Care Home: Brookview Nursing Home

What the care home does well People are generally suitably informed about the home and their needs are effectively accounted for in consultation with them and relevant representatives. People tell us they are always treated with dignity and respect from staff that uphold their rights to privacy and who promote their choices and daily living preferences. People can access a wide range of leisure, occupational and recreational activities both within and outside the home and which focus on both group activities and indiviual`s known lifestyle preferences and social histories. People receive nutritous food, which accords with the choices and assessed dietary needs. People can be assured that any concerns they raise will be taken seriously and acted upon and that they will be protected from harm and abuse. The home is maintained, decorated, furnished and equipped to a high standard and suits people`s needs. People can be assured that their needs wil be met from staff that are being effectively recruited, inducted, trained and supervised. The home is well managed, in people`s best interests. What has improved since the last inspection? The service has demonstrated a strong commitment to continous service improvement over the last eighteen months. They have worked steadily to meet with requirements and recommendations made at our last two key inspections, which are all but one fully complied with. They have focused on the targeted improvement of their management and staffing arrangements, which in turn has led to overall good care outcomes for people who use the service. They have demonstrated that they have robust quality assurance and monitoring systems, which seek to ensure the continous review and development of the home and to consult with and listen to people who use the service. They are keeping good records and can account for systems and practises at the home, including via their complaints handling. Arrangement for activities for people have continued to develop well providing a good range and choice for people to engage in both group and individual activities, both within and outside the home. The person who has been managing the home for some time has now completed her registered manager`s application ready for submission to the Commission and hasadvised that this will be submitted forthwith from her. What the care home could do better: The home has demonstrated to us that it knows what it needs to do to improve further and has clear action plans in place based on its operational quality assurance and monitoring systems. Areas for improvement that the home is actively seeking to achieve include, staff development in ensuring that at least 50 percent of care staff have achieved NVQ level 2 or above and via formal staff appraisal and supervision systems. They have also identified areas for improvement in their laundry service, which includes a review of capacity, to actively involve residents in the home`s newletter and to continue to monitor, deal effectively and reduce complaints they may receive. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brookview Nursing Home Holmley Lane Dronfield Derbyshire S18 6HQ     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: Susan Richards     Date: 2 4 0 9 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. 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 © (2008) 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: Brookview Nursing Home Holmley Lane Dronfield Derbyshire S18 6HQ 01246414618 01246414657 brookview@heathcotes.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Vacant Type of registration: Number of places registered: Brookview Nursing Home Ltd care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Brookview Care Home provides nursing and personal care for older persons. The home provides 54 single bedrooms, 44 of which have en suites. There are three double bedrooms, one having and en suite facility. Communal bathing, shower and toilet facilities suitably located around the home. There is one large lounge and two smaller lounge areas, one being a quiet lounge and one combined large dining/small lounge area. There are a range of aids and adaptations provided to assist people who may have physical disabilities, including an emergency call system and a shaft lift giving access throughout the home. Level/ramped access is provided to garden areas, with seating provided. Visiting to the home is open and people are provided with care and support from a team of nursing, care and hotel services staff managed by a lead nurse and acting manager/regional manager. 0 Over 65 60 Care Homes for Older People Page 4 of 28 Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. For the purposes of this inspection we have taken account of all the information we hold about this service. This includes our annual quality assurance assessment questionnaire (AQAA), which we ask the home to complete on an annual basis in order to provide us with key information about the service. We did not receive any survey returns from people on this occasion. However, we received a number of comments from people who use/visit the service. These include, Care Homes for Older People Page 6 of 28 Staff are kind, caring and always cheerful. The activities co-ordinator is wonderful, she listens to what we say and organises events and trips out regularly. The home is always kept fresh and clean The food is good and plentiful and you can always have something different if you dont like what is on the menu. At this inspection we used case tracking as part of our methodology, where we looked more closely at the care and services that three people receive. We did this by talking with them, observation of staff interactions with them and their representatives, looking at their written care plans and associated health and personal care records and by looking at their private and communal accommodation. We spoke with staff about the arrangements for their recruitment, induction, training, deployment and supervision and we examined related records. We also spoke with the person managing the home about the arrangements for the management and administration of the home and we examined associated records. All of the above was undertaken with consideration to any diversity in need for people who live at the home. At the time of our visit all people accommodated are of British white backgrounds and of Christian religion. Up to date information