Inspection on 05/08/10 for Oaks Court

This is the latest available inspection report for this service, carried out on 5th August 2010.

CQC found this care home to be providing an Adequate 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

Oaks Court 03/03/10

Oaks Court 24/11/09

Oaks Court 05/02/08

Oaks Court 24/04/06

Oaks Court 26/07/05

Oaks Court 25/04/05

Oaks Court 29/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Key inspection report Care homes for older people Name: Address: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA     The quality rating for this care home is:   one star adequate 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: Rosalind Dennis     Date: 0 5 0 8 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA 01902715266 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Quality Homes (Midlands) Limited Name of registered manager (if applicable) Margaret Mary Sims Type of registration: Number of places registered: care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users accommodated is 41 The registered person may provider personal care to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 41 Dementia over 55 years of age (DE)(E) 34 Date of last inspection Brief description of the care home Oaks Court is a purpose built residential home for 41 older people. It is situated in a quiet residential cul-de-sac close to Wolverhampton city centre and near to a bus route. There is a large car park at the front of the building and level access into the reception. The building is on three floors, which can be accessed by stairs or a lift. All the bedrooms have en-suite facilities. There is an enclosed garden at the side of the building. Care Homes for Older People Page 4 of 28 Over 65 34 41 0 0 0 4 0 3 2 0 1 0 Brief description of the care home People can obtain information about this service from their Statement of Purpose and Service User Guide. The guide did not contain information on the range of fees charged therefore the reader is advised to seek information direct from the home. Inspection reports produced by CQC can be obtained direct from the home or from CQCs website at www.CQC.org.uk. 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: one star adequate 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 was carried out over one day by two inspectors. The home did not know we were going to visit. The focus of inspections we, the Commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, standards of practice and focuses on aspects of service provision that need further development. The purpose of this inspection was to assess all key standards - that is those areas of service delivery that are considered essential to the running of a care home - and to establish whether the provider has complied with requirements we have previously made. We also wanted to look at whether the home had sustained and further improved medicines management since our pharmacist inspector visited the home on 15th June 2010. We looked at all the information that we have received, or asked for, since the last key inspection. This included notifications received from the home and information sent to Care Homes for Older People Page 6 of 28 us from other agencies. We also looked at the written improvement plan from the service which we had asked for after our last key inspection. We case tracked some of the people we met during the inspection. Case tracking involves establishing individuals experiences of living in the care home by meeting them, observing the care and support they receive, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Two people were able to tell us about their day to day life at the home and the support they receive from staff. Other people living at the home were not fully able to comment on the care they receive and so we observed the support given by staff and how staff interacted with them. We looked around some areas of the home and observed a sample of care, staff and health and safety records. We spoke with staff, the manager and regional manager during the inspection to establish their views of working at the home, the improvements which have taken place and to establish if anything still needs to be improved. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 28 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 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 10 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they move to the home, which should reassure people that the home will be able to meet their needs before they are offered a place. Evidence: We looked at the care records for one person who has moved to Oaks Court since the last key inspection. We saw that the manager and regional manager had met them before they were admitted so that they could obtain information about their illness and care needs. This helps to ensure that only people whose needs can be met at Oaks Court are admitted. We discussed that the document used by staff undertaking the assessment could be further developed, so that it prompts staff to look in a more in-depth way at peoples needs, such as their mental health needs. We saw that once the person was admitted staff had looked at the persons care needs and had written care plans to provide guidance in how to meet those needs. We saw that staff are seeking information about things which are important to people, such as their families Care Homes for Older People Page 11 of 28 Evidence: and friends and about their lives before their illness. This is good practice as it helps staff know more about the person and about matters which are important to them. We looked at a copy of the service user guide, which we were informed is given to people when they first come to Oaks Court. We saw that the guide has been amended since our last inspection and contains basic information about the home, so that people should know what the service provides. It does not state the weekly