Inspection on 02/02/09 for Woodland View Nursing Home

This inspection was carried out on 2nd February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodland View Nursing Home 16/11/06

Woodland View Nursing Home 27/02/06

Woodland View Nursing Home 06/07/05

Woodland View Nursing Home 16/03/05

Woodland View Nursing Home 07/07/04

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 older people Name: Address: Woodland View Nursing Home Lightwood Lane Off Norton Lane Sheffield South Yorkshire S8 8BG     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: Sue Turner     Date: 0 2 0 2 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. 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 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: Woodland View Nursing Home Lightwood Lane Off Norton Lane Sheffield South Yorkshire S8 8BG 01142716688/7 01142530714 woodland.view@sct.nhs.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Northern Counties Housing Association Ltd care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Ten places could instead be used for people in the category DE Dementia, who are 55 years of age or over. Date of last inspection Brief description of the care home Woodland View is a single storey modern spacious home providing care for sixty service users aged sixty-five plus who have dementia. The home can offer 10 places for younger adults in this category from aged 55. The home is divided into four cottages, which have fifteen service users in each. The cottages are domestic in design. Woodland View is situated at Norton, adjacent to Lightwood training centre. The home is close to public transport. There is a large car park. The fees are £479.80 per week. There are extra charges for Hairdressing, chiropody, mileage for outings in the minibus, toiletries, magazines and newspapers, outings and holidays. Information about the home and activities is displayed in each of the cottages along with a copy of the Commission For Social Care Inspection reports. 0 Over 65 60 Care Homes for Older People Page 4 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: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced key inspection carried out by Sue Turner, regulation inspector. This site visit took place between the hours of 8.45 am and 3.30 pm. The manager is John Bunn who was present during the site visit. The Area Care Manager is Karen Dewsall, who was also present during the visit. The manager and was given verbal feedback during and at the end of the site visit. Care Homes for Older People Page 5 of 28 Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received two from staff and two from professionals. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Ten staff and three people living in the home were spoken to. One professional visited the home and they were also spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in November 2006. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff, and professionals for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: The service provided at Woodland View is of a good standard and everyone involved with the home should be proud of this. So that people health, safety and welfare is not put at risk, peoples must be provided with the care and support that is detailed in their individual plans of care. Staff should make sure that they sign MAR sheets when they have administered medication and have applied creams and ointments to people. The complaints log should be reorganised so that it clearly shows the details of any complaints made, how the complaint was investigated and what action was taken as a result of the investigation. The homes policy and procedure for adult safe guarding should be reviewed so that people are not put at risk. When portable electrical appliances are used they should be placed so that they do not cause people a risk of tripping or falling. The fire risk assessment should be updated and reviewed to include any particular precautions that need to be in place for people that have dementia. We acknowledge that the provider and manager continue to evaluate and monitor the service and make any changes necessary to ensure that the home continues to provide the good service that is presently offered. Care Homes for Older People Page 7 of 28 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. The home provided sufficient information to inform people about their rights and choices. Information provided had not been well thought out, considering the people that used the service had mental health needs. People were encouraged to visit the home, look around and meet other people staying there. Evidence: The home had a Statement of Purpose (SOP) and Service User Guide (SUG). These were available for people living in the home and anyone who may be considering living in the home. The SOP and SUG needed to be updated to reflect some recent changes at the home. The SOP and SUG was not in an easy to read format or had pictures which would have assisted people with dementia to understand the information more easily. Before people stayed in the home they were assessed by a social worker. The manager also carried out a pre assessment by visiting people in their own home or hospital. This Care Homes for Older People Page 10 of 28 Evidence: meant that everyone could be assured that the home could meet the persons needs. People were invited to visit the home, try out the meals and spend time meeting the staff and seeing the services available. Any information collated from the needs assessment would then form the basis for the care plan. When staff were asked, are you given enough information about people to enable you to care for their individual needs, one staff said always and one said usually. 