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Care Home: Hanbury Court Nursing Home

  • Dagmar Road Dagenham Essex RM10 8XP
  • Tel: 02085938000
  • Fax: 02089848914

Hanbury Court is a purpose built care home registered to provide nursing care for 42 older people. The home is operated by MNS Care PLC. The home is in a residential area of Dagenham close to shops and public transport -buses and underground. The majority of the bedrooms are single occupancy. The home is wheelchair accessible and there is a passenger lift to the first floor. On the day of the inspection the range of fees for the home was between five hundred and seventy pounds and six hundred and twenty pounds per week. A copy of the Statement of Purpose and service user guide is Over 65 420 made available to both the resident and the family. A copy of the most recent inspection report is available on request.

  • Latitude: 51.537998199463
    Longitude: 0.16899999976158
  • Manager: Mrs Mandy Leggate
  • Price p/w: £564
  • UK
  • Total Capacity: 42
  • Type: Care home with nursing
  • Provider: MNS Care PLC
  • Ownership: Private
  • Care Home ID: 7547
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Hanbury Court Nursing Home.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hanbury Court Nursing Home Dagmar Road Dagenham Essex RM10 8XP     The quality rating for this care home is:   three star excellent 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: Gwen Lording     Date: 0 4 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Hanbury Court Nursing Home Dagmar Road Dagenham Essex RM10 8XP 02085938000 02089848914 angelcare@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Mandy Leggate Type of registration: Number of places registered: MNS Care PLC care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 42 The registered person may provide the following category of service only: Care Home with nursing - Code N 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 Date of last inspection Brief description of the care home Hanbury Court is a purpose built care home registered to provide nursing care for 42 older people. The home is operated by MNS Care PLC. The home is in a residential area of Dagenham close to shops and public transport -buses and underground. The majority of the bedrooms are single occupancy. The home is wheelchair accessible and there is a passenger lift to the first floor. On the day of the inspection the range of fees for the home was between five hundred and seventy pounds and six hundred and twenty pounds per week. A copy of the Statement of Purpose and service user guide is Care Homes for Older People Page 4 of 28 Over 65 42 0 Brief description of the care home made available to both the resident and the family. A copy of the most recent inspection report is available on request. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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: This was an unannounced inspection, which took place over five hours. The inspection was undertaken by the lead inspector, Gwen Lording. The registered manager was available throughout the visit to aid the inspection process. This was a key inspection in the inspection programme for 2008/2009. Discussions took place with the registered manager, chef, domestic and laundry staff. We spoke to a number of residents and visiting relatives; and where possible residents were asked to give their views on the service and their experience of living in the home. Nursing and care staff were asked about the care that residents receive and were also observed carrying out their duties. Care Homes for Older People Page 6 of 28 A tour of the premises, including laundry and main kitchen was undertaken. The files of several residents on each floor were case tracked, together with examination of other staff and home records. This included medication administration, staff training and recruitment procedures and files, maintenance records and complaints. Information was taken from an Annual Quality Assurance Assessment (AQAA); which was completed and returned to us prior to the inspection. This is a self assessment process, which all providers are required to complete once a year. Additional information relevant to this inspection was also obtained from Regulation 26 monitoring reports and Regulation 37, notification of events. Surveys were sent out prior to the inspection for completion by staff, residents where possible and relatives on their behalf, and there was a very good response. We asked people living in the home how they wished to be referred to. The majority of people expressed a preference to be referred to as residents, and this is reflected accordingly in this report. We would like to thank the residents, relatives and staff for their input during the inspection and to those individuals who completed and returned surveys. What the care home does well: What has improved since the last inspection? What they could do better: It is strongly recommended that where a resident has an allergy to either medication or food; it is recorded more prominently and highlighted on the front sheet of the residents file and on the Medication Administration Record (MAR). Care Homes for Older People Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive pre-admission assessments are undertaken for all residents. This means that staff have the detailed information they need to determine whether or not the home can meet a prospective residents needs. The home does not offer intermediate care. Evidence: From the evidence seen we are satisfied that all new residents receive a comprehensive needs assessment prior to admission which is undertaken by staff with skill and sensitivity. The service ensures that a summary of any assessment undertaken by a local authority or Primary Care Trust is received prior to admission to the home. Prospective residents and their families have the opportunity to visit the home prior to Care Homes for Older People Page 11 of 28 Evidence: admission, talk to staff and assess the homes facilities. We spoke to a resident who told us she visited the home on two occasions before she decided to move in. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health, social support and personal care needs are set out in individual care plans and provide staff with the information they need to satisfactorily identify and meet residents needs. Care plans are being used as working tools and residents benefit from the detail paid by staff at the home in meeting their needs. All residents could be assured that at the time of their death, staff would treat them and their family with care, sensitivity and respect. Evidence: Care plans viewed were very comprehensive and covered health, social and personal care needs. Care plans were being reviewed on a regular basis and updated in line with changing needs. Where necessary residents were being seen by a GP, and other health care professionals such as diabetic nurse specialist, speech and language therapist, dietician; optical, dental and chiropody services. Several people had pressure wounds, some of which were hospital acquired. The documentation/ health Care Homes for Older People Page 13 of 28 Evidence: records relating to wound management were very detailed. It was evident from the care plans seen and through discussion with residents and staff that their health care needs are being understood and met on a daily basis. In discussions with staff they were very knowledgeable about the health and social care needs of people living in the home. There was a positive level of interaction between staff and residents, and staff demonstrated a good understanding of the communication needs of each resident. From observation, discussions with staff and residents and in written records, the principles of respect, dignity and privacy were evidenced throughout the inspection. Residents are treated with respect and the arrangements for their personal care ensure that their right to privacy is upheld. Staff were seen to be very gentle when undertaking moving and handling tasks and offered explanation and reassurance throughout the activity. Management of risk routinely takes into account the needs of a resident, balanced with maintaining the individuals independence and choice. Discussion with staff and the review of medication records show that staff are following policies and procedures, so as to ensure that residents are safeguarded with regard to medication. The following good practice recommendation has been made: Where a resident had an allergic reaction to either medication or food this was recorded on the Medication Administration Record (MAR) and in the care plan. It is strongly recommended that where such an allergy has been identified; it is recorded more prominently and highlighted on the front sheet of the residents file and on the MAR chart. This was discussed with nursing staff and the manager. The home is able to meet the needs of people requiring palliative care and works closely with a local Hospice. The wishes of individual residents about death and dying are openly and sensitively discussed with both residents and their family members, and end of life issues clearly detailed in care plans. Staff have been trained in the use of end of life care tools such as the Gold Standards Framework. This has significantly enabled staff to further improve the lives of residents in the last stages of life and ensure that they die in their expressed preferred place. We are satisfied that all residents spiritual needs, rites and functions are observed, and that relatives are also given support and understanding at this time. There are arrangements in place, to enable family and friends to stay with a resident and to assist with their care if the resident wishes. From discussions with staff and from letters/ cards received by the home, it was evident that residents are assured that at the time of their death, both they and their families would be treated with care, sensitivity and respect. One family had written: Care Homes for Older People Page 14 of 28 Evidence: Thank you all so much for the care and love you gave to (X) while he was with you. He really did not want to go back to hospital. His life ended how he wanted it, no drips, tubes, machines. You made him comfortable and he was able to leave us with total dignity. Another relative wrote: We were touched by your level of care and your approach to us and other family members. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lifestyle within the home matches the expectations and preferences of residents with regard to social, cultural, religious and recreational interests and needs. The attitude and practice of the service and that of the staff working in the home, promote opportunities for residents to remain independent, exercise choice and express their wishes and needs. The nutritional needs of the residents are well considered so that food and mealtimes are seen as being important for all residents. Evidence: The home employs a full time activity co-ordinator and she is viewed as a valuable member of the staff team. There is a planned general programme of activities for all residents and the activity co-ordinator gives a great deal of consideration and time, in consultation with residents in planning and undertaking a variety of activities both in the home and in the community. The service has a strong commitment to enabling residents to develop or maintain their skills including social, communication and independent living skills. People living in the home are encouraged and enabled to maintain important personal and family relationships. Part of the planned future Care Homes for Older People Page 16 of 28 Evidence: activities was assisting residents to write