Care Home: Woodbank House

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What the care home does well People living in the home said that the care they were receiving was good. They made comments such as, "Everyone is very kind". "My key worker does what I want her to do". "I have a nice room which I enjoy being in". "Excellent staff". "We`re all like a big happy family". Comments received from questionnaires and from talking to relatives were positive and included, "We liked it here from the minute we walked in". "The staff are very helpful and supportive". "Its very homely and friendly". "There always seems to be a lot of staff around". A health professional said, "Woodbank House meets the general needs and requirements of all individuals and distinguishes the different needs of individuals, however great or small". We observed that people were well dressed in clean clothes and had received a good standard of personal care. People`s health care was monitored and access to health specialists was available. People and relatives said that staff were always respectful towards them. People said that they had a choice of food and that the quality of food served was `good` and `excellent". There was a complaints procedure and adult protection procedure in place, to promote peoples safety. People said they had confidence in the homes manager and staff, who would listen to any concerns and take them seriously. People said that they felt safe living at the home. What has improved since the last inspection? The manager was hard working and it was evident that the staff team responded positively to her style of management. At the previous inspection five requirements and two recommendations were issued, these had all been actioned. Records of medication received into the home were being kept up to date. All medications, creams and ointments were being securely stored. Staff did not commence working at the home until a satisfactory Criminal Records Bureau (CRB) check had been carried out. Staff files recorded their full employment history and any gaps in employment were explained and checked out. regular fire drills took place. Records of these detailed the type of drill conducted and the action taken by staff. Staff had completed training in report writing and care planning. This meant that the information recorded in peoples care plans and daily notes was much better. Individual risk assessments were completed. These were seen on peoples files when a risk to a persons moving and handling or health and safety had been identified. Medicine Administration Records (MAR) sheets were completed with staffs signatures. Substances that could be hazardous to health were safely stored and locked away. We saw certificates that confirmed the gas and electrical installations had been serviced as required by health and safety. What the care home could do better: The service provided at Woodbank House is good and everyone involved with the home should be proud of this. We acknowledge that the provider and manager continue to evaluate and monitor the service and make any changes necessary to ensure that the home continues to improve. The Statement of Purpose and Service User Guide should be reviewed and updated so that the information provided to people is accurate. So that people`s health and welfare are protected, staff that have not signed when they have administered medications should be provided with refresher training. The manager should monitor medication procedures closely. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodbank House 317 Chesterfield Road Sheffield South Yorkshire S8 0RT     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: Sue Turner     Date: 0 2 1 2 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 28 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 28 Information about the care home Name of care home: Address: Woodbank House 317 Chesterfield Road Sheffield South Yorkshire S8 0RT 01142551822 01142507004 jandrews@woodbankhouse.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Johanna Kay Andrews Type of registration: Number of places registered: Mrs Jacqueline Margaret Byron care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 26 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 category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Woodbank House is registered to provide residential care for twenty six older people. It is privately owned. The home is situated in a residential area of Sheffield with easy access to public transport, shopping centres, pubs, post office and clubs. The home is a two storey older property. Access is provided by a lift to upstairs rooms. There are fourteen single bedrooms and six double rooms. There is a large well-kept garden to the rear of the property and a car park. The fees for care at the home can be obtained 0 Over 65 26 Care Homes for Older People Page 4 of 28 Brief description of the care home from the manager. Items not covered by the fee include newspapers, hairdressing and private chiropody. The homes statement of purpose and service user guide is available. Care Homes for Older People Page 5 of 28 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: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced key inspection carried out by Sue Turner regulation inspector. This inspection took place over one day, between the hours of 8.15 am and 2.00 pm. The manager is Johanna Andrews, who was present during the inspection and was given feedback during and at the end of the inspection. Care Homes for Older People Page 6 of 28 Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received ten from people living in the home, one from a professional and three from members of staff. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Six staff, four relatives and six people living in the home were spoken to. We checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in January 2007. The progress made has been reported on under the relevant standard in this report. We wish to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? The manager was hard working and it was evident that the staff team responded positively to her style of management. At the previous inspection five requirements and two recommendations were issued, these had all been actioned. Records of medication received into the home were being kept up to date. All medications, creams and ointments were being securely stored. Staff did not commence working at the home until a satisfactory Criminal Records Bureau (CRB) check had been carried out. Staff files recorded their full employment history and any gaps in employment were explained and checked out. regular fire drills took place. Records of these detailed the type of drill conducted and the action taken by staff. Staff had completed training in report writing and care planning. This meant that the information recorded in peoples care plans and daily notes was much better. Individual risk assessments were completed. These were seen on peoples files when a risk to a persons moving and handling or health and safety had been identified. Medicine Administration Records (MAR) sheets were completed with staffs signatures. Substances that could be hazardous to health were safely stored and locked away. We saw certificates that confirmed the gas and electrical installations had been serviced as required by health and safety. Care Homes for Older People Page 8 of 28 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 28 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 28 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. The home provided sufficient information to inform people about their rights and choices. People were encouraged to visit the home, look around and meet other people staying there. Evidence: The home had an incorporated Statement of Purpose (SOP) and Service User Guide (SUG). This was available for people living in the home and anyone who may be considering living in the home. Some information in the guide was out of date. Although the guide was informative it was not set out in a way that people could easily read or refer to. It was written in small print text which could be off putting to older people. Pictures and colour would assist people to understand the information more easily. Before people stayed in the home they were assessed by a social worker. The manager also carried out a pre assessment by visiting people in their own home or hospital. This Care Homes for Older People Page 11 of 28 Evidence: meant that everyone could be assured that the home could meet the persons needs. People were invited to visit the home, try out the meals and spend time meeting the staff and seeing the services available. Any information collated from the needs assessment would then form the basis for the care plan. When staff were asked, are you given enough information about people to enable you to care for their individual needs. Two staff said always and one said usually. One staff said, Any new information relating to my job and service users is always passed onto me and my collegues by the manager. People were asked Did you receive enough information about the service so you could decide if it was the right place for you. Ten people said Yes. Relatives said We came and discussed care with them and other homes, we thought this was the most homely. We called in unannounced to look around. We were very impressed by staff, cleanliness and surroundings. Care Homes for Older People Page 12 of 28 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 health and personal care needs of people were met. A range of health care professionals visited the home. Medication procedures did not fully protect peoples health and welfare. Evidence: Three care plans were checked. Care plans contained relavent and useful information about each person. Peoples health, social and emotional needs had been considered. Staff completed daily records at the end of each shift. These related well to peoples care plans. They detailed how people had spent their day, what diet they had, if they had joined any activity or had visitors and how they were generally feeling. Care plans identified that a range of health professionals visited the home to assist in maintaining peoples health care needs. People said that dentists, GPs, opticians and chiropodists visited as requested. Individual risk assessments were completed. These were seen on peoples files when a risk to a persons moving and handling or health and safety had been identified. Risk assessments were reviewed and updated by senior staff. Two relatives said they had been involved in reviewing their loved ones care plan. Care Homes for Older People Page 13 of 28 Evidence: One professional survey returned said that peoples individual health care needs were always met by the service. They also said that the service always promoted peoples privacy and dignity. Ten people returned surveys. When asked Do you receive the care and support you need. Eight people said always and two said usually. When asked Do you receive the medical support you need. All ten people said always. Relatives said, My friend receives very good care. Low staff turnover means that staff are aware of peoples needs all the time. The only thing I grumble about is that my relative sometimes has other peoples clothes on. The homes medication system was monitored dosage cassettes. Staff said this was a much safer system. The pharmacist, who supplied the medication carried out checks to ensure that medications were being administered, stored and disposed of correctly. There was evidence that senior staff were auditing medication administration procedures. Trained staff administered medications in the home. Medicines were securely stored around the home in locked trolleys. There were some gaps in the Medicine Administration Records (MAR) where staff had not signed to say they had given or not given medication. We talked to the manager about this and ways to improve the medication monitoring system so that errors would be picked up quickly. During the site visit we observed that people