Inspection on 13/07/09 for Homelands

This is the latest available inspection report for this service, carried out on 13th 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homelands 26/07/06

Homelands 14/12/05

Homelands 26/04/05

Homelands 09/12/04

Homelands 11/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Homelands 101 Lennard Road Beckenham Kent BR3 1QS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David Lacey     Date: 1 3 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: Homelands 101 Lennard Road Beckenham Kent BR3 1QS 02086593633 02087786379 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Rohit Jawaheer,Mrs Sherine Jawaheer care home 12 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category of service only: Care home only (Code PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Homelands is a detached house situated in a residential area of Beckenham. The home is registered for twelve residents. There is no lift at the present time (July 2009), which means the home is only suitable for residents that are mobile. Support for the home is offered via the local community health provisions. Specialist services are Care Homes for Older People Page 4 of 28 Over 65 0 0 12 12 Brief description of the care home accessed via the GP, including the district nursing services and community psychiatric services. The fees for this home range from 550 - 672 pounds sterling per week (information provided to CQC July 2009). 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: This key inspection included an unannounced visit to the home. During the visit, the inspector spoke with residents, staff members and the companys business manager, toured the premises, and observed interactions and practice. Documentation was sampled for inspection, such as care plans, medication records, staff recruitment files, and policies and procedures. Before the inspection visit, we sent out survey questionnaires to samples of residents, relatives, staff members and visiting professionals. By the time of writing this report, completed surveys had been received from eight residents, two relatives, and seven members of staff. Six of the residents indicated they had received help in completing their survey forms. The responses we have received are summarised in this report and have been taken into account in reaching our judgements about the quality of services provided. Information from the homes Annual Quality Assurance Assessment (AQAA) received in May 2009 and the findings of our Annual Service Review in August 2008 have also been used to inform Care Homes for Older People Page 6 of 28 the inspection process. The last inspection of this service was completed on 30/08/2007. 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 set out 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 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. Prospective residents and their representatives are offered the information they need to make a choice about whether to move into the home. Residents are assessed to ensure the home can meet their needs and are provided with a contract. Evidence: The home has a statement of purpose and a service users guide, both dated April 2009. These documents are made available to residents and their representatives as required. Following our previous recommendation, the documents are displayed in the homes visitors room, in a wall-mounted holder. Six of the eight residents who responded to our survey stated they had received enough information to help them decide if this home was the right place for them, before they moved in. One resident stated s/he did not receive enough information and one resident did not know whether they had received this. Both of the two relatives who responded to our survey stated they always get enough information about the home to help them make decisions. Care Homes for Older People Page 10 of 28 Evidence: Five of the residents who responded to our survey confirmed they had received a contract, with written information about the homes terms and conditions. Three respondents stated they had not been given a contract. Three files of existing residents sampled for inspection each had contracts/statements of terms and conditions. One person had been admitted to Homelands since our previous inspection and two people had moved in directly from the other care home in the group. Care documentation confirmed that assessments of peoples needs had been carried out before they had moved into the home. The home does not offer intermediate care, thus standard 6 does not apply. 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. Each resident has a care plan, based on assessment of their needs, which offers appropriate guidance to staff for meeting those needs. Care plans are kept under review. Residents have access to health care services as they require. Residents are treated with respect and their privacy upheld. Medicine administration is satisfactory. Before the home stores any controlled drugs on behalf of residents, it will first need to ensure its current storage facility meets the relevant legislation. Evidence: During the inspection visit, residents appeared well looked after, clean and well groomed. They were being treated with respect and staff said they ensure residents privacy and dignity are maintained while giving personal care. Residents said they were happy with the care provided and that the staff were kind to them. All of the residents who responded to our survey stated they always receive the care and support they need. Both of the relatives who replied to our survey stated the home always meets the needs of their relative, and that the home always gives the care to their relative that they expected or agreed. A relative commenting about what the Care Homes for Older People Page 12 of 28 Evidence: home does well stated they, encourage mum to be independent, help maintain her dignity, mum is always clean and well turned out. One staff member responding to our survey commented that something the home does well is to provide good quality care for all the residents, another stated the home does well in making sure the residents get the care they need, listen to them when they need to talk, plenty of support and plenty for them to do, good food and clean home. The four residents files sampled for inspection contained care plans