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. A range of health care professionals visited the home to support peoples care. Medication procedures did not fully protect peoples health and welfare. In the main the health and personal care needs of people were met in a way that maintained their privacy and dignity. Evidence: Each person that lived in the home had an individualised plan of care. These were checked for two people. Care plans contained a wide range of information about peoples health, personal and social needs. The AQAA said, We involve residents and their families and friends in the assessment, planning, implementation and evaluation process of the care provided. Care plans had been updated and risk assessments were continually reviewed and monitored by managers. Staff completed daily records at the end of each shift. Those seen related well to the care plans. People seen looked well cared for, were dressed appropriately and had, in the main received a good standard of personal care and support. One care plan seen identified that the person needed specific help and assistance with Care Homes for Older People Page 12 of 28 Evidence: their dental care. We saw that the person had not received the support necessary on the day of the site visit. Staff said that the person had seen to themselves that morning. Evidence also suggested that the person had not received the necessary support for a number of days. Care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that dentists, GPs, opticians and chiropodists visited as requested. People said Staff are very good and help me with whatever I need. I would rather be at home but this is the next best place. Theres nothing wrong with here. Health professionals said, When I have observed care being given this has always been directed to meet the needs of the person. Staff work with people to facilitate how they would like to live. This is reflected in the care plans. Qualified staff administered medications. Medicines were securely stored in locked trolleys within locked cupboards. There were some gaps in staff signatures on the Medication Administration Records (MAR). Staff had not signed the MAR sheets when they had applied ointments and creams. Controlled Drugs (CD) were kept securely stored. Staff recorded CDs in a CD register. This was checked and found correct. Staff were observed showing empathy and patience when dealing with people. Staff talked about ways in which they ensure that peoples privacy and dignity was maintained. One professional said, I visit the home on a regular basis and can see that people are treated with respect and their privacy is not compromised. We observed one person being moved from their bedroom to the lounge in a bucket chair. As the chair was pushed along it bounced and vibrated on the castors. The person being transported became very upset and agitated. We spoke to the manager about this. He said that people should not be moved around in these chairs. We pointed out how inappropriate this was as the person was clearly not comfortable being moved in the chair. Care Homes for Older People Page 13 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 were able to maintain contact with family and friends. A limited range of activities was on offer. Further activities and outings would promote choice and maintain peoples interest. Peoples mealtime experience would be enhanced if further consideration was given to table settings. Evidence: People said that they enjoyed the activities available. Support workers had the responsibility of carrying out activities, which although they enjoyed, added to their tasks. Each week a small number of people went swimming, which they enjoyed. Staff also organised crafts, reminiscence and reading sessions. These were usually planned for the afternoon when the staff were less busy. Mornings were spent caring and supporting people with their care needs. Staff said it would be better if there was an activities worker so that more could be arranged to keep people entertained and help people to maintain their hobbies and interests. It was noticeable in the home that there was not enough information that may help people with orientation. One board displayed the wrong date and weather conditions. Doors did not display where they lead to, for example the toilet or bathroom. Many bedroom doors didnt have the persons name on them which may have helped people Care Homes for Older People Page 14 of 28 Evidence: with orientation to time and place. We observed breakfasts and lunch being served in some of the cottages. At breakfast time people came to the tables as they got up. They were offered cereal, toast and tea cakes. One member of staff was seen standing over someone whilst they assisted them to eat their breakfast. We spoke to the staff member about this, they acknowledged this was not appropriate. Most days lunch was either sandwiches or a light meal, as the main meal of the day was served at tea time. Main meals are delivered to the home frozen and reheated by the house keepers. Menus rotated on a four weekly basis. There was always a choice of meals and special diets were catered for. A substantial number of people needed assistance to eat. Some people sat at the dining room tables and others were in the lounge area and assisted to feed from their comfortable chairs. Staff were attentive and considerate when assisting people to eat. We saw that tables were not set nicely. There were no clothes, crockery was plastic and there were no condiments or table arrangements. This made them look very bare and unattractive. We acknowledge that tablecloths and ceramic pots would not be suitable for all people but believe that people should be treated as individuals and where possible dining room tables should be set in a more homely and appealing way. People said, The food is OK. I enjoy my meals. I dont really think about it I just eat it. Care Homes for Older People Page 15 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. The complaints book did not provide the detail necessary to evidence that peoples complaints were dealt with promptly and effectively. The policies and practices for referring adult safeguarding concerns need to be considered further. Evidence: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This detailed who to speak to at the home or, if preferred, external to the home to make a complaint, should they wish to do so. The home kept a record of complaints, this didnt detail any action that had been taken or the outcome of the complaint. We talked to the manager and area manager about this as it had been issued as a requirement at the previous inspection. The manager said he had rearranged the format for recording complaints and would introduce this immediately. Since the last inspection the home had received six complaints. One of these had not been resolved and was still being investigated. The other had been referred to the safe guarding team. We had not received any complaints about the home. The AQAA said that staff had completed training in dealing with complaints and adult safeguarding. Staff confirmed this. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. Since June 2008 there had been four safe guarding referrels made. We discussed with the manager and area manager our concerns about the referrel of safe guarding concerns, as there had Care Homes for Older People Page 16 of 28 Evidence: been some confusion about who the home refer to and whose responsibility it was to carry out any necessary investigations. Staff at the home are employed by the Sheffield Trust, people living in the home are the responsibility of Northern Counties Housing Association. This has resulted in safe guarding issues being dealt with seperately by each organisation. Each organisations view has then differed on what action should be taken. We believe that all safe guarding referrels should be raised with the Sheffield Local Authorities Adult Safe Guarding Team, using the Sheffield Adult Safeguarding Multi Agency Procedures. They will then decide who would be most appropriate to carry out an investigation. Any staff disciplinary issues arising from referrels should be investigated seperately by the Sheffield Trust. The manager and area manager said they would arrange to meet with the safe guarding lead person to look at their policy and procedure for safe guarding. We acknowledge that the managers at the home have always responded quickly to any safe guarding concerns. They had taken immediate action to ensure people were safe. The issues that have arisen have been after the homes managers have taken action and had not put people at further risk. Care Homes for Older People Page 17 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. The home was maintained to a good standard. The Dementia Strategy Principals should be considered for any redecoration work carried out. Procedures for the control of infection were in place which promoted peoples health and welfare. Evidence: There was a rolling programme of redecoration and refurbishment. The management team carried out environmental checks of the cottages and identified work that needed doing. People were then brought in to carry out the work. The home is divided into four Cottages. Each Cottage had a kitchen, lounge/dining areas, bathrooms, toilets, clinical room and a staff office. There was a room for people, relatives and staff to meet, off the main reception. This room also had kitchen facilities. One Cottage had painted a mural on the walls of the corridor. This had greatly enhanced the homely appearence of the unit. The corridors on the other Cottages were very plain and unattractive. Doors were all the same colour and people were unable to recognise their bedrooms, as most didnt have name plates. The manager said that they had recently visited a new unit that had been decorated taking into consideration the Dementia Strategy. He said they had picked up some really good ideas about how to make the Cottages more homely and assist people with dementia to find their way around. Two Cottages were very pleasent smelling, the other two were odourous. Large screen televisions were in the lounges and people said they enjoyed watching these. Some Care Homes for Older People Page 18 of 28 Evidence: bedrooms were very homely and personalised, others looked quite bare and needed to be made more comfortable. Everyone had a hospital type bed. We talked to the manager about people being treated as individuals and where appropriate divan beds should be provided. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Staff said they had undertaken training in infection control. Care Homes for Older People Page 19 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. Sufficient staff were provided to meet the needs of people. The recruitment information obtained for staff was sufficient to adequately protect the welfare of people. Staff had completed training that ensured they had the competences to meet peoples individual needs. Evidence: Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. On the day of the site visit staffing numbers were at an acceptable level. Staff said that the manager ensured that staffing levels were kept at an acceptable level. They said that when people were sick or on holiday, other staff were called in. They also said that rotas were arranged so that the needs of people living in the home could be met. Staff said that they had completed mandatory training and further training in specialised topics for example dementia and dealing with conflict was being delivered. Staff said they had recently attended training called Say it as it is. This was supplementary to the adult safe guarding training and had helped staff look at ways to discuss things more openly and deal with issues as they arose. Health professionals said, People that have moved into the home recently have complex care needs and Care Homes for Older People Page 20 of 28 Evidence: challenging behavior. As a result staff at Woodland View have training needs and there is a need for enhanced staffing numbers. Engagement with the Care Home Support Team has increased for support and advice, but the home has not engaged for training in