Inspection on 06/05/10 for Barnes Court Nursing Home

This is the latest available inspection report for this service, carried out on 6th May 2010.

CQC found this care home to be providing an Adequate 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

Barnes Court Nursing Home 17/03/09

Barnes Court Nursing Home 17/03/09

Barnes Court Nursing Home 18/07/07

Barnes Court Nursing Home 13/07/06

Barnes Court Nursing Home 28/09/05

Barnes Court Nursing Home 10/05/05

Barnes Court Nursing Home 16/09/04

Barnes Court Nursing Home 07/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 03/09/2010.

Key inspection report Care homes for older people Name: Address: Barnes Court Nursing Home Wycliffe Road High Barnes Sunderland SR4 7QG     The quality rating for this care home is:   one star adequate 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: Hilary Stewart     Date: 1 3 0 5 2 0 1 0 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 29 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Barnes Court Nursing Home Wycliffe Road High Barnes Sunderland SR4 7QG 01915202000 01915202622 barnes.court@ashbourne-homes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashbourne Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 89 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The DE category of registration refers to 3 current service users only The service may from time-to-time admit persons under the age of 65 within the OP category Date of last inspection Brief description of the care home Barnes Court Nursing Home is a 89 place facility, which consists of three floors. The top floor provides nursing care for older people. The middle floor provides nursing care for people with mental health needs. The ground floor has a 15 place nursing unit for Care Homes for Older People Page 4 of 29 Over 65 20 20 41 1 3 0 0 15 0 9 0 7 2 0 0 9 Brief description of the care home people with a physical disability. Barnes Court opened in 1991 however the function of the home has changed over time resulting in a different client group being cared for in some of the units than when the home first opened. The owners are aware that work still need to be completed to make some areas fully accessible to those people who have a physical disability. The home is near Barnes park and five minutes from Sunderland Royal Hospital. The home has been built in a residential area and is opposite to a local school. Care Homes for Older People Page 5 of 29 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: one star adequate 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 quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. How the inspection was carried out. Before the visit we looked at the information we have received since the last visit on 9th July 2009. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people and the views of people who use the service and the staff. An unannounced visit was made on 13th May 2010. The manager at the time of visit informed us that they had only been employed at the home since February 2010 and they were leaving their post in the last week of May 2010. Care Homes for Older People Page 6 of 29 During the visit we talked with people who use the service staff and the manager. We looked at information about the people who use the service and how well their needs are met. We looked at other records which must be kept and checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We also looked around the building to make sure it was clean safe and comfortable. We checked what improvements had been made since the last visit.Then we told the manager what we found 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. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If repairs were carried out on the walls and door surroundsand some tiles are replaced this would make it a more pleasant place for people to live. If all of the care plans had sufficient detail and all parts of the plan were completed, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. Care Homes for Older People Page 8 of 29 If staff recruitment records showed that all of the staff have been properly vetted this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service. If staff received individual supervision at regular intervals this would support them to run the home and make sure that the people who live there are well cared for. If the staff at the home all had up to date training specific to the needs of the people at the home and they were all informed of the whistle blowing procedure this would make them more skilled at caring for and safeguarding the people at the home. In the absence of the managers staff should be aware of who takes responsibility for the service. This will make sure that senior staff are accountable and the people who live at the home know who is in charge. If the copies of the homes monthly monitoring visits were carried out this would make sure that the welfare of the people at the home is regularly monitored. 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 29 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 29 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. People have an assessment of their needs before they move into the home. The manager looks at this assessment to see if the home can meet the persons needs. They then can use this information for the care plan. People can visit the home before they make a decision. Evidence: The manager said that the people who live at the home have had their needs assessed before they move in. A person can only move into the home if they are certain that their needs can be met there. The manager said that the assessment of the peoples needs is carried out before people are offered a place at the home. They collect information from the person, their relatives and their care manager if applicable. If a person decides to move into the home they can visit before they move in permanently, so they can be gradually become familiar with the environment and be introduced to the other people who live there. Care Homes for Older People Page 11 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a care plan where their needs a set out. Some care plans did not have enough detail. Health care needs are met, which ensures that people stay healthy. However while adequate medication systems are place to make sure that people are not put at risk, they are not always followed. Evidence: The manager said and records