Please wait

Inspection on 21/07/09 for Bridgewater Park Care Home

Also see our care home review for Bridgewater Park Care Home for more information

This is the latest available inspection report for this service, carried out on 21st July 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People are assessed before they move to make sure that the service can meet their needs through the services provided by the home. The activities in the area of the home that supports people with dementia were very good. They had been developed well to take in to account peoples individual needs and clear records were maintained for when people took part in activities. The staff working in the home are provided with the training and supervision that they need to provide them with the skills and knowledge to safely care for the people that live at Bridgewater Park. The staff and people that use the service appear to have very good relationships with each other and the atmosphere of the home is relaxed. This helps people to feel.settled and this means that they can rely on the staff for any support that they may need.

What has improved since the last inspection?

The temperature of the water in the home is now monitored on a more regular basis to make sure that the health and safety of the people that use the service is upheld. People that have bed rails attached to their beds for their safety now have a risk assessment completed to make sure that these will keep them safe and not place them in any further risks. The records of the temperatures for the kitchen appliances were seen to be recorded on a regular basis and the Kitchen had recently been given a 4* star rating by the local authority for health and safety in the kitchen. The homes infection control policies and procedures were being followed better by the staff. This helps to keep people free from infection and controls the spread of infections in the home.

What the care home could do better:

The assessment of care needs and care plans in the home need to be developed to show how individuals would like to be supported with their needs. The staff need to interact with the people that use the service on a more regular basis. this will help to build up trust and good working relationships. The homes quality assurance programme should be sent out to more people on a more regular basis. This will help to identify any changes are are needed to be made to improve the quality of services that the home offers to people.