fees, which it should so that people know the exact fees charged by the home. This shows that the Guide still needs development to ensure people have all the information they need to assist them with choosing a care service. Care Homes for Older People Page 12 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People now have their personal and healthcare needs met and they have care plans in place to show how they want their needs met, which ensures staff have guidance to follow to meet those needs. Evidence: Many of the people living at the home at the time of this inspection were unable to give all their views on the home and the care provided, so part of this inspection is based on observation, looking at documentation to show how peoples needs are met, speaking with staff and visitors. We saw care staff speaking clearly to people and providing support when they chose to walk around the home, although we also saw times when people did not have much interaction or supervision from staff. One person who we spoke with told us how they enjoy living at the home and they like that they have been able to continue giving their own medication. Another person described the staff as alright. We found improvement in how the home is planning and providing the care people need and with the administration of medicines. We looked at the care records for Care Homes for Older People Page 13 of 28 Evidence: three people whose care we looked at. Their care plans were clear as were assessments of possible risk to their health, safety and welfare, such as in the use of bed rails. This means that staff should have the information they need to ensure peoples needs are met safely. We looked at the care plan for a person who needs to be supported in a certain way when they eat and drink. We saw that a speech and language therapist had visited the person and given the home specific instructions to follow. We saw that staff had then used this information in planning the persons care. During the inspection we saw staff helping the person to eat their lunch, which demonstrated that staff were following the advice of the healthcare professional and were aware of what is documented in the persons care plan. We saw staff assisting this person to have drinks and the amounts they had drunk during the day were documented on a chart so that staff were able to see how often and how much had been drunk. However we also found that other people may not be getting drinks when they need them. We saw that staff have monitoring practices in place for a person who has a condition where they need medicine to help control the level of sugar in their blood. When their blood sugar became low staff took action to help to increase the blood sugar and then re-checked it to ensure it was satisfactory. We saw from looking at care records that the home is now contacting healthcare professionals, when there are concerns about peoples health and well being. We also saw that when a GP had prescribed medicines on a short term basis, such as antibiotics, staff had written a short term care plan so that staff knew the reasons why the person was having the medicine and any specific instructions that needed to be followed. For a person who may show behaviours of concern we saw that the home had looked at the possible risks and the best ways to manage the behaviour. We found a file called a bath book, which suggested that people were going for long periods without baths or showers. We sought further clarification about this from the manager and care staff, who confirmed that people are able to have a bath or shower when they want and that the recording of information was not up to date. The staff recognised they need to develop how they are recording this information so that they show a more person-centred approach to care. Our pharmacist inspector visited the home on the 15th June 2010 to assess what progress the home had made in meeting the two requirements we had made about medication at the time of our key inspection on 4th March 2010. The pharmacist Care Homes for Older People Page 14 of 28 Evidence: inspector concluded that there had been improvements in the management of medicines within the home and the requirements had been complied with. Three recommendations were made by the pharmacist inspector and we saw at this inspection that the home has achieved these. We saw that additional information about medication is now included in care plans so that staff can see the level of support people need when they take their medication. We also saw that the manager has included written guidance for staff with peoples medication charts. This should ensure staff are aware of possible signs and expressions people may have if they have pain but are unable to tell people verbally, so that they can be given additional medicines to help relieve their symptoms. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with some opportunities to enhance their well-being, although further effort is needed to develop these opportunities and ensure they are based on the needs, capabilities and preferences of the people who live at the home. People are offered a choice of meals to meet their dietary needs and preferences, however people are not provided with sufficient support to enable them to have drinks when they want them. Evidence: Staff working at Oaks Court told us that they provide a range of activities for people to take part in, if they choose to, on a daily basis. Observation of where staff record when activities and events have taken place did not support what staff told us as the records indicate activities are not happening regularly. The records did not show a particularly creative approach to promoting social well-being for people who, because of their illness may not be able to take part in group activities or who may have dementia. During our visit we saw a group of people doing some painting and a group watching a film however we also saw