Inspection on 14/08/09 for Parkside Residential Home

This is the latest available inspection report for this service, carried out on 14th August 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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkside Residential Home 20/08/07

Parkside Residential Home 11/07/06

Parkside Residential Home 22/12/05

Parkside Residential Home 08/09/04

Parkside Residential Home 26/05/04

Similar services:

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Henry Nihill House

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU     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 Hastings     Date: 1 4 0 8 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 32 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 32 Information about the care home Name of care home: Address: Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU 02083601519 02083661889 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Teen Fook Chon,Mrs J S Y Chon care home 24 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Parkside is a home registered to provide personal care for 24 older people. The home is located near to Bush Hill Park. The home is owned by Mr & Mrs Teen Fook Chon. The registered manager has recently retired and the deputy manager is now the acting manager of the home. The older people in the service have a wide range of care needs. Some are very alert, many are physically frail and others have developed dementia since moving to the Care Homes for Older People Page 4 of 32 Over 65 24 0 2 8 0 1 2 0 0 9 Brief description of the care home home. The home consists of two houses that have been joined together. The building is on three storeys and has a lift. There are two double rooms and the other bedrooms are all single. Nine of the bedrooms have en-suite facilities. There are bathrooms and shower rooms designed for disabled access on the ground and first floor. On the ground floor there is a large lounge and dining area and a second smaller lounge. The house has a lovely large garden to the rear and this is accessible to all residents. The staffing structure consists of an acting manager, six senior care assistants and team of carers. The home also employs a cook, kitchen assistant and cleaners/ laundry assistants. During the morning there are four staff on duty, in the afternoon there are three and at night there are two waking night staff. The aim of the home is, To help residents lead a comfortable life and maintain their independence in a homely and friendly atmosphere. The current scale of charges is three hundred and ninety nine pounds to four hundred and fifty pounds per week. Copies of this report are available from the home or from the CSCI website. Care Homes for Older People Page 5 of 32 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 Unannounced inspection took place on Friday 14th July 2009. In total the inspection lasted 6 hours. We were assisted by the acting manager who was open and helpful throughout the inspection. We also met with the registered provider of the home. We spoke with 5 staff on duty during the inspection. We spoke with 10 residents of the home and we met 4 visitors. We observed the interactions between staff and residents. We inspected the building and examined various care records as well as a number of policies and procedures. Prior to this inspection we sent out surveys to staff and residents. We received 3 surveys back from staff and 7 surveys from residents. Some residents had been helped to fill out these surveys by their relatives. Care Homes for Older People Page 6 of 32 The home also prepared a self-assessment (AQAA) and this was submitted to the Commission. This information was used as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: As a result of this key inspection, twelve new requirements and six good practice recommendations have been issued. As residents dependency levels increase staffing numbers must be adjusted accordingly so that there are always enough staff to meet the needs of people in who use the service. Care plans must be reviewed and updated so that staff know how best to care for each person. Activities must be organised for residents both inside and out of the home. Residents must be given more opportunities to have a say in how the home is run. Two requirements have been issued relating to the kitchen. Staff training must be given priority so that staff are confident and able to carry out their roles effectively. Care Homes for Older People Page 8 of 32 The manager must apply to be registered with the Commission and systems for monitoring the quality of care at the home need some improvement. Staff must also receive regular supervision so their work practices can be monitored and supported. The six good practice recommendations relate to medication procedures, hygiene in the kitchen, recruitment practices and staff meetings. 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 9 of 32 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 32 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. The home carries out an assessment of individuals needs so that they know that the home is able to meet their needs before they decide to move in on a trial basis. Evidence: Pre admission assessments were examined for three people who are now living at the home. The information was satisfactory and outlined each persons individual needs. In some cases the homes own assessment was rather brief however each person had an assessment completed by the local authority which was very detailed. There was evidence that these identified needs were also being recorded in each persons individual care plan. People who use the service and their relatives told us that they were involved in this assessment process and, where possible, had visited the home before moving in on a trial basis. One resident told us, I visited a few homes before. This is the one I chose. The acting manager confirmed that all residents have a review of their placement after Care Homes for Older People Page 11 of 32 Evidence: four to six weeks so they can decide if they are happy at the home and want to move in on a permanent basis. Care Homes for Older People Page 12 of 32 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. Care plans clearly set out residents health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. Evidence: Six care plans were examined. Care plans are divided into eight sections. These are Hygiene, Mobility, Continence, Nutrition, Communication, Pressure care, Psychological needs and Medical conditions. There is also a section on recreational interests and each person has a care plan summary which outlines the daily needs of each person. In some cases these care plan summaries were not up to date. For example one resident is no longer able to mobilise but this was not recorded on his care summary. A requirement that all care plans are reviewed and updated on a regular basis has been made. Appropriate risk assessments in relation to falls management, moving and handling pressure care and nutrition had been carried out and were recorded in all Care Homes for Older People Page 13 of 32 Evidence: files examined. There was evidence from care