house. One staff survey said, We are very short staffed but are getting more workforce to meet staffing levels on all cottages. A number of care staff had completed the NVQ Level 2 in Care and others had commenced the training. The number of staff trained did not meet the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. Two staff surveys were returned, when asked did your induction cover everything you needed to know about the job when you started, both said very well. When asked are you being given training, which is relevant to your role, both said, yes. The recruitment records of three staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them. These were satisfactory. Protection of Vulnerable Adults (POVA) checks had been made and Criminal Records Bureau (CRB) checks had been obtained for the staff members. Care Homes for Older People Page 21 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 managers leadership approach benefited people and staff. Quality assurance systems meant that the home was run in the best interests of everyone. Peoples monies were safely handled, which ensured that finances were accurate and safeguarded. In the main peoples health and safety had been promoted and protected. Evidence: The manager had been employed at the home since June 2008. He was in the process of registering with us. He was committed to ensuring that people living in the home were consistently well cared for, safe and happy. One professional said The manager is very supportive when I ring to arrange for someone to come and visit the home, or when I need to discuss peoples care. Staff said that they found the manager and other senior staff very approachable and could go to them at any time to discuss their work and peoples care. The Area Care Manager was nominated to carry out Regulation 26 visits. She visited Care Homes for Older People Page 22 of 28 Evidence: the home on a regular basis to keep herself up to date with the service. Staff said she was available for them to speak to should they wish to. Each month she completed a report detailing her findings. Any actions that were identified were then carried out. Quality Assurance questionnaires were sent out to people, relatives and professionals annually. There had been a very poor response to these when they were last sent in April 2008. The manager said he was looking at other ways to make sure that he was getting peoples views about the service. He said that recent relatives meetings had been well attended. Staff meetings were arranged and minutes from these were seen. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Formal staff supervision, to develop, inform and support staff took place at regular intervals. Fire records evidenced that fire alarm checks took place. Staff said that they had received fire training and fire drills. A fire risk assessment had been completed in July 2005. This had been updated in October 2006, but not since then. As the home cared for people with dementia the risk assessment should have highlighted what particular precautions were in place to keep people with dementia safe. On the day of the site visit we saw that portable heaters and air conditioning units were being used in the Cottages. These were placed in areas where people moved around. The electric flexes were trailing along the floor and were potentially a tripping hazard. This was pointed out to the manager and he was asked to reconsider the placing of these portable appliances so that people were not put at risk from falling . Care Homes for Older People Page 23 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 24 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 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 8 12 The care and support identified in peoples care plans must be provided. So that peoples health and welfare is maintained. 09/02/2009 2 9 18 MAR sheets must be signed when medications, ointments and creams are administered and applied. To demonstrate they are being given as prescribed. 09/02/2009 3 16 22 A record must be kept of all complaints made and include the details of investigation and any action taken. So that people are confident that their complaints are listened to. taken seriously and acted upon. 09/02/2009 4 18 13 There must be a clear policy 09/02/2009 and procedure, which all staff are aware of and work with, when dealing with safe guarding concerns. Page 25 of 28 Care Homes for Older People So that safe guarding concerns are dealt with promptly and appropriately. 5 38 13 Portable electrical appliances 09/02/2009 must be safely placed so that they do not pose a falling/tripping hazard. To that peoples health, safety and welfare is maintained. 6 38 13 The fire risk assessment 09/02/2009 must highlight any particular precautions that need to be in place for people that have dementia. So that people are kept safe. 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 1 The Statement of Purpose and Service User Guide should be updated so that it reflects the recent changes made in the home. The design of the Statement of Purpose and Service User Guide should be revised to make it easier for people to read and more appealing. People should not be moved around the home in the bucket style chairs. Arrangements should be made to ensure that people are orientated to date, time and place. An activities worker/coordinator should be employed. Dining room tables should appropriately set so that mealtimes are a more pleasant experience. Staff should sit alongside people when they are assisting them to eat. Further decoration and refurbishment work at the home Page 26 of 28 2 1 3 4 5 6 7 8 10 12 12 15 15 19 Care Homes for Older People should take into account the dementia Strategy Principles. 9 10 19 28 Where appropriate people should be provided with divan type beds. 50 of the staff team should be qualified to NVQ Level 2 in Care or above. 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). 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