people sitting for long periods of time without any stimulation or contact. We have been informed by the home that it plans to introduce more meaningful activities, which shows it recognises that more needs to be done to meet peoples varying needs. Some staff are also undertaking courses in Care Homes for Older People Page 16 of 28 Evidence: dementia care which should equip them with the knowledge to develop the service it offers. We saw that information is sought from people about their religious, cultural and spiritual needs. We were given examples of how the home then attempts to meet these needs, such as through meeting their dietary preferences or visits from religious representatives. We also saw information for staff about different religious practices and customs, so staff should be aware of how to meet these needs. People told us that they enjoyed the meals provided by the home and lunch time was seen to be a relaxed and unhurried experience, with staff providing discreet support to people. We saw that peoples individual preferences were catered for, meaning that people could choose when and where they had their meals and what they ate. Opportunities for people to have drinks throughout the day however,appeared to be limited to certain times. Staff also told us this and we heard people asking for drinks and being told that drinks would be served soon. When drinks were served we saw that people did not have anywhere to place their cups, which had been identified at our last key inspection. Although small moveable tables were seen in the lounge, people were not provided with them, meaning that drinks were placed out of peoples reach and in the way of other people. A relative told us he is made welcome at Oaks Court and that he can visit at any time. The manager told us that relatives and friends are invited to social functions and to take part in the monthly consultation meetings that take place within the home. This means that people living at the home can stay in contact with people that matter to them. Care Homes for Older People Page 17 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. People can be reassured that if they have concerns and complaints they will be listened to and their concerns and complaints acted upon. Staff know how to safeguard adults from harm and abuse. Evidence: We have not received any recent complaints about the home. The way complaints are recorded was looked at during our last key inspection, which found the home to be thorough in its process of looking and responding to complaints. A copy of the homes procedure is available in the Service User Guide, so that people know how to raise concerns or complaints, although it is likely some people would need additional support to raise any concerns. The staff we spoke with confirmed they would speak out if they had concerns in the way people were being cared for. Staff could describe their role in safeguarding adults from the risk of harm and abuse and they confirmed they had received recent training. We were told that the staff team have attended awareness training in the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards and we saw leaflets available in the reception area for staff, visitors and people living at the home to refer to. The Act governs decision making on behalf of adults, and applies when people lose mental capacity at some point in their lives or where the incapacitating condition has been present since birth. It is important that staff know how to put the Act into every day practice and the procedure to follow when peoples freedom may need to be restricted. The staff we Care Homes for Older People Page 18 of 28 Evidence: spoke with demonstrated an understanding about the Act and how it might apply to their work. The manager has shown that she knows when to refer concerns to the local safeguarding adults team for investigation under their procedures. Care Homes for Older People Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with an environment which is clean and safe but would benefit from some enhancing so that it may promote positive responses from people with dementia. Evidence: At the time of our inspection we looked around the home to see if the environment was safe and well maintained. We found that the home was clean and tidy and people told us that they liked their rooms. The bedrooms that we saw had been personalised to suit peoples individual needs and preferences. We view that the communal areas of the home, such as lounges and dining areas need to be improved to make them more comfortable for people. There was an apparent odour of urine in the downstairs lounge and two chairs were seen to be stained. The downstairs lounge is where most people appear to spend most of their time, however the television is high on the wall making it difficult to see. During our inspection we found that music from a CD player and the television were on at the same time meaning it was difficult to hear either properly and it could have been distracting for the people in the room. We saw that some people are still not given access to tables to rest their drinks and personal items on. The general decor in communal rooms and corridors, although clean provides little in the way of sensory stimulation for people with dementia, so would benefit from further development. Care Homes for Older People Page 20 of 28 Evidence: The manager has taken steps to make sure that pull cords in bathrooms are cleanable and this means that, along with other improvements, the home is now more hygienic than at the time of our last key inspection. Cleaning schedules show that regular checks are made of bathrooms to ensure people can enjoy the use of clean facilities. We saw the home has equipment to help move people safely such as a hoist, although we discussed with the manager that the need for the hoist must be kept under review to ensure that people are not placed at increased risk of cross-infection