Inspection on 13/05/09 for Hilbre House

This is the latest available inspection report for this service, carried out on 13th May 2009.

CQC found this care home to be providing an Good 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

Hilbre House 05/12/07

Hilbre House 29/05/07

Hilbre House 12/12/06

Hilbre House 21/06/06

Hilbre House 28/02/06

Hilbre House 09/12/05

Hilbre House 18/02/05

Hilbre House 21/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton 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 Hilbre House St Margarets Road Hoylake Wirral CH47 1HX Lead Inspector Peter Cresswell Key Unannounced Inspection 13th May 2009 09:15 DS0000018896.V375381.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. 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. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 2 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 Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hilbre House Address St Margarets Road Hoylake Wirral CH47 1HX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 632 6781 della@hilbrehouse.fsnet.co.uk Mrs Della Haynes-McManus Mr Jose Alvin L Alconaba Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2008 Brief Description of the Service: Hilbre House is a large detached property overlooking the Dee estuary in Hoylake. It is a few minutes walk from Hoylake village with its shops and community facilities. The home has twenty very spacious bedrooms and is registered to provide care for up to 27 older people. At the moment, though, none of the rooms are shared and 15 people live at Hilbre House, all in single bedrooms. All of the bedrooms have telephones and en suite facilities. The home has a large lounge and a spacious combined dining room and conservatory with fine views of the beach, estuary and Hilbre Island. All parts of the home are accessible by a passenger lift. In addition to en suite showers, Hilbre House has assisted baths to promote the safety and independence of the people who live there. Fees at Hilbre House are between £450 and £550 a week. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection included an unannounced site visit. The newly registered manager was on holiday so we spoke to the owner, the administrator, and a number of staff as well as several residents and relatives. We toured the home, visiting all of the shared areas, the kitchen and most of the bedrooms. We examined admission documents, care plans, medication, fire safety records, recruitment files and the menu. The manager had completed an Annual Quality Assurance Assessment (AQAA) for the Care Quality Commission some weeks before the site visit. The AQAA includes the service’s own assessment of how it is meeting people’s needs as well as statistical information about the home. What the service does well: Hilbre House provides an exceptionally attractive and comfortable environment for its residents. People living in the home tell us that they enjoy the meals provided. The meals are attractive and are served in a pleasant, relaxed environment. The home offers a warm welcome to friends and relatives who in turn speak highly of the care the home provides. Hilbre House uses a computerised care planning system which is used by the manager and his staff to set out the care needs of the residents. The home has begun to put in place a programme of activities to meet the needs and likes of the people who live there. Hilbre House has an ongoing maintenance and refurbishment programme to retain the high physical standards that the residents enjoy. What has improved since the last inspection? The manager has been registered with the Care Quality Commission since our last key (main) inspection and an activities organiser has been appointed. The manager is providing leadership and guidance to a hard working and enthusiastic staff team. The exterior of the building has been redecorated. Fire safety precautions and certificates were in place. The outside food store has been completely refurbished and now includes a large, temperature controlled cool room where fresh fruit and vegetables can be stored safely. The broken toilet door locks have been repaired, providing privacy to the residents. All care staff now have NVQ2s. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 6 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. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. People using the service experience good quality outcomes in this area. People considering moving to Hilbre House are able to make an informed choice using written information about the home and visiting before making a final decision. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home’s service user guide has been updated since our last inspection and gives potential residents the information they need about Hilbre House. The owner told us that the guide would be kept under review to make sure that it remains up to date. We looked at the files for three people who had moved in recently and found that they had been properly assessed before moving in to Hilbre House. The assessment document gives information about the person in question and was completed by the manager. In one case the file referred to ‘dementia’ but the owner told us that this had not been severe enough to require specialist care. If dementia is an issue the assessment should make it clear why specialist (‘EMI’) care is not needed. For the most recent case the admission documents were not signed and dated. This is needed to make sure that there is an accurate record of the admission process. The home has now Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 9 devised new, improved forms for the admission assessment and these include space for them to be signed and dated. People are encouraged to visit the home before moving in and usually have a trial stay for two weeks at a special reduced rate before finally deciding. Residents are given a written contract. We talked to a number of people who live at Hilbre House and some relatives. They told us that there were happy with the way the home had dealt with their admission. Hilbre House does not provide intermediate care so Standard 6 does not apply. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People using the service experience good quality outcomes in this area. Care planning at Hilbre House provides information to help staff to focus on the needs of the people who live there. Medication is well organised, protecting the health and safety of the residents. