 Evidence: activities. Care Homes for Older People Page 17 of 28 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. People know how to complain and are confident that any concerns would be acted upon and responded to. The people living at the service are safeguarded from harm and abuse. Evidence: The manager told us in the written information she provided We treat all complaints and concerns seriously. The format for recording complaints and concerns has been reviewed and now shows the actions that have been taken in response, the date, by whom and if there is a satisfactory outcome. We looked at the records of complaints and saw that twelve had been recorded since the last key inspection. All had been investigated by the manager and resulted in a satisfactory outcome. We have not received any complaints about the service. We saw the complaints procedure on display in the home, and the people we spoke with all knew they could complain and how to do this. In the questionnaires we sent to relatives, we asked Do you know how to make a complaint about the care provided by the home? All replied Yes Comments included, I have no reason to make a complaint. Everything is good. Never had to make a complaint. Care Homes for Older People Page 18 of 28 Evidence: We asked people living at the home Do you know who to speak to if you are not happy? One person told us I would tell the senior if there was something wrong. Another person said I have nothing to complain about but if I needed to, I know they would do something about it. The questionnaires returned by staff told us The Complaints Procedure is on the notice boards and in reception for visitors to see. The manager told us that all the staff understand the Whistle Blowing policy and would respond appropriately if they witnessed something of concern. The three staff we spoke with all demonstrated a clear understanding of both Safeguarding Adults and Whistle Blowing and confirmed that they had attended training. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals who are at risk. The training records that we saw did show that Safeguarding Adults training has taken place and further training has been arranged. Care Homes for Older People Page 19 of 28 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. People live in a clean, safe and comfortable home which is well maintained and designed to meet their needs. Evidence: We conducted a partial tour of the service where we looked at some bedrooms, bathrooms, communal areas, the laundry and kitchen. All areas of the home were clean, tidy and hygenic. The atmosphere was light and airy and there were no unpleasant odours. People we spoke with told us that the home is always clean and fresh. The communal areas were furnished in a modern, comfortable manner, as were peoples bedrooms. Each bedroom has a large en-suite shower room and comments made to us include This is a lovely place. One person told us that the staff had moved the furniture for them to where they wanted it, making the room more homely. The manager told us in the written information she provided Westwood is a pleasant environment, the surroundings are safe and comfortable. Specialist equipment is provided that aids independence Care Homes for Older People Page 20 of 28 Evidence: People living at the home told us Its lovely. I like my bedroom and the shower room. Lovely bedroom, bathrooms a gem. Very comfortable and I have everything I need. The questionnaires that people returned told us that the home is usually clean and fresh and there are no unpleasant odours. We saw the maintenance log book that told us all the necessary Health & Safety checks on services and equipment are up to date. Staff we spoke with told us that they know how to report anything that is broken or in need of attention. Since the last inspection the laundry area has been extended and improved. It is a large and well equipped area with one door to be used when staff bring dirty laundry in and a second door to be used when taking clean laundry out. This is a measure to promote infection control. Care Homes for Older People Page 21 of 28 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. People are supported and protected from harm by well trained staff in sufficient numbers to meet their needs. Evidence: The manager told us in her Annual Quality Assurance Assessment that staff receive ongoing training and undertake National Vocational Qualifications. It also tells us that new staff have a good quality induction. 63 of care staff have achieved NVQs and 75 of other staff. The two questionnaires returned from staff tell us that they do have relevant training, supervision and feel they supported. However, they both made comments about being short staffed and stressed. We looked at the staff rota and found that a mininmum of eight staff are on each shift, providing two for each area of the home. This was confirmed by the manager who added that there is usually an additional staff member who works wherever they are needed. Four people living at the home told us in the questionnaires that the staff are usually available when they are needed and four people told us always. Care Homes for Older People Page 22 of 28 Evidence: All the questionnaires returned to us by people living at the home, said the staff listen and act on what is said to them. Our questionnaire asked relatives Do the care staff have the right skills and experience to look after people properly? Three replied always and three replied usually Comments include My relative loves the staff and feels that they always do their best for her. Relatives we spoke with at the home said The staff are very nice. The manager told us in written information she provided that all staff have had satisfactory pre employment checks. We looked at three staff files and found evidence that all the correct procedures had been followed and all necessary documents were in the files, including references and evidence of Criminal Record Bureau checks. Staff we spoke with confirmed that they all had pre employment checks before starting work and that they had attended a formal interview. Staff also told us that they receive regular supervision from their line manager and find it to be useful and supportive. The two staff that returned the questionnaires and the three staff we spoke with all said that they dont think there are enough staff on duty. Some of the people who live at the service and some relatives, also told us that they dont think there are enough staff. We spoke with the manager who told us that they are currently looking at staff numbers and any problems that may be identified will be addressed. Care Homes for Older People Page 23 of 28 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 well managed and is being run in the best interests of the people who live there. Evidence: The Annual Quality Assurance Assessment was completed by the manager in a satisfactory manner and was returned to us within the required timescale. This provided us with a variety of information and told us that Westwood benefits from having a well qualified and very experienced management team. The manager has been in post since the service opened in 2001 and has managed other services previously. It also told us that there is a Quality Assurance system in place. The manager showed us the Quality Assurance audit record and it provided evidence that peoples views are listened to and acted upon. The people we spoke with all confirmed that they have been asked for their views on the care provided. In addition to this, residents meetings take place regularly and relatives are also invited to make Care Homes for Older People Page 24 of 28 Evidence: any suggestions and contributions about the service. As part of the inspection we looked at Health and Safety records and documentation and we found that testing and servicing has been undertaken on equipment and services as required. Staff told us that their Health and Safety is well protected as well as the people who live at the service. They told us that they are up to date with all statutory courses and this was confirmed by training records. We looked at the accident book and saw that all accidents and incidents are documented and relatives are informed. Relatives told us Westwood are excellent with communications. Immediate contact when necessary. Staff we spoke with told us that they have regular supervision and the files we saw confirmed this. Regulation 37 notices are completed where appropriate and sent to the Commission for Social Care Inspection. (This is a regulatory process which informs us of any reportable incidents that occur at the service.) We looked at the arrangements for peoples finances and found the records to be well maintained, with receipts for any expenditure. Care Homes for Older People Page 25 of 28 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 26 of 28 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 1 9 17 Schedule 3. 16/01/2009 When people are prescribed medicines on a when needed basis, there must be a clear protocol and appropriate coding for their use. This will ensure a consistent approach by staff to ensure that medication is used appropriately and will therefore, protect people from harm. 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 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 2 12 27 Up to date information about activities should be available to all people living at the service, in a suitable format. The manager should review the numbers of staff on duty to ensure that the needs of the people living at the service are met. Care Homes for Older People Page 27 of 28 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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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