Care Home: Castle Court

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What the care home does well People spoken with said that they found the move into the home a supportive experience, and were please that they were able to bring some of their personal possessions for their bedrooms. Most of the people had previously visited the home or had a period of respite, which they said, "helped them make the decision about moving in". People spoke positively about the support and care they received from the staff team who they described as "excellent and caring", "supportive and helpful", and "work very hard". People said their needs were met to a good standard and with "dignity and respect at all times". Feedback provided in the surveys confirmed that people were supported in accordance with their needs, and comments made included "the staff do an excellent job, they are brilliant and I cannot fault them". People were very happy with the environment, which they said was homely, and all of those spoken with said they really liked their bedrooms. People also commented on how much they liked their small gardens areas, which they are supported to maintain, and plant "their favourite flowers and plants". There are systems in place to enable people to provide feedback about the service and make suggestions for improvements. Visitors spoken to said the staff made them feel welcome and keep them informed of their relatives well being. They said that there was `always enough staff on duty`. The staff team reported that they work well together and have access to training opportunities to enable them to have the skills and knowledge to fulfil their roles. They said they were supported by the management team who were available for advice and guidance at all times. What has improved since the last inspection? The Registered manager is pro-active and has addressed the requirement and all of the recommendations that were made ion the previous report. The medication practices have been improved to ensure that peoples medication is administered as prescribed. An audit system has been implemented to monitor the medication procedures, to ensure standards are maintained. CARE HOMES FOR OLDER PEOPLE Castle Court Linton Road Castle Gresley Swadlincote Derbyshire DE11 9HP Lead Inspector Claire Williams Unannounced Inspection 29th July 2008 09:30 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 Castle Court DS0000066379.V369344.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. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle Court Address Linton Road Castle Gresley Swadlincote Derbyshire DE11 9HP 01283 230465 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) www.derbyshire.gov.uk Derbyshire County Council Janet Elizabeth Allcote Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 41 22nd November 2006 Date of last inspection Brief Description of the Service: Castle Court is a residential home situated in Castle Gresley. It is a purpose built home that provides personal care and accommodation for up to 41 older persons. All of the accommodation is situated on the ground floor, and all bedrooms are single apart from the provision of one double bedroom. All have en-suite facilities, and are fitted with patio doors, which lead out to a small garden area for each individual. There are three shops, which are local to the home. The home has separate lounge and dinning areas, a hairdressing room, smoke room, and an activities area. All areas are wheelchair accessible. Information about the service is provided in the Statement of Purpose and Service User Guide; both of these documents are made available to people and include reference to the location of the inspection report. It was reported that the current fees for this service are £392.18 per week. Items not covered in the fees include hairdressing, chiropody, toiletries, and transport. Castle Court DS0000066379.V369344.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 the service is two star. This means the people who use the service experience good quality outcomes The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The inspection visit was unannounced and took place over a period of 7 and half hours. In order to prepare for this visit we looked at all the information that we have received. This included: • What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement. • The annual quality assurance assessment (AQAA). This is a selfassessment that focuses on how well outcomes are being met for people using the service. • Surveys returned to us by people using the service and from other people with an interest in the service. We received 13 surveys from people that use the service, 10 surveys from relatives/carers advocates, and 10 staff surveys. Comments and evidence from these have been included in this report. During the site visit case tracking was included as part of the methodology. This involved the sampling of a total of four people representing a cross section of the care needs of individuals within the home. Discussions were held with those individuals as able, together with a number of others about the care and services the home provides. Their care planning and associated care records were also examined and their private and communal facilities inspected. Discussions were also held with staff about the arrangements for their care and also for staffs’ recruitment, induction, deployment, training and supervision. We also spoke with four visitors who were in the home at the time of this visit. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 7 The documentation in place would benefit from being reviewed to include the six strands of diversity, which are: race, gender identity, disability, sexual orientation, age, religion and belief. This will make it inclusive to all people. There have been changes in the law to the way controlled medication is stored, therefore the service must ensure their storage meets the new requirements. This is to ensure people’s controlled medication is stored appropriately. The staff team would benefit from having training about the mental capacity act so that they are aware of the new legal rights people who live in this service have. This will enable the staff team to promote these rights. 