Care Home: The Robertson Sandie Home

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What the care home does well Service users can only move into the home after an assessment of their care needs is carried out. This ensures the manager and staff are confident they have the skills and abilities to meet their care needs. A plan of the care given to each service user is in place. Service users said their care needs are fully met and they are very happy with the way they are looked after. One service user said `The staff are all excellent, nothing is any trouble to any of them`. Another service user said `I really can`t fault the staff they are all brilliant`. The relative of one service users said `I am delighted with this home, the staff are wonderful and very flexible. I cannot fault them at all`. Service users are helped to manage their medication. Staff have completed training in this area of care so they are aware of their responsibilities and know how to work safely. All of the service users spoken to during the visit said they receive their medication as prescribed by their GP. Service users are involved in meaningful activities of their choice and according to their individual interests and capabilities. An activity organiser is employed. She has worked very hard to provide a wide range of social activities. These activities include board games, gentle exercises and trips to the theater and local jazz club. She has also arranged for volunteers to visit the home to do massage and poetry reading. One service user said `I love to join in with the activities, they are good fun`. Another service user said ` I tend not to join in with the activities as I prefer my own company`. Service users` spiritual needs are met and an inter-denominational service is held each week which service users can attend if they wish. A varied and nutritious diet is provided and is based around the service users` likes and dislikes. All of the service users said they enjoy the meals. One service user said `The food is excellent and I always have plenty to eat`. Another service user said `The food is always very good and the cook is excellent`. A complaints procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of care they receive. Staff have completed training on how to ensure service users are protected from abuse, neglect and self harm. All of the service users spoken to during the visit said they had no concerns about their safety and welfare. One service user said `I have never been spoken to or treated badly by any of the staff, they are all extremely kind and caring`. The premises are well maintained and provide a comfortable environment for service users to live. Specialist equipment is provided around the home to support people with their mobility and to maximise their independence. All of the service users said they are very comfortable in their room and they have everything they need. One service user said `I am very comfortable in my room. I only have to press the buzzer and the staff come in no time`. Another service user said `My room is lovely and warm and the staff keep it nice and clean and tidy`.Thorough recruitment and selection procedures are in place to ensure suitably qualified and competent staff are employed. The staff spoken to were clear on their role and responsibilities which means the service remains focused on service users` care needs. The manager is qualified, competent and experienced to run the home for its purpose. There are clear lines of accountability within the home which means staff know who to speak to if they want to raise a concern. Systems are in place to ensure the efficient and effective running of the home and the ongoing improvement of the service. One of the staff surveys return to us noted `I think our home is run very well and we ensure our residents are happy`. The relative of one service user said `The home is extremely well-managed by a person who is very caring`. What has improved since the last inspection? Since the last inspection improvements have been made to the staff training so staff are clear on their responsibilities and keep up to date with new ways of working. Improvements have also been made to the condition of the building to ensure service users` comfort. What the care home could do better: Some improvements need to be made to the separate toilets to ensure a more pleasant environment. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Robertson Sandie Home Vyner Road South Birkenhead Wirral CH43 7PR     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: Ingerbritt Moynihan     Date: 0 6 0 1 2 0 0 9 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. that people have said are important to them: They reflect the things 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 © (2009) 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: The Robertson Sandie Home Vyner Road South Birkenhead Wirral CH43 7PR 01516536613 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Abbeyfield Wirral Extra Care Society Limited care home 17 Number of places (if applicable): Under 65 Over 65 17 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC 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 The maximum number of service users who can be accommodated is: 17 Date of last inspection Brief description of the care home The home is registered for personal care only. At the time of this inspection there were 14 service users resident in the home, which was observed to be clean, tidy and well maintained. Service users can access all parts of the home, including the well cared for gardens. The home is an independent registered charity, affiliated to the Abbeyfield Society. The home is run in an open and inclusive way, both for service users and staff. All residents have private bedrooms, which are nicely furnished, and are encouraged to personalise their own rooms with furniture and photographs from home. Care Homes for Older People Page 4 of 27 Care Homes for Older People Page 5 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 people living at the home prefer to be called service users, therefore this term is used throughout the report. Information about the home was obtained through discussion with four service users, one relative, the manager, the chairman of the society and members of the staff team. Policies, procedures and supporting documentation were also looked at along with a selection of service users case files. Before