Care Home: The Cedars

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Clover House
• Langrigg House
• Parkside
• Dystlegh Grange

What the care home does well What has improved since the last inspection? Since the last inspection, there had been an improvement to the physical standards in the home, providing better accommodation for people that live there. A lot of redecoration and refurbishment has taken place resulting in the home looking clean, fresh and homely. People told us they were pleased with the improvements. The care plans of people that live in the home are being reviewed and updated regularly so that care staff have up to date information about the care needs of each person. The improved standard of staff supervision and general record keeping has shown that the home has been well managed. What the care home could do better: A number of people who live in the home, some staff and a relative were concerned about the care staff shortages and the effect this could have on the care given to people that live in the home. A recruitment drive to encourage new staff to the home would improve this situation. Training in adult protection should be arranged as soon as possible for staff who have not yet had this or who need an update to make sure they know what to do to protect the people who live at the home from possible abuse. CARE HOMES FOR OLDER PEOPLE The Cedars Brookfield Drive Holmes Chapel Cheshire CW4 7DT Lead Inspector Bronwyn Kelly Unannounced Inspection 6 November 2007 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 The Cedars DS0000006500.V351810.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. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cedars Address Brookfield Drive Holmes Chapel Cheshire CW4 7DT 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) 01477 532857 01477 544366 www.clsgroup.org.uk CLS Care Services Limited None Care Home 27 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (27) of places The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 27 service users to include: * Up to 27 residents in the category OP (old age not falling within any other category) * One resident over the age of 65 in the category LD(E) (learning disability over the age of 65) Date of last inspection 3 August 2006 Brief Description of the Service: The Cedars is a registered care home providing personal care and accommodation for 26 older people and one person over the age of 65 years who has a learning disability. The home is managed by CLS Care Services Limited, a not for profit organisation which manages a number of homes in the Northwest of England. The Cedars is situated in the small town of Holmes Chapel, Cheshire, in a well established residential area. Local community amenities such as shops and a bus stop are within a short walking distance. The Cedars was purpose built in the 1980s and has single bedrooms on the ground and first floors. Eight of the 27 bedrooms have en-suite facilities. Communal facilities include one main lounge, a smaller quiet lounge and a dining area attached to the main lounge. There is a secure garden and patio area, which is planted with flowers in the summer by one of the residents. Outdoor seating is available for the warmer weather. The current weekly fees range from £353.91 to £450.00. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing and toiletries, optical and chiropody. People who are interested in moving into the home are able to read the latest CSCI inspection report, which is available in a copy of the Service User Guide in the entrance hall. A copy of this guide is also available in each resident’s bedroom. Other information about the home and CLS is available in leaflets on display in the hall. These outline the lifestyle that residents can expect when they move into the home. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit by one inspector took place on the 6th November 2007 and lasted 5.5 hours. This visit was just one part of the inspection. Before the visit, the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live in the home, families, and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI since the last inspection was also reviewed. During the visit, various records and the premises were looked at. A number of people who live in the home, relatives and visiting professionals were also spoken with and they gave their views about the service, which have been included in the report. What the service does well: The people living in The Cedars are happy with the care they receive. Some of the comments received are: • “All the staff treat me with the same respect as my family treats me. They have replaced my loving family. I have received great care and understanding”. • “Staff work hard to please everyone and respect your dignity, which is important”. The home is warm and welcoming and there are good relationships between people who live in the home, relatives and the staff group, making a relaxed atmosphere. Opportunities for activities and socialising have been difficult over the summer months, but people have told us this has improved recently which means they have more choices available to them regarding their lifestyle. People told us they enjoyed the food, which means that they get a varied and healthy diet. One person told us, “ Good food choices – if you want a late breakfast it is ok”. Another said, “The food is very, very good indeed”. There are plenty of opportunities for staff to attend training, which means people are cared for by a competent staff group. The home is well maintained with a programme of refurbishment, so people live in comfortable, homely surroundings. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 6 CSCI has not received any complaints about The Cedars in the last twelve months. What has improved since the last inspection? What they could do better: 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. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 7 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 The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 8 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. Standard 6 does not apply, as intermediate care is not provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs are fully assessed in a variety of ways before they move into The Cedars, so that the individual, their relatives and the home know that these needs can be met when they move into the home EVIDENCE: An assessment of each new person who wishes to move into the home is undertaken to ensure their needs can be met at The Cedars. This is completed in a variety of ways, which may include a written assessment from Social Services or health professionals. The manager or a senior member of staff visits the person in their current setting and talks with them and their present carers. People are encouraged to come to the home and see for themselves the type of lifestyle they will lead, and whether this will meet their needs. Some people stay for a day and have a meal in the home. When the assessment is complete, the manager writes to the person confirming that their care needs can be met at the home. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 9 Four care plans were seen and all contained assessments completed before the person moved into the home which were thorough, dated and signed, providing good information about the person’s needs. When the person moves into the home, the initial assessment information is used to develop a plan of care, along with observations by the staff and discussions with the person and their family. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 10 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. The people who live at The Cedars are well looked after, ensuring their health, social and personal care needs are met. EVIDENCE: In paperwork sent to us before the inspection, the manager wrote that they ensure the care plans are written in a way that reflects people’s wishes and in terminology that people can easily understand. The care plans of five people were read, and each was well written, giving a clear picture of each person’s life and how they liked to lead it. The plans were written in a person centred way, and clearly spelt out how various needs were to be met and how much help each person needed to achieve this. All contained risk assessments, moving and handling information, and information about contact with medical professionals. The interests, hobbies and previous lifestyle of each person living in the home were also recorded in a ‘Life profile’ which enabled staff to have a better understanding of each person. People are The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 11 involved in the preparation of their own care plans whenever possible. The plans are regularly audited by the manager to check that they contain all the information they should and they are also regularly reviewed and updated. People who live in the home who were spoken with during the inspection gave positive comments about the care they received from the staff. Comments included: • “All the staff treat me with the same respect as my family treats me. They have replaced my loving family. I have received great care and understanding”. • “Staff work hard to please everyone and respect your dignity, which is important”. Staff who give out medicines have received training, ensuring people receive their medicines safely and as prescribed by their doctor. The administration of medicine was observed, and no problems were identified. The systems and paperwork were well organised. There is a medication policy for the home and the manager regularly checks that the medication procedures are being followed. The storage of medication was satisfactory with access only to authorised senior staff. However, the storage room suffers badly from unpleasant odours from drainage pipes that pass through the room, which should be resolved. No large stocks of medication are being held. Safe systems for disposal of medication are in place. A fridge was available for medication that needed to be kept cool. Policies and procedures are available, and staff confirmed that these are followed. There is extra security for controlled drugs, with a register kept as required. The medicine administration records were being kept as required. The staff spoken with displayed a good understanding of the importance of ensuring privacy and dignity when delivering personal care to the residents. Induction training for new members of staff includes privacy and dignity. Comments from visitors to the home were good. One visitor said “The care my father receives could not be better. All staff are very caring and looking after my father very well”. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 12 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 who live in the home have the opportunity to choose their preferred lifestyle and food, and choose from a range of activities so they retain control over their lives. EVIDENCE: A number of comments received in questionnaires from people who live in the home and relatives suggested that activities and opportunities for socialising in the home were limited as the activities co-ordinator was helping out with caring duties due to staff vacancies and holidays. Since then, there has been improvement, and the activities co-ordinator is now spending 25 hours per week directly with people and their chosen activity. The majority of this is on a one-to-one basis with people, which could be trips out to places of interest, shopping, garden centres, pub lunches and other places of interest. Chester Zoo was a recent trip, which some people enjoyed. In-house activities are also arranged as are musical entertainers coming into the home. Links with local schools are being developed. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 13 A number of the residents have lived in the local area for many years, and continued contact with the local community is encouraged. Family and friends know that they can visit the home at any time. People spoken with said they were happy with the choices available to them regarding social activities. In paperwork sent to us before the inspection, the manager stated that they “offer activities that are suited to the individual service users and equally as a group to encourage participation at all levels”. People who live in the home that were spoken with gave some examples of the ways in which they have some control over their lives at The Cedars. One resident enjoys gardening, and he has been encouraged to continue with his hobby. The garden, both front and back, was full of flowers and tubs, admired by all. He had made considerable improvements to the rear garden area of the home. The daily menus each have two or three choices at each meal, and the cook confirmed that she has flexibility within the menu choices to meet the individual needs of people that live in the home. She likes to visit each person who lives in the home every day to find out their choices of food from the menus. There is one main dining area in the home and food is served directly through a hatch from the kitchen. Some residents choose to have their meals in their bedroom or another area of the home, affording some privacy. Lunch was observed, which was pleasant with tablecloths and flowers on the table. New dining room tables and chairs have been ordered to provide a better environment for people at meal times. Help was discreet and staff sat with people who needed help. The food served for lunch looked appetising and well cooked, with plenty available for second helpings for those who wanted some more. This was Lancashire Hot Pot and some had chosen minced beef pie, fish fingers or cheese and onion bake. The pudding was sago and jam or yoghurt, fruit or ice cream. Some comments received about the food were: • • “ Good food choices – if you want a late breakfast it is ok”. “The food is very, very good indeed”. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 14 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. Arrangements for making complaints and protecting people who live in the home from abuse are satisfactory, so they are not at risk from harm or poor practice. EVIDENCE: The complaints procedure is available in the service user’s guide and a copy is in the entrance hall as well as each bedroom. Information about how to contact the CSCI is also displayed. CLS encourages people who live in the home and visitors to express any comments they have about the service provided, and comment cards are on display in the entrance hall. CSCI has not received any complaints about the home since the last inspection. In paperwork sent to us before the inspection, the manager stated that the home has received three complaints in the past year and all were dealt with in an appropriate way. The staff spoken with showed an understanding of adult protection procedures. The acting manager has attended a training course on Safeguarding Adults and was planning to pass this information on to the staff in a training session due to take place soon. However, this has had to be cancelled, but must be rearranged at a later date by the new acting manager to make sure all staff The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 15 know what to do to protect the people who live at the home from possible abuse. Discussions with people that live in the home confirmed that they know who to speak to if they are unhappy with anything. They told us that the regular residents’ meetings are one way in which they can express any concerns or make suggestions. One person gave an example of a recent concern that she had told staff about, and quick action soon resolved this. They told us that there is good communication between people that live in the home and the manager and staff. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 16 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. The home is well maintained so that people live in homely, comfortable and safe surroundings that meet their needs. EVIDENCE: Over the past year, a lot of redecoration and refurbishment has taken place resulting in the home looking clean, fresh and homely. Some further work is planned for bedrooms and new flooring is planned for the lounge, dining room and corridors. People who live in the home who were spoken with were happy with their bedrooms, and those seen during the inspection were comfortable and homely, and personalised with people’s own belongings. Six of the bedrooms are small in size, being under 10sq.mtrs and eight of the bedrooms have ensuite The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 17 facilities. One person told us, “I could recommend this home – it is a very nice place”. Bathrooms and toilets contain a variety of aids to assist people use the facilities. The flooring in these has recently been replaced to provide a better environment for people that live in the home. There is only one main lounge on the ground floor and a second smaller quiet lounge on the first floor which used to be designated as a smoking room, although little used. The home is in good order, with no unpleasant odours. However, as mentioned earlier in the report, the medicine storage room suffers badly from unpleasant odours from drainage pipes that pass through the room. This does not provide staff with a pleasant, hygienic area in which to store the medication of people that live in the home. A resolution should be sought to this problem. The general assistants who clean the home take pride in their work, and all have now gained their NVQ qualification in housekeeping. There is rear patio/garden area sitting area with outdoor chairs and tables for use in the warmer weather. As mentioned earlier, one person that lives in the home enjoys looking after the garden in this area and planting many different colourful flowers for the benefit of others. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 18 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. Although there are some staff shortages, staff have had training to help them develop their skills and provide safe care to people that live in the home. Recruitment procedures are thorough enough to ensure that people are protected. EVIDENCE: The staffing situation has been difficult over the past few months with vacancies and holidays. Agency staff have been used for cover as well as the permanent staff working extra hours. There has been a recruitment campaign, but there are still two/three care assistant posts vacant. Some of the questionnaires received from staff and relatives expressed concern about the staff shortages and the effect it could have on people that live in the home. The home is now using the same agency staff whenever possible so there is some continuity of care for people. However, these posts should be filled as soon as possible to provide some stability within the home both for people who live in the home and the staff group. In spite of this, there is no evidence that people that live in the home have not had their care needs met. Some comments written by staff on questionnaires included, “Staffing is a big issue and has been for some time” and another wrote, “Only sometimes enough staff due to staff turnaround. I think staffing The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 19 needs to be addressed”. One relative wrote “The staff receive a lot of training but staff shortages make continuity difficult. It also becomes difficult to ‘spread’ staff around – the management of ratios of staff to residents.” Since these questionnaires were written, additional help has been provided with a third care assistant on duty in the morning between 08.00am and 10.00am to help with getting up and breakfasts. However, the staffing levels should be continually monitored to ensure the needs of the people that live in the home are met at all times. Staff are encouraged and supported in pursuing NVQ qualifications and have now met the government target of 50 trained care staff. Other statutory training such as moving and handling and fire safety training is up to date. Staff spoken said there is plenty of opportunity for further training in a variety of areas. One staff member wrote on a questionnaire “Residents have a diverse range of needs and conditions – due to training I have been able to cope with these”. Another wrote, “It’s my first time working in care and the staff, management and training so far has been excellent”. Two of the care staff spoken with demonstrated a good understanding of the issues of equality and diversity, and one said, “We respect individual needs as everyone is different”. One person who lives in the home told us, “ The staff are very nice – they will help with anything you ask”. Another said, “Staff are very nice and friendly”. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 20 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 well run, safe home where their views are listened to so it is run in their best interests. EVIDENCE: There has been two different managers in post at The Cedars over the last year, the latest of whom was due to leave during the week of the inspection. In spite of this, there was no evidence that people that live in the home have suffered because of the changes. The present acting manager is very highly thought of, and staff have praised the way she has managed them over the past months. One member of staff commented “My manager always makes herself available and would move mountains for her team”. Some staff The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 21 commented that she was trying to resolve the shortage of staff situation and is supportive to all. A new manager will be taking over in early November 2007, but she is qualified and well experienced in running CLS homes. She has already been to The Cedars to meet the people who live in the home and the staff. A quality assurance system is in place, and people who live in the home and/or their families completed a satisfaction questionnaire last year. The results were evaluated and any actions made to improve services were documented. A copy of this document is available in the hall and in each person’s bedroom. A new quality survey has recently commenced. Staff spoken with confirmed that they receive supervision and appraisal on a regular basis, and paperwork confirmed this. The manager audits that this is taking place. The home works to a good system for safeguarding peoples’ money, and clear records with receipts are kept. Policies and procedures for safeguarding money provide security. The paperwork received from the acting manager prior to the inspection confirmed that equipment and installations at the home are serviced regularly. The home employs a handyman who attends to maintenance issues such as checking fire equipment, water temperatures and other health and safety matters, providing a safe environment for staff and people that live in the home. Fire drills and training are held regularly as is other statutory training such as moving and handling, ensuring the safety and well being of people who live in the home. The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 22 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 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 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 The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 OP18 Good Practice Recommendations Training in safeguarding adults should be arranged for staff who have not yet had this or who require an update to make sure they know what to do to protect the people who live at the home from possible abuse. The problem of bad odours from the drainage system in the medicine room should be resolved to provide a hygienic area for the storage of medication for people that live in the home and for staff to work in. Further effort should be made to fill the vacant care staff posts so that there is less reliance on agency staff. This will provide better continuity of care for people that live in the home. 2 OP26 3 OP27 The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 The Cedars DS0000006500.V351810.R01.S.doc Version 5.2 Page 25 - 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!