Care Home: Glenroyd House

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Glenroyd House Glenroyd House 26 High Road North Laindon Basildon Essex SS15 4DP two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Thompson Date: 0 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Glenroyd House Glenroyd House 26 High Road North Laindon Basildon Essex SS15 4DP 01268541333 01268541333 glenroyd@caretech-uk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Glenroyd House Ltd care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: Date of last inspection 2 2 0 1 2 0 0 8 A bit about the care home Glenroyd House provides accommodation and personal care for eight adults over the age of eighteen with learning disabilities. The home is situated in a residential area, close to a local shop and public transport links. Each service user is provided with their own single room within this two storey detached house. There is a large garden to the rear of the property, and a parking area for vehicles at the front. The home has its own transport, which takes service users to and from their community based activities and leisure pursuits. Service users also have the opportunity to attend college, and pursue hobbies if they so wish. The range of fees charged to individual service users ranges from £717.29 to £1513.57 per week according to assessed needs and the agreed care package provided. Additional charges incurred to service users includes chiropody, personal toiletries, magazines, meals at fast food outlets and pursuing personal hobbies and interests. CSCI inspection reports can be obtained from the home, or via the CSCI internet website, www.csci.org.uk 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We started this inspection on Thursday 22nd January 2009 with a second visit on 5th February 2009 to complete the process. This report reflects our findings over both days of the inspection along with information provided by the manager and feedback by service users and staff. The manager was at the home on the both days of the inspection. The manager had completed and returned the Annual Quality Assurance Assessment AQAA to us before the inspection. This document gives homes the opportunity of recording what they do well, what they could do better, what has improved in the time since our last inspection as well as their future plans for improving the service. Some of the information and detail provided within the AQAA has been included in this report. During our visits we spoke with service users, the manager and staff on duty. We also asked for surveys to be completed by service users and staff. We received seven completed surveys back and reference to what was said in these has also been made in this report. We looked at some records and policies and procedures and were were shown around parts of the home and grounds. What the care home does well This home had a relaxed, friendly and welcoming atmosphere. Staff on duty were knowledgeable about service users care needs and the staff team worked together well and were enthusiastic about their work. Service users are involved, as appropriate, in the day to day planning of their own care and in the way the home is managed on a daily basis. The staff team enables service users to enjoy a wide variety of leisure and social activities, both local and further afield. What has got better from the last inspection The home had new dining table chairs to replace the garden chairs that were in the dining room at the time of our last inspection. Additional support staff had been employed which meant that staff do have to work the long hours that some were working when we last inspected this home. Regular 1 to 1 staff supervision/support meetings had begun since the new manager commenced working at Glenroyd House in November 2008. What the care home could do better All staff, including those newly employed, must receive training on awareness of and the procedures in place covering the protection of vulnerable adults from abuse. The homes kitchen needs refurbishment and attention is needed to a damaged work surface next to the sink. The communal bath and shower room should be decorated to provide a brighter environment for services to bathe in. Staff should be assessed for their competency to administer medication to service users. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Alan Thompson CQC Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 01223 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People considering moving into the home can be confident that the admission processes ensures that the home can meet their needs. Evidence: The current service users are placed and funded by local authorities. Records confirmed that these organisations had provided a full assessment of needs to the home before admission. In addition to this the manager said senior staff from the home carry out a written assessment of needs for all prospective service users prior to admission. One new service user had moved into the home since the last inspection and admission information for this person was looked at. Included was information on the individuals background, with assessed areas under headings of, self care, leisure and social interest/needs, communication, behaviours, family and professional involvement, health physical, daily living, medical and health and spiritual needs. Discussion with service users and comments in service user surveys returned to us confirmed that they were asked if they wanted to move into this home and could look around before deciding. One said it was his choice to live at Glenroyd House, however one service user said that he could not remember if he was asked whether he wanted to move in. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The information in care plans ensures that peoples needs could be met in a way they would wish. Evidence: At the time of this inspection there were seven service users living at Glenroyd House. Two of their support/care plan files were inspected. These had risk assessments with guidelines for staff on methods to minimise risk and had been reviewed. Files seen included behaviour plans with guidance for staff on how to manage incidents and aggression. Staff had received training on responding too and managing aggression. Training records seen and staff spoken with confirmed this. Daily assessed needs were listed under individual headings including, health, daily living skills, psychological and mental health, managing emotions, self care, cultural, community participation, communication, employment, education, relationships and finance. Each area of need showed goals and aspirations of the service user relating to the need and the daily care and support to be provided by staff to meet these needs. All care plans had been regularly reviewed with a daily record completed by staff. Care reviews included recorded notes of the service users views and those spoken with said they were included in the care planning process. Healthcare issues were seen to be recorded on service users files including visits to medical professionals, social workers, hospital visits, GP consultations, dentists, opticians and chiropodists. Also seen recorded were notes of full reviews of placement undertaken with the placing authority and the service user. Evidence: The manager confirmed that service user meetings take place approximately every five weeks to ensure their views and opinions about the service are listed too. Minutes of a meeting that took place in January 2009 included evidence of discussion on holidays, house pets, cleaning, menus, shopping and holidays. Service users comments were included. Service users spoken with confirmed that they thought they are fully included in day to day decision making within the home, with staff offering choices around routines and events. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users are able to participate in a range of social and leisure opportunities that meet their expectations. Meals and mealtimes are flexible and suite the lifestyle of service users living at the home. Evidence: The manager confirmed that none of the service users living in Glenroyd House any form of paid or voluntary employment. One person was though looking into the possibility of undertaking voluntary work to gain experience for working in the future. Staff were supporting the service user with this aim. College courses are attended by four service users and all have the option to join in with this activity. One service user needs 1 to 1 staff support to access community interests and activities, some others are able to access the community independently using bus and train services to travel to their chosen places of interest such as the coast or shopping centres. Those service users who do need staff support to get to places outside the home travel around in the homes seven seat car. Records had been kept of daily activities offered and all service users had a weekly activity plan showing the options they had considered at the weekend for the following week. Activities were recorded on individuals daily record sheets and included college courses of horticulture, gardening, pottery, craftwork, paining, music and cookery. Activities with staff included sports class, communication with music, shopping, pub trips, meals out, cinema, karting, outings, visits home and domestic chores. Evidence: Service users spoken with confirmed that they regularly attend many of these activities and that they enjoyed what they did and that staff offered varied interest option ideas to them. They also spoke about holidays and events they have taken part in, these included pop concerts, trips to London, holiday camps and holidays with family both in the UK and abroad. Service users see their families and friends regularly with staff offering to drive the service user home to ensure regular contact is supported. Contact includes regular visits home, including overnight stays. Records had been kept of family contact. The manager said that staff enter bedrooms only with the individuals permission, unless the welfare or well being of the service user is in question. Several service users have keys to their rooms but one chooses to entrust his room key to staff and another does not have a key due to assessed risks. Throughout this inspection staff were observed to interact appropriately with service users and appeared to always use the individuals preferred form of address. Discussions between service users and staff about routines and choices were taking place throughout the inspection and the atmosphere in the home was supportive and friendly. Service users were relaxed about making their views and opinions known to staff. Nutrition records were inspected and evidenced a varied and balanced diet. The manager said that service users usually eat the main evening meal in the dining room but may eat in their own rooms if they wish. Breakfast and lunch were seen to be taken at times according to service users choices and their daily routines. Menus are on a four week rotation. Service user meetings included discussion on the food and the manager confirmed that service users food preferences and likes/dislikes form the basis of menu planning. Service users usually accompany staff on weekly and daily food shopping trips and will take part in meal preparation and clearing up as part of a planned activity. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living at Glenroyd House can expect to receive support in an appropriate and dignified way that meets their needs. Evidence: Care records and discussion with service users and staff confirm that service users are fully supported in making their own choices around clothing styles, hairstyles and general appearance. Assessment records included preferences around daily routines, and details of the levels of personal care support required were also seen documented. Service users spoken with confirmed that they liked the staff and were satisfied with the care provided them in the home. Care plans contained assessment of healthcare needs. The current service user group are offered staff support and guidance in recognition of their individual healthcare needs and to access community healthcare facilities. Service users regularly visit community based healthcare services including consultant psychiatrists and dentists with staff support. Service users healthcare needs were recorded within individual care plans and updated in the daily care notes. All service users accommodated were receiving full staff support with their medication needs. Service user files included a signed form consenting