Key inspection report Care homes for older people Name: Address: Bridgewater Park Care Home Bridgewater Road Scunthorpe North Lincolnshire DN17 1SN     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: Stephen Robertshaw     Date: 2 1 0 7 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: Bridgewater Park Care Home Bridgewater Road Scunthorpe North Lincolnshire DN17 1SN 01724847323 01724847309 bridgewaterpark@meridiancare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Meridian Care Limited care home 63 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of users who can be accomodated is: 63 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender : Either Whos primary care needs on admission t othe home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places, 41 Demntia Code DE, maximum number of places 22 Date of last inspection Brief description of the care home Bridgewater Park is a 53-bedded purpose built care home. The home is situated on a residential development on the edge of Scunthorpe. The home is close to major transport links. The home provides for a variety of needs including nursing care and care for those with a dementia care needs. The service users accommodation is all on the ground floor and is separated into two units one of which deals particularly for those with Care Homes for Older People Page 4 of 28 Over 65 0 41 22 0 Brief description of the care home dementia care needs. The rooms are all single occupancy and all but one have en-suite toilet facilities. The home provides a variety of communal space including a smoking room and sensory room. The home provides a variety of bathing /shower facilities to meet service users needs. The gardens are pleasant, accessible to all service users and secure. The current fees for services provided through the home can be obtained through the management of the home. Copies of previous inspection reports are made available to the people that use the the service and visitors to the home in the main entrance. 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 site visit to the service by the Commission took place on 21st July 2009. The visit was unannounced and the Commission was in the home for approximately six and a half hours. The information included in this report has been gathered over a period of time since the last inspection. This includes an Annual Quality Assurance Assessment (AQAA) that had been completed by the management of the home. The inspector spoke with nine of the people that use the service and six visitors to the home to gain their views of the services provided at Bridgewater Park. On the day of the site visit the Commission also looked at all of the documentation to see how well the service was developing. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 7 of 28 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 8 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 9 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. This means that the people that use the service are provided with an opportunity to visit the home to make sure that it will be suitable to meet their needs before they have to make a decision to move there. Evidence: The Commission looked at all of the information held in the home for five of the people that use the service. This included looking at the assessments of their individual needs that had been completed before the individuals were admitted to the home. The assessments were a combination of the homes pre-admission documentation and the assessments completed by the appropriate care management teams. The assessments identified everyones individual needs, however the homes assessments were very Care Homes for Older People Page 10 of 28 Evidence: basic and did not give clear information that could help to develop an individual person centered care plan. Direct observations completed by the Commission on the day of the site visit helped to support the evidence that the home has the capacity to meet the individual needs of the people that use the service.The staff records also supported that they have the appropriate knowledge and skills to be able to safely care for the people that use the service. One visitor commented to the Commission the home is great, she doesnt need for anything. The home does not provide intermediate care to people that use the service. Care Homes for Older People Page 11 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. This means that the people that use the service have their general health and social care needs met by the home, however the activities available to the =m are limited. Evidence: The Commission looked at all of the information for five of the people that were living at the home. All of their care files included care plans to met their individual needs. However the assessment were very basic in the way that they had been written and were also very generic in nature. These care plans need to be developed further to provide a more person centered approach to care in the home. The only exception to this was the care plans for activities in the area of the home that supports people with dementia care needs. these plans were very detailed and clearly demonstrated the support that individuals required to help them to access activities that were suitable and acceptable to them.There was evidence evidence to suggest that the care plans in Care Homes for Older People Page 12 of 28 Evidence: the home are reviewed on a regular basis to make sure that they are still appropriate to the needs of the people that they concern. The care plan records that were observed by the Commission in the home showed that the people that use the service have contact with appropriate health care professionals to help the home to support their health care needs. This included contact with GPs chiropodists, dentists, opticians and community nurses. One of the homes nurses confirmed that the homes nurses only support the health care needs of nursing care residents with the exception of emergencies at the home and confirmed that community nurses support the health care needs of the residential and dementia care people living at the home. A visiting health care professional of the day of the site visit stated that they always see people in private to help to support their dignity and privacy. The Commission also observed the medication procedures in all three areas of the home. These were seen to be very good. The medicine cabinets were never left unattended or unlocked in the communal areas of the home. All of the medication record sheets were up to date and had been accurately recorded. Most of the people that are prescribed medication had their photos with their medication records to help to make sure that the right person receives the medication that is prescribed for them. All of the staff that administer prescribed medication are either qualified nurses or they had received appropriate accredited medication training. When administering medication the staff wear red aprons to identify that they shouldnt be disturbed while they are dealing with medication. The home has two medication rooms, one in either side of the building. Both of these rooms were seen to be well organised and were clean and tidy. Records were also maintained in relation to the temperature of the medication rooms. The home has a controlled medication cupboard in one of the medication rooms. This had an appropriate double locking system. All of the controlled medication was appropriately stored and recorded. Direct observations during the site visit supported the evidence that the people that use the service have their dignity, respect and privacy upheld at all times at the home. One person stated # the staff are always polite and very friendly. Care Homes for Older People Page 13 