Inspection on 08/12/09 for Highcroft

This is the latest available inspection report for this service, carried out on 8th December 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Highcroft 03/11/05

Highcroft 19/05/05

Highcroft 28/02/05

Highcroft 06/09/04

Highcroft 30/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

Key inspection report Care homes for older people Name: Address: Highcroft 7 Eastfield Park Weston Super Mare North Somerset BS23 2PE     The quality rating for this care home is:   three star excellent 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: Patricia Hellier     Date: 0 8 1 2 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 27 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 27 Information about the care home Name of care home: Address: Highcroft 7 Eastfield Park Weston Super Mare North Somerset BS23 2PE 01934622247 01934626100 info@highcroftnursinghome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Ann Willcox,Mr David Harold Willcox care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Manager must be a RN on Parts 1 or 12 of the NMC register. May accommodate 23 persons aged 50 years and over who require nursing care of whom up to 3 persons may be 65 years and over and in need of personal care only. Staffing Notice dated 18/04/1997 applies Date of last inspection Brief description of the care home Highcroft Nursing home provides nursing care for up to 23 persons, aged 50 years and over. The home is situated in a quiet cul de sac in Weston super Mare and is opposite a small private park. Accommodation is offered in single and double rooms, which are decorated to a high standard and in keeping with the period of the house. Some rooms have en suite facilities. The main lounges look out across the gardens and town and a larger room is available on the lower ground floor for family celebrations and special events. A passenger lift offers easy access to all areas of the home. Care Homes for Older People Page 4 of 27 0 Over 65 23 Brief description of the care home The weekly fees ranged from 650 pounds.00 to 680pounds per week which includes the Registered Nurse Care Contribution (RNCC). Care Homes for Older People Page 5 of 27 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: three star excellent 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: This inspection took place over one day and a total of six hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we (The Commission) asked the service provider to complete and Annual Quality Assurance Assessment (AQAA) form. The AQAA is a self assessment that focuses on how well outcomes are being met for people living in the home. It also gives us the numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. Once we have received this information we carried out a visit to the home and spoke to ten people living there, seven staff and two relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included Care Homes for Older People Page 6 of 27 care plans, staff recruitment, training and supervision. We also reviewed records relevant to the administration of medication, the service records and health and safety issues. Care Homes for Older People Page 7 of 27 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. 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 27 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 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully informed and their needs and wishes clearly assessed and understood before they are admitted to the home. Evidence: We looked at how well the home manages its admissions. The home does not provide intermediate care. Five people told us through a survey that they received enough information before moving in, with the comments: I knew a lot about this care home from living in the area. They took a great deal of time to show us the facilities and explain the type of care provided. Care needs are well met through a full assessment process as evidenced in the three care plans inspected. The registered manager carries out a needs-based preadmission assessment for all prospective residents and admissions to the home take place once Care Homes for Older People Page 10 of 27 Evidence: the registered manager is confident that the residents care needs can be met. Three residents assessment documentation were read to find out how well the needs are assessed. The assessments were informative and clearly documented all aspects of physical, mental, social and emotional needs providing staff with a good knowledge base from which to provide person centred care. Two recently admitted residents spoken with told us they are very kind; they know what I need and look after me well. Care practices observed showed that staff were fully aware of the residents needs as stated in the assessments. Prospective residents are encouraged to visit the home and assess the quality of facilities at the home for themselves, thus providing them with the opportunity to see the home, meet the staff, and discuss any queries with the staff and management. Care Homes for Older People Page 11 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Highcroft benefit from personal and specialist healthcare support that is provided in a person centred way, respecting their privacy and dignity. Evidence: We looked at whether peoples care and health needs were being met. Six people when asked if they receive the care and support they need told us always. Comments included: the level of care and support I received is of the highest standard, I cannot fault the care I have received since being here and the staff are very caring and cheerful. We looked in detail at the care planning and care delivery for three people who use the service. The care plans were recorded in a person centred way, easy