Care Home: Greengate Lodge

What the care home does well The home had a relaxed and friendly atmosphere. One resident commented, "I like this place a lot", another resident said, "The staff are always obliging in every way". There is a good rapport between residents and staff. People who use the service are treated with respect and their dignity and privacy is valued and upheld. One resident told us that the staff were, "Extremely friendly". Another resident from the Caribbean unit told us, "I am very happy with the food". Staff demonstrated a good knowledge of residents needs and consequently an individualised service is promoted. People also told us that their cultural needs are being met at the home. The home has made considerable efforts to meet needs around equalities and diversity issues, for instance through food, dress and staffing arrangements. A relative of a resident at the home told us, "They make you feel welcome and offer you a cup of tea". Residents have good access to health care professionals. The home makes sure that people`s needs are assessed before they move in so that people know the home will be able to meet their needs. Residents of the home feel that the staff are kind and polite and support them properly. There are a variety of activities available to residents and people have a say in how the home is run. The manager is working hard to further improve the service and encourages training for all staff. What has improved since the last inspection? Nine requirements were issued at the last inspection. The registered person has now complied with all of these requirements. The "Statement of Purpose" has been reviewed and now offers prospective residents clear and up to date information about the services provided at the home. Risk assessments have now been carried out for residents that cover issues relating to individual aspects of their daily life including smoking and self medication. This means that the home has thought about individual risks that people in the home face and has taken steps to reduce these risks. When residents see the doctor, optician or other health care professionals, the staff record what happened and if other follow up action is needed. Medicines in the home are being stored securely and administered and recorded appropriately with clear information about when residents may need "as required" medication. Fresh fruit is available for residents in all units. Staff have undertaken training in adult protection and are aware of the action they must take if they suspect anyone in the home is being harmed. The registered provider of the service visits the home every month and writes a report for the manager so that improvements to the provision of service can be made. What the care home could do better: We have issued three new requirements as a result of this inspection. The home must make sure that continence products are dealt with and disposed of appropriately to minimize the risk of cross infection. The temperature of the medication storage area must be monitored and recorded tomake sure that medicines are being stored at the correct temperature. The results of any quality monitoring that take place must be collated, published and made available to residents and other stakeholders. This should ensure that people are kept up to date with how well the home is meeting its aims and objectives. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Greengate Lodge Greengate Lodge Cave Road Plaistow London E13 9DX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David Hastings     Date: 0 8 0 1 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Greengate Lodge Cave Road Greengate Lodge Plaistow London E13 9DX 02084302000 02085480193 farook.ruhomally@newham.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): London Borough of Newham Name of registered manager (if applicable) Mr Farook Ruhomally Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 33 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: Old age, not falling within any other category - Code OP Dementia - Code DE Physical disability Code PD Date of last inspection Brief description of the care home Greengate Lodge is a thirty two bedded residential home providing care for older people in Newham. The home is owned and run by the London Borough of Newham (LBN). Twenty six beds are available for permanent service users and six for respite Care Homes for Older People Page 4 of 29 care home 33 Over 65 0 33 0 33 0 33 Brief description of the care home care. The home is currently arranged to deliver care to service users in four different units. The Abbey unit provides care for more independent older people. The Dundee unit provides care for older people with mental health support needs. The Emotan and Roshni units provide culturally specific residential care for older people from the African Caribbean and Asian communities respectively. The home is a purpose built dwelling on one level. There are thirty-one single rooms and one double. All rooms have their own en-suite facilities. The home has a central courtyard with protected pond and there are additional patio areas with outdoor seating. The home is located in a residential area in Plaistow, close to shops and amenities. A range of nearby bus routes can be easily accessed. The nearest underground stations are Plaistow and Upton Park on the District Line. The home has a small car park. The average fee charged by the home is nine hundred and fifty pounds per week. Copies of this report must be made available to prospective residents and existing residents at the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We carried out this unannounced key inspection of Greengate lodge on Thursday 8th January 2009. We were assisted by the registered manager who was open and helpful throughout the inspection. We spoke with fifteen people who use the service, two visitors and six staff members. We looked around the home and examined various care records, staff files and health and safety documentation. Prior to this inspection we sent out surveys to both staff and residents. We