Care Home: Ashleigh [Wimborne]

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What the care home does well Mr Dodla-Bhemah understands the importance of ensuring that all the information necessary concerning a persons health and welfare is available prior to them moving in. Care plans are then produced in order to inform staff of the action needed to meet care needs as assessed. Although care plans hold sufficient information in respect of the current residents with low dependency levels, Mr Dodla-Bhemah is aware of the need for this to be expanded upon should residents increase in number or should their dependency levels increase. Residents at Ashleigh have access to healthcare services from local surgeries and are supported in meeting appointments with other health care professionals. Medication is well managed in the home. Organised social and recreational activity is limited to that which the residents wish to participate in, some activities are arranged although most residents are able to arrange their own social calendars; visitors from family and friends and other members of the community keep residents stimulated and involved. Residents confirmed that they receive a good diet and that meals are always appetising and tasty, it has been recommended that records of food provided are kept up to date. Residents living at the home are protected by the home`s policies regarding adult protection and complaints and can be assured that any concerns will be taken seriously and acted upon. The home provides comfortable clean and well maintained accommodation. Due to the low levels of care required and the reduced number of residents accommodated at Ashleigh, staff care input is limited, all staff employed have joint roles as housekeepers/domestics as well as their care duties. Residents spoken with confirmed that staff were available to provide support when required. Staff have undertaken the necessary training in health and safety related issues and two staff are currently undertaking the NVQ level 2 in care. Mr Dodla-Bhemah had recruited two new members of staff in the months leading up to the inspection, records demonstrated that this was done satisfactorily and in the best interests of residents. Ashleigh is well managed and Mr Dodlah-Bhemah has a good understanding of the principles and focus of the service, residents are supported to manage their own affairs and systems are in place for the protection of residents. What has improved since the last inspection? Six requirements were made following the last inspection, of these, five have been addressed and one concerning diabetic care is no longer applicable. The requirements addressed issues relating to medication management, staffing numbers, recruitment and training and quality assurance. This inspection evidenced improvements in all these areas although the inspector discussed with Mr Dodla-Bhemah the need to ensure all areas of the home`s practice is developed should residents needs increase. What the care home could do better: Two recommendations have been made and one repeated from the last inspection where practice could be improved to ensure standards are maintained. The last inspection recommended, and this visit also identifies that care plans should give clearer detail confirming how residents needs are to be met by staff in the home. It is also recommended that records of food provided are kept up to date. When new staff commence employment, they must complete the Skills for Care induction programme within the first 12 weeks of that employment, this report recommends that this is started as soon as possible into the 12 week period. CARE HOMES FOR OLDER PEOPLE Ashleigh 7 St Johns Hill Wimborne Dorset BH21 1BX Lead Inspector Jo Palmer Key Unannounced Inspection 11:00 28th January 2008 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashleigh Address 7 St Johns Hill Wimborne Dorset BH21 1BX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01202 883314 F/P01202 883314 Mr C Dodla-Bhemah Mrs J R Dodla Bhemah Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2007 Brief Description of the Service: Ashleigh is a care home registered to provide accommodation to a maximum of 10 service users in the category OP (Old Age). The home usually accommodates 9 service users, as one double room is generally used for single occupancy. Ashleigh is a detached older style property located approximately one mile from Wimborne town centre. The house retains many of its original features and stands within its own, well-maintained gardens. Off road parking is provided. A three-storey building, accommodation is provided to service users on ground and first floor levels whilst the owners occupy the top floor as private accommodation. Access to the first floor is by means of a central stairway with chair lift. There are four bedrooms on the first floor and a bathroom and separate toilet. Two of these first floor bedrooms are reached by a further four steps without lift assistance. The ground floor comprises of five bedrooms, a communal lounge and a dining room, a bathroom and a toilet. The kitchen and laundry are also on the ground floor. Wimborne offers the amenities of a market town with high street shops, post office, banks and building societies as well as GP surgeries, a cottage hospital and various places of worship. Current fees are £380 to £425. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection took place on 28th January 2008 between 11.00 and 14.30. Mr & Mrs Dodlah-Bhemah, owners of Ashleigh were present, Mr Dodla-Bhemah takes responsibility for the day-to-day management of the home. The main purpose of this key inspection was to check that the residents living in the home were safe and properly cared for and to review the homes performance against the key National Minimum Standards. Although registered for 10 places, Ashleigh routinely takes up to 9 residents as one shared room is always used for single occupancy. At the time of inspection there were two vacancies and one resident was in hospital, there were therefore just six residents at home, four residents and the owners were spoken with, relevant records were examined and a tour of the premises informed this inspection visit. What the service does well: Mr Dodla-Bhemah understands the importance of ensuring that all the information necessary concerning a persons health and welfare is available prior to them moving in. Care plans are then produced in order to inform staff of the action needed to meet care needs as assessed. Although care plans hold sufficient information in respect of the current residents with low dependency levels, Mr Dodla-Bhemah is aware of the need for this to be expanded upon should residents increase in number or should their dependency levels increase. Residents at Ashleigh have access to healthcare services from local surgeries and are supported in meeting appointments with other health care professionals. Medication is well managed in the home. Organised social and recreational activity is limited to that which the residents wish to participate in, some activities are arranged although most residents are able to arrange their own social calendars; visitors from family and friends and other members of the community keep residents stimulated and involved. Residents confirmed that they receive a good diet and that meals are always appetising and tasty, it has been recommended that records of food provided are kept up to date. Residents living at the home are protected by the home’s policies regarding adult protection and complaints and can be assured that any concerns will be taken seriously and acted upon. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 6 The home provides comfortable clean and well maintained accommodation. Due to the low levels of care required and the reduced number of residents accommodated at Ashleigh, staff care input is limited, all staff employed have joint roles as housekeepers/domestics as well as their care duties. Residents spoken with confirmed that staff were available to provide support when required. Staff have undertaken the necessary training in health and safety related issues and two staff are currently undertaking the NVQ level 2 in care. Mr Dodla-Bhemah had recruited two new members of staff in the months leading up to the inspection, records demonstrated that this was done satisfactorily and in the best interests of residents. Ashleigh is well managed and Mr Dodlah-Bhemah has a good understanding of the principles and focus of the service, residents are supported to manage their own affairs and systems are in place for the protection of residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident that staff have the skills, ability and qualifications to meet assessed needs of the prospective resident and that the home can provide the appropriate facilities where assessed needs can be met EVIDENCE: One resident has moved to the home since the last inspection, the care file for this person was examined. Records demonstrated that a pre-admission process is undertaken, an assessment of need is carried out where information will be obtained concerning the persons health and welfare and any special needs; a decision is then made as to the suitability of Ashleigh as a new home for the resident. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 9 The pre-admission assessment is carried out using a set format, the file examined evidenced that this had been completed giving consideration to the persons needs in respect of their mobility, diet, communication (sight, hearing etc) continence care needs, any medical diagnosis and the persons personality in relation to any degree of confusion, their memory and behaviour. Following assessment it was also evident that the person was informed in writing of the outcome of the assessment and that it was considered that Ashleigh would be a suitable place for the person to move to where their needs can be met. On or shortly after admission, further assessment is undertaken to inform the care planning and delivery process. (see following section of report). The care file examined included a copy of the residents completed survey form, part of the home’s quality monitoring system. The resident had indicated a good level of satisfaction in answer to questions about the admission process and whether they felt they had been fully informed about the service they were entering. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal and health care support with regard for the individuals rights, dignity, equality and respect. Personal care is flexible, responsive and consistent and people are encouraged to maintain their independence as far as practicable. EVIDENCE: Residents spoken with all confirmed that they are treated respectfully with due regard for their individual personal and healthcare requirements. Records of care provided demonstrate that care is given appropriately and that the service is able to recognise any changes in a person’s health or well being and to take the appropriate action. Three sets of residents care files were examined which detailed liaison with other health care professionals as required and it was evident that Mr Dodlah-Bhemah is practised in recognising the need for medical attention and does so efficiently with records detailing the outcomes of such consultations. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 11 Care plans are held for each resident, the purpose being to direct staff in their daily routine to ensure care is delivered as required. Ashleigh is a small home and as such has a small staff team and it was evident from discussion with Mr Dodla-Bhemah and with residents that verbal communication is used effectively to ensure that things get done; it is necessary however to have explicit care plans that evidence the extent of the information provided. Of the three care files examined, care plans detailed each person’s problems and needs and the expectations of what they can achieve themselves and what needs to be done for them. In this section, staff are directed to ‘assist’ a resident with a certain task but did not state clearly the extent of the assistance required. A recommendation of the last inspection is repeated with regard to information provided to staff. A requirement of the last inspection is no longer applicable, it referred to care planning for a resident with insulin controlled diabetes, this resident has since left the home. In discussion, Mr Dodla-Bhemah was aware of the need to develop the care plan should any resident require this type of care in the future. Medication records are well kept and evidenced that residents are in receipt of any medication as prescribed by their GP, storage of medicines in the home was safe and in order. A monitored dosage system is in place administered by the dispensing pharmacist, the system provides medication administration records (MAR) for completion by the home. These were seen to be in order, well kept and with clear instruction. A record is kept of the safe return to the pharmacy of any medication that is no longer required. Most medicines are issued from the supplying pharmacist in blister packs (MDS), those that are not suitable for this type of dispensing are issued in their original containers, stocks of medicines held audited with recorded information. Residents spoken with said that they were treated well and that staff were kind, friendly and respectful. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to maintain personal and family relationships and are supported in accessing and enjoying opportunities available in the local community. Entertainment in the home is limited although residents are encouraged to follow their own recreational pursuits as far as they are able. A varied and nutritious diet is provided. EVIDENCE: People living at Ashleigh retain good levels of independence and selfdetermination and are able to organise their own personal and social calendars. Care records examined supported this and it was evident that residents are able to make choices regarding any organised activity such as group singing or church services. Activity records held individually for each resident also indicated their involvement with community activities, trips out, visitors, and recreational pursuits such as board games, bridge, classical music etc. Residents spoken with were happy to be able to make their own arrangements and appreciated the level of independence the home allows. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 13 A record of the meals provided for residents was examined, these indicated a variety of home cooked, nutritious, well balanced meals and although the records were not up to date, residents spoken with confirmed that they always enjoyed the meals and were able to have the things they liked and enjoyed. There are no special diets currently being provided for health reasons although one resident who is vegetarian confirmed that this is well catered for. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to protect the residents living at the home EVIDENCE: Ashleigh has a complaints procedure that is clearly written and easy to understand, it is available to residents and visitors. No complaints have been reported. Adult protection procedures are in place detailing for staff what action must be taken should any suspicions or allegations of abuse be reported, a copy of the local authority guidance ‘No secrets’ is also available for staff reference. Mr Dodla-Bhemah confirmed that staff have received training in issues relating to adult protection. A requirement of the last inspection has been addressed regarding the home’s internal adult protection policy. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ashleigh provides residents with a comfortable environment in which to live where they are safe, warm and have suitable facilities to meet their needs. EVIDENCE: Residents spoken with confirmed that they are comfortable in their rooms and are able to bring personal effects to make their space more homely; a tour of the premises viewing some rooms evidenced that they were clean, well maintained and homely. Bathrooms, showers and toilets are sited around the home, these provide suitable facilities and are clean and well maintained. A recommendation of the previous report has been addressed, Mr DodlaBhemah appointed an Occupational Therapist to undertake an assessment of the premises to determine and address any factors concerning mobility access in the home. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have confidence in the staff who care for them and there are sufficient numbers of staff are on duty to meet resident’s needs. Training is provided to staff in order that they have the skills and are competent to do their jobs. Safe staff recruitment practice is used. EVIDENCE: Examination of staff rotas demonstrates that here are 2 or 3 care staff on duty during the day shifts (2 shifts between 8am and 9pm) and two sleeping in/on call each night. Mr Dodla-Bhemah confirmed that he and his wife who live on the premises are the sleep in/on call staff although rarely get called during the night as residents accommodated are of low dependency. Residents spoken with confirmed that the felt safe during the night and did not require staffs attention. In addition to Mr & Mrs Dodla-Bhemah there are currently four staff employed, all staff are jointly appointed as carers/domestics. A requirement of the last inspection was made concerning the amount of time spent in the home by Mr & Mrs Dodla-Bhemah, with the appointment of two new staff since this time, this has been addressed and although there each night, both now have time off during the week, Mr Dodla-Bhemah confirmed this was sufficient. Two of the staff employed are currently studying for the NVQ level 2 award in care, two recently appointed staff may go on to study for this award when Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 17 there probationary period of employment is complete. Training records examined evidenced that staff have undertaken the necessary courses to enable them to care for the residents including moving and handling, health and safety, food hygiene and infection control, Mr Dodla-Bhemah is the only person at the home with a certificate in first aid. Some staff are due to attend refreshers courses in these subjects. Additionally, certificates seen included POVA, Principles of Care, Mental Capacity Act and Medication Management. Recruitment files examined for two recently appointed members of staff demonstrated that safe practices are used. Each applicant completes an application form detailing their work history and qualifications, references are sought, POVA first and CRB checks are made and verification of the persons identity is held. On appointment, staff are issued with the home’s terms and conditions of employment statement and are given an in-house induction into the routines and emergency processes of the home, the staff member then works for a trial period in order to further assess their suitability. A copy of the Skills for Care induction programme is available although in both instances of the new staff employed, this had yet to be started, neither had been in post for 12 weeks. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mr Dodlah-Bhemah takes responsibility for the day to day management of the service and is aware of the basic processes set out in the National Minimum Standards and of the need to keep up to date with practice and to develop the service. Quality assurance systems are being developed and the AQAA was completed and returned. People are supported to manage their own money where possible and health and safety policies and procedures are in place for the protection of residents. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 19 EVIDENCE: Mr & Mrs Dodla-Bhemah are the Registered Providers with Mr Dodla-Bhemah taking the role of manager of Ashleigh on a day to day basis; Mr DodlaBhemah has attained the Registered Managers Award The Commission for Social Care Inspection sent the home an annual quality assurance assessment (AQAA), which they were requested to complete and return to identify what the home feels they do well and set out their plans for improvement over the next twelve months. Mr Dodla-Bhemah is advised to make this report is available to residents and their representatives (the second half of the AQAA is not to be included as this contains resident’s data) An internal quality assurance programme is also being developed, questionnaires have been sent out to residents and relatives to inform the process. In order to protect residents, it is the policy of the home not to have any involvement with their personal finances. Therefore, any resident unable or not wishing to handle their own affairs has a relative or other representative to deal with their finances etc. Staff files demonstrated the extent of formal supervision; each staff member receives a supervision session at regular, pre-determined dates where all aspects of their care practice are discussed and any training needs are identified. Policies are in place with procedural guidance for staff on all aspects of the homes operation including health and safety matters and resident care issues. Policies seen included infection control, first aid, COSHH, Accidents, medication, Adult protection and whistle-blowing, continence care, diabetes and care of the dying. Dorset Fire and Rescue Service visited the home in February 2007 and confirmed that the Fire Risk Assessment was satisfactory, Mr Dodla-Bhemah is aware of the need to keep this under review. Risk assessments are in place on residents files demonstrating action necessary to reduce or eliminate identified risks such as accidental scalding and falling. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP7 OP15 OP30 Good Practice Recommendations Care plans should describe when and how care is to be provided, so that staff members are fully supported in meeting residents needs. It is recommended that the records of food provided are kept up to date. Although given 12 weeks to complete the Skills for Care induction programme, it is recommended that the two new staff who have been in post for approximately 8 weeks start this programme and any subsequent staff appointed start as soon as possible after commencing employment. Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashleigh DS0000026758.V352861.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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