the visit the manager was asked to complete the Annual Quality Assurance Assessment (AQAA). The AQAA is a selfassessment document that is filled in once a year by all providers. It is one of the ways that we get information from providers about how they are meeting outcomes for people using the service. This document was sent to the CSCI but it did not contain all Care Homes for Older People Page 6 of 27 the information we needed to accurately determine at this point what plans the manager had for the improvement and development of the service. The manager was asked to submit this document again with more information. Although this document was not submitted by the time of the inspection, issues were discussed during the visit and information was provided so we could make an informed judgment on the homes achievements and planned improvements. A part of the inspection process includes sending surveys to staff in order to obtain their views on the standard of the service. Seven staff surveys were returned to us. Comments made in these surveys are included in the report and contribute to the basis of any judgments made. A copy of this inspection report, and past reports, can be obtained from the manager at the home. The date of the last key inspection was 4 September 2006. Fees 366.00 per week. What the care home does well: Service users can only move into the home after an assessment of their care needs is carried out. This ensures the manager and staff are confident they have the skills and abilities to meet their care needs. A plan of the care given to each service user is in place. Service users said their care needs are fully met and they are very happy with the way they are looked after. One service user said The staff are all excellent, nothing is any trouble to any of them. Another service user said I really cant fault the staff they are all brilliant. The relative of one service users said I am delighted with this home, the staff are wonderful and very flexible. I cannot fault them at all. Service users are helped to manage their medication. Staff have completed training in this area of care so they are aware of their responsibilities and know how to work safely. All of the service users spoken to during the visit said they receive their medication as prescribed by their GP. Service users are involved in meaningful activities of their choice and according to their individual interests and capabilities. An activity organiser is employed. She has worked very hard to provide a wide range of social activities. These activities include board games, gentle exercises and trips to the theater and local jazz club. She has also arranged for volunteers to visit the home to do massage and poetry reading. One service user said I love to join in with the activities, they are good fun. Another service user said I tend not to join in with the activities as I prefer my own company. Service users spiritual needs are met and an inter-denominational service is held each week which service users can attend if they wish. A varied and nutritious diet is provided and is based around the service users likes and dislikes. All of the service users said they enjoy the meals. One service user said The food is excellent and I always have plenty to eat. Another service user said The food is always very good and the cook is excellent. A complaints procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of care they receive. Staff have completed training on how to ensure service users are protected from abuse, neglect and self harm. All of the service users spoken to during the visit said they had no concerns about their safety and welfare. One service user said I have never been spoken to or treated badly by any of the staff, they are all extremely kind and caring. The premises are well maintained and provide a comfortable environment for service users to live. Specialist equipment is provided around the home to support people with their mobility and to maximise their independence. All of the service users said they are very comfortable in their room and they have everything they need. One service user said I am very comfortable in my room. I only have to press the buzzer and the staff come in no time. Another service user said My room is lovely and warm and the staff keep it nice and clean and tidy. Care Homes for Older People Page 8 of 27 Thorough recruitment and selection procedures are in place to ensure suitably qualified and competent staff are employed. The staff spoken to were clear on their role and responsibilities which means the service remains focused on service users care needs. The manager is qualified, competent and experienced to run the home for its purpose. There are clear lines of accountability within the home which means staff know who to speak to if they want to raise a concern. Systems are in place to ensure the efficient and effective running of the home and the ongoing improvement of the service. One of the staff surveys return to us noted I think our home is run very well and we ensure our residents are happy. The relative of one service user said The home is extremely well-managed by a person who is very caring. 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 9 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 10 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. Service users care needs are assessed before a service is offered so they know they will receive the care and support they need. Evidence: An assessment of service users care needs is carried out prior to them moving into the home. Service users, their family and any relevant health care professional can contribute to the assessment to ensure the service user receives the right level of care. Staff surveys returned to us indicated they are always given up to date information about the service users they support. The manager is in the process of reviewing all case files to ensure they are an accurate reflection of service users full care needs. Issues relating to equality and diversity such as service users disability, gender, age and religion are addressed to ensure their holistic care needs are met. One staff survey returned to us noted Information and advice is always at hand and we are also told verbally. There is always someone around to give advice if needed. Care Homes for Older People Page 11 of 27 Care Homes for Older People Page 12 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. Service users