Care Home: Sunnyside Residential Home

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What the care home does well Surveys from people who live at the service have been received in 2008. All responses were positive in tone. One statement about the service was, "I think the home is excellent." Surveys indicated that people receive the care and support they need, live in a home that is fresh and clean and feel able to raise concerns within the home should they need to. Surveys from staff have also been received in 2008. Responses were positive regarding staff induction training, recruitment checks at employment, clear policies and procedures at the organisation and supervision. All responses said that they had received training and information on working with vulnerable adults and adult protection awareness. One relative stated during the inspection that that the staff are "always caring and pleasant." Surveys from community health care professionals were all positive. Comments were that the service "provides individual care". The home has let us know about things that are reportable under Regulation 37 reporting. We have received no complaints about the service. Clear information is provided to people who are looking for a care home and their relatives. This is available in different formats, so that it is accessible for people with different needs. The manager or her deputy completes a full assessment before a person is admitted to make sure the home can meet their needs. People who live at Sunneyside have access to a good range of professionals from other agencies to help with their care, for example GPs, District Nurses and other advisors. People are supported to self medicate when they are able and this helps maintain independence and choice. The staff attend to people in a kindly way. The staff were also praised by relatives for their patience and understanding. People felt safe in their hands. There are good links with the local community and visitors are welcomed, so that the home remains part of the community. The environment is well maintained, clean and warm. People can choose to personalise their rooms with their own belongings and can choose where to spend their time. Staff have access to a good range of training to help them care for people skilfully. Residents are asked for their views and, within the limitations of community living, their suggestions are acted upon.Health and safety is managed effectively, for the safety of all. What has improved since the last inspection? Since the last key inspection the home management have introduced a quality assurance system. This will ensure that systems are in place, based on seeking peoples views, to measure the success that the home has in meeting it`s aims and objectives. What the care home could do better: During the inspection it was noted that some staff are working excessive numbers of hours and that the number of staff may not always be adequate to meet the needs of the people living at the home. This may place the safety of the people living at the home at risk and may also effect the quality of care provided. This was discussed with the manager and it is envisaged that this will be a Short term issue. Staff sometimes do some personal shopping for people living at the home. Staff need to ensure that they do not collect shop loyalty points for themselves without the permission of the individual. These should be offered to the individual concerned. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sunnyside Residential Home Crewkerne Road Chard Somerset TA20 1EZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Justine Button     Date: 2 8 1 1 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 27 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 27 Information about the care home Name of care home: Address: Sunnyside Residential Home Crewkerne Road Chard Somerset TA20 1EZ 0146061623 Telephone number: Fax number: Email address: Provider web address: Ann.Pontefract@lycos.co.uk Name of registered provider(s): Type of registration: Number of places registered: Mrs Shirley Ann Pontefract care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Sunnyside provides services for up to 14 residents under the registration category of Older People. The registered provider and manager is Mrs Ann Pontefract. The home is close to the centre of Chard. There is a large supermarket nearby and the amenities of the town centre are within walking distance for those physically fit and who have awareness of dangers from traffic. The home provides residential services on two floors. The first floor is accessed by a passenger lift. The registered manager lives on the floor above. Outside there is a drive leading to the front door and car parking area. There is a small garden area with a patio at the end of the drive. This area is protected from the main road by a high hedge. The main garden is at the back of the property with access on both sides. Side paths have been made safe with gates because of the busy road. 0 Over 65 14 Care Homes for Older People Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was unannounced and completed over the course of one day. The inspector spent the whole day in the home. The homes last inspection which included a site visit was in January 2007. During the inspection we talked to people living at the home, Staff and visitors were also available for discussion. The manager helped with the inspection by providing information and records. Pre-inspection information was received before the inspection in the form of the Annual Quality Assurance Assessment (AQAA). This is now required to be Care Homes for Older People Page 5 of 27 completed every year and sent to CSCI. It was completed in enough detail and gave a good overview of the homes activities, including what it has done well, what has hampered improvements and what is planned for the future. A tour of the premises was made, interaction between staff and people who use the service observed, as well as care practices that included the administration of medicines and the serving of food. The inspector sampled some of the residents documentation along with records relating to staff and other records required by regulation. Surveys were sent out. The responses to these surveys is reflected in the main body of the report. What the care home