to read and gave a clear view of how the individual wished their care to be provided. The care records together with daily notes showed that staff have a good knowledge of residents needs and how best to meet them for their well being and in their preferred way. Good clinical skills and knowledge were demonstrated through the inspection of Care Homes for Older People Page 12 of 27 Evidence: care plans and in discussion with staff. We saw clear evidence of this and how the clinical and personal issues and needs for the individual are weighed up and a balance of treatment and lifestyle arrived at for the well being of the individual. All care plans seen showed a person centred approach with clear guidelines for staff about peoples personal likes and dislikes and the way in which they prefer to receive their care. All care plans contained a summary of the individuals life story providing staff with a pen picture of the individual. This good practice is to be commended. Clear evidence was seen of good attention to detail in record keeping that ensures good and clear communication of care needs, thus enhancing the provision of care for individuals. Staff spoken with and observed, demonstrated their commitment to ensuring good communication in the team through both written and verbal interactions in the best interests of the residents. The daily records maintained by staff were seen to be very detailed and gave a clear account of how individuals spend their day. Records included clinical monitoring information, activities undertaken and preferences expressed. The three care plans we looked at included regular reviews which reflected the changes in peoples lives and care needs and demonstrated continuity of care. Residents told us they are involved in discussions about their care needs and how they are met, and documented evidence was seen to support this. Staff spoken with told us they are involved in the way care plans are developed enabling them to clearly understand all the changing needs of people at the home. A key worker system is used to provide residents with an individual member of staff who takes a specific interest in them and their lifestyle. This practice enables continuity of care and two residents told us they enjoyed this closer relationship. We observed staff talking and laughing with residents in a friendly and relaxed way. People we spoke to told us they were happy with the way in which they are cared for. One person said they are so kind and always have a smile. We spoke to a group of people sat in the lounge after lunch who told us that the care and support was very good and they could not fault any of the staff. One person told us the staff are always understanding. Care practices observed demonstrated staffs knowledge of both the individual and best practice guidance to ensure the residents health needs are met in a respectful and dignified manner. Residents felt they are kept well informed of any significant issues, and that their involvement is welcome. One relative told us that assistance with personal care is sensitively and discreetly given for the comfort and well-being of the individual. Care Homes for Older People Page 13 of 27 Evidence: Residents also told us of the regular bi-monthly newsletter in which information about activities in the home, past and future, are recorded and other key points of interest relating to residents and staff who make up their little community are shared. People living at Highcroft have access to healthcare specialists e.g. the dentist,optician and chiropodist and are helped to attend outpatient appointments as necessary. Highcroft has clear policies and procedures for the receipt and administration of medication. Staff receive appropriate training before they can give medication to people. Staff demonstrated understanding in the broad principles of safe medication storage and administration. We looked at the records kept by the home for medication and the way that medication is stored. We thought all procedures were being carried out correctly. However we would recommend that all hand transcriptions are signed by two people for safety of residents and in line with best practice guidance. Care Homes for Older People Page 14 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are enabled to lead fulfilled lives with choice and individuality upheld. The food provided is tasty, nutritious and enjoyed by all. Evidence: We looked at the daily life and social activities for people at home. Asked if there are activities arranged that people can take part in five told us always, one said usually and one said sometimes. Comments included yes lots. Music and movement, games, and singing as well as a church service. One resident described the atmosphere in the home as nicely informal, and residents felt their visitors are also help to feel relaxed and at home. One relative told us I am always welcomed whatever time of day. On the day of inspection residents were seen enjoying conversations together in the lounge, reading their papers and relaxing in their own rooms. During the afternoon a gentleman came and played the piano, providing a variety of seasonal entertainment as well as corporate singing. A large number of residents had gathered for this and all appeared very happy. Care Homes for Older People Page 15 of 27 Evidence: A range of activities is provided with a diary of events displayed on the noticeboard in the hall and also included in the news sheet. Three residents told us there are always things to do if you want. One resident was seen helping out in the dining room. In one lounge there is a large flat screen television which provides good viewing for the residents, and the other lounge has a quieter area where residents were seen reading their papers. Contact