Care Home: Sherwood Grange Care Centre

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What the care home does well Anyone new coming to the home has their needs assessed to make sure they can receive the help and support they need. This is normally done before they move into the home, but if the person comes in an emergency then this is done on the day they move in. People receive the healthcare they need with the help of local healthcare services where needed and are given there medication when needed in a safe way. People living in the home feel that they are respected and treated in a dignified manner. There are activities organised for people to take part in and visiting entertainers come to the home.Visitors are welcome to come at anytime so people can keep in contact with family and friends, and routines in the home are flexible to take into account people`s wishes. There was a varied menu providing a choice of main meal and people enjoyed their lunch and were able to eat where they preferred. Staff are aware of their responsibilities in ensuring people are safeguarded and know the procedures they should follow in the event of any form of abuse. The building was nice and clean and in good repair making it a pleasant place for people to live. Staff know what they need to do to stop any infection spreading around the home, including wearing protective clothing, so that people are not put at risk of being made ill. New staff only come to work in the home once they have been through the checks they need to show they are of good character and suitable to work with vulnerable people. Staff are provided with training, including an induction for new staff, to make sure they know how to meet the needs of people living in the home. The manager has a lot of experience in her job and has got a professional qualification. People are asked to fill in surveys and comment on how the home is run. Comments made were mostly positive. Safety checks are carried out on the building and equipment to make sure people do not face any unnecessary or avoidable risk. What has improved since the last inspection? There have been a number of improvements made to the way the home receives and manages medication. What the care home could do better: Care files should be organised so they are easy for staff to refer to when they need to find out some information. All medication kept in the home must be stored in a an approved locking cupboard. When someone raises any form of complaint this should be recoded in the complaints book. The current staffing and management arrangements must be reviewed to ensure there are sufficient people on duty to meet the needs of people living in the home. CARE HOMES FOR OLDER PEOPLE Sherwood Grange Care Centre Mansfield Road Edwinstowe Mansfield Nottinghamshire NG21 9HF Lead Inspector Stephen Benson Unannounced Inspection 25th February 2009 09:00 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 Sherwood Grange Care Centre DS0000072609.V374340.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. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sherwood Grange Care Centre Address Mansfield Road Edwinstowe Mansfield Nottinghamshire NG21 9HF 01623 824601 01623 824602 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) Sherwood Care Centre Ltd Mrs Rosemarie Prinold Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (10) of places Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories 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 Physical Disability - Code PD - maximum number of places: 10 The maximum number of service users who can be accommodated is 51 N/A 2. Date of last inspection Brief Description of the Service: Sherwood Grange is a care home providing personal and nursing care and accommodation for 51 older people, including up to 10 people who have a physical disability. The home is owned by Sherwood Care Centre Limited which is run as a small business The home is located on the outskirts of Edwinstowe where there are shops, pubs, the post office and other amenities. The home was purchased by the current provider April 2008 and consists of an extended domestic house. Twenty seven of the home’s bedrooms are single, and 28 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has good sized gardens that are well maintained and easily accessible. There is ample car parking available The manager said on 25/02/09 that the fees for the service range from £353 £512. Sherwood Grange Care Centre DS0000072609.V374340.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 people accommodated 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 was our first visit to the home since 1st April 2008. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. The main method of inspection used is called ‘case tracking’ which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the people’s needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Anyone new coming to the home has their needs assessed to make sure they can receive the help and support they need. This is normally done before they move into the home, but if the person comes in an emergency then this is done on the day they move in. People receive the healthcare they need with the help of local healthcare services where needed and are given there medication when needed in a safe way. People living in the home feel that they are respected and treated in a dignified manner. There are activities organised for people to take part in and visiting entertainers come to the home. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 6 Visitors are welcome to come at anytime so people can keep in contact with family and friends, and routines in the home are flexible to take into account people’s wishes. There was a varied menu providing a choice of main meal and people enjoyed their lunch and were able to eat where they preferred. Staff are aware of their responsibilities in ensuring people are safeguarded and know the procedures they should follow in the event of any form of abuse. The building was nice and clean and in good repair making it a pleasant place for people to live. Staff know what they need to do to stop any infection spreading around the home, including wearing protective clothing, so that people are not put at risk of being made ill. New staff only come to work in the home once they have been through the checks they need to show they are of good character and suitable to work with vulnerable people. Staff are provided with training, including an induction for new staff, to make sure they know how to meet the needs of people living in the home. The manager has a lot of experience in her job and has got a professional qualification. People are asked to fill in surveys and comment on how the home is run. Comments made were mostly positive. Safety checks are carried out on the building and equipment to make sure people do not face any unnecessary or avoidable risk. What has improved since the last inspection? What they could do better: Care files should be organised so they are easy for staff to refer to when they need to find out some information. All medication kept in the home must be stored in a an approved locking cupboard. When someone raises any form of complaint this should be recoded in the complaints book. The current staffing and management arrangements must be reviewed to ensure there are sufficient people on duty to meet the needs of people living in the home. Sherwood Grange Care Centre DS0000072609.V374340.