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. Castle Court DS0000066379.V369344.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 Castle Court DS0000066379.V369344.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): National Minimum Standards 1, 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assessed and have access to information to enable them, to make an informed decision about moving into this service. EVIDENCE: In the self-assessment that we received they said they have developed a new pre admission assessment where they invite the person and or their family to visit the home. From here they complete an admission assessment, which comprises of meeting their needs. They provide information relevant to the home, and send a conformation letter to their home address. People confirmed during our visit that they have received information about the service, and copies of the Statement of purpose and Service user guide was observed to be located in people’s rooms. This ensures that people have access to information about the service and their rights. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 10 Individuals and their relatives also confirmed they had been assessed before they moved into the home, and this was supported by the assessments in the 4 files that we examined. Relatives commented that they found the admission process to be a positive one, and that the staff were “very supportive”. Individuals spoken with said that they found that visiting for a period of respite enabled them to “get used to the place” and to make an informed decision about moving in on a permanent basis. The home does not provide intermediate care and there were no residents accommodated at the time of the site visit with diverse cultural or religious needs. It would be beneficial however for all documentation to be reviewed considering the six areas of diversity, so that is it inclusive to all people. Castle Court DS0000066379.V369344.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): National Minimum Standards 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 the care they need and this is provided in a way that upholds their dignity. EVIDENCE: The self-assessment that we received they said they have policies on all aspects of health and Personal Care. They meet and greet Service user/families/visitors into a warm and welcoming atmosphere. They provide efficient and effective service of care, in an environment that is safe for all. They joint work with other agencies and have built up a good network of support. They have a good input from District Nurses, and Occupational therapists. They said each person is allocated a personal carer on admission, who will look after their personal needs during their stay. People have a personal working document, with a personal service plan tailored to meet their needs, and a record of skills and interests are recorded. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 12 All care files seen contained a person centred assessment of need and care plan, which enables staff to deliver individualised care. There was information about the person’s background and about individual’s likes, dislikes, routines and preferences, which ensures the plan is holistic. There was evidence that the plan of care was reviewed on a monthly basis. This is required to ensure that the plan reflects individual’s current needs. People and their families confirmed that they are involved in the development and review of their plan, which is good practice. Records were completed of peoples general well being, on a daily basis, and a good standards of recording was maintained. Each file contained risk assessments and risk management plans to help staff support people in a way that will minimise any risks, and to monitor any key health needs. People who we spoke with said they have access to healthcare professionals, when they need them, and the records supported this. In discussion with the staff team it was clear they had a good understanding of each persons needs, and they confirmed that they read each person care plan and are informed about any changes. A key worker system is in operation and staff members said they enjoyed this role as it meant working closely with individuals. People told us they receive their medication in accordance with their wishes. Records were in place to support that medication was stored and administered as prescribed. It was reported that all staff that administer medication have undertaken some form of training in this area, which included an assessment of their practice. This ensures people receive their medication safely. Due to a change in the law the storing of controlled drugs must now be in accordance with the new legal specifications, and the service needs to ensure there current storage is in accordance with these. All people spoken with said that support is provided in a “safe, respectful and dignified manner”; relatives also confirmed this to be the case. Both spoke positively about the staff team who they said: “are marvellous”, “caring and friendly”, “provide excellent support” “ kind and considerate”, and “meet peoples needs at every level”. Castle Court DS0000066379.V369344.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): National Minimum Standards 12 to 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to lead a lifestyle of their choosing, which ensures their recreational expectations and preferences are met by this service. EVIDENCE: In the self-assessment that we received they said they ensure routines of daily living and activities are made available and varied to suit peoples needs, expectations, preferences and capacities. They complete an activity and life style record on admission, which is kept in the individuals working document, and all information is discussed with the activity manager and activity coordinator who in turn consults with the individual. They said they promote choice and control for all people within the realms of Health and safety, and maximise individual’s capacity to exercise personal autonomy and choice All care files that were seen contained information concerning people’s social needs and likes/dislikes, and a care plan had been devised from this information. This ensures peoples recreational and social needs are met. People said that the activities available meet their expectations and the relatives spoken with said that people have lots of positive activities. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 14 People spoke positively about a recent trip out on a narrow boat and everyone who went said, “it was brilliant, peaceful, and very enjoyable”. People participated in a music activity and bingo during our visit, which they said they enjoyed. An activities programme was displayed listing a variety of activities, which were planned Monday to Friday, and on a monthly basis. A designated activities co-ordinator is employed on a part time basis. There were many visitors in the service during the morning and all said they are welcomed into the service. All spoke positively about the service and the staff and how “friendly and helpful” they were. People told us that their daily routine was flexible; they could choose what time they rose and went to bed. People who wanted to stay in their bedrooms were able to do so. People’s preferred rising/retiring times were also stated in their care documentation, along with their preferred form of address, this helped to ensure care was more person-centred. People told us the food was ‘good’ and that they have choices, which we observed when we joined people for their lunch. The cook had information about peoples dietary requirements and their likes and dislikes which is good practice. Castle Court DS0000066379.V369344.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): National Minimum Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are kept safe through effective complaints and safeguarding policy and procedures EVIDENCE: In the self-assessment that we received they said they ensure that people are safe guarded from physical, financial , psychological, sexual, neglect, discriminatory, inhuman or degrading treatment, through deliberate intent, negligence or ignorance. They comply with this by ensuring all staff have the appropriate training, that cover issues around this in supervision and staff meetings. They listen to people in the service and act upon any complaints speedily. They encourage families to express their concerns and reassurance is given. We have received and referred two complaints to this service, which have been responded to in accordance with their complaints and safeguarding procedures. Both of these have been investigated and closed. Three complaints had been received by the service, which have also been responded to; records are in place to support all investigations and outcomes. Procedures have been implemented in response to the issues raised in order to improve the recording keeping. People spoken to told us they had no complaints and knew who to approach should they need to raise any issues. People told us they were confident the Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 16 manager would sort any issues out. All relatives told us that both the staff and manager “listen to them and act on any issues raised”. Feedback from the surveys also confirmed that the service responds to any issues raised. Staff told us that they have attended safeguarding training, and during discussions they demonstrated their awareness of what action to take in the event of witnessing a potentially abusive situation, and the procedures were also in place for guidance. It was reported that all staff including domestic staff have completed this training. The manager had received information about the Mental Capacity Act and it was reported that training was being planned for the future. It was advised that some forms should be obtained so staff could record decisions people made, which are in line with the requirements of the Mental Capacity Act. Castle Court DS0000066379.V369344.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): National Minimum Standards 19, 20, 21, 23, 24, 25, and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the building enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: In the self-assessment that we received they said; the location and layout of Castle Court is suitable to its stated purpose: it is accessible, safe and well maintained it meets peoples individual and collective needs in a comfortable and homely way and has been designed and built to reflect this. The service is on the edge of a rural area, the local amenities are of great value to people. They have a local bus service that families can arrive at the home comparatively easily. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 18 People who were spoken to said they liked the communal areas and in particular their bedrooms which they had personalised with their belongings. People said they have access to various aids and equipment in order to assist them in their mobility and to get around the home. The feedback from the surveys was also positive about the building and people said it meets there needs. The environment is able to meet the changing needs of people, along with their cultural and specialist care needs. It is fully accessible throughout to people with physical disabilities, and adaptations and specialist equipment are designed to fit within the homely environment. The building is designed to enable small groups or ‘clusters’ of people to meet together and this was observed during our visit. People said they had the opportunity to be involved in decisions about the décor and any changes in their communal and personal accommodation is discussed within ‘residents meeting’. People have access to a selection of communal areas both inside and outside of the home, this means that people using the service have choices of where they can sit quietly, meet with family and friends or be actively engaged with other people who use the service. People also have their own private small garden area, which they are supported to maintain; one person commented on their enjoyment of planting their favourite flowers and plants in this area. Castle Court DS0000066379.V369344.