were cared for in a friendly way. Staff were skillful in ensuring that people maintained their privacy and dignity. Care Homes for Older People Page 14 of 28 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. People were able to maintain contact with family and friends. A limited range of activities was on offer. Further activities and outings would promote choice and maintain peoples interest. Meals were of a good quality. Evidence: People said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. Staff took time to make sure friends and family were made to feel comfortable whilst visiting their loved one. Some people said they preferred to stay in their room at certain times of the day and that the staff respected their decision. People said that they enjoyed the activities available. They said they played scrabble, dominoes and enjoyed crosswords. Posters advertised entertainers coming to the home. Exercise and beauty sessions were also available. A strong favorite with people was their fortnightly visit to the Trades and Labour Club where they were entertained and had a buffet lunch. Some people said there still wasn’t enough to do. Carers at the home had the responsibility of carrying out activities, which although they enjoyed, added to their tasks. Carers were also covering the laundry, although the manager Care Homes for Older People Page 15 of 28 Evidence: said this was only on a temporary basis. Staff said that on busy days the first thing that had to be disregarded was activities. We discussed with the manager the need for an activities worker, to enhance people’s social life and reduce the burden on carers. People surveyed were asked are there activities arranged at the home that you can take part in. Four people said always, four said usually and two said sometimes. People said, I like the crosswords best. I join in most things were like a big family. We observed breakfast and lunch being served in the dining room. It was evident that the cook was aware of peoples likes and dislikes and people were offered choices to suit their preferences. Dining room tables were set nicely with tablecloths, cutlery and matching crockery. Staff were also able to give one to one assistance to people were necessary. When people were asked do you like the meals. Seven people said always, two people said usually and one said sometimes. Relatives said, My brother eats much better here than he did at home. Its not fancy food just plain enjoyable food. If theres something they dont like they offer them something else. Care Homes for Older People Page 16 of 28 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 procedures were in place to enable people and relatives to feel confident that any concerns they voice would be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure people were protected from abuse. Evidence: People and their families had been provided with a copy of the homes complaints procedure. This detailed who to speak to at the home or, if preferred, external to the home to make a complaint, should they wish to do so. Relatives said, I have never had any reason to complain. If I needed to speak to someone I would see the manager. I havent used the complaints procedure but I am aware of it. The home kept a record of complaints, which detailed any action taken and the outcome. Since the last inspection we had received one complaint about the home. This had been investigated by the provider, but was unsubstantiated. No complaints had been received directly to the home. The AQAA said that staff had completed training in dealing with complaints and adult safeguarding. There had been no safe guarding referrals since the last inspection. Staff confirmed this. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. People spoken to said they felt safe living in the home.Ten people were asked Do you know how to make a complaint. All ten said yes. People said , Care Homes for Older People Page 17 of 28 Evidence: I would go to the office. I would speak to any member of the staff. Care Homes for Older People Page 18 of 28 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 was maintained to a good standard, was clean and fresh smelling. Procedures for the control of infection were in place which promoted peoples health and welfare. Evidence: A rolling programme of redecoration and refurbishment was underway. Since the last inspection new furniture, carpets and decorating had been completed. In the main lounge there was a large screen television that people were enjoying watching. The manager said that she had identified the areas that were in need of further work and this would be completed as funds became available. All areas of the home were clean and pleasant smelling. Relatives spoken to said the home was fresh smelling all the time and clean and tidy. Homely touches were provided in communal areas and bedrooms were personilised and comfortable. People said that they had all they needed in their rooms. The toilets and bathrooms were very basic and did not provide a homely environment Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Staff had undertaken training in infection control. Ten people surveys returned, were asked Is the home clean and fresh. All ten people said always. Care Homes for Older People Page 19 of 28 Care Homes for Older People Page 20 of 28 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. Sufficient staff were provided to meet the needs of people. The recruitment information obtained for staff was sufficient to adequately protect the welfare of people. Staff had completed training that ensured they had the competences to meet peoples individual needs. Evidence: Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. One staff survey said, I have worked at Woodbank House for two years and it is a really good place to work. The staff are very friendly and helpful. The management are really nice and easy to approach. Its a joy to work at Woodbank House. On the day of the site visit staffing numbers were at an acceptable level. Staff said that the manager ensured