with the community is achieved by involvement in with local groups who visit the home. Arrangements are made at the home to support different faith groups as they would wish. People who use the service told us they can see their visitors at any time, helping them to feel this is their home. Relatives spoken with told us they feel welcomed when they come, and that there is a warm, caring feel to the place. The dining room is homely and tables were well presented providing an atmosphere that is conducive to an enjoyable meal. All residents said they liked the meals and felt a good and balanced diet is provided. One person told us the food is very good while another said I was pleasantly surprised at the quality of the food provided. At a recent visit from the Environmental Health Officer (Food) the home was awarded a five-star quality rating. Peoples dietary needs are clearly understood by the kitchen staff and we saw that expert advice has been sought when there is a concern. The home has an Equality and Diversity policy that recognises the culture and social needs and differences that are present in society. Both management and staff demonstrated clear knowledge and desire to meet cultural and diversity needs as and when they should arise. Information about race, age, gender and religion is given in the information provided to residents and their families on admission to the home. Care Homes for Older People Page 16 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from abuse, and they can be confident that complaints are taken very seriously. Evidence: We looked at how well people are protected by the complaints and safeguarding arrangements at the home. The home has a comprehensive complaints policy and procedure which is well displayed in prominent places in the home. In the AQAA we are told it is given to all residents within the Residents guide. Copies of the guide were seen in residents rooms. There have been no complaints since the last inspection. We saw the home has a system for keeping records of complaints received, with actions taken and the outcomes of the complaint recorded, to demonstrate complaints had been investigated to the satisfaction of the complainant. Residents stated that if they were not happy about anything they would speak to the manager. Eight resident surveys returned told us they knew who to speak to if they were not happy and how to make a complaint. Residents spoken to during the inspection told us the manager and staff are very approachable and they would always raise any concerns with them. One resident said I have nothing to complain about, they look after me well. Care Homes for Older People Page 17 of 27 Evidence: The home has a copy of the No Secrets in North Somerset guide and a comprehensive local policy and procedure for responding to allegations of abuse, for the protection of residents. Staff spoken with confirmed they had attended training in safeguarding adults, they were aware of the organisations whistleblowing policy and who to contact if they felt a resident was at risk of abuse. When interviewed staff clearly demonstrated knowledge and understanding of the forms abuse can take and how to protect residents. Training records showed that staff had received training in the correct procedures to follow if they suspected a resident was at risk. In the AQAA we were told all staff have received training in the understanding and application of the Deprivation of Liberty safeguards. Staffs understanding of the training was measured through a written questionnaire. This good practice is to be commended. Four residents said staff are very kind and take time to help me. Care Homes for Older People Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with homely, safe and comfortable surroundings to meet their needs. Evidence: We looked at how the home environment is suited to the people using it. The home is nicely decorated and well maintained with a welcoming atmosphere, and made comfortable with homely communal spaces. Accommodation is provided over three floors with stairs and a shaft lift to access these. The decor, fixtures and fittings are in excellent order and care has been taken to enhance the feeling of space through strategically placed mirrors. Lounges are furnished with a variety of suitable comfortable chairs to meet residents needs. The home has a well maintained garden / patio area for residents to enjoy and level access to the home for wheelchairs and ambulance services when needed. The home has an ongoing maintenance and redecoration programme and employs a handyman to ensure maintenance issues are seen to as soon as possible. The home has increased the number of en suite facilities provided and these have been tastefully decorated and well-planned for the safety and well-being of residents. Residents rooms are personalised and comfortable to suit their needs. There are Care Homes for Older People Page 19 of 27 Evidence: plenty of toilets within easy access of all communal areas. People we spoke to told us they liked their rooms and commented on the cleanliness of the home in general. The home showed a good standard of housekeeping and no offensive odours were apparent. Staff spoken with showed a clear awareness of infection control policy and procedures, and practice observed demonstrated best practice hand washing and the use of alcohol gel that is provided at key points around the home. Four residents, when asked if the home is fresh and clean, said yes spotless. Most impressive, while another person said a lovely home that is always kept neat and tidy. In the AQAA we are told the fire service have pointed out that the building is unusually fit for purpose from their perspective as all floors have level access to outside of the building. Care Homes