received two surveys back from staff and seven surveys from residents. Comments were generally very positive about the care provided at the home. The home also prepared a self assessment (AQAA) and this was submitted to the Care Homes for Older People Page 6 of 29 Commission for Social Care Inspection in December 2008. This information was used as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: We have issued three new requirements as a result of this inspection. The home must make sure that continence products are dealt with and disposed of appropriately to minimize the risk of cross infection. The temperature of the medication storage area must be monitored and recorded to Care Homes for Older People Page 8 of 29 make sure that medicines are being stored at the correct temperature. The results of any quality monitoring that take place must be collated, published and made available to residents and other stakeholders. This should ensure that people are kept up to date with how well the home is meeting its aims and objectives. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. Residents are also given clear information about what services are provided at the home. Evidence: Since the last inspection the homes Statement of purpose has been reviewed and contains relevant information for people considering moving into the home. This document also clearly describes how the needs of people from different backgrounds and cultures will be met. We examined three assessments of people who have recently moved into the home. The manager told us that someone from the home would visit a prospective resident and carry out an assessment of their needs before they moved in. These assessments were detailed and covered all the elements required by this Standard including the Care Homes for Older People Page 11 of 29 Evidence: assessment of physical, emotional, social and cultural needs. We also found that the information from these assessments was being recorded on peoples care plans as well. People who use the service and their relatives told us that they were involved in this assessment process and, where possible, had visited the home before moving in on a trial basis. The home does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans clearly set out residents health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. Evidence: We examined the plan of care for six people who use the service. Plans were clear and easy to follow, and subject to regular review. Plans covered needs around personal care, communication and mobility. Care plans also covered needs around equalities and diversity issues, such as cultural and religious needs. Daily logs are also maintained, and these are linked to care plans. Each persons plan of care included an assessment of the risk of falling and how staff are to reduce this risk, for example, having two staff to help with personal care tasks or by supervising the resident when they walk around the home. The service has also Care Homes for Older People Page 13 of 29 Evidence: carried out assessments for other risks associated with individual people residing at the home. For example, risk assessments were seen in relation to nutrition, smoking and the self administration of medication. Visits by health care professionals such as doctors, district nurses, chiropodists, dentists and opticians were being recorded on plans we examined. These showed that people had good access to these professionals. This was also confirmed by residents and relatives we spoke with. Staff are now recording the outcomes of any visit by a health care professional including future appointments and any follow up action that the home needs to take. Satisfactory records were examined in relation to the receipt, administration and disposal of medication. Records indicated that staff have undertaken medication training and only qualified staff administer medication at the home. Medication was being stored securely and being administered and recorded accurately. Each persons medication chart has a picture of them attached to it so that staff can double check who is receiving the right medication. Where medicines have been prescribed on an as required basis there was clear instructions on peoples charts to let staff know when this medication should be given. We noted that the temperature of the medication storage area was not being monitored. A new requirement has been issued relating to this. Monitoring the temperature of the medication area is important because some medicines need to be stored in a cool environment. The manager told us that the doctor reviews peoples medication every six months and the homes pharmacist does a general inspection every year. The pharmacist last inspected the homes medication in June 2008. We saw a number of examples of supportive staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support. We saw staff knocking on residents bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides varied and culturally appropriate activities for people who use the service in order to keep them suitably occupied and engaged. The home encourages visitors, which ensures an interesting and lively atmosphere. