Inspection on 10/11/09 for Kingswood Park

This is the latest available inspection report for this service, carried out on 10th November 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingswood Park 24/11/06

Kingswood Park 21/10/05

Kingswood Park 08/06/05

Kingswood Park 18/01/05

Kingswood Park 28/04/04

Kingswood Park 11/03/04

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Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

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Paradise Lodge

Bilney Hall

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: Kingswood Park Kingswood Road March Cambridgeshire PE15 9RT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Don Traylen     Date: 1 0 1 1 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 26 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 26 Information about the care home Name of care home: Address: Kingswood Park Kingswood Road March Cambridgeshire PE15 9RT 01354652381 01354660304 home.mar@mha.org.uk www.mha.org.uk Methodist Homes for the Aged Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category Additional conditions: Staffing levels must not fall below 7 care staff from 7.30am - 10pm and 3 waking night staff throughout the night. Date of last inspection Brief description of the care home Kingswood Park is a spacious care home situated in a quiet residential area of the town of March in the Fenland area of North Cambridgeshire. The care is provided by MHA Care Group that includes Methodist Homes for the Aged. MHA have entered into an agreement to provide care with Sanctuary Hereward Housing Association, from whom they lease the property. The home is registered to provide for 44 elderly people. Included in that number are people with a formal diagnosis of dementia and 2 people who have a learning disability. The home is divided into 5 units: Cherry, Redwood, Care Homes for Older People Page 4 of 26 1 9 1 1 2 0 0 8 0 0 0 Over 65 18 2 44 Brief description of the care home Rowan, Maple and Willow. Each unit has 8 or 10 bedrooms, a dining room, a lounge and a kitchen. No rooms have ensuite facilities. All bedrooms and the assistant managers office are on the ground floor. The managers office, the administration office, a staff meeting/training room and staff facilities are situated on the first floor. Fees charged by the home at the time of inspection ranged between £381 per week, to £585 per week. The lower amount being the lowest funding provided by Cambridgeshire County Council. Copies of inspection reports can be read at the home and can be accessed through the Care Quality Commissions website. Care Homes for Older People Page 5 of 26 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: We carried out an unannounced inspection visit on the 10/11/2009. The service submitted their completed Annual Quality Assurance Assessment that we requested prior to the inspection. We spoke to a number of people living at the home and to four relatives who were visiting during the inspection. We looked at four peoples care plans and their associated assessments. Medication records and the storage and management of medications were assessed. Recruitment records for two staff were read and the induction arrangements and records for two new staff were assessed. Policies and procedures were seen. A tour of the building was undertaken and the interaction between staff and people living at the home was observed whenever possible and when appropriate. Feedback at the end of the inspection was given to the acting manager and her line manager, who was present for part of the inspection. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The home must make arrangements for medication to be safely stored in peoples rooms when they have chosen to keep any prescribed medication in their room. The environment could be improved in the following ways: 1. The carpets in the main reception area and outside the adjacent kitchen were discoloured and appeared grubby, although they had been cleaned regularly. Some maintenance or replacement of these carpets should be considered, as the impression on arriving at the home appears worn. The stair carpet to the upper floor managers office and administration office and staff facilities, could similarly be improved. 2. At least two bathrooms need replacement side panels to the baths, or some alternative to the cracked and broken bath panels. One scratched bath should be replaced or repaired. 3. Attention should be given to ensuring the plumbing to toilets is in full working order. Two toilets did not refill and one staff toilet was in danger of overflowing. Care Homes for Older People Page 7 of 26 New staff should have their Induction recorded in full and there should be clear evidence that it has been delivered in line with the Skills for Care Common Induction Standards. Staff undertaking an induction programme should be informed of what their induction consists of and their entitlement to be registered with the Skills for Care Council when they have been assessed as successfully completing the Common Standards. The manager should monitor the induction of new staff and ensure they adequate supervision during the induction period. The home should ensure the training matrix record includes all training provided or undertaken. The induction policy should be reviewed. 