Care Home: Campania

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What the care home does well Campania provides a supportive environment for people, which enable them to maintain progress and improve both their physical and mental health. This can mean that they are helped to move on to supported living where they can live in their own home. Peoples comments in the written surveys said `we get lots of help and support,` staff help us in an understanding way, they know about how I feel.` They also indicated that they were happy with the service provided but did not make additional comments. The menus, people`s comments and the meal on the day of the inspection supported the homes claim that they have a very nutritious menu, which provides a well balanced diet for people in the home. Activities include a very busy programme of games conversation, gym and fitness programme. People are encouraged to keep active through the day. A daily trip out is organised each afternoon and people are supported to go out into the local community. Staff comments showed that they are well supported with a training programme that is relevant to their role in the home and the diverse needs of the people in their care. What has improved since the last inspection? Care plans have been reviewed since the last inspection; they are now more person centred including goals, action and outcome. They also now include a signature showing that residents have discussed agreed to their plan of care. Risk assessments were in place showing what may trigger an aggressive outburst and how to manage the situation. Signed agreements were seen between residents and the home to show that they had agreed to staff managing cigarettes or lighters if necessary. Improvements to carpets and bathrooms are on going. Any complaints now include a record of the outcome and what was agreed to improve the service or prevent the incident from happening again. CARE HOMES FOR OLDER PEOPLE Campania 18 - 20 Ellenborough Park South Weston Super Mare North Somerset BS23 1XN Lead Inspector Juanita Glass Unannounced Inspection 26th August 2008 09:00 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 DS0000020283.V366929.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. DS0000020283.V366929.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Campania Address 18 - 20 Ellenborough Park South Weston Super Mare North Somerset BS23 1XN 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) 01934 626233 01934 420789 clive@notarohomes.co.uk www.notarohomes.co.uk N Notaro Homes Limited Robert Clive Oldridge Care Home 37 Category(ies) of Learning disability over 65 years of age (37), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (37), Old age, not falling within any other category (37) DS0000020283.V366929.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May provide personal care only for persons over the age of 45 years in categories MD(E) and LD(E). May accommodate persons from the age of 45 years who are suffering from Alcohol Related Brain Damage (ARBD), within the registered numbers of 37 who require personal care only. 4th September 2007 Date of last inspection Brief Description of the Service: Campania is a specialist unit providing medium to long-term residential care and rehabilitation for sufferers of alcohol related problems such as Korsakoffs Syndrome. They do not provide detoxification or therapies, but they do provide a programme to aid recovery and rehabilitation in areas such as personal care and life skills. They are registered to take up to 37 people over the age of 45. They cannot take people with nursing needs however if the situation should arise they do have access to the local community nursing service. The Home is situated about half a mile form the town centre and within walking distance of the beach and other amenities, such as Weston College. The home has a variety of communal spaces including lounges, games room, relaxation room, and computer room and residents kitchen. There is also a spacious conservatory that gives access to a secluded garden, ideal for relaxing in and enjoying summer barbeques. Current fees are from £675 per week dependent on assessed needs. DS0000020283.V366929.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 stars. This means the people who use the service experience good quality outcomes. This inspection took place over one day and a total of six hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also looked at surveys returned to us by people living in the home and people with an interest such as relatives, social workers and GPs. We received 13 surveys, 7 from people living in the home and 6 from staff. Once we had received this information we carried out a visit to the home and spoke to people living there, staff and relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, service records and health and safety. What the service does well: Campania provides a supportive environment for people, which enable them to maintain progress and improve both their physical and mental health. This can mean that they are helped to move on to supported living where they can live in their own home. Peoples comments in the written surveys said ‘we get lots of help and support,’ staff help us in an understanding way, they know about how I feel.’ They also indicated that they were happy with the service provided but did not make additional comments. The menus, people’s comments and the meal on the day of the inspection supported the homes claim that they have a very nutritious menu, which provides a well balanced diet for people in the home. DS0000020283.V366929.R01.S.doc Version 5.2 Page 6 Activities include a very busy programme of games conversation, gym and fitness programme. People are encouraged to keep active through the day. A daily trip out is organised each afternoon and people are supported to go out into the local community. Staff comments showed that they are well supported with a training programme that is relevant to their role in the home and the diverse needs of the people in their care. What has improved since the last inspection? What they could do better: No requirements were made as a result of this inspection. Three good practice recommendations were made. We discussed with the manager the need to include in the Statement of Purpose a paragraph describing the type of service provided at Campania, which includes the age range they can care for. This was clearly described in the Service User guide and it was agreed it would be copied in. We have recommended that a clear protocol for how and when As Required medication is used. We saw a very clear whistle blowing and safeguarding policy and procedure however it also needed to include the contact details for CSCI and Care Connect. DS0000020283.V366929.R01.S.doc Version 5.2 Page 7 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. DS0000020283.V366929.R01.S.doc Version 5.2 Page 8 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 DS0000020283.V366929.R01.S.doc Version 5.2 Page 9 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, 3 and 5. 6 Does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents benefit from adequate written information, a chance to visit the home and a full assessment of their needs. This means they can make an informed decision before moving in and their needs are fully met. EVIDENCE: We discussed the admission procedure with both staff and people living in Campania, we also looked at records kept by the home before a person moves in. People we spoke to said that they had plenty of information about Campania as the home has produced a very easy to read guide to moving in. Residents referred to this booklet called ‘Everything you wanted to know about Campania but couldn’t remember.’ They said it told them all they wanted to know. Some people spoken to said they really could not recall the admission process DS0000020283.V366929.R01.S.doc Version 5.2 Page 10 and felt they had just been told Campania would be good for them by their social worker. They did however confirm that they had been offered a trial period and visit, giving them the chance to decide whether the home was the right placement for them. The records we looked at showed that a full assessment of peoples needs was carried out on each occasion. The manager and staff assessed whether the home could meet the specific needs of the person as an individual. The assessment included people’s physical and mental health, emotional wellbeing and medication needs. We asked for a copy of the Statement of Purpose, which was made available on request. The Statement of Purpose gives clear information about the home but lacks a paragraph describing the admission criteria and age range accepted at Campania. We found that these were clearly described in the Service user Guide so the manager agreed to copy the paragraph into the Statement of Purpose. The Statement of Purpose also clearly states that Campania can meet the diverse needs of people with different cultural, social and religious backgrounds. DS0000020283.V366929.R01.S.doc Version 5.2 Page 11 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 living in the home benefit from personal and specialist healthcare support that is provided in a person centred way agreed with them and respects their privacy and dignity. They benefit from and are protected by the homes policies and procedures for the administration of medication, however these could provide further guidance for staff. EVIDENCE: Since the last inspection the written care plans had been reviewed to reflect the person centred way in which care is provided in Campania. Care plans were written following the initial assessment then revised as the people settled into the home. They contain goals, how the goals are going to be met and an outcome. They are written from the individual’s point of view and are signed and agreed by the person living in the home when possible. We also saw risk assessments for aggressive behaviour. These gave staff very clear guidelines about what might trigger someone to be aggressive and how to manage the situation. Staff said that the risk assessments were easy to understand and DS0000020283.V366929.R01.S.doc Version 5.2 Page 12 very helpful. Residents said they knew they had care plans and that they had discussed them but were not interested in discussing their content. One person said so long as they were well looked after and listened to they did not mind about the paper work. Care plans also contained agreements with residents about staff managing cigarettes and lighters when necessary. The agreements were also clear about the homes alcohol consumption policy. People said that they understood some of the restrictions in place and had agreed to them. Staff indicated that due to the nature of Korsakoff’s people often forget why a restriction needs to be in place so they need to be reminded on occasion. People spoken to said they felt well cared for by staff who respected their individuality. One person said they felt staff knew their individual needs not just written in a care plan. We observed staff interaction through the day and saw that they have developed a close rapport with people living in the home. Staff indicated that they understood the diverse needs of the people in the home as individuals with their own likes and dislikes which needed to be respected. Records kept by the home showed that people living there were enabled to attend healthcare services such as out patient appointments, dentists, opticians and other specialist support they needed. We looked at the homes medication policy and procedure; they provide staff with very clear guidance on receipt storage and administration. We observed staff and saw that they followed the policies and procedures well. An audit of medication in the home showed that there were no errors and medication was stored properly. We recommended that the manager needed to produce a PRN (As Required) Protocol for individual residents who are prescribed PRN medication. These need to say why the medication is prescribed and the procedures to be followed before giving the medication to the resident. DS0000020283.V366929.