does well: Surveys from people who live at the service have been received in 2008. All responses were positive in tone. One statement about the service was, I think the home is excellent. Surveys indicated that people receive the care and support they need, live in a home that is fresh and clean and feel able to raise concerns within the home should they need to. Surveys from staff have also been received in 2008. Responses were positive regarding staff induction training, recruitment checks at employment, clear policies and procedures at the organisation and supervision. All responses said that they had received training and information on working with vulnerable adults and adult protection awareness. One relative stated during the inspection that that the staff are always caring and pleasant. Surveys from community health care professionals were all positive. Comments were that the service provides individual care. The home has let us know about things that are reportable under Regulation 37 reporting. We have received no complaints about the service. Clear information is provided to people who are looking for a care home and their relatives. This is available in different formats, so that it is accessible for people with different needs. The manager or her deputy completes a full assessment before a person is admitted to make sure the home can meet their needs. People who live at Sunneyside have access to a good range of professionals from other agencies to help with their care, for example GPs, District Nurses and other advisors. People are supported to self medicate when they are able and this helps maintain independence and choice. The staff attend to people in a kindly way. The staff were also praised by relatives for their patience and understanding. People felt safe in their hands. There are good links with the local community and visitors are welcomed, so that the home remains part of the community. The environment is well maintained, clean and warm. People can choose to personalise their rooms with their own belongings and can choose where to spend their time. Staff have access to a good range of training to help them care for people skilfully. Residents are asked for their views and, within the limitations of community living, their suggestions are acted upon. Care Homes for Older People Page 7 of 27 Health and safety is managed effectively, for the safety of all. What has improved since the last inspection? What they could do better: 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 8 of 27 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 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering living into Sunneyside and those close to them are provided with enough information about the home in a variety of ways. All people moving to the home have their individual care needs assessed before admission to the home is agreed. Evidence: The registered provider has produced a statement of purpose and service user guide that give prospective people thinking of moving into the home and relatives information on the home and service. A copy of the statement of purpose was available in the reception area of the home. The In the surveys of people who live in the home 100 said they received enough information about the home before they decided if it was the right place for them. One Care Homes for Older People Page 10 of 27 Evidence: person who had recently moved into the home spoke to us during the inspection. The indivdual stated that she felt her and her family recieved enough information to make the decision that this was the reight home for her. This included the oppertunity to visit the home prior to moving in. Admissions to the home are not made until a full needs assessment is made. The registered manager receives the social worker assessment and then carries out her own needs based assessment. A sample of these was seen in the care plans. They were detailed enough for a decision to be made about whether the home can meet the persons needs. The home can meet the needs of the people who live there in terms of the skills and experience of staff. In the surveys from people who live in the home all said they always receive the care and support they need. The Home said in the AQAA that people can spend a trial period in the home if they are unsure if they are making the right decision. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans and associated reviews reflect the care needs of individuals. The care and the support being provided was appropriate. Health needs are met. Dignity and privacy are considered by staff at all times Medication administered and storage was well maintained. Evidence: All of the care plans examined are based upon information provided from pre admission assessments. Following admission to the home, further assessments are carried out and the home draws up a care plan identifying the needs of each individual and how staff are to meet these needs. We viewed three care plans during the inspection. These contained clear and detailed Care Homes for Older People Page 12 of 27 Evidence: information for staff to follow in order to meet individuals healthcare and social needs and preferences. Individual care plans are reviewed monthly and updated where necessary. Where the resident wishes their relative to be involved in their care planning reviews, the home has plans to do this. People living at the home have access to a range of professionals including the GP, District Nurse, Community Psychiatric Nurse (CPN), and Social Worker. Where ever possible people visits the GP or healthcare professional at the surgery. Interaction between staff and residents were observed as friendly and respectful. Through discussion with the individuals we were informed that the care staff fully respected their privacy and dignity. People us that they are not made to do anything they did not wish to, such as attending activities or having meals in the dining room. Staff were observed knocking on doors before entering. People who use the service are able to meet privately with visitors in their bedroom or in one of the lounges. They further confirmed that all personal care was provided in the privacy of their bedrooms or bathrooms. The care plans and associated documents supported these representations. Medicines are stored well. There was a fridge for medicines