Care Home: Richmand House Residential Home Ltd

What the care home does well People who may wish to use the service are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. One relative spoken with said, `the staff were very supportive and accommodating, the transition from respite care to moving in on a permanent basis was smooth. The staff are very informed and act in my mum`s best interest.` People using the service told us, `the staff are very good, I can approach them at any time, I do not have anything to complain about,` `I don`t have any complaints, the staff are very good,` and `the staff listen to me, they are very good, I am happy and settled here.` People using the service are supported and enabled to make their own decisions to find a lifestyle that satisfies their needs and preferences. People using the service are supported to maintain contacts with people that are important to them. People using the service also told us, `I am very happy here, we have trips out in the summer and do more when the weather is nice,` I have just come back from a holiday in Benidorm with the staff, I look forward to my holidays and I am going again next year,` and ` we have trips out to town, the parks and places of interest, the manager is very good, she got me a motorised buggy to use.` Richmand provides a high standard of accommodation, with peoples` rooms individually decorated and furnished to their personal preferences. The large rooms, eleven of which are en-suite, are very clean and well maintained. People using the service told us that there are enough staff available to help them when needed and the following comments were offered; `the staff are very good and respectful, there are enough staff here to help me,` `there are enough staff, I am fortunate really as I can look after myself to a degree,` and `I like living here, I get on well with the staff, they are very nice.` What has improved since the last inspection? Plans of care have continued to develop to provide more information for staff so that they may assist people using the service in the way that they prefer. Staffing levels have been reviewed to ensure that there are sufficient numbers of staff available at all times to support people using the service. What the care home could do better: Further develop plans of care and risk assessments to ensure that these are in place for all identified needs and risks. This will ensure that people`s needs are fully met and they are protected. Staff training needs additional attention to ensure that all staff working at the care home have received training in the compulsory areas. This will ensure that all staff have the necessary knowledge and skills to look after people using the service. CARE HOMES FOR OLDER PEOPLE Richmand House Residential Home Ltd 88 - 90 Melton Road West Bridgford Nottingham NG2 7NF Lead Inspector Karmon Hawley Unannounced Inspection 24th September 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmand House Residential Home Ltd Address 88 - 90 Melton Road West Bridgford Nottingham NG2 7NF Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0115 9142609 0115 9455861 cedrica@tiscali.co.uk Richmand House Residential Home Ltd Mrs Susan Melanie Godfrey, Cedric Anthony Godfrey Mrs Susan Melanie Godfrey Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one falling with category OP maybe admitted into Richmand House where there are 13 of category OP already accommodated within this home. 27th September 2007 Date of last inspection Brief Description of the Service: Richmand is a care home providing personal care for up to 13 older people. It is owned by Richmand Care Homes Ltd and managed by one of the providers who plays a very active part in all aspects of service provision. The home is located in West Bridgford on one of the main bus routes running through the area. It is approximately half a mile from the centre of West Bridgford, which offers shops, pubs, cafes, and other facilities. There are also shops, churches and a post office on the main road close to the home. It is an extended Victorian property and provides 13 single rooms, 11 having en suite facilities. There is a small garden to the rear of the home and car parking for a few cars is available at the front of the home. At the time of inspection fees quoted by the registered manager was £1,800.00 to £2,400.00 per calendar month, dependent on level of care required. These fees do not include the cost of hairdressing or chiropody. The service user guide, explaining the service provided and statement of purpose, together with a copy of the last report by the Commission, are available on request. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection involved one inspector; it was unannounced and included the lunchtime period. The main method of inspection used is called ‘case tracking’ which involved selecting three people using the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Two members of staff and one relative were spoken with as part of this inspection. In addition the views of six people using the service were sought to form an opinion about the quality of the service. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home from the provider and the general public since the last inspection was considered in planning this visit and this helped decide what areas were looked at. What the service does well: People who may wish to use the service are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. One relative spoken with said, ‘the staff were very supportive and accommodating, the transition from respite care to moving in on a permanent basis was smooth. The staff are very informed and act in my mum’s best interest.’ People using the service told us, ‘the staff are very good, I can approach them at any time, I do not have anything to complain about,’ ‘I don’t have any complaints, the staff are very good,’ and ‘the staff listen to me, they are very good, I am happy and settled here.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 6 People using the service are supported and enabled to make their own decisions to find a lifestyle that satisfies their needs and preferences. People using the service are supported to maintain contacts with people that are important to them. People using the service also told us, ‘I am very happy here, we have trips out in the summer and do more when the weather is nice,’ I have just come back from a holiday in Benidorm with the staff, I look forward to my holidays and I am going again next year,’ and ‘ we have trips out to town, the parks and places of interest, the manager is very good, she got me a motorised buggy to use.’ Richmand provides a high standard of accommodation, with peoples’ rooms individually decorated and furnished to their personal preferences. The large rooms, eleven of which are en-suite, are very clean and well maintained. People using the service told us that there are enough staff available to help them when needed and the following comments were offered; ‘the staff are very good and respectful, there are enough staff here to help me,’ ‘there are enough staff, I am fortunate really as I can look after myself to a degree,’ and ‘I like living here, I get on well with the staff, they are very nice.’ What has improved since the last inspection? What they could do better: Further develop plans of care and risk assessments to ensure that these are in place for all identified needs and risks. This will ensure that people’s needs are fully met and they are protected. Staff training needs additional attention to ensure that all staff working at the care home have received training in the compulsory areas. This will ensure that all staff have the necessary knowledge and skills to look after people using the service. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may wish to use the service are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. The service does not offer intermediate care. EVIDENCE: The manager visits prospective people who may wish to use the service in the community to carry out a preadmission assessment to see if staff are able to meet their needs before they make a decision to move into the care home. We found evidence within those case files examined that these assessments take place before people move into the care home. So that people who may wish to use the service and their relatives can get a feel for what it would be like to live at the care home they are able to visit and spend time there before they make a decision to move in. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 10 Staff told us that the manager informs them of the needs of all new people who move into the care home so that they can support them appropriately. The service does not offer intermediate care services. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are treated with respect at all times and their health, personal and social care needs are met. EVIDENCE: Plans of care examined showed us that whilst some are person centred and reflect the full support individuals need; others are task focussed and do not. However staff spoken with are able to discuss how they support people according to their needs and people using the service told us that staff care for them in the way that they prefer. Although plans of care and risk assessments are in place for the majority of highlighted needs, these are not in place for diabetes mellitus. Nevertheless there are no entries of ill health or untoward incidents within people’s case files. Staff spoken with are able to discuss the care and support that people with diabetes mellitus may require. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 12 Case files of people using the service showed us that they are able to access specialist services such as the dentist, district nurse and doctor as needed. Staff spoken with confirmed this and said that the doctors in the local area are very accommodating. One person using the service said, ‘I can see the doctor if I need to, I also go for outpatients appointment, the staff take me,’ and a another said ‘I can get my glasses sorted when I need to.’ Medication records examined showed us that these are accurately completed and medication is administered as prescribed. All staff who administer medication have undertaken a safe handling of medication training course to ensure that they do this in accordance with good practice. One person using the service told us how staff offer them painkillers when their back is playing up and that they are grateful of this. Staff spoken with are able to discuss in depth the personal needs of people using the service and how they support them, they show a good understanding of ensuring that people are respected and offered choices at all times when they are caring for them. We saw staff throughout the visit to treat people with respect and kindness when supporting them with their needs. On speaking with staff they told us how they felt it is very important to ensure that you take care with how you phrase things so that you are respectful at all times. People spoken with are very satisfied with the level of care and support they receive from staff, and confirmed that staff are kind and respectful at all times. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are supported and enabled to make their own decisions to find a lifestyle that satisfies their needs and preferences. People using the service are supported to maintain contacts with people that are important to them. EVIDENCE: Staff spoken with told us that although there is not a dedicated activities coordinator they spend time with people using the service, as they are able. There are a number of activities such as board games, arts and crafts and DVD’s that people can join in if they wish. In regard to the activities people expressed that they are satisfied with what is on offer, one person said, ‘I like singing, reading and watching the DVD’s, there is a very good selection here.’ People using the service also told us, ‘I am very happy here, we have trips out in the summer and do more when the weather is nice,’ I have just come back from a holiday in Benidorm with the staff, I look forward to my holidays and I am going again next year,’ and ‘ we have trips out to town, the parks and places of interest, the manager is very good, she got me a motorised buggy to use.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 14 People using the service told us that there are no restriction on what they do and how they spend their time. For those who wish to attend religious service, staff and relatives facilitate this; also Holy Communion is offered to those who require it. There are no restrictions on visiting and visitors may be received in private if they wish, one visitor spoken with said that they are always made welcome. People using the service also confirmed this and told us, ‘my family visit me often, I don’t tend to take them to my room, there is no need, we normally sit in the dining area,’ and ‘my son comes to see me regularly, he is always made welcome.’ One person told us how they have their own telephone and said, ‘my son calls me every evening.’ A traditional menu is on offer for people using the service, with choices available. One relative spoken with said, ‘the food is good, it is always fresh, when I took my mum out and we returned late, it was no problem, a meal was cooked for her, it is very flexible.’ People using the service told us, ‘the food is very good, there is plenty to eat,’ and ‘the food is good, there are choices available.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are assured that their complaints will be listened to and acted upon to ensure that these are resolved to their satisfaction. People using the service are protected from abuse. EVIDENCE: So that people know how they can make a complaint if they need to, the complaints procedure is made available within the statement of purpose and service user guide. The service has received one complaint since the previous inspection, in regard to a misunderstanding about a person’s clothes. There was evidence to show us that this was quickly dealt with and resolved by the manager. People using the service told us, ‘the staff are very good, I can approach them at any time, I do not have anything to complain about,’ ‘I don’t have any complaints, the staff are very good,’ and ‘the staff listen to me, they are very good, I am happy and settled here.’ Staff spoken with are very clear about how they would handle a complaint should one be received so that this would be dealt with quickly and resolved. Less than half of the staff have received formal training in safeguarding adults, however a video is available at the home for staff to watch. All staff spoken with are able to discuss their roles and responsibilities and how they would Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 16 respond should they suspect that abuse was occurring. One person using the service told us, ‘I feel well looked after here and safe.’ One relative spoken with said, ‘the staff are very good, kind and respectful, a good and consistent standard of care in maintained.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service live in a well maintained, comfortable and homely environment. EVIDENCE: The care home is very well maintained throughout and is furnished in a homely way. The gardens are also well maintained and are accessible to people using the service when they wish. One person was seen to sit out in the garden on the day of the visit and when spoken with they told us that they often go outside when the weather is fine. All areas of the care home are very clean, well decorated and furnished to a high standard. People using the service choose the colour schemes for their rooms and have their own personal possessions around them. One person using the service told us, ‘I have a lovely big room and I have brought a lot of my own things with me to make it feel more like home.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 18 One relative spoken with said, ‘the home is always clean and fresh.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are supported by sufficient numbers of staff who have been recruited in a safe manner to ensure that people are protected from unsuitable people being employed. EVIDENCE: The duty rota examined showed us that there are four members of staff on duty in the morning, two in the afternoon and one waking and one sleeping in during the night. Staff spoken with said that the staff team get on well together and there are enough staff available to meet people’s needs. People using the service told us that there are enough staff available to help them when needed and the following comments were offered; ‘the staff are very good and respectful, there are enough staff here to help me,’ ‘there are enough staff, I am fortunate really as I can look after myself to a degree,’ and ‘I like living here, I get on well with the staff, they are very nice.’ To ensure that all new staff are aware of their roles and responsibilities when they first start working at the care home they undertake an induction. There is evidence of new staff undertaking this within staff files examined. 50 of staff have either obtained or are working toward the National Vocational Qualification level 2 or 3 (a nationally recognised work and theory based Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 20 qualification) that enhances skills and knowledge in caring for people living in the care home. One member of staff spoken with confirmed that they had achieved level 2 and 3. Staff files examined showed us that all the necessary documentation required by law is in place to ensure that people using the service are protected from unsuitable people being employed. This includes identification, references and a Criminal Record Bureau check (a police check to see if an individual has a police caution or criminal record). Staff spoken with confirmed that they had undertaken a criminal record bureau check. Staff training records showed us that there are a number of deficits in compulsory training such as manual handling and fire safety. However staff spoken with are able to discuss the safe practices employed within the care home and during the visit they were observed to carry these out. Staff spoken with said that they are supported in their training and development and they confirmed that they attend compulsory training as arranged. They are able to discuss the needs of people living in the care home and the support that they offer to ensure that their needs are met. People using the service told us, ‘staff are very good, I think they must be well trained as they seem to know what they are doing,’ and ‘the staff here are good, they know how to look after me.’ Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is well run and managed where they are actively encouraged to voice their opinions about the quality of service that they receive. EVIDENCE: The manager has completed the Registered Managers Award, a nationally recognised work and theory based qualification that develops and enhances management skills. One relative spoken with said, ‘the manager is very good, the home is well run and managed.’ People using the service also spoke highly of the manager and the way in which the care home is run and managed. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 22 Staff spoken with said that the manager is approachable and supportive at all times. Annual questionnaires are sent to people using the service to ascertain their views and opinions about the service and care that they receive. As this is not yet due, no recent feedback is available to comment upon. The manager also carries out quality monitoring in regard to the service and facilities on offer to ensure that quality is maintained. A ‘residents meeting’ was held several months ago, so that people could have a say about events happening within the home, this showed us that people have had the opportunity to discuss the activities that they do. No one working at the care home is responsible for people’s personal finances, should a cost be incurred then relatives are invoiced for this. One person using the service told us that they are happy with this arrangement and that they do not feel that they are restricted by the methods used. The annual quality assurance assessment outlined that all maintenance and servicing of equipment takes place as required. We examined the gas, electrics and chair lift certificates, which confirmed that this had taken place. Regular fire servicing and alarm checks take place to ensure that the systems are working correctly. Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Timescale for action Plans of care must be in place for 30/10/08 all complex needs such as diabetes mellitus. This will ensure that people’s needs are fully met. Risk assessments must be in 30/10/08 place for all identified risks, such as diabetes mellitus. This will ensure that people using the service are fully protected. You must address the deficits in 30/01/09 staff training to ensure that all staff working at the care home have the necessary knowledge and skill to meet the needs of people using the service. Requirement 2. OP27 13(4,c) 3 OP30 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Richmand House Residential Home Ltd DS0000061918.V372600.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!