Inspection on 26/06/09 for Ashlodge

This is the latest available inspection report for this service, carried out on 26th June 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashlodge 22/08/06

Ashlodge 24/11/05

Ashlodge 16/05/05

Ashlodge 27/11/04

Ashlodge 25/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Key inspection report Care homes for older people Name: Address: Ashlodge 83/85 Cantelupe Road Bexhill on Sea East Sussex TN40 1PP     The quality rating for this care home is:   two star good service 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: Melanie Freeman     Date: 2 6 0 6 2 0 0 9 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. 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. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 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 © (2009) 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 Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Ashlodge 83/85 Cantelupe Road Bexhill on Sea East Sussex TN40 1PP 01424217070 01424217070 kuha@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Balasingam Vijayakumar,Mrs Kuhayini Vijayakumar care home 16 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 to be accommodated is 16 The registered person may provide the following category of service only: Care home only (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 (OP) Date of last inspection Brief description of the care home Ashlodge is a detached property situated a short distance from Bexhill seafront, and a short walk from the town centre with its shops and access to bus and rail routes. Accommodation is provided on two floors with a passenger lift to provide access to first floor accommodation. All bedrooms are of single occupancy most with en-suite facilities. Eleven bedrooms are on the first floor, whilst five are on the ground floor. There are three spacious communal lounges, a dining area and access to a well-kept rear garden. Care Homes for Older People Page 4 of 28 Over 65 16 0 Brief description of the care home The home is registered to accommodate 16 older people. The Registered Providers are Mr and Mrs Vijayakumar who have owned the home since May 2003. Mrs Vijaykumar is the Registered Manager. The fees charged range from £335 - £375 per week depending on the size of the room occupied and care needs, which are assessed on an individual basis. Fees cover hotel costs and all `in house activities. Additional charges are made for an appointment with both the visiting Chiropodist and the hairdresser, charges for these services start from £10 per person. 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: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 uses the term service user to describe those living in care home settings. For the purpose of this report, those living at Ashlodge will be referred to as residents. This was a key inspection that included an unannounced visit to the home on Friday 26 June 2009. The allocated inspector spent approximately six hours in the home and was able to discuss matters with the manager, who received the inspection feedback at the conclusion of the visit. All communal areas in the home were seen along with the bathing facilities, and a selection of bedrooms. A range of documentation was reviewed including the homes service users guide, pre-admission assessment procedures, the systems in place for handling complaints and protecting residents from harm, staff recruitment files, staff training records and quality assurance systems. The care documentation pertaining to two residents were reviewed in depth and the inspector ate a midday meal with a Care Homes for Older People Page 6 of 28 group of residents in the dining room. The required Annual Quality Assurance Assessment (AQAA) was completed by the manager and returned when requested and was used to inform this inspection report. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Within this report there are a number of improvements identified, and the manager has agreed to progress these, therefore only three requirements have been made. The care documentation still needs further development and the plans of care need to be composed and reviewed with input from the resident and or their advocate, unless the offer is declined. This will ensure that the resident is in agreement to the proposed plan of care to be provided. The registered person must however ensure that all staff receive suitable training to ensure that they are appropriately qualified, and competent, and have the skills to meet all the needs of residents in the home. This will ensure that care is appropriate and provided to residents in a competent and safe way. A suitable quality monitoring system needs to be maintained, to ensure that the service is run in a way that responds to residents and their representatives views, and Care Homes for Older People Page 8 of 28 continues to be evolved and improved in response to information gained. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.