for Older People Page 20 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at home are supported by a properly recruited and trained staff in sufficient numbers to meet their needs. Evidence: People spoken with were very complimentary about the staff with comments including the staff have all been very kind and helpful and they are all wonderful, caring, cheerful, efficient, welcoming people. We found that the numbers of staff employed were sufficient to meet the needs of the people at home. People, asked if staff are available when needed, told us they were adding my relative has never commented that she has to wait for attention. I have noticed that staff are always busy about their duties while continually interacting with the residents. Another comment was I feel secure as I can always ring the bell and someone will come. When additional staff are required this is arranged to ensure residents needs are met at busy times. We looked at the records of the two staff most recently employed at the home and found that most checks necessary to ensure they are safe to work with vulnerable adults had been completed before they began work at the home. Both of the records contained a criminal record bureau check (CRB) or POVA first prior to commencement of employment at home. However for one member of staff gaps in employment had Care Homes for Older People Page 21 of 27 Evidence: not been document as having been explored. While the provider told us that these had been discussed there was no documented evidence to support this practice. this is recommended. All staff are encouraged and supported to achieve qualifications in care and 90 have National Vocational Qualifications (NVQ) at either level two or three. People are very satisfied with the level of care they receive and staff told us the standard of training they undertake is good, one adding my induction was very informative and in-depth. Staff training is well planned and monitored and includes all aspects of health and safety that are relevant to the needs of older people, such as visual and hearing awareness. Competence of knowledge is assessed by the outside provider, and the manager regularly checks staff competence and practical application of learning. Records of these were seen in individual files. Staff spoken with told us they felt well supported in attending training relevant to the needs of the people in their care. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of people who use the service. Evidence: The manager is well qualified and has a number of years experience in the area, she is supported by a deputy manager. We observed, and were told of, a very open and approachable management style which people living in the home said they appreciated. The manager seeks to give leadership, guidance and direction to staff to ensure they are knowledgeable and competent to meet the needs of people who use the service. People who use the service and relatives feel the manager is approachable, available and seeks to ensure all their needs are met. One resident told us she cant do enough, and another told us she is always there to help. Staff interviewed stated they felt supported by an approachable manager. Four staff told us they could not think of any way the home could improve. Comments received on surveys returned from staff told us the home provides excellent care and an excellent environment; Care Homes for Older People Page 23 of 27 Evidence: and care plans are always up-to-date and the home runs very well and we meet everybodys needs. Another person told us the home provides a safe caring environment with a good atmosphere. In the AQAA we are told management planning encourages staff creativity and development for the benefit of meeting residents needs. A formal quality assurance tool was available for inspection in order to demonstrate that the home consults with residents and relatives. Regular audits of practice and care provision take place through the year and are brought together in an annual report that feeds in to action plan for the coming year. the report for this year was seen to be a very thorough report covering all areas of the home. This practice is commendable. One resident told us you only have to mention something and it is attended to. Pocket monies for the people who use the service held by the home were inspected and found to be accurate and have clear records for the protection of residents. Records inspected show staff receive regular supervision to ensure they have the skills and knowledge to meet residents needs. Staff spoke of receiving these and their helpfulness in identifying areas of training they would like, and would benefit their care provision to residents. Records were available to show regular safety and fire checks are carried out, to maintain safe systems for the protection of residents. Staff spoken to said they had received fire instruction regularly and records supported this, demonstrating staff have the expertise to safeguard residents in the event of fire. The home stores records securely and uses them in accordance with the Data Protection Act 1998. Care Homes for Older People Page 24 of 27 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 27 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 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 9 The registered person to ensure that all hand transcribed medication has two signatures for safety and accountability in line with good practice guidelines. The registered person to ensure that all gaps in employment are explored with an applicant, and recorded, for the safety and protection of residents. 2 29 Care Homes for Older People Page 26 of 27 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). 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