Care Home: Angela House

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Angela House Angela House 41 Weltje Road Hammersmith London W6 9LS three star excellent service The quality rating for this care home is: 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: Jackie Derbyshire Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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. 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Angela House Angela House 41 Weltje Road Hammersmith London W6 9LS 02087418733 02087489730 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Yarrow Housing Limited Name of registered manager (if applicable) Mrs Christine Aslan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 6 0 care home 6 learning disability Additional conditions: The Registered Person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD The maximum number of service users whoc an be accommodated is: 6 Date of last inspection A bit about the care home Angela House is a care home for six men and women with a learning difficulty. Yarrow Housing Limited, a voluntry organision owns the property and all of the staff are also employed by Yarrow. Angela House is located in a residential area of Hammersmith Broadway and Chiswick. The home was originally set up in 1985 by a group of parents whose relatives had a severe learning disability. Angela House is a three storey victorian property, the accomodation is four single bedrooms and a double bedroom, a lounge, kitchen dining room and two bathrooms. There is a sensory room on the first floor and a small activity room in the garden at the back of the property. Angela House has a lift that gives residents access to all floors, the property has also been adapted for people who use wheelchairs. 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: three star excellent 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 How we did our inspection: This is what the inspector did when they were at the care home Throughout this report the word we will be used as meaning the CSCI. This unannounced inspection took place on Tuesday 9th December 2008. We spent five hours visiting the home. We spent time talking to the registered manager, staff and residents. We looked at the care records of two residents, the medication records of all six residents and the finance records of all the six residents. We had a tour of the home and two residents bedrooms were looked at as well as all communal areas. The home was clean and tidy on the day of this inspection. We received five residents surveys that had been completed by a relative or professional that the resident knows and spends time with them at Angela House. We also received ten staff surveys and five professional surveys, comments from the surveys will be included throughout this report. One requirement and one good practise recommendation has been made from this visit. What the care home does well We looked at the Person Centred Plans of three residents, all of the PCP plans were very informative and up to date. The PCP plans were all different with photographs and information about the individual. One PCP was on the computer showing the resident participating in activities in the community. We looked at the health care records of two residents that showed that all medical appointments and health checks had been completed. One the day of this inspection an optician was visiting a resident to give them their new glasses, another resident was waiting for their optician to call with their new glasses also. We looked at the risk assessments of two residents that were very informative and up to date, the risk assessments did work in conjunction with the PCP plans. All of the risk assessments had been reviewed in November 2008. We looked at the training programme for all staff including the manager. All staff are up to date with training and records looked at show that staff have been nominated for training in 2009. The manager told us that all staff have regular supervision and the training plans are looked at and any training requested would be agreed with the member of staff completing a request form. We spent time talking to staff and looking at supervision and appraisal records. All staff spoken with told us that they have regular supervision, the records looked at show that supervision is provided to all staff on a regular basis by the registered manager or deputy manager. What has got better from the last inspection Angela House was registered as a new care home from 13th August 2008 as the provider changed from The Peter Pan Trust to Yarrow Housing LTD. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Jackie Derbyshire 11th Floor, West Wing 26-28 Hammersmith Grove Hammersmith London W6 7SE 020 8735 6374 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 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 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 . The home provides a statement of purpose that is specific to the individual home and the resident group they care for. It clearly sets out the objectives and philosophy of the service supported by a service users guide. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. Evidence: Comments from family members and professionals that visit the home. Treat service users as individuals and advocate on their behalf Staff provide excellent care A family home rather than a care home. We spent time looking at the registration certificate as Angela House has recently changed providers to becoming a Yarrow care home. The certificate was correct and on display in the office on the notice board. We looked at the statement of purpose and service user guide, both documents were very informative about Angela House and would inform prospective residents and family members of what the service aims and objectives are. The documents were seen in pictorial format, in discussion with the registered manager we were told that the documents can be produced in different formats and languages if requested. We looked at two residents files, each contained a needs assessment that was detailed Evidence: and had a lot of information regarding the care required for each person. Person Centred Plans were then seen that work in conjunction with the initial assessment that show how the home is meeting all of the residents health and social care needs. Angela House does not offer intermediate care, all residents have a full care plan in place that shows the care required and how they will meet it. We spent time with residents and staff, all staff were seen to use the preferred method of communication for each resident. We looked at the information on a residents file who had recently moved in to Angela House. There was information on introductory visits at different times and information recorded how staff had put in place a care plan that met the assessment to meet the residents care needs. We looked at the contracts for all six residents as five of the residents contracts were from the original provider. All residents have a contract with Yarrow that is signed and agreed. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The care plan is developed with the person using the service. It is based on a full and up to date holistic assessment. It includes reference to equality and diversity and clearly addresses and focuses on the individuals strengths and personal preferences. Evidence: Comments from family members and professionals that visit Angela House. Staff care greatly, they are doing a good job. Angela House is unique, no one could wish for better care and attention for the residents. We looked at the care plans of two residents that are now in the new format called Personal Care Plans. The PCP plans were excellent showing how staff had communicated with each resident in the way they prefer using photographs, drawings and other forms of information gathering. We were shown a slide show on the lap top of one resident enjoying activities in the community that was part of his PCP plan. The PCP records show how the staff are meeting the care needs of residents, what their personal choice is and also what they dislike. There were aims recorded for residents showing what they are aspiring to achieve in the next six months when they have a review of their plan, aims included outings, seeing family and holidays. We spent time in the communal areas of the home where staff and residents were going about their daily routines. Staff were seen to be communicating to each resident in the a way they could understand, staff were not telling residents what to do but Evidence: were talking and informing residents about what they were doing and making sure that they were including the residents as much as possible. We spent time talking to staff who were very positive about their role working at Angela House, one comment was We promote residents independence where possible and provide them with a safe comfortable home. None of the residents manage their own finances, one residents father has power of attorney and one other resident has the local authority as their appointee, all four other residents finances is managed by the registered manager. We looked at financial transaction records with the registered manager that were all well recorded and each balance was correct. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The staff team help with communication skills both within the service and in the community, to enable residents to fully participate in daily living activities. Evidence: Comments from residents and staff. Angela House provides as much independence to residents where possible. The care is impressive and aims to meet the individuals needs. We spent time looking at Person Centred Plans in different formats that had been completed with the residents. The PCP plans show how residents are assisted to make decisions with lifestyle skills. All of the residents living at Angela House require a lot of support in all areas, we spent time in communal areas where staff were seen to be talking to residents and asking them what they would like and encouraging them to participate in activitys. We looked at PCP plans and activity plans for residents that show what each individual does on a daily basis. Community links include attending day centres, attending art classes, using a service called Bag Books that is a service provided to residents where touch and sensory stimulation are used. We saw a audio PCP where one of the residents was being assisted to drill a hole in wood and experiencing the vibrations. Angela House has a sensory room that has a lot of equipment in place, this is also Evidence: used by other people living in the community that have close links with the home. We spent time talking to the registered manager about community participation and we were told that she is liaising with various providers and looking at each individuals PCP to ascertain how the home could promote a more varied care plan. We were told that accessibility is difficult for some residents, however all staff are trained to provide activitys and stimulation in the home. One survey returned to the CSCI commented that residents should be encouraged to interact more, we were told by staff and the registered manager that does happen daily however residents have a choice to participate or not. The residents jointly own a vehicle that is used on a regular basis to go on outings to restaurants, shops, cinema and lots of other places, two of the residents had tickets to attend a choir service. we looked at the initial assessment plans that had information in place regarding residents religious preferences, in discussion with the registered manager we were told that no residents attend any religious services at this present time. We spent time looking at the daily menu plans and talking to the registered manager, we were told that all staff have attended food hygiene and nutrition training. The registered manager told us that menus are compiled using the PCP information and trying to offer variety as there are clients from different cultural backgrounds. All staff take part in compiling the menus and also cooking the food. there is a kitchen dining room in the home that some of the residents have their meals. The PCP plans do show that specialised diets are provided in the home and all staff have been trained in assisting residents where required. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents have access to health care and remedial services. The health care needs of residents who are unable to go to their doctors or local health care services are managed by visits from local health care services. Evidence: Comments from family members and staff. My family member lived in Angela House happily for the last twenty years. The home is very caring and provides excellent health care. Excellent care given from staff. We spent time looking at PCP plans and how residents are supported with personal care and health care needs. All of the residents living at Angela House require a lot of support in all areas, staff were seen to be assisting residents throughout this site visit. All personal care support was seen to be provided in privacy. There is equipment in Angela House including an overhead hoist in one residents room and other hoists for the other residents who require more assistance with their personal care. risk assessments were in place for all residents that require assistance with a mechanical aid. We spent time looking at the health care plans of two residents. The information was up to date and relevant, each individual had records of up to date health checks that had taken place. All of the residents are registered with a local GP and have the full support of other health professionals in the community. On the day of this site visit an optician was visiting one of the residents to fit their new glasses, another resident was Evidence: also waiting for their optician to visits that afternoon with their new glasses. We looked at the medication storage cupboard in Angela House that is situated in the kitchen, dining room area. All storage was seen to be good with no old medication stored. We went through the MAR sheets of all residents that were clearly recorded with no errors showing. There was a bottle of medication that did not have a date of opening recorded on the label, we were told by the registered manager that this does happen and other medication bottles did have a date opened written on them. All of the residents living at Angela House are assisted with their medication a PCP plan and risk assessments was in place for each individual. The staff and registered manager have provided residents with a full care package when they are diagnosed with a terminal illness. The relevant professional assistance was sought and the health care provided was exceptional making sure the residents were comfortable with their respect and dignity paramount at all times. The CSCI was kept up to date with any changes by the registered manager. 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 . All staff working at the home are fully trained in safeguarding adults and know how to respond in the event of an alert. All staff are also trained in challenging behaviour and are able to act and respond appropriately to physical or verbal aggression. Evidence: We spent time looking at the homes complaint procedure, there have been no complaints. The complaints procedure was seen on the communal notice board in the kitchen and also on the staff notice board in the office. The complaints procedure is included in the homes statement of Purpose and service user guide that are available in different formats. We spent time talking to the registered manager and staff who were knowledgeable about the organisations responsibility in responding to a complaint. 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 . The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well maintained environment provides specialist aids and equipment to meet their needs. The home is a very pleasant, safe place to live. Evidence: Comments from family members and staff. Angela House is a comfortable place to live. All of the staff make sure Angela House is a warm comfortable home for all residents. Angela House is welcoming and homely. We spent time having a tour of the premises looking at all communal areas and two residents bedrooms. The home is close to local amenities and public transport. The furnishings and fitting throughout the home are good quality and the decor of the home is done very tastefully. The premises have been visited in the past by the local fire service and was passed as fit for purpose, the last time being in two years ago. There is a fire risk assessment in place for the home that the registered manager told us is up dated annually. There is one bedroom that is shared by two male residents, there is a privacy screen used at all times when personal care is being given to either resident or when privacy is requested. There is an agreement in place that for the two residents that share the bedroom which they have done for many years. We looked at two other residents bedrooms that were seen to have a lot of personal items including pictures and photographs. We were told by one resident that they really like their bedroom. There are sufficient toilets and two bathrooms in Angela House. One bathroom has a Evidence: bath and shower, the other has a walk in shower. The shared space in the home is the kitchen and lounge, the sensory room and the small activity room at the rear of the premises. All of the shared space is comfortable and used by all of the residents. There is equipment in place for residents that was assessed for and agreed by occupational therapists and other professionals. They include an overhead hoist, other hoists, an electric bath seat bath and other equipment. all of the equipment is regularly maintained we were shown records of maintenance by the registered manager. The home was seen to be very clean and tidy on the day of this site visit. The home was tastefully decorated with a Christmas tree and other decorations. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staffing levels reflect the needs of the people using the service, and rotas are flexible to fit in around lifestyles. Staff have the skills to communicate effectively with all residents. all staff have been recruited understand and are aware of the specific nature and uniqueness of the home, its aims and objectives and how the care will be delivered. Evidence: Comments from family members and staff. The staff are very capable and hardworking. Staff receive a lot of training that enables them to provide a good standard of care. The Manager makes sure that all staff have a full induction, gives a lot of information and makes sure all staff are provided with up to date training. We spent time talking to staff and the registered manager, looking at training and looking at development records. All staff spoke very highly of the training they had received and felt that they were very competent in their roles. All staff are key or key co workers for residents making sure that continuity is provided and the residents develop a relationship with staff. we saw staff working with residents communicating in the manner that the individuals understood, asking not telling and assisting residents to be as independent as they could. We looked at the AQAA returned by the registered manager that had a lot of information about staff including their qualifications in care. Seven of the eleven staff have now completed an NVQ qualification with two staff who should have completed the NVQ by the end of the year. Staff told us that they are very happy with the training they have completed, staff training records looked at show that all staff are up Evidence: to date with training and all staff have been booked on training courses in the future to make sure they are competent in the job the do. We went to the head office to look at staff recruitment records, all records were seen to be in place including a full CRB for all staff working at Angela House. In discussion with the regional director we were told that residents are encouraged to be on the board when staff recruitment interviews take place. The organisation has an ongoing recruitment drive and advertise locally for qualified staff. We spent time looking at staff files that included supervision and appraisal records that were seen to be provided on a regular basis to staff. we spent time talking to staff who told us they receive regular structured supervision by the registered manager and the deputy manager. Staff told us that they are happy with the content of their supervision as it covers the aims of the organisation but also their own personal aims. The registered manager told us that she has the support from the organisation that is required to enable her to run the home as stated in the statement of purpose. 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 . The manager is able to demonstrate through formal qualification, robust operational systems and professional experience and ability that they are knowledgeable and highly competent in a range of areas. The manager undertakes regular training and understands the value of their continuing professional development. Evidence: Comments from family members and staff. The manager is excellent, we have every confidence in her Angela House is unique no one could ask for a better care home. Angela House meets the complex needs of all residents providing them with a home for life. We spent time with the registered manager who is a qualified RGN and has the NVQ Registered Managers Award. The registered manager has worked at Angela House for many years, taking the home through the change of a new provider. We were told by the registered manager that she attends regular training to make sure she is up to date with all areas of health and social care provision. We spent time talking to staff who were very positive about the support from the manager and deputy manager, stating that they could approach them at any time for assistance or advice. The registered manager was seen to work along side staff being an inclusive member of the team. Evidence: We spent time with the registered manager discussing the quality assurance process in the organisation, we were told that all residents need assistance by family members or other professionals to complete any questionnaires on the quality of the home. The registered manager told us that one resident has an advocate that assists them to deal with any areas they are not able to deal with themselves. The registered manager compiles all of the information required in the quality assurance procedure and produces a summary. we were told that the quality assurance summary would be completed and a copy will be sent to the CSCI. The organisation up dates the policies and procedures when required and makes sure that any changes all staff are notified. We looked at policies procedures throughout this site visits that were up date and relevant. we spent time talking to staff who told us they receive training or are notified by the registered manager of any changes to the way they work. We looked at a lot of records kept at the home, all records were up to date and relevant. all records are kept in the office that is locked when no staff are in there, all computer information can only be accessed through the password system, All staff have their own passwords. We looked at the daily records all of the residents, some of the entries of what residents did were described quite poorly. In discussion with the registered manager we were told that she would liaise with all staff to make sure descriptive language in daily records was appropriate. There was a lot of information recorded in daily records that show how the staff were meeting the health and social care needs of the residents. We spent time with the registered manager looking at records of safe working practises. The registered manager keeps up to date records of all regular maintenance checks including fire alarm checks, evacuation records, infection control and all other health and safety checks. We looked at the training records of all staff that show they are up to date with health and safety training including moving and handling, food hygiene and fire safety. The registered manager and staff make sure that all residents are protected by the continuous checks in the home to make sure they are safe. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 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 Description 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 Description Timescale for action 1 20 13 The registered manager must make sure that all medication given from a bottle has the date opened recorded on the label. 09/01/2009 To make sure the medication is in date and residents are protected by this procedure. 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 41 All staff to take time when entering daily records to make sure that the descriptive words are appropriate. 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. - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!