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. Sherwood Grange Care Centre DS0000072609.V374340.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 Sherwood Grange Care Centre DS0000072609.V374340.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 People who use the 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 coming to live at the home will know their needs can be met as they have been assessed to ensure this is the case. EVIDENCE: The manager had some information about a prospective new person coming to the home in her office and spoke of going out to do assessments. There were completed assessments seen in care files looked at, and these were either completed prior to the person moving in the home or on the day of admission due to being admitted in an emergency. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 10 Staff said they usually knew about anyone new coming to the home but sometimes the pressure of work means they do not hear. Staff said that new people are assessed before they come to the home and they are encouraged to read assessments. Staff also said they are told about anyone new in the daily report meetings. One person recently admitted said, “I was in hospital before I came here and the matron visited me”. There is no arrangement made for the home to provide an intermediate care service. Sherwood Grange Care Centre DS0000072609.V374340.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 People who use the 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’s health, personal and social needs are set out in an individual plan of care and these are met by care practices in the home. . EVIDENCE: A sample of four care files were seen and these contained a range of information, including assessments, risk assessments and care plans. The manager explained that they are changing all the care plans over to person centred plans and these give better insight into people’s needs and how they should be met. The plans could be better organised making them easier to refer to. The manager said that she has made arrangements for a night time senior to do some additional hours on improving these. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 12 There were references seen in care files to The Mental Capacity Act and people’s wishes, likes and dislikes were included. Information included things such as ‘doesn’t like noise’ and ‘likes to drink out of china cup’. Care plans were reviewed and updated, although some had not been done since December 2008. Staff said that the care plans are a necessary part of the work and will go to them to refer to something specific but don’t have enough time to read them fully. Staff said there has been a lot of work gone into changing plans, including discussion son what should be included, and they now reflect the individual. The manager spoke of recent successes achieving goals set out in care plans for a return home. One person spoke about how she had improved her mobility since coming to the home, which staff had talked with her about. The manager spoke of differences about how people’s healthcare needs are met depending whether they are assessed as needing nursing or residential care. The manager said that they access community based healthcare resources where needed and record of some of these visit people were seen in their care files. Staff said they know people so well that they pick up on if they are not feeling well. Staff said they inform the nurse if they think someone is unwell and they will arrange a doctor’s visit if needed. One member of staff was heard asking one person if they felt better now as they had not been well when he was last on duty. People commented that they felt their health was looked after. There are some people who are confined to bed and there were charts in their rooms which staff are expected to complete to ensure they are moved regularly and record their fluid and food intake. A senior care administers medication to people assessed as requiring residential care and a nurse does to those assessed as requiring nursing care. Part of the lunchtime round was observed and the correct practices were followed. Medicine Administration Records seen were fully completed. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 13 The storage of medication is in two trolleys and a large drugs cabinet. This did not appear to meet current requirements and it should be established whether it is and if not one that does must be purchased. People confirmed that they are given their medication and staff observe them taking it. Staff were observed talking and joking with people in a relaxed and friendly manner. There was a message seen in a diary reminding staff of good practiced in respecting people’s privacy and dignity. The manager said she attended an event organised by the local authority about promoting privacy and dignity and she was currently the dignity champion, but would be looking for another member of staff to take on this role. Staff said they had received training in promoting people’s privacy and dignity and said they thought about how they would like to be treated, and gave an example of not liking someone walking into a room without knocking. People spoke positively about the staff and said they get on well, and felt respected by them. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 14 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 People who use the 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 provided with opportunities to meet their recreational needs and are able to maintain relationships with family and friends. People are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. . EVIDENCE: One of the care staff spends 15 hours a week as the activities coordinator. The manager said they were in the process of recruiting another person to work along side her to increase the activities on offer. There had been an entertainer at the home the previous day and staff were preparing people for a game of bingo later. One person was seen cutting out the bingo cards to use. A record is made of any activities people take part in, but the system for doing so is very time consuming and alternative ways were discussed. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 15 Staff said they felt they should be able to spend more time with people who are confined to bed but are not able to do so because of pressure of work. People were seen watching television, reading books and doing a word search. One person commented, “I have won the bingo twice recently”. The manager said there had not been any trips out of the home during the cold weather, but once the warmer weather comes there will be trips to places like the garden centre. Staff said lots of people go out with their families and said that this home was one of the most family friendly they had come across. One person was seen taken out into the well kept gardens to look at the fish in the pond. People were seen moving freely around the home and using different communal areas. Staff were aware of providing people with choices and gave examples of how choices are offered, including what they wear and what jewellery they want on. One person said, “I am able to decide what I do, they encourage me to.” There is a four week menu which includes a fish dish on Fridays and a roast dinner on Sundays. Lunch today was a choice of spaghetti bolognaise or shepherds pie with vegetables. There were some people who had an alternative meal, one had an omelette and another beans on toast. The morning drinks trolley was seen going round, which did not have a choice of drinks and a limited choice of biscuits. Staff said they felt this could be improved. The serving of the meal is a logistical problem with people eating in two dining rooms, the lounge and their own rooms. A number of people need assistance with feeding. The current arrangements were seen to have a number of problems and staff said it was a difficult time as so much needs doing. The manager said she would review the current arrangements to see how they could be improved. Eight people were asked if they had enjoyed their meal, and they all said that they had. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for people to raise complaints and protect them from abuse. EVIDENCE: The complaints procedure is displayed in the hall and the complaints book had two complaints recorded in the last year. These were clearly recorded and appropriate action taken. The manager referred to some people having complained that the television was not working properly, but this was not recorded (although a repairman was present during the day). Staff spoke of resolving any problems and checking if people are satisfied. One person said, “Anything I mention is listened to and sorted out”. The manager has been on a recent safeguarding workshop and has got work books for all the staff to complete. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 17 The manager showed the Nottingham and Nottinghamshire Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers and there is a whistleblowing policy in the policy and procedures file. There have not been any safeguarding referrals made. Staff were aware of the safeguarding procedures and people spoke of feeling “perfectly safe” in the home. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: Areas of the home seen were clean and tidy and no outstanding repairs were noted. The home was well lit and fresh in odour. There is a well tended garden which can be used when the weather allows. A maintenance man is employed to carry out any minor repairs. Any repairs needed are recorded in a designated diary, however this does not allow for Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 19 easy checks on any outstanding repairs and the provider said he would male a system used in another home available. People described the building as “homely” and “well decorated”. Staff were seen using protective clothing and there are appropriate systems for disposing of waste and washing soiled laundry. Staff said they have received training on infection control and training records showed this has been provided. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 20 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 People who use the 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 who live in the home are cared for by people who have been suitably trained and proven their suitability to care for them. EVIDENCE: A number of staff have worked at the home for a number of years making a stable staff group. The manager has assessed their minimum staffing levels to be 8 care staff and a nurse in the morning, 6 care staff and a nurse in the afternoon and 3 care staff and a nurse overnight. In addition the home employs an administrator, kitchen staff, handyman and housekeepers. The manager does not have any deputy or assistant managers to help her with the management of the home and the provider said this is something they are currently considering. The rota showed that this was correct for this week, but some comments were made that these levels were not always provided. There is not any record kept Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 21 of when a shift has not been fully staffed. Comments were also made that staffing levels are not always sufficient to meet people’s needs and staff have to make judgement calls as to which needs to attend to first. The provider and manager agreed to assess current staffing arrangements to determine if they are sufficient to meet people’s needs in a timely manner. People commented that staff always seem to be busy and have a lot to do and one person said, “There are a lot of people in bed who need a lot of attention”. The staff training records showed there are 11 care staff who have National Vocational Qualification level 2 or above and a further 5 working towards one of these. Staff said they were encouraged to undertake National Vocational Qualifications and there was information about these on notice boards as well as dates when the assessor was visiting. A sample of three staff files were seen and these showed that the correct recruitment practices are followed. There were notices seen publicising forthcoming training and staff training records showed that regular training is provided. A matrix showed when staff are due to have further or refresher training. There were also appointments made for staff to have supervision and induction records were seen for newly appointed staff. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management systems in place for the smooth running of the home and to protect people living there. People can express their views on how the home is run and their health and safety is promoted. EVIDENCE: The manager has held the post of manager for over 17 years. She is a Registered General Nurse and has completed National Vocational Qualification level 4. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 23 Staff and people living in the home spoke highly of the manager saying she worked hard and ran the home well. The results of a residents and relatives survey carried out in 2008 were displayed in the entrance hall and the manager said another survey will be carried out during this year. There was a notice publicising the next relatives and residents’ meeting in March 2009. The home will hold money for people to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction and signed and witnessed. Receipts are kept when available. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 24 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 3 8 3 9 2 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 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 26 STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 (2) Requirement Medication must be stored in an approved cabinet that meets current safety guidance so people’s medication is properly looked after so they get the correct medication A record must be made of any complaints, which include any investigation and outcome of the complaint. This will ensure that any complaint made is fully investigated Current staffing arrangements must be reviewed to establish whether there are sufficient staff on duty. Timescale for action 01/05/09 2 OP16 22 (2) 01/04/09 3 OP27 18 (1)(a) 01/05/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Organise care files so they are easy to refer to. Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 27 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 Sherwood Grange Care Centre DS0000072609.V374340.R01.S.doc Version 5.2 Page 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!