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. This means that the people that use the service are encouraged to maintain the interests that they had before they were admitted to the home, however the activities provided through the home are limited. Evidence: The individual care files that were observed by the Commission included care plans for peoples activities. In general these documents were very basic and the activities in the residential and nursing areas of the home were very limited in range and frequency. as already stated in this report the exception was in the dementia care area of the home where the activities were very regular and appropriate to the individual people that they involved. The home employs an activity coordinator for the dementia care unit and she has been in position for approximately one and a half years. She stated to the commission that the other areas of the home were going to be supported by another activity coordinator that had recently been appointed to the home and would be developing the activities for the nursing and residential residents. One person told Care Homes for Older People Page 14 of 28 Evidence: the Commission theres not much entertainment, and no outings, and another person said its a bit boring here. A visitor to the home told the Commission theres no stimulation here. The care staff record the daily activities that people are involved in, however most of these records outside of the dementia care unit were very basic and generic. As stated in the last inspection of the service It would benefit the service to develop these records further. This would help to identify any patterns of behavior for individual service users and enable the care staff to intervene before problems arose or became more serious. Visitors to the home that were spoken to by the Commission supported the evidence that they can visit at any reasonable time. Direct observations on the day of the site visit and observation of visitor records in the home showed that there are lots of visitors to the home on a daily basis. Direct observations supported he evidence that personal autonomy and choice is provided to people that use the service throughout their daily lives. All of care files that were observed by the Commission included an assessment of peoples individual nutritional needs. The people that use the service were generally very positive in relation to the meals that they receive at the home. However there were some people that use the service were not happy with the quality or choice of the meals that are made available to them. One person said I once has a sandwich and there was no filling in it, another person said theres no choice, theyre getting good money for nothing and another person commented that not much brown bread, only white bread and i dont like it. Another person said Id like a hot drink at night, Horlicks or Ovaltine, we used to get it but we dont anymore. the manager and cook both stated that there was always a choice of bread and would check out why Horlicks and Ovaltine were not being made available. The manager said some of this may be resolved soon as a quality survey is due to be distributed to the people that use the service. The Commission also looked around the homes kitchen. The area was clean and tidy and there were good stores of food in the home. Clear records were maintained in relation to the meals that are prepared in the home and also of the temperature of fresh and frozen goods that are received by the home This helps to support the health and safety of the people that use the service. The home has a hairdressing room and a local hairdresser visits the home on a weekly Care Homes for Older People Page 15 of 28 Evidence: basis to cut service and style peoples hair. One person that uses the service that spoke to the Commission said i have a telephone in my bedroom and I call my friends whenever I want, however another person said Im very sad and lonely no-one talks to you here. 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that people that use the service are supported with a robust complaints procedure and are protected from possible abuse at the home. Evidence: Direct observation of documents in the home supported the evidence that the home has a clear complaints policy and procedure. No formal complaints had been received by the home or through the Commission since the last inspection of the service. The staff interviewed by the Commission were all aware of the complaints policies and procedures. People that use the service that were spoken to by the Commission were also aware of how to make a complaint if they wished to. One person said If I dont like anything I just tell the carers. The staff training records showed that they are provided with Safeguarding Adults training. The staff were clear of how to report any suspicions or allegations of abuse. The staff that were interviewed by the Commission were aware of what could be seen as allegations of abuse and how to report their concerns to the appropriate person. Care Homes for Older People Page 17 of 28 Evidence: The staff employment records showed that the staff receive the appropriate safety checks before they are employed to work withe the people that use the service. The draft report stated that The homes policies and procedures in relation to the protection of vulnerable adults gives out the wrong information. It states that any allegations or suspicions of abuse should be reported to a senior manager with the company who will then instigate an investigation. There did not appear to be any changes made to the safeguarding policies and procedures since the last inspection. Therefore this remains outstanding and as previously stated any allegations or suspicions must be reported to the local safe guarding adults team and they will determine if an investigation needs to be carried out and who will be involved in the investigation. Following the draft report being sent out the providers of the service met with the Commission and updated their safeguarding policies and procedures to meet the needs of the service and are now acceptable to the Commission. The manager of the home stated that she always reports any safeguarding incidents directly to the local safeguarding adults team. There was evidence that a recent referral was made by the home to the local safeguarding adults team. This investigation had not been completed at the time of this report being compiled. The manager of the service said that she had withdrawn the safeguarding brochure from the public areas of the home and direct observations found this to be correct. 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service This means that the environment provided for the people that use the service in generally good and provides a safe and comfortable setting.. Evidence: As part of the site visit to the service the Commission made a tour of the premises. The home was well furnished and decorated in a way that encouraged a homely environment. Since the last inspection a person that uses the service had their television stolen from their room when someone entered through the bedroom window. The service replaced the television for them and made sure that windows had restrainers fitted to them. However on the day of the inspection some of the window restrainers had been undone to allow the individual windows to open wider. The tour of the premises also identified that the homes showers, toilets and bathrooms were clean and free of any offensive odours. Interviews with care staff and Care Homes for Older People Page 19 of 28 Evidence: observation of their training records showed that they receive infection control training. This helps to support the health and safety of the people that use service. The home employs a team of domestic staff that maintain the environmental standards in the home. The Commission looked at the bedrooms of six of the people that use the service.These had all been decorated and furnished to their personal tastes and preferences. One person said I like the set up of my room. Observation of the homes maintenance records are showed that all of the moving and handling equipment is regularly serviced and maintained. The laundry in the home was well organised and the washing machines had been fitted with automatic feeds to minimise the staffs contact with caustic or irritant substances. The washing machines were of an industrial quality and were programmable to disinfection and sluicing standards. The home also has a separate sluice room. Since the last inspection of the service the homes kitchen had been awarded a 4* certificate for food hygiene through the local authority. Al of the kitchens records were up to date and had been accurately recorded. 