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 26 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 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home has the necessary information about their needs before arrangements are made for people to live there. Evidence: The Statement of Purpose had been reviewed. It included clear and current information about the home. It was discussed with the acting manager and her line manager, that the Statement of Purpose could inform people about the arrangements the home has made to ensure people are safeguarded. The assessment process for people considering moving into the home is safely managed. The home assesses all people intending moving into the home and expects to receive assessments completed by Primary Care Trust (PCT) Social Care Managers if they are being funded by a Local Authority before accepting anybody into the home. People are encouraged to visit the home before making a decision to move there. The home provides respite facilities as well as permanent care arrangements and the same Care Homes for Older People Page 10 of 26 Evidence: process applies. The home has an agreement with Cambridgeshire County Council that ensures a number of places are available for people whose care is funded by the local authority. Occassionally the home is asked to admit people from hospital and they reported that on some occasions the medication provided at the time of hospital discharge can be confusing if they are not given full details. This is sometimes an issue when people have been admitted to hospital from the home and then discharged back to the home. On the day of inspection one lady returned home from hospital without her nebuliser which had been lost at the hospital. She was later provided with one by her GP and the Community Nurses after they had been alerted and after the home had made numerous requests for one to be supplied. Intermediate care is not provided and therefore National Minimum Standard 6 was not assessed. Care Homes for Older People Page 11 of 26 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. People are assured they have a care plan to meet their needs and that staff treat them respectfully. Evidence: We read two peoples care plans in detail and looked at the contents of two other peoples written care plans. The care plans were comprehensive and included a large amount of detail of needs and actions to meet these needs. The plans had been reviewed in terms of their content and structure. One persons plan included her weight chart, a dietitians visit and her nutritional measurement. The plan included personal care arrangements, emotional wellbeing, mobility and the activities that the person likes. Her care plan was repetitive in that related elements of her care were found in different parts of the care file. For instance, the elements of care relating to her nutritional status such as diet, weight were in separate parts of the file. However, staff understood the structure and the contents of the care plans and the persons needs. One senior care assistant explained to us how staff use these plans and kept them recorded. Risk assessments for some risks had been recorded and a diary to record falls had been kept. One care plan included the comment, not for Care Homes for Older People Page 12 of 26 Evidence: resuscitation, although there was no record of how, or when this decision had been agreed. The home has a protocol that includes the persons wishes and the relatives understanding. Verification of the evidence for this protocol was not asked for on this occasion. Two other peoples care plans showed that food and fluid charts were kept to record their daily nutritional intake and these indicated that more detail of the times when food and drink was offered could have been recorded to show each time they were offered food and drink, although there was evidence to show what had been consumed. The healthcare of one person who was a diabetic was attended by a Community Nurse who was visiting daily. Community nurses were also attending to the needs of one other person. The acting manager said the home has good relations with Community Nurses and often contact them to refer peoples healthcare needs. The home had recently notified the Commission when they referred to Community Nurses. The Medication Administration Record (MAR) charts where checked and the storage and handling of medication was also assessed. Records were clearly recorded of when people had received, or refused their medication. Medication was managed safely and was securely stored in a large enough room with an appropriate temperature. Amounts of medications where checked against two peoples records and these revealed correct amounts held by the home. There was a protocol for administering medication prescribed for one person, as and when required, or PRN. A few people had been prescribed creams/ointment and some of these items were kept in peoples rooms, although not in locked cabinets. This was discussed with the manager who stated she would provide small lockable cabinets for the people who kept any prescribed medication in their room. A requirement has been made for this. Staff were observed to knock on peoples doors before entering their rooms and were heard to speak politely to people. Four visiting relatives told us that, the home is, absolutely fantastic. Three ladies whom we spoke to as a group told us they were happy living at the home and that the care was satisfactory. One of these ladies said, You get everything you want here. The three people confirmed they were happy about the care they received when we asked them. The home has a policy to support people through their final days. They have produced literature about this and attempt to ensure they understand peoples and family wishes spiritual and ordinary arrangements relating to their death. The home employs a Chaplain and he is always prepared and mindful to contact other faiths and Care Homes for Older People Page 13 of 26 Evidence: denominations that the person wants. Care Homes for Older People Page 14 of 26 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. People are assured they have a lifestyle that suits their wants and needs. Evidence: The routines of daily living were observed to be peacefully arranged and without any distress or difficulty to anybody. An ordinary and relaxed atmosphere of friendliness seemed to be the order of the home. This was reflected in the comments people made which included, the home is comfortable and warm; I have enough to eat and get drinks when I want them. One person stated she would prefer to