drawn up from assessment of the individual residents needs, and these plans had been reviewed regularly. The inspector was assured that the mobility needs of a resident using a walking frame would be kept under review. The resident is happy and settled in the home but until a passenger lift is installed the resident may need increased support to move around the premises. Booklets titled Assessment for Good Care Planning have been introduced at Homelands since our last inspection. These had all been completed fully for the residents whose care was tracked. It was discussed during feedback at the end of the visit that it may be helpful to keep all of each residents care documentation in one file (see recommendations). Supporting risk assessments in three residents files had been dated but not signed, which is important for accountability (see recommendations). Of the seven staff members who responded to our survey, six stated they always receive up to date information about residents needs, for example, in the care plan, and one staff member did not answer this question. Both of the relatives responding to our survey stated the home always responds to the different needs of individual residents. This question had asked relatives to consider needs relating to disability, gender, age, race and ethnicity, faith and sexual orientation. Staff members we surveyed were asked a similar question, all replying they always have enough support, experience and knowledge to meet the different needs of residents. There were good arrangements for meeting residents health care needs, with health services being accessed promptly when required. A local GP practice provides medical support to the home, with visits as needed. There is good support from the local district nursing service, for example, in the management of an indwelling catheter for one of the residents. Residents who were able to give their views confirmed that they saw the doctor when they needed and all of the residents who responded to our survey stated they always receive the medical care they need. There were satisfactory arrangements for the administration of medication, and staff members who undertake this task had completed relevant training. One resident was applying an external cream but preferred that staff store this in the medicines room and give it to him when application is needed. Three residents medicine Care Homes for Older People Page 13 of 28 Evidence: administration records (MAR) were examined and found to be complete, with no unexplained gaps in recording and the medicines in storage tallying with the records on the MARs. Each MAR had a photograph of the resident, with their date of birth, date of admission and the name of their GP. It was understood any allergies that individual residents have are recorded in their care files. The allergies sections on the MARs were blank. It was suggested it is good practice to record any allergies on the MAR as well as in the care file, or to write none known rather than leaving the section blank (see recommendations). The home was not storing any controlled drugs (CD) at the time of inspection but it was drawn to the deputy managers and business managers attention that the medicines cabinet is screwed rather than bolted to a wall and that the present lock may not meet requirements for CD storage. It was made clear at feedback that should the home need to store any CDs in the future, they would first need to meet the changed legislation by ensuring they have a CD cupboard of the appropriate design that is installed correctly. In brief, the requirements for CD storage are a metal cupboard of specified gauge with a specified double locking mechanism, which is fixed with either rawl or rag bolts to a solid wall or a wall that has a steel plate mounted behind it. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents choose how they spend their time and are supported to maintain contact with their families and friends. There are opportunities to go on trips out from the home. Menus appear balanced and nutritious, and residents food preferences are well known and always taken into account. Evidence: It was understood there are some in-house activities, such as card games and bingo, and that activities are normally tailored to each individual resident. On the morning of the inspection visit, four residents were doing some painting/colouring while another was looking at geographical books that a carer had offered. Others were in their rooms or the lounge, watching television or listening to music. There was a calm, relaxed atmosphere in the home. Five of the eight residents who responded to our survey stated there are always activities arranged by the home that they can take part in if they want, and three said this is usually the case. A relative stated her relative is encouraged to join in activities and is regularly taken out for walks. Of the two relatives responding to our survey, both stated the home always supports people to live the life they choose. Staff enable residents to make choices about their day-to-day lives, for example, choices about what clothing to wear and which meals to Care Homes for Older People Page 15 of 28 Evidence: eat. Friends and relatives are encouraged to visit and there is an open visiting policy where visitors are allowed in the home at any reasonable times during the day and evening. Residents who were able to give their views felt their visitors are warmly welcomed and the arrangements for visiting are flexible. Both of the relatives responding to our survey stated the home always helps their relative to keep in touch with them. All the residents took lunch in the dining room. Tables were laid with cloths, and condiments and drinks were available. Sensitive and unhurried assistance with feeding was provided by staff as needed. Residents were offered a choice of meal, and could ask for an alternative if they did not want what was on the planned menu. All residents except one said they enjoyed their meal. One resident said the lunch was nice but the portions were just too much for her to manage. The menus indicated a well balanced diet was being provided. Six residents responding to our survey stated they always like the meals at the home, and two stated they usually do. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their representatives have ready access to the procedure for making a complaint if they are unhappy with the care or service they receive. Staff receive training about safeguarding adults and the home has procedures in place for protecting residents from abuse. Evidence: The homes complaints procedure is included within its service user guide and also displayed on the dining room notice board. Thus, residents and their representatives have access to the information they need to be able to make a complaint. The contact information for the commission needed amendment to reflect the change to CQC. Neither the home nor the commission has received any complaints since our previous inspection. All of the eight residents who responded to our survey stated there is someone they can speak to informally if they are not happy. All except one of the residents knew how to make a formal complaint. Of the two relatives who returned our questionnaire, one stated they knew how to make a complaint about the care provided if they needed to, and one stated s/he did not know how to do this. The home should make sure all residents and their representatives are aware of the homes complaints procedure (see recommendations). Both relatives stated the home has always responded appropriately if they have raised any concerns. All of the staff members responding to our survey confirmed they knew what to do if someone has concerns about the home. Care Homes for Older People Page 17 of 28 Evidence: A relative responding to our survey commented she feels her relative is in safe hands, when I cant be with her. Interactions between residents and staff during the day of the inspection visit were positive and friendly. Staff are aware of their reporting responsibilities if they witness or suspect abuse of a resident. The provider has appropriate procedures that take account of local multi-agency procedures and recognise the lead responsibility of social services in safeguarding adults. The commission has neither received nor is aware of any allegations about this home since our previous inspection. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a homely environment, which is kept clean and generally well maintained. The provider has recognised there would be benefits from an upgrade to the homes facilities. Evidence: On the day of inspection, the home was clean, tidy and had a homely atmosphere. The premises were free from unpleasant odours. All of the eight residents who responded to our survey stated the home is always fresh and clean. One commented, The home is nice and clean, no problems. There is no lift, which means that residents living on the upper floors need to be able to get up and down stairs. Staff members are very aware that ensuring all residents can manage the stairs safely requires continual monitoring. The provider is planning to install a passenger lift, and has obtained the relevant permissions. Residents live in comfortable bedrooms and are encouraged and supported to make their bedrooms as personal as possible, by bringing their own personal items, family photographs and small pieces of furniture. Window restrictors were in place to ensure residents safety. The shared bedrooms have screens in place. The screens are the mobile type on wheels, which means there are gaps above and below the screens. Staff said they take care to ensure residents privacy and dignity is maintained while Care Homes for Older People Page 19 of 28 Evidence: giving personal care. The provider is planning to upgrade the bedrooms facilities as part of the future refurbishment of the home. The home is generally well maintained, and the items we had previously required to be given attention had been fixed. The extractor fan in the ground floor bathroom was working effectively and the previously missing tiling in this bathroom had been replaced. However, some other matters in this bathroom now need attention; the bath needs repair where it has been damaged by the bath hoist, the flooring is stained and needs either a deep clean or replacement, and there was no soap in the sink for people to wash their hands and no paper towels in the dispenser (see requirements). The call alarm system throughout the home is tested each week. Hot water temperatures are monitored regularly and were said to be kept at an appropriately safe level by pre-set valves fitted to residents hand basins. The homes laundry is sited in a side extension to the house, and has an external door only. All machines were working well on the day of inspection. The back garden is spacious and well maintained, though it was understood some residents are reluctant to use it and prefer to stay indoors even when the weather is fine. There is a patio and level pathway in the back garden for residents to use, though none were seen using the garden during the inspection visit. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitably qualified staff members were working in the home in sufficient numbers to enable good care delivery to the residents. Recruitment procedures are robust and provide protection for residents. Staff members undertake training that is relevant to their work in the home. Evidence: When the inspector arrived unannounced, there were two experienced staff members on duty providing care to the eight people in residence. Discussions and examination of rotas showed there are always at least two staff on duty, including at night. Each of the eight residents who responded to our survey stated staff are always available when they need them. Of the seven staff members who responded to our survey, six stated there are always enough staff to meet residents individual needs, with one stating this is usually the case. All of the eight residents who responded to our survey stated staff always listen to them and act on what they say. Comments from residents included, The staff do their best, Very good staff, and The staff look after me well. Staff members were clear about their roles and responsibilities in caring for the residents, and showed a good understanding of residents individual needs. Staff members were working well as a team, appearing supportive of each other and keen to ensure the residents needs are met well. Of the two relatives responding to our survey, both stated staff always have Care Homes for Older People Page 21 of 28 Evidence: the right skills and experience to look after people