showed that each person who lives at the home has an individual care plan which is developed from the admission assessment. Care plans looked at were of differing standards. Some contained lots of information others were not completed in enough detail. They did not have enough detail to provide staff with the information they need to give people good care. Care plans are in place around both the physical needs and the social care needs of the people living in the home. Risk assessments are completed for a selection of areas including falls, nutrition and deterioration in skin condition. Good records were in the care plans. Weekly body mapping to show that the residents skin was being observed and any bruising or damage was being recorded and acted upon as necessary however some of these were difficult to track as they had not been dated and signed. Care Homes for Older People Page 12 of 29 Evidence: The care plans looked at included information from specialists such as the speech and language therapy team, and the community nursing team. Generally the care plans contain a lot of information but although some were really detailed others lacked this level of information to make them more person centered. For example in one persons care plan it said (the persons name) feels uncomfortable when male staff attend to her personal hygiene, it did not state in this care plan that only female staff should carry out personal care tasks. An example in another persons care plan, in the section about a persons behaviour, said this(persons behaviour) can cause care staff to become upset or reluctant to continue or start care needs and in another it referred to someone being spiteful. Another persons care plan said (persons name) is nil by mouth, have to keep her in so she cannot go out for pub lunches because she will feel the need to eat. This was brought to the managers attention during the inspection visit who said that this was not accurate and would rectify this immediately. Generally the care plans did not give staff the information they needed to support people when their behaviour challenges the service. One member of staff said that residents were not generally involved in writing their care plans. The daily records of food and fluids given to the residents were being completed but there were some gaps and not all were being added up to make sure that the residents were being provided with enough fluids to maintain health. Residents are now supported to access NHS services and facilities as and when they need to. The care plans showed that the specialist advisors are used for individual people living in the home and their advice is followed although in one care plan the needs section of the care plan had not been updated to show the most recent advice. Examples of this being dietitians, one care plan seen had a care plan developed using plain language from the advice given. The home has appropriate equipment to minimise the risk of people developing pressure ulcers including nursing care beds which can be adjusted up and down to assist when staff are delivering care and pressure relieving mattresses and seat cushions. Community nursing staff are accessed for advice when necessary. The residents and their representatives are encouraged to take part in the review of the care. A number of residents were positive about the care they were being given and were complementary about the staff. Residents said that they felt well cared for by the staff and an example of this was they are lovely and the staff are always around to give me a hand. Care Homes for Older People Page 13 of 29 Evidence: Care was given in a discreet manner, the residents were being asked about the support they needed in a way that did not make it obvious what they were being asked, for example if they wanted to go to the toilet. On person said the staff are very nice. One member of staff said I would always treat people with respect. The people who live at the home looked comfortable. One person said the staff look after me another said If staff are not about I use the call system. The home has a system in place to order, receive and administer medication. There is a contract in place with a pharmacist for the monthly prescriptions and for disposal of any unused medication. The prescriptions are ordered by the nursing staff from the General Practitioners after checking the Medication Administration Records and the care plans (where necessary) for any changes made since the last months ordering. The prescriptions are received into the home and are checked against the records and a copy kept when they are sent to the pharmacy. There is a record kept of the medicines received into the home. The signature list of those staff who administer medication was not up to date. On examining the records for individual residents it was noted that one resident had refused his 10 am medication but had been signed as having been administered. Not all hand written entries had been signed by two people. It was noted that some directions for medicines were not clear and need to be more specific. Medication audits are being carried out and the Controlled medication is checked daily. During the visit there had been a delivery of medication this was being stored in the treatment room on the floor. There is very little storage and the treatment room on the ground floor is very small and cluttered, making it difficult to clean effectively. The room on the middle floor is being used as both a treatment room and an office, and is as a result not always kept locked. Care Homes for Older People Page 14 of 29 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. The people who live at the home are able to follow their own daily routines which satisfy their social cultural and religious needs. They can see their family and friends at any reasonable time. This helps to prevent them from feeling and becoming isolated. Evidence: The manager and staff said that they arrange a variety of outings for the people who live at the home. An activities coordinator has been appointed. Residents were dressed for the activities they were undertaking and looked comfortable and tidy. One member of staff said people can go to the cinema, or the pub, we get a minibus or a taxi. There was an exercise class taking place on the day of the inspection visit. The staff are knowledgeable about the social and recreational care needs of the people living in the home