personal care needs are met and they are treated with respect and valued as individuals. Evidence: A plan of the care given to each service user is in place. The manager is in the process of updating all of the care plans to ensure they are an accurate reflection of service users current care needs. Service users general welfare is monitored regularly and staff will seek advice from different health care professionals such as the continence adviser, dietitian or district nurse etc as required. The home has a range equipment to support service users with their mobility and to maintain their independence and safety. The service users spoken to during the visit said they were very happy with the care they receive. One service user said The staff are all excellent, nothing is any trouble to any of them. Another service user said I really cant fault the staff they are all brilliant. The relative of one service user was spoken to. She said she was more than happy with the care her mother was receiving. She said I am delighted with this home, the staff are wonderful and very flexible. I cannot fault them at all. Service Care Homes for Older People Page 13 of 27 Evidence: users confirmed the staff react quickly when they are unwell and they get to see their doctor when necessary. One of the staff survey noted The residents are happy with our service. They are all well looked after and we treat them like our family. The manager must ensure a Health and Safety Executive accident book is used to record all accidents. This will ensure all of the necessary information is recorded following an accident and staff follow the correct health and safety procedures. Systems are in place for the administration of service users medication. Staff have completed training in this area of care so they are aware of their responsibilities and know had to work safely. Service users spoken to said they receive their medication as prescribed by their GP. The manager must ensure the records kept for the administration of homely remedies are updated so staff know exactly which remedies service users can take with their prescribed medication. Staff spoken to demonstrate a clear understanding of how they must ensure service users are treated with respect and their right to privacy is upheld. The service users spoken to said the staff are very sensitive when helping them with their personal care. One service user said The staff are all very discreet when they help me with my personal care, they are all very kind and caring. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide range of social activities are provided and service users are helped to exercise choice and control in their lives. Evidence: The service users confirmed the homes routines are flexible which means they can make decisions for themselves and go about their day as they want. An activity organiser is employed at the home on a part-time basis. She has arranged for a wide range of social activities to be provided. These activities include gentle exercises, board games and bingo. She has also arranged for volunteers from the Red Cross to visit the home to do massages and foot spas. Service users are taken to the theater and a local jazz club and another volunteer visits to read poetry and tell stories. The service users confirmed they can join in these activities if they want but staff respect their decision not to join in. One service user said I love to join in with the activities, they are good fun. Another service user said I tend not to join in with the activities as I prefer my own company. The staff always respect this decision. Service users religious observance is respected and service users spiritual needs are met. Service users confirmed that an inter-denominational service is held each week which is open to everyone. Representatives from other local churches visit the home regularly. Care Homes for Older People Page 15 of 27 Evidence: Service users family and friends can visit at any time so they can maintain personal relationships and continue to be part of family life. A small private lounge is available for service users to see their visitors in private. Service users fees are managed by the chairman and treasurer of the society. The manager will support service users with their personal allowance if asked to. The financial records looked at were kept in good order. All of the service users said they enjoy the food and always have plenty to eat. Diets based around service users medical and cultural needs can be met and hot and cold drinks and snacks are available throughout the day. Staff are available to help service users at mealtimes if necessary. The menu is varied and changed regularly and a choice is always available. The mealtimes are relaxed. One service user said The food is excellent, I always have plenty to eat. Another service user said The food is always very good, the cook is excellent. 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. Systems are in place to ensure service users are protected from abuse and they know what to do if they want to make a complaint. Evidence: A complaints procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of the care they receive. The manager has not received any complaints about the service since the last inspection in 2006; we have not received any complaints about this service. The staff spoken to were clear on the action they should take in the event of them receiving a complaint. The service users spoken to during the visit said they were extremely happy with the support and care they receive and they had no complaints to make. One of the service users said I am very happy with the care I receive. I know that I can speak to the manager or any of the staff if I have any concerns. This is a wonderful place and I couldnt be in a better home. Staff have completed training on how to ensure service users are protected from abuse, neglect and self harm. During discussion they demonstrated an understanding of the different types of abuse that can occur and what they should do if they know or suspect abuse is taking place. The manager knows how to manage allegations of abuse correctly. A whistle blowing procedure in place so that staff can raise concerns anonymously. No allegations of abuse have been made about this home. One service Care Homes for Older People Page 17 of 27 Evidence: user said I have never been spoken to or treated badly by any of the staff, they are all extremely kind and caring. 