about the range of fees the home charges can always be accessed directly from the home and are provided within their service guide. At the time of our visit the range of fees charged per week was as follows: 335.50 pounds to 440.00 pounds. Fees charged and what they cover is dependant on peoples individually assessed needs and may include a contribution from either the local authority (in respect of accommodation and personal care) or the local primary care trust (in respect of the free nursing care element of the fee) for those who may be eligible. There are additional charges for newspapers, personal toiletries, private chiropody and private transport. What the care home does well: What has improved since the last inspection? The service has demonstrated a strong commitment to continous service improvement over the last eighteen months. They have worked steadily to meet with requirements and recommendations made at our last two key inspections, which are all but one fully complied with. They have focused on the targeted improvement of their management and staffing arrangements, which in turn has led to overall good care outcomes for people who use the service. They have demonstrated that they have robust quality assurance and monitoring systems, which seek to ensure the continous review and development of the home and to consult with and listen to people who use the service. They are keeping good records and can account for systems and practises at the home, including via their complaints handling. Arrangement for activities for people have continued to develop well providing a good range and choice for people to engage in both group and individual activities, both within and outside the home. The person who has been managing the home for some time has now completed her registered managers application ready for submission to the Commission and has Care Homes for Older People Page 8 of 28 advised that this will be submitted forthwith from her. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 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 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are generally suitably informed about the home and their needs are effectively accounted for. Evidence: At our last key inspection we judged that there were effective admission and needs assessment arrangements in place for people. In our annual quality assurance questionnaire completed by the home they said that people are always provided with key service information and their needs fully assessed with them. They told us about some of the improvements they have made over the last twelve months, which have included a review and update of the service information, to include welcome packs in each room and incorporating a newsletter to give people additional information about the home. They also tell us about improvements they aim to make over the coming months, which include providing key Care Homes for Older People Page 11 of 28 Evidence: service in alternative formats and to more directly involve residents who wish to do so in their newsletter. At this inspection, people told us they were provided with the information they needed to help them choose the home, including individual written contracts or terms and conditions. People who were able, also told us that they felt there needs were well met and we saw that their individually assessed needs were well accounted by way of record keeping and also from discussions we had with staff. Care Homes for Older People Page 12 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. Peoples health care needs are accounted for and they are treated with respect and their dignity and privacy upheld. Evidence: At our last key inspection of this service we judged that peoples health care needs were reasonably well accounted for and their rights to privacy and dignity usually well promoted, although with some inconsistent approaches to peoples care and not always in accordance with their expectations. We made a number of requirements. One about written care plans and two about medicines administration and record keeping. These are met at this inspection. In our annual quality assurance questionnaire completed by the home they said that people have individual person centred care plans based on their risk assessed needs and their rights to privacy and dignity are respected. They told us about improvements they have made since our last key inspection of the service and also improvements Care Homes for Older People Page 13 of 28 Evidence: they aim to make over the coming months. This has meant that they now undertake regular formal audits of their medicines systems and practises, which means that they can act on any omissions and ensure best practise. Staff have also all undertaken further training in individual care planning and risk assessment practise and they have also introduced recognised end of life care planning practise. At this inspection people told us that they receive the care and support they need, including medical care, although are not involved in their written care plans. The home have told us in our questionnaire they returned to us that they aim to improve this over the coming months by involving people in these. Comments received from people, inlcude: Staff are very good and respectful to me. Staff are very kind and the district nurse visits me as well. Peoples written care plans that we looked at were formulated in accordance with their individually risk assessed needs, were regulary reviewed and reflective of recognised guidance concerned with the care of olde people. They were person centred and accounted for peoples known choices and lifestyle preferences and their individual capacities. We also observed that people were provided with the equipment they needed in accordance with their assessed needs. We looked at the homes arrangements for the ordering, receipt, storage, administration and disposal of medicines. These were in accordance with people wishes, recognised guidance and the law concerning the safe handling of medicines. We noted two minor areas of error in recording, although the homes auditing system for medicines is also designed to detect and trigger remedial action in respect in respect of these. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples routines of daily living and activities are now more flexible and varied and better suits their expectations, preferences and capacities. People receive nutritious food, which they enjoy and which accords with their choices and preferences. Evidence: At our last key inspection of this service we judged that whilst a range of activities were provided and people usually received a satisfactory diet, that their rights to autonomy and choice were not always best promoted or accounted for with regard to their daily living arrangements. We made recommendations that the home seek to maximimise peoples autonomy and choice and that these be accounted for with their care planning records. In our annual quality assurance questionnaire completed by the home they said that the home now has a comprehensive activities programme established and coordinated by a dedicated activities person and that this has development considerabley Care Homes for Older People Page 15 of 28 Evidence: over the last twelve months. They tell us that they aim to continue developing this. At this inspection people told us that there are always a range of activities they can join in, both within and outside the home and that they usually like the meals at the home. One person told us they enjoyed going out to a local domino club and also to church, with an occasional meal out afterwards, which the home supports them to do. We saw that information was provided for people about activities on the activities noticeboard and also in the service guide, along with photographs of people engaging in various events and activities and information about how to access advocacy services. We received many positive comments relating to the social and recreational activities organised both in and outside the home. Some people had recently enjoyed a trip out to a local country park and also Meadowhall shopping and all spoke highly of the dedication of the activities co-ordinator. Other examples of recent and planned activities included: One resident who used to be a pilot joined a visit to see a Lancaster bomber plane, outing to a local village show, music evenings, quilt making demonstraiton, weekly chair based aerobics, bric and brack sale for residents funds, bonfire night plans, virtual holiday event, regulary in house entertainers, crafts, board games, and music. One the day of our visit it was one persons birthday. They choose to play a game of bingo with friends and family and sherry drinks were served. People also told us that their friends and families could visit the home at any time they wished them to. We observed lunches being served. People chose where to eat and what to eat from the daily menu, which is displayed along with the weekly menu and indicates a nutritious and balanced diet is provided. Food was well presented and tables attractively set. Comments received included: The food is good, there is always plenty. Peoples needs assessment and care planning records now better account for their lifestyle preferences and daily living choices. Care Homes for Older People Page 16 of 28 Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People may be assured that any concerns or complaints they raise will be taken seriously and acted upon and that they will be protected from harm and abuse. Evidence: At our last key inspection of this service we judged that for the most part, individual complaints made were taken seriously by the home and acted upon. Although address of key themes emerging from thse might further benefit people who live at the home. In our annual quality assurance questionnaire completed by the home they said that people are suitably informed as to how to complain and may be confident that any complaints made will be properly recorded, investigated and dealt with. They told us about improvements they have made over the last twelve months. These include staff training updates to ensure they are conversant with their responsibilities concerned with safeguarding people from harm and abuse and also in terms of their management and handling of complaints. They also tell us about improvement they aim to make over the coming months concerned with providing further staff training/updates in dealing with aggression. This questionnaire return also gave us some statistical information about the number of complaints the home has received over the last twelve months and the outcomes of these. This information along with our examination of the homes complaints records Care Homes for Older People Page 18 of 28 Evidence: and discussions with people, tells us that the home has managed these effectively and taken action where necessary. In total the home has received nine complaints over the last twelve months. Five of these were referrred and investigated through recognised joing agency safeguarding procedures with non substantiated. Of the four investigated via the homes complaints procedure, three were upheld and one partially upheld. All are acted upon and resolved. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in an environment, which is decorated, furnished, maintained and equipped to a high standard and which suits their needs and choices. Evidence: At our last key inspection of this service we judged that overall people lived in a clean and comfortable environment, which was decorated and furnished to a good standard. Although more prompt attention to equipment maintenance and repair may better assure peoples safety and choice. We made two requirements about completion of repairs to assisted baths and in ensuring safe hot water temperatures from all bathing outlets. These are met at this inspection. In our annual quality assurance questionnaire completed by the home, they say that they provide an excellent standard of clean accommodation, with ongoing refurbishment and providing bedrooms for people that are well personalised and always redecorated when empty. They also told us about some the improvements they have made over the last twelve months and improvements they aim to achieve over the coming months. These include meeting the requirements we made at our last key inspection of the service and tells that the provider is committed to ensuring the ongoing maintenance and repair of the home to a high standard, including timely replacement of furnishings, decor and equipment. Care Homes for Older People Page 20 of 28 Evidence: At this inspection all areas that we looked at, including the private and communal accommodation accessed by those people we case tracked, were clean, safe, kept in a state of good repair, providing the necessary equipment and are furnished, decorated to a high standard. Peoples own rooms are personalised and they are provided with the equipment they need. They told us that the home is always kept fresh and clean and many people were pleased with the development of the patio area off the main dining room, which they could access and which was well furnished and provided planting. We saw letters and reports of the most recent inspection visits from the local Fire Authority and Environmental Health Officers, which tell us that the home work well in consultation with those authorities to comply with their guidance and requirements. A recent environmental audit had been undertaken by the home in consultation with outside professional advice in order to assess and promote good infection control measures and practise. We looked at the action plan instigated as a result of this, which shows us that the home seeks to ensure a clean, safe and hygienic environment. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that that their needs will be met from staff that are being effectively recruited, inducted, trained and deployed. Evidence: At our last key inspection of this service we judged that people benefitted from a staff team that were properly recruited, inducted and for the most part well trained, although staffing arrangements did not always promote consistency and best practise in the organisation and delivery of care We made two requirements about ensuring that staffs views as to the conduct of the home be listened to and acted upon to better ensure consistency of care and support for people living there and also to provide staff with dementia care and infection control training for those who had not received it. These are met at this inspection. In our annual quality assurance questionnaire completed by the home they say that staff is effectively recruited, trained and deployed. They also told us about some of the improvements they have made since our last key inspection. These include improvements in their staff training and development planning and arranging promoting staff access to NVQs in care. Improvements they aim to make over the coming months focus on increasing their dedicated training hours provision for staff. Care Homes for Older People Page 22 of 28 Evidence: At this inspection people told us that staff usually listen and act on what they say and are usually available when they need them. Comments received, include: Staff are always happy in their work and obliging. I dont know how they do it. Discussions with staff confirm satisfactory arrangements are in place for their recruitment, induction, training and deployment, including core health and safety training and they particularly told us that training arrangements and access to the training they need is good. Staff know what is expected of them and have clear systems and arrangements in place for care delivery to people by way of named nurse/key worker system. Records that we examined in respect of the above were reflective of this, including the homes staff training plan. There are four care staff with NVQ level 2 and above and nine signed up to commence these. There are also quality assurance and monitoring systems in place, which provide for the regular auditing of staffing arrangements, with a recent action plan determined with dates for achievement in respect of staff supervisions and appraisals. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in peoples best interests. Evidence: At our last key inspection of this service we judged that peoples health, safety and welfare was reasonably accounted for, although peoples views were not always effectively acted on. We made a requirement that that person managing the home submit an application for their registration to the Commission. In our annual quality assurance questionnaire completed by the home, they say that they have introduced a revised quality assurance and monitoring system along with revised financial control measures. They also told us about some of the improvements they have made over the last twelve months and improvements they aim to make over the coming months, which focus on key health and safety policy and practise Care Homes for Older People Page 24 of 28 Evidence: review, staff training and the rolling out of their revised quality monitoring systems and linking to the homes annual development plan. This tells us that there is a focus on continuous service improvement. At this inspection we were assisted by the regional manager who has continued to manage the home since our previous key inspection and had prepared her registration application for submission to the Commission, which we had sight of. She advised us that she intended to submit her prepared application forthwith. Staff told us about satisfactory arrangements for their supervision and support and also in respect of communication systems and the management of the home. We saw that there is are comprehensive quality assurance and monitoring systems in place, which aim to continously improve the service and include for consultation with people. We were able to see by looking at some of these where service improvements had been made and which are linked to requirements and recommendations we have made in our previous inspection reports. Recent satisfaction surveys from the home to people who use the service gave overall postive feedback and showed that eighty four percent of people are happy with the care they receive, ninety two percent are happy with the meal service, although only fifty two percent with the laundry service. An action plan was in place in respect of this and other matters arising. Staff spoken with described satisfactory arrangements for ensuring safe working practises in the home, including the provision of equipment and during our visit we observed the home to be free from observable hazards. The arrangements for the management of peoples own personal monies, that we looked at via case tracking were also satisfactory and people are provided with lockable storage facilities in their own rooms should they wish to look after their own monies. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 People should where able, be actively involved and consulted with in respect of their written care plans and where possible should be encouraged to sign their agreement with these. At least 50 percent of care staff should achieve a minimum of an NVQ level 2 in care. 2 28 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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