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the development of meaningful activities which recognises their diverse needs, likes and dislikes enabling them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the community. A well-balanced menu means people benefit from a healthy and nutritional diet. EVIDENCE: We were very impressed with the ‘buzz’ of activity in Campania through out the day. One member of staff organises activities and trips for people to take part in, whilst other members of staff support the work they are doing. People were occupied with games, quizzes, conversation newspaper discussion and TV for those who wished it through out the day. People also went to an organised fitness session in the afternoon when they were helped to use the gym equipment by staff. Later in the afternoon a minibus trip was arranged which everybody wanted to go on. DS0000020283.V366929.R01.S.doc Version 5.2 Page 14 When we spoke to people living in the home they said it was always that busy and that they never had time to get bored. But they also said they could go and do their own thing if they wished and staff respected that choice. As well as organised activities in the home people can access the local community and college following an interest or educational course. Records also showed that people were being supported to maintain their chosen religion within the local community. When we spoke to people about maintaining some choice and control over their lives, they generally felt they did have choice and control within a safe setting where they were supported by staff to take risks, or make decisions. Some people who on admission would never have thought of going to the shops alone now frequently walk to local shops and parks unsupervised. The Service User Guide states that family and friends are always welcome. People spoken to said they could see family or friends and that the staff help them to maintain contact and to meet new friends and develop relationships. We joined the people living in Campania for lunch, they said they always had very good meals and praised the standard of cooking in the home. The manager recognises the importance of nutrition for people with Korsakoff’s. Care plans included nutritional assessments; these are based on an overall score taking into consideration weight, ability to eat, appetite, skin type and age giving a level of risk that staff then act on to ensure individuals receive a nutritional well balanced diet. A choice of meal was offered and people indicated that staff knew their likes and dislikes and an alternative could be provided if necessary. DS0000020283.V366929.R01.S.doc Version 5.2 Page 15 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 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. EVIDENCE: Campania has a very clear complaints policy and procedure, which is easy to read. It shows a clear timeline and action to be taken if some one wishes to raise a concern or complaint. A copy is readily available in the hall and includes a large print version. We noticed that although the policy contained clear guidelines and staff knew who to contact it failed to give the contact details for CSCI and Care Connect the manager agreed to add these straight away. Complaints received are recorded in a complaints log and since the last inspection now includes a statement about the person’s level of satisfaction when the issues have been dealt with. People we spoke to said they knew who to approach and felt they could raise any issue with the manager if they wished. We observed people talking at ease with staff and the manager. One person indicated that they did not know how DS0000020283.V366929.R01.S.doc Version 5.2 Page 16 to make a complaint, but then said they could talk to anyone in the home at ease. We saw a copy of the North Somerset policy and procedure for Safeguarding Adults under No Secrets, which is available for all staff to read. Staff spoken to said they knew who to inform if they suspected abuse and they all knew about the homes whistle-blowing policy. Staff records showed that they had all received appropriate training in Safeguarding Adults. DS0000020283.V366929.R01.S.doc Version 5.2 Page 17 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, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in Campania benefit from a comfortable, well-equipped and homely environment. Some areas are in need of further decoration and maintenance. People have access to a garden and local parks. People are protected by staff awareness of appropriate infection control guidelines. EVIDENCE: Campania is arranged over three floors, with a passenger lift to provide people with mobility problems access to all areas. Communal areas consist of a lounge and dining area on the ground floor with another lounge, gym area and computer room on the first floor. Provision is also made for residents to make tea and snacks in a small kitchenette on the first floor. Bedrooms are over all three floors and those seen with the permission of residents showed a wide range of personalised furniture and decoration. DS0000020283.V366929.R01.S.doc Version 5.2 Page 18 Some areas of the home are beginning to show evidence of wear and tear and are in need of refurbishment and redecoration. On the day of the inspection the maintenance person was decorating and refurbishing empty rooms. The manager confirmed that a program of decoration was in place and that poor areas such as the top floor bathroom ceiling were being dealt with. People spoken to said they liked their rooms and confirmed that they are responsible with the help of staff for keeping their rooms clean and tidy. One person said they really liked the way they had been allowed to bring their own things in such as their radio system. The home shows a good standard of housekeeping and no offensive odours were apparent. The manager and staff showed a clear awareness of infection control policy and guidelines. Protective clothing was being used when appropriate and the manager can obtain guidance from outside agencies if required. DS0000020283.V366929.R01.S.doc Version 5.2 Page 19 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. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect them from the possibility of abuse. EVIDENCE: We looked at the personnel files held by the home for some of their staff. We looked at the employment records for two recently employed members of staff. We also looked at the staffing rota and the training records for people working in the home. The staffing rota showed that there is always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing is flexible so extra staff could be bought in to cover extra busy times such as when peoples needs change, activities or trips out. People spoken to said there were always enough staff in the home. The manager confirmed that staff are being encouraged to attend the NVQ In Health and Social Care training. However records showed that many of the support workers already have a Health Care qualification that is equivalent to or above an NVQ Level 2. Staff surveys indicated that they were well DS0000020283.V366929.R01.S.doc Version 5.2 Page 20 supported with training and staff said that the training they received was relevant to their role and the care needs of the people living in Campania. Staff personnel records showed that all mandatory training had been attended and dates for further updates were advertised in the office. Campania has strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed showed that the manager follows these guidelines as all the relevant checks such as references and a CRB (Criminal Bureau Records) check had been completed before the person started work. This protects people living in the home from possible harm or abuse. DS0000020283.V366929.R01.S.doc Version 5.2 Page 21 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, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. They are protected from financial abuse through safe and stringent policies for managing resident’s money. Both people working and living in the home are protected by robust health and safety procedures. EVIDENCE: The manager Mr Oldridge has a number of years experience in providing care in a residential setting. He has attained the NVQ Level 4 Management in Health Care. He has also attended training relevant to the specific diverse needs of the people living in the home. Mr Oldridge is assisted by the Deputy DS0000020283.V366929.R01.S.doc Version 5.2 Page 22 Manager Milan Mores who has experience in the Therapeutic care of people with a drug or alcohol related addiction. Staff and people living in the home said they could approach both the manager and deputy manager and one resident said the deputy manager had helped them a lot in the last 12 months. Staff comments and records kept in the home showed that monthly staff meetings and eight weekly individual supervision ensured that staff were supported in creating a consistent approach to care being provided in the home. Supervision records also include a feedback form from the support worker stating whether the process could be improved or not. An annual customer satisfaction survey is carried out when people living in the home are able to complete the survey with the assistance of a member of staff or anonymously. The survey is also sent to visitors to the home, social workers and health care professionals. As well as the annual survey the manager conducted a food survey in April 2008 and activities survey in July 2008 when people’s suggestions were taken and used to further develop the menu provided and the activities made available for people on a daily basis. Facilities exist for the safekeeping of cash on behalf of the people at the home. It was stated that individuals have cash in safekeeping and currently nominal amounts of cash are withdrawn from individual’s personal bank accounts for safekeeping at the home. We looked at records relating to the servicing of equipment used in the home. All the records were up to date and available for inspection, these included the COSHH records, which are the guidelines for staff to follow if they spill, drink or are splashed by chemicals used in the home. The implementation of health and safety within the home was satisfactory. All residents have personal risk assessments. Generic risk assessments are in place and reviewed regularly including hot water checks. A review of the firelog showed all tests, training and drills were being carried out to the Avon and Somerset Fire Brigade guidelines. DS0000020283.V366929.R01.S.doc Version 5.2 Page 23 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 2 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 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 3 X 3 DS0000020283.V366929.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 Refer to Standard OP1 Good Practice Recommendations The manager needs to put a copy of the paragraph in the Service User Guide referring to the admission procedure and age range of people living in the home into the Statement of Purpose. The manager needs to develop a protocol for the administration of PRN (as required medication). The provider needs to include the contact details for CSCI and Care Connect in the safeguarding and whistle blowing policy. 2 3 OP9 OP16 DS0000020283.V366929.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West 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 DS0000020283.V366929.R01.S.doc Version 5.2 Page 26 - 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. 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