although this was not always clearly shown in the care plans. Some were going out of the home during the visits. One service user described some of the opportunities they had been offered and although they felt that this was enough they did not always want to take part. There are also visits by entertainers. Residents confirmed that they are free to join in social activities if they wish and that they are not made to join in activities if they do not want to. The individual records around the Care Homes for Older People Page 15 of 29 Evidence: social care needs of the residents were not completed in sufficient detail and the records of those activities participated in could also be improved to show what is being offered. The residents are encouraged to maintain contact with their families, friends and visitors and can use either their own rooms or the communal areas. Relatives are helped to be as involved in the care as they feel comfortable. One visitor said that they felt positive about the way they had been supported to provide care to their relative and that they felt that this was better than it was, and that it still could be better. The visit covered the time when lunch is served and the food looked appertising and was well presented. The residents were complementary about the food and said that htye have a choice. Residents are asked the day before what they would like for thier meals the following day. However, when they did not seem to want or be enjoying the choice they made they were offered the alternative. There was a good emphasis on residents being offered choice and this ranged from the drink they had with the meal and the condiments they used. Care Homes for Older People Page 16 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about and most have had training in how to protect people from harm, so the people who live at the home are kept safe. Evidence: Copies of the homes complaints procedure are in the information about the home. It is also displayed in the reception area. The manager and staff said that the people who live at the home and their relatives know how to make a complaint. One complaint had been made to the home and the manager said that it had been resolved. Five other complaints had not been signed off in the complaints record file. The manager said that they had occurred when there hadnt been a manager at the home. One of the people at the home said when asked what they would do if they had a complaint said I would tell the staff. The manager said that surveys they had sent to relatives and visitors had shown that 96 know who to contact if they have an issue. The manager said that all staff have had training in how to safeguard the people they care for. There is a copy of the Local Authority safeguarding procedures and the home has copies of their own adult protection procedures for staff. Staff said that they have had training and they could describe what they needed to do if someone disclosed abuse to them. One member of staff said I dont have any concerns here one of the people who lives at the home said I do feel safe here. Care Homes for Older People Page 17 of 29 Evidence: The manager said that all staff have received training on the homes whistle blowing policy and procedure. This is part of their induction and there is a procedure available in the office. Most staff knew about the whistle blowing procedure, one member of staff said I have no problems I would report any concerns however another member of staff said I havent heard of it. Care Homes for Older People Page 18 of 29 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. People live in a safe and clean home, although some repairs and improvement are necessary. Evidence: Barnes Court is a purpose built home on two floors. It provides accommodation for both younger adults and older people. The building is sited in a mainly residential area. The ground and first floor accommodates those people who have physical care needs and the top floor provides care for older people. It is appropriately maintained and access into, and within it, is good and it meets the needs of those people who have mobility difficulties or have use of walking aids or wheelchairs. There are assisted bathing facilities for residents who have moving and handling needs and require assistance from staff to bath safely. All bedrooms and toilets have suitable locks on the door to ensure privacy. This provides the opportunity for residents to remain independent and still have their privacy. There are sufficient numbers of communal areas for people living in the home to choose from. These include a range of lounges, dining rooms and communal spaces that are well decorated and clean. Care Homes for Older People Page 19 of 29 Evidence: The bedrooms are of varied shapes and sizes and they were reasonably well decorated, although some of the furnishings were in need of replacement. The bedrooms were personalised to the taste of the occupant. There are areas of the home that have damage to the walls and door surrounds and bathroom 79 has had the bath out of order for some time. It is used for storage of wheelchairs a commode and specialist bathing chair, there are also some damaged tiles and it is generally shabby. Safety checks are carried out in line with the homes policies. The staff are trained in control of infection procedures, and were using these practices throughout the day, to minimise the risk of cross infection. There are sluice disinfectors in the home, which was operational. The laundry is organised and clean. Care Homes for Older People Page 20 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the people who live at the home and they have opportunities for training so they know how to give them good care and meet their needs. Furthermore the home has a recruitment procedures in place, which help to prevent risk of harm to the people who live there. Some records did not show that all checks had been carried out to make sure staff are vetted thoroughly. Evidence: Staff said that they receive training which helps them with their work. The manager said that all staff receive the training and support they need. Staff said and records showed that they all have mandatory training such as first aid, food hygiene and safeguarding adults training however some staff were due their refresher training. Staff had not had training in dementia care or managing challenging behaviour which would be specific to some of the people they were caring for at the time. One member of staff had said about a person who can exhibit challenging behaviour I am frightened of them I dont know how to deal with them. The manager said that most of the staff have vocational qualifications. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week.The manager said that they do have sufficient staff at the home. One member of staff said there arent enough staff today as someone had Care Homes for Older People Page 21 of 29 Evidence: called in sick. However they said that this did not happen very often. The manager said that all staff have been CRB Criminal Records Bureau checked at an enhanced level to make sure they are suitable people to work at the home. However it was found four staff did not have any details of this on their records. The manager took immediate action to sure the staff did not work unsupervised until the relevant checks were carried out. All staff go through a recruitment process and they cannot start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. Some records showed gaps in some applicants work history that had not been explored during the recruitment process. Also some references were not from the persons previous employer. Records did not show that issues highlighted during the recruitment process had been explored. Care Homes for Older People Page 22 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is not a permanent manager at the home. Staff were not clear about who was in charge if the temporary manager or deputy were not present in the home. There is a quality assurance system which aims to make sure that the home is run in the best interests of the people who live there and there are procedures in place that make sure they are protected as much as possible. Evidence: The manager said that there is a quality assurance system which is used to improve the service. They said that the people who live at the home and their families are asked their views about the running of the home as much as possible. Records showed that the home had had an audit of quality by a representative of the organistaion in April 2010. Copies of the monitoring visits by the organisation were kept in the office, however there was only one for April 2010 , the last previous to that being in august 2009. The manager said that they usually have a visit once a month. Safety checks have been carried out on the equipment in the home such as testing Care Homes for Older People Page 23 of 29 Evidence: electrical equipment and servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that fire drills and fire instruction take place. Staff said that they have fire drills and instruction. Records showed that regular training is provided for staff in fire safety and first aid. The manager said and records showed that they are qualified and experienced to run the home. However they have been at the home a short time and they are leaving at the end of May 2010. This follows a period of months where the home has been without a manager. The deputy manager was acting manager during this time. It is planned that the deputy manager will manage the home until a permanent manager is employed. It was observed that there was a friendly atmosphere at the home and a pleasant rapport between the people who live at the home the manager and staff. The staff said that they could approach the manager with any concerns. One member of staff said we would like a permanent manager and it has been good since this manager started. Staff said that they liked working at the home. Records showed that individual formal supervision takes place but did not show that it was as often as it should. The manager said that they had just started them up again. The manager said that the home has procedures for staff when they deal with the peoples money so it is kept safe. They said that the staff sign records when any of the residents money is used and the manager checks them regularly. Records were not available on the day of the inspection visit. Care Homes for Older People Page 24 of 29 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 29 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 contain sufficient detail to provide staff with up to date and accurate information about how they meet each person needs and provide them with good care. This will make sure that staff are following consistent practices. 30/07/2010 2 9 13 Medication procedures must bee followed and staff must be followed at all times. Staff must signed say they administered medication when they havent and any hand written entries must be double signed. 30/06/2010 3 19 16 The door surrounds, walls and tiles must be repaired as well as the bath. This would make the home a more pleasant place for people to live. 30/07/2010 Care Homes for Older People Page 26 of 29 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 4 29 19 All staff must be thoroughly vetted before they start to work at the home. This will demonstrate that the organsiation take seriously their responsibilities to only employ suitable people at the home therefore safeguard the people who live there. 30/06/2010 5 33 26 Monitoring visits must take 30/06/2010 place by the orgaisation unannounced, once a month and a report must be written on the conduct of the home. This is make sure the safety and welfare of the people who lice at the home is monitored every month. 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 12 Information about each persons leisure, social activities and cultural interests should be written into their care plan so staff know how to meet their interests and needs. The person in charge of the home should make sure that all complaints are dealt with and resolved. The manager should make sure that all staff have read and understand the homes whistle blowing procedure. Wheel chairs should not be stored in bathrooms as this makes it unpleasant for the residents who have to use the Page 27 of 29 2 3 4 16 18 22 Care Homes for Older People 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 bath or toilet. 5 30 Staff should recieve training which equips them to meet the assessed needs of the people they care for ie dementia care and bahviour management. Staff should know who is in charge of the home when the managers are not present. 6 31 Care Homes for Older People Page 28 of 29 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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