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. Evidence: The home arranges various social and leisure activities, some of which help to meet residents needs around equalities and diversity issues. For example, a musical performer visits the unit for people from the Asian community and plays culturally appropriate music. Similarly the other units have culturally appropriate music available, as well as videos and films from particular cultures. Residents are able to visit African Caribbean hairdressers. Residents are able to wear culturally appropriate clothing such as saris. The home seeks to meet the religious needs of people. Residents are able to visit a place of worship of their choice, currently residents visit temples, mosques and churches. A Catholic priest visits the home, as does a choir from the Pentecostal Care Homes for Older People Page 15 of 29 Evidence: church. The home arranges various trips out. One resident who recently went out to the theatre to see a pantomime told us he really enjoyed it and that it brought back many happy memories. The home runs a weekly gentle exercise class, and other leisure activities are provided such as television and puzzles, and the community library visits the home regularly. Staff were observed sitting and chatting with residents and residents were clearly benefiting from the staff contact. One resident told us, There is always someone to talk to. We saw a number of visitors to the home during the inspection. Visitors told us that they could visit at any reasonable time and that they were made welcome by the management and staff. Residents we spoke with confirmed this. One visitor told us, Its a lovely home. The home has regular residents meetings and minutes examined indicated that residents have a say in how the home is run. The minutes also provided evidence that residents are consulted about the menus in the home. Residents meetings are chaired by a volunteer from Age Concern. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. This included times that residents wanted to get up in the morning and making sure that residents were able to choose the clothes they wanted to wear. Records are kept of menus, and these evidenced that residents are offered a varied, balanced and nutritious diet. The home has a central industrial type kitchen, which cooks the food for three of the four units, while the unit for people from the Asian community has its own kitchen which is suitable in scale to prepare food for residents on that unit. Food provided helps to meet the equalities and diversity needs of people, for example through Asian and Caribbean food, and staff from the same cultural backgrounds as residents are employed in the home and have a good understanding of peoples cultural needs, including around food. Residents are involved in planning the menu, and were seen to be offered a choice on the day of inspection. Support provided to people at mealtimes was done in a sensitive manner and mealtimes were observed to be relaxed and unhurried. Kitchens were clean and tidy and food was stored appropriately. Staff involved in food preparation have undertaken training in food hygiene. Residents were seen to be offered drinks and snacks throughout the day. We also saw that fresh fruit was available to people in all units. Residents we spoke with said the food was good at the home and a resident commented that there was, Always enough to eat. Care Homes for Older People Page 16 of 29 Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has appropriate polices and procedures in place around complaints and protection. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. Evidence: The home has a complaints procedure, which includes contact details of the CSCI, and timescales for responding to any complaints received. Details of how to complain were on display within the home, and all residents are provided with their own copy of the procedure. The complaints procedure has been produced in other formats than written English, such as on audio tape, to help make it more accessible to residents from different backgrounds and cultures. The AQAA states that the home also maintains a complaints log. We examined this and saw that no complaints had been received since the last inspection. Residents we spoke with told us they had no complaints about the service but knew who to contact if they did. The home is run by the London Borough of Newham, and consequently operates within their adult protection policy and procedure. A copy of this procedure was available in the home for staff to refer to. Leaflets were also available in the home for residents and relatives providing information about adult protection, these were written in several different languages, thus helping to make them more accessible to people from different backgrounds and cultures. Since the last inspection the majority of staff have received training in adult Care Homes for Older People Page 18 of 29 Evidence: protection. Staff were able to describe how vulnerable people could be at risk of abuse in a residential care setting. All staff interviewed were clear of their responsibility to report any suspicions of abuse to the appropriate authorities. Residents that we spoke to said they felt safe and well supported at the home. One resident told us, Everyone is so kind. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe, clean and maintained and decorated to a good standard. Evidence: The home is situated in the Plaistow area of the London Borough of Newham, close to shops, transport networks and other local amenities. The home is single storey and purpose built. The space is divided into four units and each provides a homely atmosphere. Each unit is individually decorated and the hallways between them display pictures representative of the residents who live there. The home also provides offices for administration and management, a staff room, hairdressing salon, industrial style laundry facilities within a dedicated laundry room and sluice rooms. There is also a central industrial style kitchen. Externally there is a large rock garden with covered pond. Each unit is individually decorated and comprises of a lounge, dining room and a domestic style kitchen. Each unit has access to a specialist bathroom where residents can utilise specialist equipment such as parker baths with staff support. We saw the laundry area, which has satisfactory equipment including facilities for sluicing bedding and clothes as required. All toilets and bathrooms contained antibacterial soap and disposable paper towels to limit the risk of cross infection. Care Homes for Older People Page 20 of 29 Evidence: Mandatory training in infection control is also provided for staff. We did note some incontinence waste bins did not have lids and some incontinence waste bins were over filled. We have made a requirement that the procedures and systems for dealing with incontinence waste are reviewed. This is to ensure that the risk of cross infection in the home is reduced. People we spoke with said the home was clean and there were no offensive odours present on the day of the inspection. One visitor we spoke with said the standard of cleanliness was, Excellent. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff at the home work very hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. Evidence: People who use the service told us they were happy with the staff at the home and we saw good interactions between staff and residents. On the day of the inspection there appeared to be enough staff to meet the needs of the residents. Staffing rotas seen matched the names of the staff on duty that day. The home has employed staff from cultures and backgrounds that match the cultural needs of residents they support. One person told us the staff are, Very caring. Records provided by the home prior to the inspection indicated that 80 percent of staff have completed their NVQ level 2 or equivalent. This exceeds the requirement of this Standard. Staff were positive about the training offered to them and staff training profiles examined indicated that staff at the home receive the training required to do their jobs Care Homes for Older People Page 22 of 29 Evidence: effectively. Where staff needed refresher courses in mandatory training we saw that these courses had been booked for later in the year. The manager told us that staff training needs are identified in supervision and staff meetings. Four staff files were examined. Recruitment is carried out by the home in conjunction with the Human Resources unit in Newham Council. We saw evidence that all staff are interviewed by the manager of the home and that the manager sees each candidates references, proof of identity and CRB disclosure before an offer of employment is made. This means that all staff working at the home have had the required checks carried out before they start working with residents. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager is working hard to improve the quality of care provided at the home. Residents have opportunities to have a say in how the home is run. Residents financial interests are being safeguarded. The health and safety of residents and staff are being promoted and protected. Evidence: Staff, residents and visitors told us that the manager is approachable and accessible. One staff member told us the manager, Gets things done. The AQAA supplied by the home states that the manager has a nursing qualification and NVQ Level 4 in Management and Care. It was clear from discussions with the manager that he understands the needs of the residents supported at the home. The home has a quality assurance policy in place. Care plan reviews and staff meetings contribute to the quality assurance process within the home. It was Care Homes for Older People Page 24 of 29 Evidence: positively noted that the home has arranged for someone from Age Concern to meet with residents to enable them to provide feedback and contribute to quality assurance. There was also evidence from residents meetings that people can have a say in how the home is run. For example the manager told us that the menus have changed as a direct result of residents comments. Surveys are given to residents and their relatives, to help gain their feedback on the level of care and support provided. Copies of previous inspection reports were available to view in the home. The registered provider visits the home every month and writes a report on his findings. Copies of these reports were seen and give the manager clear information about any improvements to the service that may be needed. To fully comply with this standard, the service must publish a yearly quality monitoring report and make this available to residents and other interested parties. This is to ensure that residents have information about how the home is meeting the aims and objectives of the service. Small amounts of money are held on behalf of residents so they can purchase items and services they may need. The manager told us that larger amounts of money are banked with the local authority but can be accessed by the resident as needed. The residents financial records that we examined were accurate and clear audit trails were evident to ensure that residents are protected from financial mismanagement. The home has relevant health and safety policies in place, for example around infection control and fire safety, and staff undertake health and safety training. Fire extinguishers were situated around the home, these were last serviced in March 2008. Fire exits were clearly signed and free from obstruction. Fire alarms are tested weekly, and the home holds regular fire drills. The home had in date safety certificates for gas safety, PAT testing and electrical installation, along with in date employers liability insurance cover. Staff training records indicated that staff are undertaking the required health and safety training in order to protect both residents and staff. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must 06/03/2009 ensure that the temperature of the medication storage area is checked and recorded on a daily basis. This is to ensure that all medicines at the home are being stored at the correct temperature. 2 26 13 The registered person must review the procedures for dealing with incontinence waste so that all waste products are stored and disposed of appropriately at all times. This is to ensure that the risk of cross infection is reduced. 06/03/2009 3 33 24 The registered person must ensure that the results of any quality monitoring exercises are collated, published and made available to residents and other interested parties. 06/03/2009 Care Homes for Older People Page 27 of 29 This is to ensure that residents have information about how the home is meeting the aims and objectives of the service. 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 Care Homes for Older People Page 28 of 29 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. 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. 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