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): National Minimum Standards 27 to 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: In the self-assessment that we received they said they have a good skill mix of staff, whose qualifications this year have increased in all grades. They said all staff have been police checked, and receive a good induction programme, which automatically feeds them in to the skills for care programme then on to NVQ 2. They said they have a very positive strong proactive management team, who are very supportive to the staff group. They recognised that supervision sessions were not undertaken as frequent as they should, but said that staff are well supported with work issues and personal issues on an informal basis. There are 4 members of staff on duty on each shift, and they work in pairs supporting people in a particular area in the building. The staff roles include, assisting people with their personal care needs, and undertaking laundry tasks. People and their relatives told us that generally there are sufficient staff members on duty at all times and feedback in the surveys supported their comments. Staff members spoken with also felt that they were able to provide a good standard of care and complete all tasks, but some staff did state that Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 20 an additional staff member would be beneficial and enable them to spend “quality time with individuals”. People said their needs are met and confirmed that staff provided a good standard of care and support, comments made include: “they are marvellous and do a grand job”, “The staff are wonderful” “they are excellent and brighten our day”. Information provided in the self-assessment stated that 18 of the 25 care staff have achieved an national Vocational Qualifications in care subjects at level 2 or above, and two members of staff was currently undertaking this training. This demonstrates their commitment to training and providing skilled staff to work with people. The files for three staff were examined. All of the required information was available for the recently employed staff which ensures people are safeguarded. The staff files and the training matrix demonstrated that staff have access to regular training, and there were certificates to support the training received in a files which included their induction. This ensures they have the skills and knowledge to fulfil their role and provide a good standard of care. Castle Court DS0000066379.V369344.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): National Minimum Standards 31, 33, 35 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is managed to promote and protect the health and safety of people and staff and provide a safe environment. EVIDENCE: In the self-assessment that we received they said, the Management of the home creates an open, positive & friendly atmosphere. They have an effective quality assurance programme based on seeking the views of people, and visitors, to measure the success in meeting the aims, objectives and statement of purpose. They said they promote independence with regards to peoples choice to take control of their own money and protect those who state they do not wish too or lack capacity. They said they as reasonably and practicable ensure the Health, safety and welfare of all people , staff and visitors at Castle Court Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 22 Staff people, and relatives spoken to said that the management team were experienced, supportive and approachable. People said they are consulted about aspects of the service through the provision of meetings, questionnaires and informal discussions. A report was seen of the outcome following the most recent quality assurance survey, and the findings indicated people’s satisfaction. Areas for improvement were also included in the report and the action the service intends to take in response to these. As part of the quality monitoring system a delegate of the provider visits the service on an monthly basis to monitor the standards and records were in place to support these. People said they are able manage their finances if they wish, but many said they have given their consent for the management team to do this. People said they were happy with the systems in place, and when checked these were satisfactory. People and their families said they the service was managed well. The manager has a clear understanding of the key principles and focus of the service, working to continuously improve services. They aim to provide an increased quality of life for people with a strong focus on equality and diversity and promoting human rights, especially in the areas of dignity, respect and fairness. Staff members confirmed that the management team provide leadership in addition to daily support and advice. They also commented that they would like regular team meetings to be organised so that they can meet their peers and discuss issues and share their knowledge. Castle Court DS0000066379.V369344.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 3 X 3 X 3 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 4 3 4 X 4 3 3 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 3 3 Castle Court DS0000066379.V369344.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. 1. Standard OP9 Regulation 13 (2) Requirement The current storage for controlled drugs must be checked to ensure it complies with the royal pharmaceutical requirements. This is to ensure medication is stored in accordance with the law. Timescale for action 31/10/08 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. 4. Refer to Standard OP2 OP7 OP30 OP36 Good Practice Recommendations The admission records should be reviewed to incorporate the following areas of diversity: race, gender identity, disability, sexual orientation, age, religion and belief. The care plans should include reference to the individual’s ability to make decisions under the requirements of the mental capacity Act All care staff should access training in mental capacity act, so they are aware of how to support people to make decisions. The management team should ensure that all staff are DS0000066379.V369344.R01.S.doc Version 5.2 Page 25 Castle Court supervised as recommended in the National Minimum Standards six times a year, and have access to regular staff meeting. Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Castle Court DS0000066379.V369344.R01.S.doc Version 5.2 Page 27 - 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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