have a warm supper sometimes, such as fish and chips, rather than the usual sandwiches, soup and cake. This was discussed with the manager during the feedback we provided. Visitors are welcomed by the home at any time and this was verified by four relatives we spoke to. A Chaplain is employed full time and he also has a domestic contract, which is a part of his role. He had arranged frequent services and facilitated services of other denominations, held at the home and for people to go to churches or places of their faith. There was plenty of evidence of his involvement and contribution to the spiritual needs of people. Care Homes for Older People Page 15 of 26 Evidence: An activities worker is employed and she has arranged a variety of small and larger events such as playing card games making costumes for fancy dress and for reliving past events such as a staged wedding ceremony. There were photographs in communal areas of these different events. The events worker was enthusiastic about creating an active community where all people could participate in different daily tasks and in organised trips and outings. Meals were recorded and these indicated the food was nutritious and sufficient. The lunchtime meal was reported by people to be good and various people told us they had plenty to eat. Care Homes for Older People Page 16 of 26 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. People are assured they are safeguarded. Evidence: The home has a suitable complaints policy and a process for recording complaints. Four relatives each told us they would not hesitate to complain should they feel this necessary and added they did not have any concerns or complaints about the home. The home has a suitable policy to ensure people are safeguarded. They have literature available in the home about Cambridgeshire County Council contact centre where any suspicion of abuse can be reported. They have also produced a leaflet called, No Secrets Here. This gives information about the organisations hotline where people can report abuse. Recent concerns about peoples safety have been satisfactorily reported by the home as safeguarding matters. When speaking to staff it was revealed that the role of Cambridgeshire County Councils Safeguarding Team and the range of training topics they can provide were not known. It is recommended that more information about the role and the responsibility of the local authority in safeguarding matters as well as the range of training in this matter, should be made explicit to staff. This matter was discussed with the manager during feedback. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home is comfortable, generally well maintained and has adequate facilities to meet their needs. Further assurances about maintaining equipment and some furnishings could be made. Evidence: The environment was spacious, clean and free of any offensive odours. A number of rooms had been redecorated and new carpets had been laid. New curtaining, new mattresses and bedding had been purchased by the acting manager. She told us that further improvements are planned and that she was aware of the need to replace worn areas of carpetting. A new reminiscence and sensory room had been created. The domestic kitchens connected to the dining areas in each unit, were clean and tidy and safe from hazards. Bedrooms were comfortable and included peoples chosen furnsihings. There were no visible hazards around the building. Some of the baths side panels were scuffed and scratched and one bath was scratched and stained. Attention to the flushing, or water supply to two toilets was needed. This was pointed out to the manager during the inspection. There were areas were the carpet looked stained and appeared dirty although the carpets are cleaned regularly and were stained through wear. The manager said the home is intending to address this matter and are deciding if new carpets, or an alternative are suitable. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are adequately assured staff are appropriately trained, although they could be further assured if they knew that a rigorous induction was consistently provided to new staff. Evidence: Recruitment records showed staff had been safely recruited with full details of their work history, references and Criminal Records Bureau Disclosures and POVA First checks prior to commencing employment. The induction records of two staff were read. There is an induction by the home that the acting manager said consists of two days shadowing another care worker. New employees access an E-learning induction programme. The records for each person were clearly formatted in a file that showed an initial first two days and their first week, followed by a continuous 6 week programme. This ongoing programme is broadly related to the Skills for Care Common Induction Standards, although it does not refer to these Standards. The induction record for one member of staff working as a domestic assistant showed her six week induction had been recorded as having all been completed in one day the 19/08/2009. There were no available supervision records for this person who had commenced employment on the 19/08/2009. One care workers records indicated she commenced employment on 14/07/2009. Her written induction record did not record all of her induction and the dates she had been Care Homes for Older People Page 19 of 26 Evidence: assessed, indicated a date prior to when she commenced employment. This person had previously achieved an NVQ level 2 award in care. Neither person had been assessed as having completed a Skills for Care Common Induction, or registered with the Skills for Care Council for successfuly completing the Common Induction Standards. It was discussed with the manager and her line manager that the Skills for Care Common Induction Standards should be used to assess the competencies of new staff and they must receive appropriate training in a structured induction, that should be assessed