to staff providing this support. Some of the current service users, in the opinion of the inspector, did not appear to have a full understanding or awareness of the medical reasons for medication regimes prescribed to them. The manager confirmed that if service users refused medication Evidence: then advice and encouragement is offered to them to understand the reason for the prescribed dosage. If they continue to refuse their prescribed medication the GP is contacted for advice. The homes written medication procedurepolicy clarified policies on homely remedies, side effects of the medicines prescribed, the storage of medicines and of administering prescribed dosages. Records were seen relating to the re-ordering and returns of unused medication. A random sample of medication administration records and stocks of current medication were inspected. No errors were noted. Training records seen included evidence that staff had been given in-house training relating to the medication practices and procedures used in the home. However records seen at the time of this inspection did fully evidence that training had included a competency assessment showing that staff had been observed following these procedures in practice. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Practices in the home safeguard service users and ensure that concerns are listened to and addressed. Evidence: There was a pictorial style complaints procedure displayed in the home. Some service users would not have the ability to follow any written procedure, but the document displayed clearly indicates to service users that they have a right to feel sad or feel unhappy and that they should tell somebody. Comments made by service users verbally and in service user surveys confirmed that if they were unhappy they would speak with staff or speak with the manager or deputy. All but one service users have active involvement with their respective families and all had regular contact with external health/social care professionals. The home has links with the local advocacy service and was able to demonstrate that this service is used as appropriate to ensure that service users wellbeing is paramount to any given situation. There was a set template form for recording complaints and a complaints record book. There had not been any formal complaints recorded since the last inspection, but there had been two safeguarding concerns raised. These related to the support provided by some staff to service users. The concerns raised were investigated in 2008 by the registered provider, and by Essex County Council (ECC) in their role as the local safeguarding vulnerable adults lead agency. Appropriate actions were taken by the provider and both referrals are now resolved. In the home was a copy of the safeguarding adults policy and procedure produced by the registered provider, and a copy of the ECC safeguarding procedural guidelines. These documents included detailed guidance for staff on the adult protection procedures and on types of abuse that may occur, and had been followed properly when the above mentioned concerns were raised in 2008. Most staff had been trained on safeguarding vulnerable adults from abuse however not all new staff employed in 2008 had received this training when we looked at records at this inspection. The manager said that a date had been set for this to happen in February 2009 but until Evidence: this takes place we have required that this shortfall is addressed under the outcomes relating to staffing. Staff spoken with did understood what was meant by safeguarding adults from harm and said that if they suspected an issue then they would contact the manager or other senior person. Also in place was a whistleblowing policy which clarified staffs responsibility to report any suspected abuse. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users live in a mostly comfortable, clean and homely environment. Evidence: During the inspection a partial tour of the home was made accompanied by the manager. The communal areas and bedrooms looked at were clean and acceptably furnished, decorated and maintained, however the ground floor communal bathroom had faded paintwork and looked dull and a little neglected. The kitchen also needed attention to a work surface close to the sink that was damaged, and to the cupboard underneath the sink that had no doors on it. Some units in the kitchen were worn and the general decoration of the kitchen was also considered jaded. The manager said that the kitchen was due for refurbishment in 2009. All private rooms are singles with five of these on the groundfloor and the remaining three on the first floor. Private rooms seen had wardrobes and adequate storage facilities. Two bedrooms had private bath and wc, the others had private wc and wash basin. Communal bathing facilities and toilets comprised on a bath and shower room with wc on the groundfloor, and a bath without wc on the first floor. Service users spoken with showed the inspector around their rooms and said they liked their rooms and that staff helped them keep their rooms clean and decorated. The manager confirmed that service users are provided opportunities to personalise their rooms to their own tastes and requirements, and rooms inspected included various items of personal possessions according to individual choices. The lounge was accepably furnished as was the dining room which had new chairs since our last inspection. Evidence: The laundry room was on the first floor and was considered quite small but did have the equipment needed for the numbers of people living in the home. The home has a good size garden which could be accessed from a rear door or directly from the dining room. The garden looked well maintained. There is a driveway at the front of the property which provides car parking for visitors. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users benefit from being supported by an experienced staff team but could not be sure that all had received training for their roles. The recruitment procedure in the home provides the safeguards to ensure that appropriate staff are employed. Evidence: A clear organised staff rota was available for inspection. On the day of the inspection seven service users were living at Glenroyd House. Daytime staffing was a minimum of three staff on duty. At night there is one waking member of staff with one person sleeping in on call. Daytime staffing levels reflect agreed support packages for service users who require 1 to1 ratios. The manager, and staff spoken with confirmed that staff meetings take place to ensure that all are kept informed of relevant issues and are able to take part in planning and decision making in the home. Minutes of a meeting held on 5.12.08 were seen. Discussion had included service user issues, staff training, menus, team work and responsibilities. Staff recruitment records were looked at. Records kept included an application form, interview records, references, proof of ID, a CRB check and contract of employment. New staff are subject to a five day probationary period during which time they receive basic in-house induction training covering health and safety and fire procedures. The package used did not fully cover accepted induction subjects such as principles of care, the role of the care worker and safeguarding vulnerable adults guidance. Induction training had included these subjects prior to 2008 but had lapsed whilst an updated package was being formulated by the registered provider. This change in practice does not ensure that new staff are properly trained for their role and is a regulatory shortfall. Staff training records had been kept on the computer in the office with individual Evidence: training certificates kept as supporting evidence of courses attended. These included, infection control, learning disability, managing aggression, deprivation of liberty, fire safety, COSHH, fist aid, adult protection, risk assessment, health and safety, manual handling, food hygiene and medication. Staff spoken with confirmed they were supported by the new manager. They also said that they had been offered good training opportunities appropriate to their roles. Staff were open, friendly and demonstrated sound care values. All had a good understanding of work practices and routines and the observed rapport between staff and service users was relaxed and friendly. Regular staff supervision meetings had commenced since the new manager had began working at Glenroyd House and records were seen of the agenda discussions and actions. Areas included had been work role, responsibilities, key worker role, performance and training needs. The frequency of supervision meetings had not been regular before the new manager arrived. The manager said that the registered providers target for 1 to 1 support meetings was every 4 to 6 weeks which he would aim for. There was a new supervision structure in place in the home that involved the deputy manager and senior support staffs involvement in the support supervision process. We (CSCI) look for these meetings to take place every two months and this timescale will be checked at our next inspection. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in a home that is now well managed and run in their best interests. Evidence: Since our last inspection a new manager had commenced working at Glenroyd House in November 2008. The new manager has nearly eight years previous experienced of managing a care setting and said he had twenty years experience of working in care. Comments in staff surveys returned to us about management of the home confirmed that staff thought they were supported by the new manager. The manager said that the registered providers annual quality assurance (QA) audit and development process involved service users and stakeholders views sought by sending them survey questionairre forms for completion. A development plan is then produced showing areas for action. The manager said that there was a plan was in place covering 2008 and 2009 but this was not available for us to see at the inspection and so we will make a requirement for a copy to be provided to us. Random samples of records required to be kept by regulation were inspected. These included regulation 26 reports (monthly registered person report), staff rota, visitor book, nutrition records, assessments, care plans, staff recruitment, complaints, medication records, regulation 37 notifications, service user monies held for safekeeping, fire procedures and fire drills. Records seen showed that staff had received training in first aid, fire safety, health and safety and food safety. Service records were also looked at and showed that the homes fire alarms, fire Evidence: equipment, emergency lights, gas systems and portable electrical appliances had all been tested/serviced within recommended timescales. The manager said that the homes electrical installation had been re-tested shortly before this inspection and paperwork relating to this had not yet been received. We will check this at our next inspection. The manager confirmed that hot water supply is delivered at or near 43 degress celcuis, and that weekly checks on this take place. Records of this was seen. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 24 23 The damaged kitchen work 30/04/2009 surface next to the sink must be repaired or replaced, and the doors missing from the cupboard beneath the sink must be replaced. This to ensure that the kitchen is a hygienic environment for service users and staff. 2 35 18 All new staff must receive induction training that ensures they are equipped for their roles and also provides staff with an understanding of adult protection guidance and the homes procedures relating to safeguarding vulnerable adults from abuse. 30/04/2009 This is to ensure that staff are trained for their roles and that services users are protected. 3 39 24 Evidence must be provided 30/06/2009 to the Commission to confirm that the quality of care provided has been reviewed. This is to ensure that service users views are listened to and acted upon. 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 20 Records should be available to confirm that staff who administer medication to service users are regularly assessed relating to their competency for this role. The communal bathroom on the ground floor should be decorated to ensure service users live in a clean and hygienic environment. The kitchen should be refurbished to ensure service users live in a well maintained environment. 2 24 3 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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