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Everyone who lives at the home has a care plan which is now kept on a computerised care management programme, making it easier to update. The programme is also accessible via the owner’s and manager’s homes, enabling them to stay in close contact with the home if they need to do so. The plans are detailed and cover all of the essential information needed for the person’s care. The plans are fully reviewed after the first month and then each month by the key worker, with a full review by the manager every six months. The care plans are changed if necessary in between reviews. The system flags up when the next review is needed. Daily reports are made on the computer, to which all staff have access. The manager has trained them to use the computer. Although daily reports can be changed retrospectively this would be recorded by the programme. The care plans we looked at had a limited amount of information on skin care and this should be expanded, with skin Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 11 care/integrity a distinct element of the care plan so that staff have detailed information on how to care for the person and prevent pressure sores. Only one person did in fact have a pressure area and this had arisen during a hospital stay. It was being dealt with appropriately. The files contained good records of visits by and contact with health professionals. Staff use a ‘handover book’ to transfer information between shifts, but this book should not contain any confidential information. Anything confidential should be in the person’s own file. Most medication is supplied in a monitored dosage system with individually tailored blister packs for each set of tablets. The Medication Administration Record (MAR) sheets were clear, complete and accurately completed. The assistant manager has prepared guidelines for the administration of PRN (‘as required’) medication. However, in one case we looked at there was no specific guidance for the administration of Paracetamol, though the member of staff who showed us the system knew the correct procedure. Nobody currently looks after their own medication but there is a risk assessment tool in place for anyone who wants to do so and this subject is covered in the care plan. Controlled drugs are properly recorded and stored in a newly purchased controlled drugs cabinet. Everyone has a single room with en suite facilities and there are no plans to reintroduce sharing of rooms (unless two people such as married couples or partners especially want to share). Personal care can be therefore be given in complete privacy. Everyone has their own telephone line in their room. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People using the service experience good quality outcomes in this area. People’s nutritional needs are met by well prepared meals, made with good quality ingredients and served in very attractive surroundings. A range of activities is beginning to meet everyone’s needs and tastes. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: When we visited Hilbre House, some people were in their own rooms (one listening to classical music on his radio), others were in the main lounge whilst some sat enjoying the view in the conservatory. Three people were chatting together in the large hall. The home has appointed a new activities organiser though he is also a senior carer and when we called he did not have separate hours on the rota for his work organising activities. He had, however, organised a range of activities and is an extremely enthusiastic person. He had organised baking, karaoke and some trips out. There have been a number of parties including an extremely successful Christmas parties and there was talk of a knitting class. There were photographs of many of the activities on the walls and it was clear that the Christmas party was very well attended by friends and relative, with standing room only in the lounge. The activities organiser had used some of the photos to make up a CD for the family of a recently deceased resident, illustrating his years at Hilbre House. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 13 The home is planning to reinstate the organiser’s separate activities hours when they finalise the recruitment of a new member of staff. Some people had recently been to Parkgate in the home’s vehicle and a Blackpool trip is in the offing. Some people make their own arrangements for activities – one told us again about his regular visits to a local historical society for instance. The organiser keeps a good record of individual activities including who has taken part. This will enable the home to plan future activities more effectively. Relatives and friends are welcomed into the home and there are written instructions to staff to ensure that visitors are properly welcomed. We talked to two visitors and they were very happy with the care their relative was receiving at Hilbre House. Religious ministers visit the home regularly. The home does not generally deal with residents’ finances as they are usually dealt with by their families. The owner does look after some personal allowances and keeps a record of when money is given to them and receipts for any money spent on their behalf. There is a qualified chef though he was not on duty during this visit. The people who spoke to us said that they enjoyed the meals at Hilbre House. There is not usually a formal choice for the main course at lunch but anyone who requests an alternative is given something they like. There is always a choice of sweet and when we visited there were four on offer. The four week menu showed that this is the case every day. Vegetables were put on each table in serving dishes and the tables were well presented, helping to give the mealtime a homely, relaxed atmosphere. People served vegetables themselves and staff helped anyone who could not manage. There is normally a choice of lighter cooked meals or sandwiches at tea time when, again, there is a choice of sweet. The choice when we visited was mainly sandwiches as there had been a roast dinner at lunchtime. The chef and owner put great emphasis on fresh, high quality ingredients and the home therefore does not use a delivery service for fresh food. Staff do the shopping to make sure that everything is fresh. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. People using the service experience good quality outcomes in this area. People living at Hilbre House are protected by the home’s complaints and safeguarding policies and training. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Hilbre House has a complaints procedure which is available to everyone who lives at the home and their families. The home had received no serious complaints since the last inspection; minor complaints are recorded in a complaints book. It may be that the definition of a complaint is being drawn rather tightly. Staff have been trained in the implications of the Mental Capacity Act and the manager has introduced Deprivation of Liberty standards into the home’s policies and procedures. Most staff have now received training on the protection of vulnerable adults from abuse via courses organised by Wirral Borough Council and the remainder are booked to attend later in the year. Copies of the safeguarding adults protocols for Liverpool and Wirral are available. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. People using the service experience excellent quality outcomes in this area. Hilbre House provides a comfortable, homely and high quality environment for its residents. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Hilbre House is in Hoylake, directly overlooking the shore and the Dee estuary. It is several minutes walk from the Royal Liverpool golf course and Hoylake village, which has transport links to the rest of Wirral, Merseyside and Cheshire. We looked at all areas of the home, including most of the bedrooms. The large conservatory serves as a lounge and dining room and has a panoramic view of the estuary and Hilbre Island. The adjacent TV lounge is very spacious and has comfortable sofas and chairs plus a large flat screen television. There are also several armchairs in the large hallway and a group of residents were sitting there chatting during our visit. All of the furniture is attractive, good quality, well kept and comfortable. There is also an outdoor patio area with benches. The outside of the home has recently been redecorated. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 16 All parts of the home were clean, attractively decorated and free from offensive odours. The owners employ a handyman and the home is well maintained. The heating system to some rooms has been ineffective for some months now and the owner had experienced difficulty in getting a suitable company to do the work. Supplementary heating is available when necessary in the form of stand alone heaters but these are not ideal and the heating system should be fully repaired as soon as possible. Everyone at Hilbre House has single bedrooms with ensuite facilities. Some of the rooms are exceptionally spacious and when we called they were clean, well furnished and personalised to reflect the tastes and personality of the resident. Many of the rooms also have fine views. Some of the bedrooms are large enough for sharing and the home’s registration does allow for this, but the owner would only allow a room to be shared if both people (such as a married couple or partners) made a positive choice to do so. The home has a number of assisted baths. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s recruitment procedures protect people from the employment of unsuitable staff. The staff training programme ensures that all staff are adequately trained and qualified to meet the needs of the residents, though there remain gaps in training on moving and handling. EVIDENCE: When we visited the home for this inspection there were two care staff plus the owner on duty, as well as a member of administrative staff and the owner’s daughter who was doing the cooking. The manager was on holiday. The rota indicated that there are normally three care staff (including the manager) on duty between 8am and 6pm, with an additional carer available first thing in the morning. There are, however, only two care staff on duty from 6 – 8pm, when night staff come on duty, and on days when the acting manager is off duty. This would not be sufficient should the home be fully occupied. At night there is one waking member of staff and one sleeping in on the premises. The use of a sleeping in member of staff should be kept under review to ensure that residents are safe at night. Hilbre House only employs one cleaner and no dedicated laundry staff, so much of this work falls to the care staff. The home was very clean but care needs to be taken to make sure that this does not detract from the personal care given to residents. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 18 We looked at the recruitment records of all of the staff recruited in the last twelve months and found that all of the appropriate checks had been carried out. Staff do not start work until a current Criminal Records Bureau (CRB) check has been received, though on some occasions someone might start under supervision if a clear POVA First check has been received (POVA is the Protection of Vulnerable Adults register). The manager has put in place a training programme including training on Safeguarding Adults, First Aid, Basic Food Hygiene, the Mental Capacity Act and Visual Impairment Awareness. He is in the process of arranging further training on moving and handling. This training should now be a priority as there has been none since 2007. All of the care staff now have NVQ 2, the appropriate qualification for care staff, and several also have the next level of qualification, NVQ3. The manager carries out regular one to one supervision with staff at least every six months and keeps a record of the sessions. When possible the frequency of supervision should be increased, possibly using senior care staff. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. People using the 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 newly registered manager is providing consistent leadership to the home, to the benefit of the people who live there. EVIDENCE: The manager is qualified and experienced and has been registered by the Care Quality Commission since the last inspection. He is continuing the programme of regular one to one staff supervision. Fire extinguishers are regularly checked by a contractor and there was a record of weekly tests of the alarm system. Gas and electrical safety certificates were in place. The home’s insurance cover was up to date and a certificate was displayed on the wall. Accidents are recorded properly, though Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 20 the file was not readily available when we visited. Appropriate incidents are notified to the Care Quality Commission. The manager sends out quality survey forms to relatives and the home uses the feedback to improve services. There is, though, no formal quality assurance process and there has been no progress in seeking ISO 9000 standards as mentioned in the service user guide. (ISO 9000 is a national quality assurance standard). However, the home is preparing documentation which they believe to be the equivalent of this standard. The manager might want to explore the possibility of applying for another national QA scheme, the Investors In People (IIP) scheme as this can be tailored to the needs of a small business such as Hilbre House. The spacious kitchen was clean and, on the whole, well organised. Fridge and freezer temperatures were recorded every day. The home uses the Food Standards Agency programme, Safer Food, Better Business but it was not up to date. The Environmental Health Officer has given the home advice on how to implement the programme and her advice should be sought if there is any uncertainty. The outside food store has been cleaned and renovated in the last year. It now includes a cool room where fresh vegetables and fruit are kept in cool, temperature controlled conditions. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 23 Requirement Suitable heating must be provided in all parts of the building so the fault to the central heating system must be completely repaired. Timescale for action 01/09/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard OP3 OP3 OP9 OP27 OP30 Good Practice Recommendations Assessments of people wanting to move into the home should be clear about the level of confusion if it exists; they should also be signed and dated. Care plans should include a section on skin care. There should be written guidance for any prescribed medication to be taken ‘as required’ (PRN). The registered person should keep under review the existing staffing arrangements for domestic staff. All staff should have moving and handling training. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 23 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Hilbre House DS0000018896.V375381.R01.S.doc Version 5.2 Page 24 - 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!