Inspection on 16/11/09 for Acrefield House

This is the latest available inspection report for this service, carried out on 16th November 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Acrefield House 15/02/06

Acrefield House 02/11/04

Acrefield House 28/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Acrefield House 2 Acrefield Road Prenton Birkenhead Wirral CH42 8LD two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Helen Carton Date: 1 6 1 1 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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 mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983   Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Information about the care home Name of care home: Address: Acrefield House 2 Acrefield Road Prenton Birkenhead Wirral CH42 8LD 01516080664 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) : Diane.Meacock@mentalhealthcare-uk.com Mental Health Care (Wirral) Limited care home 12 Number of places (if applicable): Under 65 Over 65 12 0 learning disability Additional conditions: 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: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 12. Date of last inspection A bit about the care home Acrefield House provides accommodation and care for twelve people with learning difficulties. The home is close to a main bus route and about a mile from shops and other community facilities in Prenton, Wirral. Acrefield House is a three storey Victorian house with twelve bedrooms and it blends in with neighbouring properties. It is not externally identified as a care home. All of the residents have large single bedrooms. There is one main lounge, an activities room and a small ‘quiet room’. A large conservatory overlooks the large, well maintained back garden and also serves as the dining room. There is no lift in the home. There is a small car park at the front of the house and cars can also park on the road. 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home As part of the inspection process we sent the manager of Acrefield House an Annual Quality Assurance Assessment (AQAA) document, which was completed prior to our visit to the home. This document was to provide information about the service at the home and to tell us where they felt they had made improvements to the way they support service users and the staff team. The last inspection on this service was completed on 19/03/07 We visited Acrefield House to enable us to look at records and to discuss how the home supports service users in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with service users to find out their views on living at the home. We spent approximately 7 hours at the home. What the care home does well Before a person is offered a placement at Acrefield House an assessment of their needs and personal expectations are made to make sure the home can meet them. As much as possible service users are involved in developing their care plans and risk assessments and are supported to regularly check that the care and support they want and need is being provided. Records show each service user has an activity plan which provides information about the activities they enjoy. Activities include daily living skills such as grocery shopping, domestic duties and going to day services. Routines are flexible to support service users make decisions about how they like to spend their time. Records show service users are supported to access health care services to keep them well and healthy. Records also show that guidance and support are sought from specialist services when specific care needs are identified. Policies and procedures are in place that give clear guidance and direction to the manager and staff team on how to report allegations of abuse, neglect or poor care practices. The home is comfortable and homely. The manager and the company who own and run Acrefield House support the staff team to access training to help them to provide appropriate care and support. There are management systems in place which promote the safety and welfare of service users. What has got better from the last inspection The manager and the staff team continue to work hard to improve the service at Acrefield House and to make sure service users are treated as individuals. The windows at the rear of the home have been replaced and a shower room has been provided on the ground floor. What the care home could do better The care files hold a lot of information work needs to be carried out to make sure the most up to date information is easily available to the staff team. This is to make sure service users receive consistent and safe care at all times. Each support plan includes risk assessments which are looked at regularly to make sure service users are supported properly and safely to help them to remain as independent as possible. However on some occasions identified risks had not been properly assessed with not enough information held in management plans to help the staff team to provide the type of support and supervision needed. We discussed these matters with the manager who said all care plans and risk assessments were being looked at. We discussed with the manager the need to make sure where reviews show changes in service users needs support plans and risk assessments are updated. This will make sure service users receive safe and supportive care and the staff team know if their care needs are changing. We discussed with the manager the need to ensure where dietary needs have changed nutritional plans and risk assessments are updated. This will make sure service users receive the type of meals and support they need to keep them safe and healthy. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Helen Carton 3rd Floor Unit 1 Tustin Court Port Way Preston Lancashire PR2 2YQ 01772730100 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 http:/www.cqc.org.uk/. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions to the home are well planned and person centred with detailed information provided regarding many of the facilities and services offered at Acrefield House. Evidence: The statement of purpose provides good information about the facilities prospective service users can expect to receive if they decide to move Acrefield House. The service user guide is in an easy read format and uses pencil drawings as prompters to support service users in their understanding of the information. Before a person moves into the home a full assessment of their needs and lifestyle choices is undertaken by the manager, her deputy and a member of the organisations clinical team such as a specialist nurse. Prospective service users and their families are encouraged to visit the home and have the opportunity for an overnight or weekend stay in order to sample the Service. The admissions process looks at the skills, qualifications and experience of the staff team to ensure they are able to support a prospective service user safely and appropriately. An important part of the assessment process is to ensure the person wishing to move into the home will be compatible with those people already living there. As part of this process any organisation seeking to move a person into Acrefield House completes a referral document Since the last inspection visit there have been two admissions to the home. Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 preferred routines, lifestyle choices and individual needs are supported by the care planning systems used by the home. Resulting in service users being treated as individuals and living in an enabling environment. Evidence: A sample of support plans were viewed and found to be person centred and where possible agreed with service users. Information held in these plans provide information and in most cases guidance to the staff team in all areas of service users lives including their healthcare needs, social, emotional and psychological needs. Detailed information is held about other professionals input and support to ensure service users are supported in a consistent and safe way. Each support plan includes risk assessments which are reviewed regularly to ensure service users are supported to undertake activities safely and to enable them to remain as independent as possible. However on occasions identified risks had not been adequately assessed with limited information held in management plans to enable the staff team to provide appropriate support and supervision. With particular regard to the use of bedrails and actions to be taken to support service users presenting with challenging or risky behaviours. We discussed with the manager the need to ensure where reviews have identified changes in service users needs support plans and risk assessments are updated. This will ensure service users receive appropriate and safe care and the staff team are responsive to their changing needs. At the time of our visit manager told us all care plans and risk Evidence: assessments were being reviewed Service users have a key worker who is involved in the development and reviewing of care plans. As part of this process key workers spend time with each service user to support them to ensure the support being offered is meeting their changing needs and lifestyle choices. We discussed with the manager the need to streamline some of the information held in care files to ensure the most up to date information is easily accessible to the staff team. Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 preferred routines and lifestyle choices are supported by the homes care planning systems and the enabling support provided by the staff team. Evidence: Records show each service user has an activity plan which provides information about activities enjoyed and actual activities undertaken this information is recorded by the activities co-ordinator. Activities include daily living skills such as grocery shopping, domestic duties and attendance at specialised day services. Routines are flexible to support service users make decisions about what activities they wish to take part in. We spent time with service user who confirmed this information. Service users are supported to remain as independent whilst acknowledging as some service users are getting older the activities they enjoy change. Activities are planned on a daily basis with key workers involved in the planning and risk management of activities to ensure service users are supported appropriately whilst out in the community. During our visit we observed service users getting ready to access community facilities of their choosing. For those service users who are unable to access community facilities as regularly as they have in the past in house activities take place such as listening to favourite music and watching television. Social and leisure activities promote a therapeutic environment which encourages service users to develop positive relationships with fellow service users and the staff team. Evidence: Service users support plans provide detailed information about the significant relationships in their lives and the role the staff team play in supporting them. The home employs catering and domestic staff however all support staff have received basic food hygiene and infection control training. A three week menu is in place which focuses on the individual likes and dislikes of service users. We discussed with the manager the need to ensure where dietary needs have changed nutritional plans and risk assessments are updated. This will ensure service users receive the type of meals and support they require to maintain their health and wellbeing. The dining room is also used for planned activities it is a bright pleasant room. The manager told us service users are supported by their key workers to raise issues regarding the running of the home and are visited regularly by the area manager to ensure their needs and expectations are being met. Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 and healthcare needs are met by a supportive and flexible care service. Evidence: Service users receive personal care support using a person centred approach. Personal healthcare needs including specialist healthcare and dietary needs are recorded in individual care files. However on occasions the most up to date information had not been transferred to the appropriate support plans and risk assessments. This may lead to service users not receiving a consistent approach to their health care needs. We discussed with the manager the need to look at the information recording systems currently being used as important information is not being documented in service users care files but being held in a general communication book. She acknowledged this issue and told us she would review the systems. Records show all service users are regularly reviewed by their GPs, optician podiatrist and psychiatric services based at Ashton House. Daily records provide brief information about any healthcare concerns and appointments attended. Acrefield House has access to health professionals from within the organisation including psychiatry, psychology, speech and language therapists and specialist nursing support for advice or assessment.. Members of the staff team spoken with during the visit made the following comments: We are very aware of the healthcare needs of service users. We have good support from GPs and district nurse services and I feel confident about Evidence: contacting them with any concerns. There is detailed information held in care plans about how service users like to be supported with their personal care including preferred shampoos, deodorants and the type of clothes they like to wear. This promotes the staff teams work practices to treat service users as individuals and to respect their decisions and choices. The manager and the staff team manage and administer service users medication. We looked at a sample of service users medications and the accompanying Medication Administration Record sheets, they were well maintained. The medication is securely stored with a clear procedure for the staff team to follow whilst administering medication. Information sheets about all medication administered is available as reference material. The staff team have successfully completed medication training provided by an external trainer. Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Policies, procedures and working practices are in place to ensure service users rights as citizens are promoted and protected. This results in service users living in a safe environment that respects their individual needs and lifestyle choices. Evidence: The statement of purpose and service user guide provides information about the complaints procedure and the responsibility of the provider to provide a safe environment. All members of the staff team including the manager have undertaken safeguarding adults training within the last 12 months. The manager and the staff team have undertaken Mental Capacity Act and Deprivation of Liberty training with information booklets available in the office as reference material. At the time of the visit to the home the manager had not made any deprivation of liberty safeguarding referrals. Policies and procedures are in place that give clear guidance and direction to the manager and staff team on how to report allegations of abuse, neglect or poor care practices. Staff spoken with provided the following comments: If I was concerned that service users were being badly treated I would tell the manager if nothing improved I would ring social services or you. Ignoring a service user is a type of abuse because you are not respecting them. A lot of the service users we work with would not be able to tell you if they were being badly treated thats why it is important that we work together as a team and know we can go to the manager if we have any concerns. There have been two safeguarding referral made since the last key inspection visit to the Evidence: home. However the manager has ensured all correct reporting and investigating procedures have been carried out to ensure the safety and welfare of service users. Detailed records are kept at the home of all complaints, allegations and outcome information. Where shortfalls have been identified the manager and the company have acted appropriately and in the best interest of service users. 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is adequately maintained and provides a homely, comfortable and safe environment for service users to live in. Evidence: The physical environment of the home is appropriate to the specific needs of service users however the building requires some maintenance particularly with regard to the poor condition of the window frames at the front of the property. Bedrooms on the second floor of the building were cold. The manager said she would have the handyman check the radiators to ensure they were working properly. The communal areas are pleasantly decorated and furnished to a good standard with pictures, ornaments and service users craft work displayed throughout the home. Each service user has their own bedroom which is personalised to reflect their hobbies and interests. Health and safety information regarding the environment is easily accessible to the staff team including infection control policies and procedures and emergency contact numbers for utilities and equipment. The manager has submitted a capital budget preparation plan for 2010 which details the maintenance improvements she, service users and the staff team would like to see carried out to improve the environment for service users. There is a large lounge at the front of the house and a smaller quiet lounge to the rear. There is a separate dining room, which is also used for planned activities. At the time of our visit most areas of the home were well lit, warm, clean, tidy and fresh smelling. There is a large garden to the rear of the home which is used by service users through Evidence: the summer. 