that staffing levels were kept at an acceptable level. They said that when people were sick or on holiday, other staff were called in. They also said that rotas were arranged so that the needs of people living in the home could be met. Relatives said that there always seemed to be enough staff around. The home offered placements to trainees from college. Trainees were undertaking an NVQ qualification and were working supernumery to numbers and alongside other staff. As the home is small this did give the feeling that staffing levels were good and that people were being monitored closely. Care Homes for Older People Page 21 of 28 Evidence: The manager had undertaken a review of staff training and had identified the shortfalls. Mandatory training had been booked and further training in specialized topics for example dementia was being delivered by the Sheffield Partnerships for Older Peoples Projects (POPP’s) team. Staff interviewed said that when they started work they received induction training in the first three months of their employment. Three staff files checked identified that the member of staff had received or were undertaking induction training. Staff were able to talk about the various training courses that they had attended which included,Moving and Handling, Food Hygiene, First Aid and Fire. A number of care staff had completed the NVQ Level 2 in care and others had commenced the training. The number of staff trained met the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. Three staff surveys were returned. When asked did your induction cover what you needed to know when you started the job, all three staff said very well. Two staff said they were receiving training which was relevant to their role, one said they werent. One professional was asked do the care staff have the right skills and experience, they said always. Three records of employment were checked. These included all of the required information references, certificates of training, health checks and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. Application forms fully recorded peoples previous employment. Care Homes for Older People Page 22 of 28 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 managers approach benefited people and staff. The quality assurance systems ensured that the home was run in the best interests of everyone. Peoples monies were safely handled, which ensured that finances were accurate and safeguarded. Peoples health and safety had been promoted and protected. Evidence: The manager had many years experience of caring for older people. She had completed the Registered Managers Award (RMA). The manager was hard working, competent and carried out her role to a high standard. She was clearly committed to ensuring that people living in the home were consistently well cared for, safe and happy. One professional said The management team provide a homely feel and promote harmony throughout the staff team and the environment. The home was visited each month by the person nominated to carry out Regulation 26 visits. Time was spent speaking to people, staff and relatives. The report he completed Care Homes for Older People Page 23 of 28 Evidence: following his visits did not reflect this good practice. The report only gave brief comments and didnt confirm that any actions were taken following peoples comments. The manager said this did happen but was not recorded. One relative said they were often asked their opinions of the home and the service provided. They said they received questionnaires from the manager which they completed and returned. The information returned following the recent quality assurance audit was seen. People said very positive things about the home and staff and were very pleased with the service they were receiving. Regular staff and resident meetings were arranged. Minutes from these were seen. The home handles money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. We talked to the manager about introducing a clearer sheet to record financial transactions on. She said she would look at this with the provider. Formal staff supervision, to develop, inform and support staff took place at regular intervals and staff said that they found this useful and beneficial. Fire records evidenced that fire alarm checks took place each week. Staff said that they had received fire training and fire drills. A fire risk assessment had been completed. Certificates to show that the electrical Portable Appliance Testing (PAT) and the Periodic Electrical Inspection had been completed were not available. Care Homes for Older People Page 24 of 28 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 28 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 1 6 The Statement of Purpose and Service User Guide must be kept updated. So that people are given accurate and up to date information about the home. 05/01/2009 2 9 13 MAR sheets must be signed by the person responsible for administering medications So that peoples health, safety and welfare is maintained. 15/12/2008 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 2 3 1 12 19 The design of the SOP and SUG guide should be revised to make it easier for people to read and more appealing. An activities worker should be recruited so that the programme of outings and activities is enhanced. The rolling programme of refurbishment and redecoration should continue. Care Homes for Older People Page 26 of 28 4 5 19 33 Bathrooms and toilets should be made more homely and appealing. The report written following the Regulation 26 visit should give more information about who was spoken to, what they said and any actions taken as a result of their comments. The sheet used to record peoples finances should be changed so that it is clearer to understand. The electrical PAT certificates and Periodic Electrical Inspection Ceretificate should be at the home and available to be seen. 6 7 35 38 Care Homes for Older People Page 27 of 28 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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!