properly. One commented, The staff at Homelands are great, friendly and approachable. All of the staff members who responded to our survey confirmed their employer had carried out checks, such as Criminal Records Bureau (CRB) checks and references, before they started work in the home. Three staff files were sampled for inspection, and all were found to contain the recruitment information required. The home has an experienced staff group, and the turnover of staff has been low. All but one have achieved at least NVQ level 2 in care, with that one staff member understood to be working towards this award. All of the seven staff members who responded to our survey stated they were being given training that is relevant to their role. Six said they were being given training that helps them understand and meet peoples individual needs, keeps them up to date with new ways of working, and gives them enough knowledge about health care and medication. Comments from staff included, Staff are well trained, work as a team, give good care for residents, All staff well trained to meet the needs and give the care according to individual requirements, We got a good team and we work well together. We are fully trained and receive support from the manager, This is a small home, the staff work as a good team understanding and knowing the residents well. Three of the seven staff members who responded to our survey stated their induction had covered everything very well that they needed to know to do the job when they started, and four stated the induction had mostly covered everything they needed to know. 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. The home is well managed in an open manner that ensures residents needs and choices are met. Satisfactory arrangements are in place to maintain a safe environment for residents and staff, and to assure the quality of services provided. Staff are being supervised regularly. Evidence: The registered provider/manager was away at the time of this inspection but, from discussions, it was evident she continues to be approachable and committed to meeting the needs, preferences and choices of the residents. She is a qualified nurse and has considerable experience of care provision to people with mental health problems or dementia. Of the two relatives responding to our survey, both stated they are always kept up to date with important issues affecting their relative. Each of the seven staff members returning our questionnaire stated the ways in which they share information about residents with other carers and the manager always work well. Care Homes for Older People Page 23 of 28 Evidence: This is a small home where there is constant contact for all residents with staff, and residents are encouraged to make their views known. Formal quality assurance strategies are being developed, in conjunction with the groups main care home, and there was some evidence to show underpinning of quality assessment by seeking residents and others views. Completed satisfaction questionnaires were on file from a survey undertaken by the home of residents, relatives and staff in 2008. The results from these should be published and made available (see recommendations). It was evident that staff have ready access to support and guidance from the manager as they require. The staff members responding to our survey stated the manager gives them enough support. Five said the manager regularly meets them to discuss how they are working, and two stated the manager often does this. The home had addressed our previous requirement about staff supervision. The arrangements for supporting residents to manage their money appeared satisfactory. The monies held for two residents selected at random were checked against the homes records and found to tally correctly. Administration is mainly carried out from the other care home in the group (Oatlands). This means that records relating to Homelands are often filed there. We had recommended at our previous inspection that the provider should consider how records filed at Oatlands are made available for future unannounced inspections at Homelands. On this occasion, the companys business manager brought records that the inspector asked to see. A sample of health and safety documentation was inspected and found to be up to date and within the appropriate timeframes. Our previous requirements about inspecting the electrical installation and about the testing of portable appliances had been met. Four issues raised by the local council at an environmental health inspection in May 2009 were being addressed. Staff were well aware of the importance of fire doors but some fire doors were seen wedged open during the inspection visit. This was drawn to staff members attention and discussed with the providers business manager at feedback so prompt action could be taken (see requirements). 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 19 23 The registered person must improve the facilities in the ground-floor bathroom. Specifically, ensure the bath is repaired where it has been damaged by the bath hoist, either deep-clean or replace the flooring, and supply liquid soap for the sink and paper towels for the dispenser. Attention to these matters is important for good hygiene practice. 31/10/2009 2 38 24A The registered person must ensure fire doors are not kept wedged open. This is important for the safety of any people in the building. 31/07/2009 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 1 2 3 7 7 9 The registered person should ensure supporting risk assessments in residents care files are always signed. The registered person should consider keeping all of each residents care documentation in one file. The registered person should ensure staff record any known allergies on the residents MAR as well as in the care file, or that staff write none known rather than leaving the allergy section of the MAR blank. The registered person should ensure all residents and their representatives are aware of the homes complaints procedure. The registered person should publish the results from user surveys and make them available to residents, their representatives and any other interested parties. 4 16 5 33 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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. 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