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. Residents benefit from key information about the services provided at Ashlodge being made available to them. The admission procedures ensure that all prospective residents are fully assessed by a competent person before admission, and are assured that their needs can be met by the home. Ashlodge does not provide intermediate care. Evidence: The home as a statement of purpose and a service users guide that was available from the front office on request. The manager confirmed that each resident is given a copy of the service users guide. A resident spoken with advised that he was given a great deal of information before his admission, and that this included a copy of the service users guide. Although the AQAA recorded that these documents had been updated recently, it was Care Homes for Older People Page 11 of 28 Evidence: noted that they did not include all the required information. Shortfalls included the absence of the complaints procedure and the terms and conditions of residency, the organisational structure did not include names, the statement of purpose was not clear and there was no accurate reference to where the last inspection report could be accessed. All these shortfalls were discussed with the manager who agreed that she would undertake the necessary review, and ensure all the required information is included in these documents. An assessment of the admission process included a review of the documentation used in respect of the last two admissions to the home. This demonstrated that all prospective residents are assessed prior to admission by the manager. Although prospective residents and their representatives are told verbally if the home is able to meet their needs following their assessment, there was no evidence that this is confirmed in writing. This was discussed with the manager who said that this had been done in the past but had been overlooked recently. She confirmed that she would ensure that this would be completed whenever possible in the future. All residents admitted are are subject to a trail period ensuring the home is suitable and that residents are happy with the arrangements, and services provided by the home. Intermediate or rehabilitative care is not provided at Ashlodge Care Home. 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 home was found to be meeting residents health and general needs with assessed additional community support when needed, although residents consultation needs to be clearly recorded. The homes practice ensures residents medicines are administered safely and that the care is delivered in such a way that promotes and protects the residents privacy, dignity and individuality. Evidence: The care documentation pertaining to two residents were reviewed in depth as part of the inspection process, and each of these residents was met with during the inspection visit to the home. These confirmed that the care needs of each resident are fully assessed and the needs identified are reflected in plans of care. The plans of care were person centered and reflected individual preferences and specific needs, providing guidelines for staff to follow. Care plans contain risk assessments for a range of areas and it is generally possible to Care Homes for Older People Page 13 of 28 Evidence: track the level of risk and the controls in place to minimise these, and included nutritional and moving assessments. The system for recording residents involvement in the planning of care are not implemented. Therefore there was no evidence to confirm that the plans take into account residents views. This was discussed with the manager who was able to recognise this shortfall. Staff were seen to have a good understanding of residents needs, and this was confirmed by discussions with the staff. Residents are encouraged to lead their lives as they choose and it was obvious through observation and discussion with residents that staff provide support in the way preferred by each person. Residents are fully supported with their health care needs and care plans contain a record of any visits or contact with professionals external to the home. All feedback about the care provided was positive and comments received included Its a real home and feels like home the care and support is very good. Practice seen confirmed that medicines are administered safely and that a drugs trolley is used for this purpose. Associated record keeping was found to be clear and accurate. The home has a separate controlled drug cupboard. It was not however clear that this complied with the new legislation around the storage of controlled drugs in care homes. It was agreed that the manager would consult with her supplying pharmacist with regard to these facilities. Further information on this matter is available on the CQC Internet within the guidance document The safe management of controlled drugs in care homes. Some medicines are prescribed on an as required basis and the home records what these are and the safe dosage. These records now need to be developed to provide individual guidelines on when these medicines are to be administered, to ensure staff administers these in a consistent way. The manager agreed to progress this matter. All staff were polite and kind to residents and they enjoyed being with each other and treated each other with mutual respect. Residents rooms are seen as their own personal accommodation and those viewed were attractive and personalised. 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. Residents are supported to lead their lives how they choose. Residents benefit from a relaxed atmosphere where some activity is supplied and residents are supported in maintaining relationships with their families and friends. The meals in the home are good offering both choice and variety and catering for special diets. Evidence: During the inspection visit it was noted that residents were able to spend time as they wanted to. They are encouraged to develope their own individual routines that staff support. Some activities are provided and include bingo, music and dance by the home staff, quizzes, manicures and foot care. The home has recently purchased indoor skittles. Although there are not a great deal of planned activities the residents enjoy each others and staff company, and enjoy getting down to the seafront which is close by. The AQAA recorded that more social events are to be held including garden parties, and celebrations, and that a movement to music exercise class is to be reintroduced. One resident said that he enjoyed his papers and reading books, and the manager confirmed that the mobile library has been asked to visit to provide a regular supply of Care Homes for Older People Page 15 of 28 Evidence: books. Another resident said that she had sky Television so she was able to watch films when she wanted. The home has also purchased a DVD player in order to provide some film entertainment. Residents are encouraged and supported to maintain contact with their family and friends. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the lounges. Visitors are able to come and go freely, with some taking residents out for trips or meals. One relative visits each day. Discussions with residents identified that they are able to make choices about their daily life including the number and time of baths and showers. The current occupancy of the home allows for each resident to know each other well as do the staff. The church does not currently visit but the manager advised that this can be arranged if wanted. The food provision in the home looked appetising and reflected the preferences of residents and their dietary needs. The meal eaten with residents was good, and residents were asked if they wanted any more, and if they enjoyed the meal by the staff. Residents spoken with said how good the food was and how their individual choices were responded to. Comments made about the food were positive and included you will not go hungry here the food is more than plentiful, and you are always asked if you want more. The dining room provided enough space for all residents to eat a meal communally, if this was their preference. The mealtimes were social events where interaction was evident between residents and staff. 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. Residents benefit from an open culture where they are able to express their views and are confident that any complaint made would be listened to and responded to appropriately. The managers overview of the home would ensure that any safeguarding issue raised would be responded to quickly and appropriately, although supporting procedures need to be accurate. Evidence: Ashlodge has a complaints policy which is displayed in the front entrance area along with a suggestions box. Discussion around the making of complaints and recording of complaints with the manager confirmed that complaints would be recorded on a complaints form and help in a confidential way. Minor concerns raised by staff had been recorded in a book and had been responded to directly with the staff concerned. No formal complaints from residents have been received by the home. The manager acknowledged that she needed to ensure that only one complaint procedure was in place and that this was also included in the service users guide. During the inspection visit residents said that they could raise anything with staff. One even advised that the manager would want to know about any complaint knowing that she would want to get everything right. Although the home has a comprehensive Safeguarding Vulnerable Adults procedure Care Homes for Older People Page 17 of 28 Evidence: that identifies different types of abuse, however it did not record social services as the lead authority on all Safeguarding issues, or confirm that they must be notified of any allegation or suspicion of abuse. Discussion with the manager confirmed a good understanding of safeguarding matters and she agreed to update the procedure accordingly. The manager confirmed that she would attend a Safeguarding Vulnerable Adult training day to ensure you has all the necessary updated information to cascade to staff. Recent staff training was not evident and the manager advised that this would be progressed as a priority. Residents are protected by the systems in place to manage their money and the home ensures that staff are employed subject to appropriate recruitment checks. 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. Residents benefit from the comfortable, clean, accessible and homely environment provided at Ashlodge. Evidence: Ashlodge is an attractive, detached property near the seafront in Bexhill-on-Sea. The home provides level access throughout by way of a passenger lift and series of ramps. Residents are accommodated in single rooms, with all apart from one have en-suite facilities. The home employs domestic staff to ensure the home is kept clean, and tidy. The home was found to be clean, hygienic and fresh. Although the home had infection control procedures these need to be reviewed in conjunction with the most recent Department of Health Infection control guidance for care homes to ensure best practice is followed. The manager confirmed that this matter would be progressed. Communal space offers residents a range of areas where they can spend time and meet with either other residents or visitors. There is an attractive garden to the rear of the home, and plenty of parking is available to the front of the property. Resident rooms seen were well decorated and comfortable with residents able to have personal belongings around them. During the visit it was however noted that some radiators in the home were not guarded. The last key inspection report that all high risk radiators had been fitted with guards. When the risk assessment process was Care Homes for Older People Page 19 of 28 Evidence: reviewed at this inspection it was identified that not all radiators had been risk assessed. The manager agreed that all radiators in the home would be guarded or removed by the end of the summer, if they were not required. This assertion was confirmed in writing following the inspection visit. 