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 premises are well maintained and provide a comfortable environment for service users to live. Evidence: There is a programme of routine maintenance in the home to ensure it is kept safe, tidy and comfortable. The grounds are well maintained and accessible to service users. There is a summer house and patio area which service users can use in the summer or when the weather is good. The shared facilities include a large lounge, dining room and quiet room. These areas are well maintained and furnished in a comfortable and homely way with good lighting. New tables and chairs have been ordered for the dining room which will further enhance this area. There are sufficient toilets and bathing facilities for the number of service users living at the home. Since the last inspection two of the main bathrooms have been upgraded and the third has been converted into a wet room. All of this work has been carried out to a high standard. Plans have been made to refurbish the remaining toilets this year to the same high standard. All bedrooms have vanity units with some being en suite with a toilet. Care Homes for Older People Page 19 of 27 Evidence: Specialist equipment is provided around the home to support service users with their mobility and to maximise their independence. This includes handrails, a passenger lift, hoists and bathing equipment. All of the service users said they are very comfortable in their room and they have everything they need. They said their room is always warm and is cleaned on a regular basis. One service user said I am very comfortable in my room. I only have to press the buzzer and the staff come in no time. Another service user said My room is lovely and warm and the staff keep it nice and clean and tidy.Service users have personalised their rooms with their own belongings which makes their room feel more homely and comfortable. Systems are in place to prevent the spread of infection and staff have completed training in this area of care so they are clear on their responsibilities and know how to work safely. The laundry needs redecorating in order to prevent the possible spread of infection. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment and selection procedures ensure suitably qualified and competent staff are employed. Evidence: The manager and staff reported there are sufficient staff employed at the home to support the number of service users living there. Additional staff are on duty at peak times during the day to ensure service users care needs are continually met. Sufficient ancillary staff are provided to ensure the home is kept clean and tidy. There is training to the National Vocational Qualification standards which is a recognised qualification for staff involved in the care profession. This is in line with good practice and ensures the staff are kept up to date with new ways of working. Thorough recruitment and selection procedures are in place. These procedures are based on equal opportunities, which means prospective applicants are recruited on a fair and equal basis. All of the necessary checks are carried out before staff are employed to ensure they are suitably qualified and competent in their role. Staff spoken to were clear on their role and responsibilities which means the service remains focused on the service users care needs. Care Homes for Older People Page 21 of 27 Evidence: Staff are provided with ongoing training to support them in their role and keep them up to date with new ways of working. The manager has a positive attitude towards training and encourages staff to attend regular training events. One of the staff surveys returned to us noted We go on training courses and also have in-house training. 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 management systems ensure the home is run efficiently and for the service users best interest. Evidence: The registered manager is qualified, competent and experienced to run the home for its stated purpose. She has carried out training for her own personal development and improvement of the service. The service users spoke highly of the manager. One service user said Polly (the manager) is lovely, she is extremely kind and very patient. Another service user said The manager is very good, I wouldnt have a problem approaching her for anything. There are clear lines of accountability within the home which means staff know who to speak to if they want to raise a concern anonymously and this concerned is dealt with efficiently. Systems are in place to ensure the efficient and effective running of the home and the ongoing improvement of the service. The manager acknowledged some improvements Care Homes for Older People Page 23 of 27 Evidence: need to be made to the administrative systems to ensure the more efficient running of the business. One of the staff surveys returned to us noted I think our home is run well and also we ensure our residents are happy..... Another survey noted The service takes great care of the residents who seem to be very happy and content here. If they have any problems they have no qualms in speaking to a member of staff. One service users relative said The home is extremely well-run by a manager who is very caring. The staff spoken to during the visit said they enjoy their work and feel well supported in their role. They confirmed the manager is very supportive and available for advice when necessary. The staff spoken to confirmed the manager meets with them regularly to give support and discuss how they are working. The health, safety and welfare of service users and staff is promoted through the provision of staff training and supporting policies and procedures. Regular health and safety checks are carried out around the building to ensure the safety of both staff and service users. 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The manager must ensure all accidents are recorded in a Health and Safety Executive accident book. This will ensure staff have all the information they need on how to monitor service users welfare following an accident and the correct procedures are followed. The manager should make arrangements for the laundry to be redecorated in order to prevent the possible risk of infection. 2 21 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 © (2009) 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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