by a capable person. The last key report stated: The home provides induction training for new staff. There is no reference in this programme that it is based on Skills for Care Induction Standards, as expected by the Skills for Care Council and no reference that names and details of staffs satisfactory completion of their induction are submitted to the Skills for Care Council. The training analyses matrix used by the home does not include the induction programme. Staff were shown to have received training in medication; Dementia care; Care Planning; Fire Awareness; Food Safety; Infection Control and NVQ awards. Training provided in nutritional care has been undertaken by some staff and arrangements have been made for all staff to have this training. Safeguarding training has been received by all staff. The acting manager stated that further Local Authority training in a range of subjects would be considered. According to the Annual Quality Assurance Assessment, some 72 of staff have acheived an NVQ level 2 award in care and 4 staff have an NVQ level 3 award in care. Five more staff had started an NVQ level 2 award. Care Homes for Older People Page 20 of 26 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. People are assured the home is managed in their best interests, although further assurances about some management records and monitoring are necessary. Evidence: A new and experienced acting manager has been appointed since the last inspection after the previous registered manager had left. Staff were complimentary about the open management approach and their inclusion in managing the home and the increased opportunities for training and development. In addition the home employs two assistant managers, two senior care assistants, thirty seven care staff, an administrative assistant, a cook, three kitchen assistants and six domestic staff. The policy for staff induction was read and showed it had not been reviewed since 2003. This was shown to the acting manager and her line manager during the inspection. Any reference to the national arrangements for the care industry and recommended practices by the Skills for Care Council, had not been included. At the last inspection in 19/11/2008, there were two recommendations made about induction Care Homes for Older People Page 21 of 26 Evidence: training and the induction policy, that need further improvement. The homes recruitment policy had been adhered to. The training matrix recorded by the home did not include the Induction training and had not included all the training in Nutritional Care that staff had undertaken. The home uses their organisations quality assurance approach to monitoring care and the management of the home. They operate an internal quality monitoring system called, Standards and Values Assessment. This is a systematic monitoring of key elements of the homes operation. The current assessment that we were shown during the inspection was read and a copy given to us. The document was undated. It did reveal that extensive assessment of the quality of the care and management is undertaken. The home seeks to find the views of people using their service through, Residents Feedback surveys and Residents meetings. The home has a written fire risk assessment. Fire safety training has been undertaken by all staff. Weekly fire equipment checks and alarm testing were recorded. The home has an evacuation plan and has an emergency arrangement in place for a major incident and arrangements for temporary accommodation, should it be required. Records of Regulation 37 and Regulation 26 reports had been sent to the Commission or completed and retained when necessary. Records of food, including meals and the temperatures of cooked meatswere kept, as were records of the routine cleaning of the kitchen. Hot water temperatures were safe and had been tested regularly and recorded. Care Homes for Older People Page 22 of 26 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 23 of 26 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 9 13 Any prescribed medication kept by a person in their own room must be stored in a locked cabinet. This is to ensure that all medications are safely stored at all times. 01/01/2010 2 30 18 All new staff must receive a structured induction. To ensure all new staff are appropriately trained to meet the needs of people using the service. 01/01/2010 3 36 24 The home must update and 01/01/2010 review their induction policy. So that this informs the induction process of new staff. Care Homes for Older People Page 24 of 26 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 1 7 The Statement of Purpose could include information about how people are safeguarded. Care plans that include food and fluid records, should include each time that food and fluids are offered and whether they have has been consumed or refused, or other. The home should continue to promote their sound approach to safeguarding by ensuring that staff are familiar with the responsibility and role of the local authority in safeguarding matters. Baths should be maintained so that damaged side panels and scratched surfaces are removed or replaced by new fittings. The carpet outside the kitchen and in the main reception area should be replaced, or an alternative floor covering used. Toilets should be in full working order. Staff should receive an induction based on the Skills for Care Common Induction Standards and should have their competencies assessed against these Standards. The home should promote the Skills for Care Common Induction Standards and register staff with the Skills for Care Council. The quality assurance process should allow for any persons requests for a change in the routine and choices of meals. The home should ensure the training matrix includes all training. 3 18 4 19 5 19 6 7 19 30 8 32 9 10 33 37 Care Homes for Older People Page 25 of 26 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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