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. This means that the staff receive the right training and supervision to make sure that they can safely look after the people that use the service. Evidence: The commission observed the interactions between the staff and the people that use the service. We also asked people for their opinions on the staff group.The majority of the people that use the service and their visitors were very positive in relation to the qualities and abilities of the staff that work in the home. However several people stated that there arent enough staff to allow them to have quality time with the people that use the service. One person said no-one talks to you and another person said they are very busy so i dont want to trouble them. A visitor to the service stated The home is great, the staff are all very friendly and nice. The homes records showed that there are always appropriate staff on duty at the home except in very exceptional circumstances. One person told the Commission I press the button there and the staff come straight away. Care Homes for Older People Page 21 of 28 Evidence: Training records in the home showed that the manager and the staff are committed to National Vocational Qualifications (NVQ). the training records and interviews with staff helped to support the evidence that approximately 63 of the homes care staff have achieved NVQ 2 in care or an equivalent qualification. The home also employs domestic care staff and kitchen staff. The records also showed that these members of staff were employed in appropriate numbers to maintain the environment of the home. The recruitment procedures in the home support equal opportunities Direct observation of staff personnel files showed that they had received the right safety checks before they had been employed to work with the people at that live at the home. The staff induction and foundation training is in line with the national requirements. All of the staff working in the home wear uniforms to identify their positions. Several staff reported to the inspector that they are responsible for paying for their own uniforms and documents in their personal files showed that they had to purchase their own uniforms. This could lead to uniforms not being replaced as often as they require due to individuals inability to purchase new ones. This could also have an effect on the overall appearance and presentation of the staff working at the home. 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. This means that the management of the home supports the care provided to the people that use the service. Evidence: The manager of the home is a qualified first level nurse and has also completed qualifications in teaching and management. She has been in a management position in a care home since 1990. The manager of the home was not available on the day of the site visit, however the Commission spoke with her the day after. The manager confirmed that she has overall responsibility for running and development of the home. The Commission spoke with visitors to the service and people who live at the home Care Homes for Older People Page 23 of 28 Evidence: and they supported the evidence that the management approach to the home is open and inclusive. Interviews with staff working at the home also supported that the manager makes themselves available to support them with their work. The home a quality assurance and monitoring system. In the last twelve months this does not appear to have been as effective as seen in previous visits to the service. Surveys are sent out to people that use the service and their families to find out their views on the quality of services being provided through the home. However recent surveys did not appear to have been evaluated or had action plans developed from them. The range of people that surveys are sent out were also limited. Appropriate insurance was seen to be in position for the business. The service encourages people to maintain responsibility for their own finances, however where appropriate they support people to budget their personal finances. Individuals care files identified if they had another person such as a solicitor or family member that had been given legal responsibility for the persons finances. The staff supervision records that were observed by the Commission appeared to have improved in the quality of the recording and frequency of the actual supervision sessions. Interviews with the staff confirmed that generally most of the staff had received at least the recommended minimum of six formal recored supervision sessions in the last twelve months. Documentation observed in the home shows that the management makes sure that as far as is reasonably practicable the health, safety and welfare of the people that use the service and the staff working in the home. The external management of the home also complete regulation 26 visits to the home on a regular basis to make sure that all of the health and safety requirements of the home are met. 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 18 13 The registered person must make sure that all of the staff working at the home understand the roles and responsibilities of the designated person when alerting people to safeguarding issues. This will help to safeguard the people that use the service and make sure that any concerns or allegations are investigated by the appropriate and recognised authority. 28/08/2009 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 3 The registered person should make sure that the homes assessments of care include more detail to help to identify how people would like to be supported with their individual needs at the home. Care Homes for Older People Page 26 of 28 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 2 12 The registered person should make sure that the activities are provided consistently across all areas of the home. The registered manager should also support and encourage the staff working at the home to interact more with the people that use the service. This will help to make the people that use the service more relaxed and be more comfortable in their environment. 3 15 The registered person should make sure that the people that use the service are provided with meals that are acceptable to them and their individual needs. The registered person should make sure that the staff group take time to interact with the people that use the service. This will help to develop good working relationships and trust between both groups of people. The registered person should make sure that the homes quality assurance and monitoring system is effective and the surveys are sent out to a wider audience to get their views to help to develop the services being provided by the home. 4 27 5 33 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!