Christmas cards and wrap gifts to family and friends. The routines of daily living are very flexible to suit the differing needs and preferences of all people living in the home. Throughout the visit we observed staff allowing time for residents to express their wishes and supporting individuals to make choices in their every day lives. One resident told us: I like to get up later in the mornings. Staff come to help me when I say I am ready to get up. Residents are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. People are given the opportunity to participate in community activities such as shopping, pub lunches, cinema and theatre trips and the home has access to suitable transport. All staff including administrative and ancillary staff are very aware that Hanbury Court is the home of the residents and try hard to make this as pleasant as possible. Visiting times are flexible and relatives/ friends are encouraged to visit whenever possible and such visitors are involved in the lives of the residents. Relatives and friends are encouraged and welcomed to be involved in special events in the home. There is a well established summer garden party and Christmas party. All such social events are well supported by staff, relatives and friends. The chef was able to demonstrate a good knowledge and understanding of the importance of well balanced and well presented meals. There is a wide choice of meals and snacks with up to ten cooked choices daily at main meals. Fresh fruit is available daily and on request. There is little reliance on tinned, processed or frozen foods. The chef supervises the serving of the lunchtime meal and this gives her the opportunity to get feedback from residents on the meals being provided. The menus are currently being reviewed and as new options are introduced the chef gets feedback from the residents and staff before such options are included in the menus. Generally residents commented very positively on the quality and choice of meals. One relative commented Yvonne (the chef) is excellent she always wants to please. Nothing is too much trouble for her. A resident told us: If I dont like what is on the menu the cook will always prepare something she knows you like. Care staff are sensitive to the needs of all residents, and especially to those residents who have diminished appetites or who have difficulty in eating and drinking. Assistance is given in an appropriate and sensitive way, and at a pace dictated by the individual resident. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and staff team make every effort to sort out any problems or concerns. Residents and their relatives can be confident that their complaints and concerns will be listened to, taken seriously and acted upon. All staff working in the home have received training in safeguarding vulnerable adults to ensure that there is a proper response to any suspicion or allegation of abuse. Evidence: The home has a written policy and procedure for dealing with complaints, and staff spoken to were aware of the complaints procedure and how to deal with complaints or concerns made to them. Complaints are taken seriously at this service and are dealt with promptly and effectively. A copy of the complaints procedure is prominently displayed throughout the home and is also available in leaflet form at reception. Both these are accessible and available to both residents and their relatives/ friends. One relative told us: The manager is always around. If we are not happy with anything we only have to say and it will be sorted out. Responses in returned surveys also indicated that residents knew how to make their concerns known and to whom. No complaints have been brought to the attention of the Commission since the last inspection. Residents also have access to external agencies and professionals through advocacy. Care Homes for Older People Page 18 of 28 Evidence: The service has robust procedures for responding to suspicions or evidence of abuse or neglect, and all such allegations are followed up promptly and action taken is clearly recorded. In discussions with staff members they were able to demonstrate a good understanding of the homes policy and procedures on safeguarding, including whistle blowing and challenging bad practice at work. All staff have undertaken training in safeguarding vulnerable adults and this is included in induction training for all newly recruited staff and updated/ reinforced with all staff at regular intervals. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The overall atmosphere in the home is very welcoming and provides a physical environment that is appropriate to the specific needs and lifestyle of the people who live there. Evidence: The standard of the decor and furnishings are being maintained to a good standard. The home is clean and odour control is good. In completed surveys respondents commented very positively on the level of cleanliness in the home. Comments included: The cleaners work hard. They try very hard to keep the home clean. There is always someone cleaning. There is an ongoing refurbishment and redecoration programme. Significant improvements were noted to the general environment since the last inspection. This includes replacement of carpets in communal areas and bedrooms; new conservatory; and re-landscaping of the garden. On the day of the visit lights were in the process of being replaced in the communal corridors to improve the lighting levels. Bedrooms are well maintained and residents and their families are encouraged to personalise their rooms. There are aids and equipment at various points around the home which are capable of meeting the needs of all residents. There are a number of Care Homes for Older People Page 20 of 28 Evidence: shared and communal areas and quiet areas where residents can meet their relatives/ friends or alternatively meet privately in their bedrooms. The home has a good infection control policy and staff work to this policy in order to reduce any risk of infection. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of all the residents. Residents benefit from a committed staff team who have the skills, training and competence to meet their needs. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. Evidence: The staffing levels and skill mix of the staff team are in line with meeting the diverse and changing needs of the residents. Staff are effectively deployed so as to ensure that residents choosing, or needing to remain in their bedrooms are cared for appropriately. Staff interact and communicate well with all residents and this includes nursing, care, ancillary and administrative staff. All staff are clear about their individual roles and responsibilities and demonstrate a strong commitment to provide good quality care to all people living in the home. The home operates a key worker system and staff have specific allocated time to spend with individuals. There is a very stable staff team with minimal turnover, and this does mean that residents at Hanbury Court do get consistent care from staff they know well. Residents we spoke to were very positive about the care being provided to them. We Care Homes for Older People Page 22 of 28 Evidence: were told: Everyone works hard to look after us and all our needs. Another resident told us: When I was ill recently the care and concern of all the staff was excellent. All staff receive training that is relevant to meeting the individual assessed needs of all residents in a person centred way. Some training is assessed from external providers whilst other training is delivered in house. All staff receive training in essential areas during their induction period and refresher training in these areas at the required times. The manager has undertaken training in the Mental Capacity Act 2005. This training is being delivered to all staff through a programme of in house training. The manager has developed a work book for staff as part of this training, and it focuses on the implications of the Act on the delivery of care to vulnerable people. Equality and diversity is identified throughout the Annual Quality Assurance Assessment (AQAA) as an essential part of staff development, training and practice within the home. The organisation is able to demonstrate a proactive recruitment and selection process in accordance with the requirements of legislation, equal opportunities and antidiscriminatory practice. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager of the home is a well qualified and experienced person. She is ably supported by a strong team and residents benefit as the home is run in their best interests. Monitoring visits and quality audits are undertaken regularly to monitor, report and improve the quality of the service being provided to people living in the home. Staff are appropriately supervised and the health, safety and welfare of residents and staff are promoted and protected. Evidence: It was evident throughout the inspection that the home is being very well managed. There are clear lines of accountability and well established systems for effective communication. Staff said that they felt well supported by the manager and there was a good sense of team working throughout the home. Staff told us: We are well Care Homes for Older People Page 24 of 28 Evidence: supported and there is good communication between us. Another told us: We feel valued and work as a team to support each other and provide good care to our residents. Through staff training, supervision and good management staff are ensuring that residents receive a high standard of care and that the home is being run in their best interests. Mrs Leggate has been the registered manager of the home for over eight years and is a very well qualified and experienced person. She continues to be very resident focused and works continuously to improve the service and provide an increased quality of life for residents with the support of a strong team, and in partnership with the families of residents and professionals involved in their care. She has a clear understanding of what further improvements are needed and the key areas, which need development. The Annual Quality Assurance Assessment (AQAA) contains comprehensive information that was fully supported by evidence seen during the inspection. It tells us how how the service has improved by listening to the views of people living in the home. It clearly identifies the plans for improvement over the next year. Residents are supported to manage their own finances where possible or by their relatives/ representatives. The home has responsibility for the personal allowances of several residents. There is a computerised financial system in place which is managed by the homes administrator. There is a comprehensive range of policies and procedures which are regularly reviewed in line with changing legislation and good practice guidance. There are clear written records of all safety checks and accidents/ incidents, and all such records were found to be maintained in good order. The organisation monitors the quality of the service being provided in the home through monthly Regulation 26 monitoring visits that are comprehensive and identify areas for action. There is also a good quality assurance system and residents, relatives and other stakeholders views are regularly sought to make improvements and influence service delivery. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 It is strongly recommended that where a resident has an allergy to either food or medication; it is recorded more prominently and highlighted on the front sheet of the residents file and on the Medication Administration Record (MAR) chart. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

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