needing refrigeration and the temperature was being monitored and recorded. One staff member was observed completing a drug administration round during the inspection. This was completed within good practise guidelines. This includes information on why the resident takes the medication and identifies the possible side effects. When as required medication is administered to residents, the home records the date, time, medicine, dose, reason for administration and signature. Creams stored in peoples bedrooms had been dated on opening. Risk assessment are in place for those people who wish to manage their own medication Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities are well advertised. There is a range of social events and opportunities. These include regular trips out of the home. Families were seen to be welcomed and to be part of the home life. The menu is varied. The food on the day of the inspection was of a good standard. Evidence: The care plans viewed during the inspection detailed the preferences of the individual. People living at the home or their Relatives and friends provide information relating to their loved ones social history, previous hobbies and interests, preferences, likes and dislikes if the individual is not able to provide this information. Those staff observed on the day of the inspection appeared to have a good knowledge of the people living at the home and what they did and did not like. People living at the home told us that their wishes were respected and that they could choose what time to get up or go to bed. People can choose where and how to spend their day. Any restrictions would be identified in risk assessments. Care Homes for Older People Page 14 of 27 Evidence: As previously mentioned, staff interacted with individuals in a kind and respectful manner. The activities records were viewed as part of the inspection. These demonstrated that there is a range of activities on offer There is a person centred and individual approach to the activities on offer. There was clear evidence that people living at the home are consulted on the activities that they would like to be provided. This includes regular trips outside of the home. Records showed that visiting entertainment and music events have been organised by the home including at trip to the local theatre. Arts and crafts are also available. People living at the home now access the village hairdresser, with staff support if this is required. This enables people to interact with the local community and provides a sense of normality The village church is fairly local to the home and one person said that they were supported to attend services at the church. In addition records showed that communion is available at the home. Support for people of varying religions can be arranged although this is not applicable at the time of the inspection. The gardens were in excellent condition and are accessible to people living at the home. People living at the home were seen to be enjoying the garden and were wandering freely enjoying the outside space. The home welcomes visitors at any reasonable time in accordance with the wishes and preferences of the individual living at the home. Visitors spoken to during the inspection were extremely complimentary about the care and support afforded to people living at the home. All meals are prepared and cooked on the premises. The menu appeared wholesome and varied. The main meal is served at lunchtime with a lighter cooked meal at tea time. This was evident at the time of the inspection. The inspectors were informed that milky drinks and sandwiches were offered in the evening. Special diets are catered for. These were seen to be attractively presented. Sweets were available for those requiring a diabetic diet. Staff were observed assisting people in a manner which was relaxed, unhurried and respectful. All those spoken to were positive regarding the meals available and stated that there was always plenty to eat. Drinks were served throughout the day. A range of cakes or biscuits was available. Care Homes for Older People Page 15 of 27 Evidence: A choice of meal is not available at all times. However this is a relatively small home and the cook and staff confirmed that they knew people likes and dislikes. People living at the home stated that they would feel able to ask for an alternative if they did not like what was on offer. The tables were set with tablecloths, napkins and appropriate condiments. A range of cold drinks was available through the meal. Menus are on display in the dining room. Care Homes for Older People Page 16 of 27 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. Complaints are dealt with in line with the homes policy and procedures. People living at the home are aware and comfortable in expressing any concerns. People living at the home are protected by the homes policies and procedures. Staff have received recent training in the prevention and recognition of abuse. Evidence: Feedback forms to people living at the home asked do you know who to speak to if you are not happy? Comments included A wonderful home no complaints. The Home has a complaints procedure that is clearly written and contains the contact details for CSCI. All the complaints are dealt with in line with the homes policy and procedure. No complaints have been received either by the home or us since the last inspection. The policies and procedures regarding protection of residents are of a good standard, which include complaints,recognising signs of abuse and whistleblowing. Abuse training is included in the staff induction programme. The training matrix was viewed as part of the inspection process and this showed that staff had received abuse training. This is also covered by staff who have completed an NVQ. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well maintained and provides a homely, safe and comfortable environment for the people living there. People living at the home are very satisfied with the standards of their rooms and are encouraged to personalise it in line with their own choices and preferences. Aids and adaptations are provided in line with individuals needs. Appropriate laundry facilities are provided and infection control procedures to protect residents are in place. Evidence: Sunnyside provides a very well maintained, safe, comfortable, attractive home, which has all the specialist equipment and adaptations needed to meet individual residents needs. The home is furnished and decorated to a good standard and Mr and Mrs Pontefract and the staff work hard to promote a homely atmosphere for people living at the home and their visitors. Individuals are encouraged to bring their own possessions and small items of furniture into the home and to personalise their private rooms to their own choice. The home was clean and tidy on the day the inspection and there were no unpleasant odours. People spoken to confirmed that their bedrooms were regularly tidied and cleaned by staff but that staff respected the individual way Care Homes for Older People Page 19 of 27 Evidence: that they want their rooms maintained. The garden includes a pond, apple tree, seating, shrubs and a bird table and residents said that it is well used and enjoyed in the warmer weather. The home has level access throughout; the manager confirmed that staff are always available when residents choose to use the garden. One person spoken to was a keen gardener and birdwatcher before moving into the home. This individual stated that he enjoyed going into the garden in summer months and pottering about There is a choice of bathing facilities and a number of toilets strategically placed around the home. Laundry facilities are provided in outbuilding at the rear of the home. The home has an infection control policy that is up-to-date and accessible to all staff. All residents spoken to said that their clothes were returned promptly and in good condition from the laundry. The temperature of the water in all outlets is regularly checked and recorded. Fire safety is correctly managed through staff training and the provision, maintenance and testing of fire safety equipment. Care Homes for Older People Page 20 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There were sufficient staff on duty to meet residents needs. However to achieve this some staff are working excessive hours which may place the quality of care provided at risk. Staff recruitment procedures are robust and protect residents. The home has a comprehensive staff training programme. This ensures that staff can meet the needs of the people living at the home. Evidence: The duty rotas for one week were viewed during the inspection. This raised some serious concerns with regard to the number of hours that some staff were working. For one individual this was a waking twenty four hour shift. We discussed this issue with the manager during the inspection. It is normal practice for the home to have two staff on duty at all times. (one waking and one sleeping at night). Due to recent staff illness and staff leaving the numbers of staff available has dropped. This resulted in some staff working excessive numbers of hours. This may effect the standard and quality of care provided as staff may become tired.In addition it was noted that on occasions there was only one staff member on duty. The manager stated however that she lived on the premises and was always available if required. The manager stated that she Care Homes for Older People Page 21 of 27 Evidence: had successfully recruited new staff and that this was a short term issue. The management however must ensure that there are sufficient staff on duty at all times and should consider the safety of the people living at the home when staff work excessive hours. We viewed one staff recruitment file. This included all of the required documentation. The home gives new staff a copy of the GSCC Code of Practice. The home has a comprehensive training programme. A training matrix provides an overview. Each member of staff has an individual training file. Training areas include first aid, moving and handling, risk assessments, food hygiene, health & safety, abuse awareness, medication and infection control. Additional training is booked for early 2009. Staff confirmed that they all had an NVQ 2 and that one staff member had an NVQ3. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run and managed. There is an emphasis on involving residents and staff in the running of the home. The homes quality assurance systems ensure that the home is run in the best interests of the residents. People personal money is safeguarded. One area was discussed with the manager with regard to shops own loyalty cards. Staff receive regular supervision.The home is committed to improving health and safety. Evidence: People living at the home benefit from a caring and very experienced manager who has a Diploma in Management Studies and is committed to the provision of a quality Care Homes for Older People Page 23 of 27 Evidence: life for residents. Staff spoken to were very positive about Mrs Pontefract and the support and encouragement that was offered to them. All staff spoken said that Mrs Pontefract was always available for advice and support. Those people who are able to look after their own financial affairs are supported to do so. Some ask the home to keep money and valuables for them. The arrangements for this were secure, with records kept of all transactions. On occasions people ask staff to do some personal shopping for them at the local supermarket. Staff get receipts for these transactions. The supermarket however runs loyalty card system. Staff must ensure that they do not put these point on their own cards but ensure that these are offered to the individual person living at the home. The home conducted a quality assurance survey in August 2008. The result of this were very positive. Certificates and documentation was seen in relation to maintaining the equipment and health and safety of residents and staff. An accident book was kept and records checked were correctly recorded. Care Homes for Older People Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 27 18 The management must ensure that there are sufficient staff on duty at all times to meet the needs of the people living at the home. The management needs to consider the numbers of hours thats home staff are working. This will ensure that the safety of the people at the home is not compromised and that the needs of the people living at the home are met. 16/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 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. 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