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. Residents benefit from being supported by a kind and dedicated team of staff and are protected by the recruitment systems in place. Residents and staff would benefit from a more structured training programme. Evidence: A review of the duty rota indicated that staffing levels provide a minimum of two care staff across the waking day. The manager works in a supernumerary capacity. At night, the home is staffed by one waking staff member. In addition to care staff the home employs adequate numbers of cooking and domestic staff. Feedback from staff and residents confirmed that there was enough staff to meet the needs of residents at this time and residents said that staff were always available if needed. The duty rota records were found to be incomplete as they did not record the hours of the manager or clearly record in what capacity each member of staff was working. The manager confirmed that she would amend these records to reflect the information required. All feedback received about the staff working in the home was very positive and comments received included the staff are wonderful the staff are friendly and so kind. The recruitment files pertaining to two staff were reviewed as part of the inspection process and and on the whole were found to be comprehensive. They included an Care Homes for Older People Page 21 of 28 Evidence: application form, evidence of two references and the required Criminal Records Bureau (CRB) and POVA checks on all staff. It was however noted that not all staff had a photograph on file or a full CV, the manager said that this would be addressed. The AQAA and manager was able to advise that over 50 of care staff have achieved and National Vocational Qualification in care level 2 or above, and that most staff are continuing to complete a level 3. The staff team is stable with staff turnover kept to minimal, this promotes a continuity of care and social network with the staff. Although some staff training was recorded and included a clear induction for any new staff recruited, a training programme had not been fully established. It was difficult to identify what training had been undertaken and what had been planned. The use of a training matrix was discussed with the manager to help plan and evidence training completed. She also agreed to progress further training for all staff to ensure the needs of residents can be met safely by well trained and competent staff. She had identified the need for further training within the completed AQAA. 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. Residents benefit from living in a home that is managed and run for their best interests. The home must develop formal systems for quality assurance in order to continuously improve service delivery. Evidence: The registered manager is Mrs Vijayakumar and she owns the home with her husband Mr Vijayakumar. She is experienced in the care of older people and has completed an National Vocational Qualification in care at level 4. She has also completed most of the modules for the registered managers award, and will be looking to complete this in the next year. She works in the home regularly and the residents and staff spoke very highly of her. One resident said the manager and her husband are ever so nice. The manager clearly enjoyed her work and it was important to her that the residents are well looked after and happy. She runs the home in an inclusive environment where people feel valued and listened to. Although some questionnaires are completed by residents to get their view on the Care Homes for Older People Page 23 of 28 Evidence: service these are not audited or reported on. Following the last inspection the manager had identified areas that she wanted to monitor, review and audit. However a system to do this had not been implemented. She did not have a clear understanding of quality monitoring and was reminded of the associated regulation. It was suggested that she completed some training on Quality Assurance and got some help from the professional organisation that she belongs to. She agreed to progress this matter in order to ensure information could be gathered to improve the service. Residents finances are safeguarded by a system that ensures all transactions are logged and receipts maintained. The AQAA recorded that the home has a number of systems in place to ensure the health and safety of the home is monitored and maintained. It was however noted that the hot water checks did not include the en suite bathing facilities. The manager confirmed that this shortfall would be addressed to ensure all hot water accessible to residents was safe. 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 7 15 Care plans must be 01/09/2009 composed and reviewed with input from the resident and or their advocate, unless the offer is declined. This will ensure that the resident is in agreement to the proposed plan of care to be provided. 2 30 19 The registered person must 01/09/2009 ensure that all staff receive suitable training to ensure that they are appropriately qualified and competent and have the skills to meet all the needs of residents in the home. This will ensure that care is appropriate care is provided to residents in a competent and safe way. 3 33 24 That suitable quality monitoring system is maintained to ensure 01/09/2009 Care Homes for Older People Page 26 of 28 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 residents and their representatives views are taken into account. Demonstrating ongoing review and improvement to services in the home. This will ensure the registered provider reviews the quality of the homes service, and can continue to evolve and improve the service in response to information gained. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 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 © (2009) 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. 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!