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Service users are supported by a skilled and competent workforce resulting in them receiving person centred support in an environment that respects and values them as individuals. Evidence: The physical environment of the home is appropriate to the specific needs of service users however the building requires some maintenance particularly with regard to the poor condition of the window frames at the front of the property. Bedrooms on the second floor of the building were cold. The manager said she would have the handyman check the radiators to ensure they were working properly. The communal areas are pleasantly decorated and furnished to a good standard with pictures, ornaments and service users craft work displayed throughout the home. Each service user has their own bedroom which is personalised to reflect their hobbies and interests. Health and safety information regarding the environment is easily accessible to the staff team including infection control policies and procedures and emergency contact numbers for utilities and equipment. The manager has submitted a capital budget preparation plan for 2010 which details the maintenance improvements she, service users and the staff team would like to see carried out to improve the environment for service users. There is a large lounge at the front of the house and a smaller quiet lounge to the rear. Evidence: There is a separate dining room, which is also used for planned activities. At the time of our visit most areas of the home were well lit, warm, clean, tidy and fresh smelling. There is a large garden to the rear of the home which is used by service users through the summer. Records show and discussions with the manager and comments made by members of the staff confirm the company support them to undertake training, to enable them to offer appropriate care and support to service users. Training sessions such as epilepsy care and support, internal communication systems and diabetic care are planned to take place between December 09 and March 2010. This type of training will further enable the staff team to support service users effectively and sensitively. Training records show the company and the manager remain committed to support the staff team to undertake internal and external training courses including National Vocational Qualifications in care. All new staff members attend a two week induction programme which provides training and information about the following issues: health and safety, food hygiene, first aid, fire safety, infection control, crisis prevention, safeguarding, therapeutic relationships, philosophy of care and introduction training to autism/dementia/dysphasia awareness. There are consistently enough staff available to meet service users needs and expectations, with more staff available at peak times of activity. The manager told us she is currently in the process of recruiting more support worker staff to meet the changing needs of service users. The recruitment and selection procedures in place provide safeguards to service users to ensure they are supported by suitably skilled and competent people. Comments made by members of the staff team indicate they feel supported and valued by the manager. We observed service users spending time with members of staff team they appeared relaxed and confident. They were supporting service users in a respectful and affectionate manner. Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 within the home promote the health, safety and wellbeing of service users. Evidence: Mrs Diane Meacock has been the registered manager of Acrefield House for approximately ten years she has gained the NVQ Level 4 Managers Award and has over 20 years experience working in the care sector. Records show she undertakes regular training to support both aspects of her role, managing the service and offering direct care and support to service users. There are management systems in place which allows the running of Acrefield House to be audited including quality assurance systems which seek out the views of service users, their families, friends and other stakeholders involved in the home. This is shows the manager and the company are committed to improving the quality of care offered at Acrefield house and to adapting the support provided to meet service users changing needs and aspirations. Discussions with members of the staff team indicate they feel supported by the manager and feel they receive sufficient information to support service users safely in their daily lives. . Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team including fire safety checks maintenance records, and utility services. Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description Timescale for action 1 6 15 Support plans must 18/02/2010 accurately reflect the care needs and lifestyle choices of service users This is to ensure service users receive appropriate and safe support at all times. 2 9 13 Risk assessments must provide detailed information regarding the risk and provide the staff team with appropriate guidance to support service users effectively and safely. 18/02/2010 This is to ensure service users health and safety is promoted and protected at all times. 3 17 12 When service users nutritional needs have changed support plans and risk assessments must be amended to reflect this 24/12/2009 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 Description Timescale for action change. This is to ensure service users receive the appropriate care and support to maintain their safety and wellbeing. 4 19 17 Accurate records in respect of each service users must be maintained. 30/01/2010 This is to ensure their health and personal care needs are met and maintained. 5 24 23 Damaged and worn windows 30/06/2010 are repaired or replaced. This is to ensure service users live in a well maintained and comfortable environment. 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 6 A review of how information is recorded should take place to ensure the most up to date information is available for the staff team. This is to ensure service users receive appropriate support and supervision to maintain their safety and promote their lifestyle choices. Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2010) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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