through the sharing of equipment. There is a choice of stairs or passenger lift to the first and second floors and there is level access to a patio and small garden. We saw that the home has recently started a vegetable garden, which we were told has proved popular with a number of people living at the home. Care Homes for Older People Page 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff in sufficient numbers of staff with the skills to meet their needs and who have been checked for their suitability to work with vulnerable adults. Evidence: At the time of our inspection sufficient staff appeared to be on duty to meet the needs of people living at the home and the staff we spoke with viewed that there are enough staff working at the home during the day and night. Staff told us they view they work together as a team. There is also an on-call arrangement which means staff have a more senior member of staff to contact in an emergency if they need to. The home is not currently full, so staffing levels will need to be kept under review, when new people are admitted to ensure that there are sufficient, competent staff to meet the needs, dependency and numbers of the people living at the home. We saw that people and their representatives had recently completed surveys for the home which indicated their satisfaction with the staff describing them as approachable and friendly. We did not look at staff training records at this inspection. The staff we spoke with confirmed they are provided with good training opportunities and gave examples of the training they had completed the week before our inspection. We were informed that staff are supported to study for a recognised qualification in care (National Vocation Qualification), which should contribute to ensuring the staff team have an Care Homes for Older People Page 22 of 28 Evidence: effective knowledge of social care. Some staff are undertaking a course in dementia care which should assist with the ongoing development of the service to support people with dementia. We saw that staff, whose files were checked at the time of the last key inspection had CRB Disclosure checks undertaken before they started working at the home. We were told that the home has not appointed any new staff since the last key inspection, so we asked the manager to discuss the process which would be used when new staff are appointed. This shows awareness of what needs to be obtained before staff start work at the home, which means people should only be cared for by staff who have been checked for their suitability to work with vulnerable adults. Care Homes for Older People Page 23 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Outcomes for people have improved and their health, safety and welfare is being promoted. The home now needs to show it can sustain and further develop these improvements for the benefit of the people who live there. Evidence: The manager, Ms Margaret Sims, is registered with us as the Registered Manager for the home and has worked at Oaks Court for sometime. At our last key inspection we viewed that the home was not being effectively managed. We met with the provider and regional manager to discuss our findings and for them to present to us the actions they would be taking to improve the home. It is positive that the company took action to improve the home and look at ways to support the manager in her role and monitor the service more closely. This inspection finds improvement, although the home now needs to demonstrate that it can initiate improvements based on its own quality assurance and monitoring process We saw a selection of written records showing that safety checks are undertaken, Care Homes for Older People Page 24 of 28 Evidence: such as checks on the temperature of hot water, wheelchairs, hoists, window restrictors and fire safety checks. We saw that the home has improved how it records when fire drills take place and saw that a fire drill had recently taken place, so staff should be aware of the procedures to follow in the event of a fire. We also looked at how representatives of the company monitor quality at regular intervals with monthly unannounced visits, which showed improvement in how the service is monitored. We saw that people and their representatives are provided with opportunities to comment on different aspects of the home through surveys. A copy of the collected results of surveys sent in April 2010, were on display by the main reception. The results showed that people who responded were generally very satisfied with the service provided by the home. Inspection of how the home supports people with their finances was not looked at on this occasion. The manager informed us there had not been any change to the process which we judged as meeting our standards at the last key inspection. Care Homes for Older People Page 25 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 26 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 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 1 The Service User Guide should be amended to show the fees charged by the home. This is to ensure people are provided with clear and up to date information on fees and to assist them in their decision making. The home should consider increasing opportunities to enhance peoples social well-being and evaluate the effectiveness of activities on an ongoing basis to ensure they are appropriate and meet with peoples expectations and needs. Activities needed as indicated by care plans and clinical need should be provided. (06082010 Not acheived) People should be provided with sufficient and suitable drinks when they want them and according to need. Provision should be made for people to place cups, snacks and personal items safely by their chair in the lounges. (Outstanding from key inspection on 0403210) 2 12 3 4 5 12 15 19 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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