plans that people have good access to health care professionals such as doctors, chiropodists, district nurses and opticians. People who use the service confirmed that they had good access to health care professionals. One resident told us, I see my doctor very often. Satisfactory records were examined in relation to the receipt, storage, administration and disposal of medication. Records indicated that staff have undertaken medication training and the acting manager told us that only qualified staff administer medication at the home. A list of staff who are qualified to administer medication should be recorded in the front of the medication charts with a sample of their signature and initials. In some cases we saw that residents were being prescribed medication on an, As required basis. There should be a written explanation for staff to indicate when a resident may need this particular type of medication. Not all medication charts listed residents possible allergies. If no allergies are known then each medication chart should record None Known. Three good practice recommendations have been made relating to these issues in the relevant section of this report. We saw a number of examples of supportive staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support. We saw staff knocking on residents bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. On the day of the inspection people using the service looked well cared for, their clothes were clean and they were appropriately dressed. Care Homes for Older People Page 14 of 32 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. Staff at the home try hard to keep residents suitably occupied and engaged. Visitors to the home are encouraged and welcomed. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing balanced diet. Evidence: Peoples recreational needs, likes and dislikes are recorded on their individual care plans. The home does not have an activities coordinator and staff are expected to keep residents occupied and engaged. On the day of the inspection some residents were outside in the garden enjoying the good weather. Most residents were in the lounge watching television. Staff appeared very busy throughout the inspection however one member of staff was painting some residents nails and chatting with them. The residents were clearly benefiting from these interactions. The registered provider told us that an activities coordinator would be employed in the near future. A number of residents told us they would like to go on outings more frequently. One resident told us, They have activities. I would like to go out a bit more. A new requirement has been issued relating to the provision of activities at the home Care Homes for Older People Page 15 of 32 Evidence: and includes reference to social activities outside the home as well. Visitors to the home told us that they could visit at any reasonable time and that they were made welcome by the management and staff. Residents we spoke with said they enjoyed getting visitors and confirmed they were made welcome. Interactions observed between staff and visitors were warm and friendly. One visitor to the home told us that staff always bring out a tray of tea when they visit and that their children enjoy visiting and playing in the large garden. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. We saw examples of staff offering choice in relation to meals during the inspection. People who use the service confirmed that they could exercise choice and control over their lives. One resident told us, They only tell you what to do with medication, but thats important. Another resident said, You can do what you like, youre more or less a free agent. Residents meetings have not been taking place on a regular basis and the acting manager said this was, in part, due to time constraints. It is very important to gain the views of people who use the service. Residents told us that the acting manager did ask them if they had any concerns and residents said any concerns were acted upon. Residents meetings should be an opportunity for residents to suggest improvements to the service as well as being a forum to bring up concerns. A requirement relating to residents meeting has been issued. On the day of the inspection the homes cook was off and a member of staff was cooking lunch in the kitchen. This member of staff confirmed that they had undertaken food hygiene training. The kitchen was clean. The staff member was aware of any special diets that people needed and told us that cakes would be provided for residents birthdays. Fridge and freezer temperatures were being recorded. The fly screen in the kitchen was broken and needs to be repaired. The bin in the kitchen did not have a lid. We also noted that the home does not have a dishwasher which would ensure cutlery and plates are washed in a more hygienic manner. One good practice recommendation and two requirements have been issued relating to these matters of food hygiene. Lunch on the day of the inspection was fish and chips. The food looked and smelt Care Homes for Older People Page 16 of 32 Evidence: appetising and people told us they get enough to eat. One resident confirmed, Its good and its plentiful. Another resident told us, If you dont fancy something they give you something else. Care Homes for Older People Page 17 of 32 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. Complaints are taken seriously and responded to in a professional manner. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. Evidence: The home has a satisfactory complaints procedure which gives clear timescales for action. There has been one complaint at the home since the last inspection. Records indicated that this matter was being dealt with properly and in accordance with the complaints procedure. People we spoke with said they had no complaints about the service but knew what to do if they had a concern. One resident told us that they had a few issues when they moved in and the manager sorted these out. The resident commented, If the manager can help you she will. An adult protection issue was raised at the home in January this year. Although the home was not found to be at fault, we undertook a random inspection to see if lessons could be learnt about how the home dealt with the safeguarding issue. As a result of the inspection four requirements were issued relating to recording of accidents and incidents at the home. All of these have now been complied with. The acting manager has reviewed the safeguarding procedures at the home and the recording of accidents has improved. Care Homes for Older People Page 18 of 32 Evidence: People who use the service said they felt safe at the home. One resident commented, I feel safe, definitely. Staff were able to describe how vulnerable people could be at risk of abuse in a residential care setting. All staff interviewed were clear of their responsibility to report any suspicions of abuse to the appropriate authorities. Records indicated that staff have attended safeguarding training and further training has been booked for staff. Care Homes for Older People Page 19 of 32 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. The home is safe and cleaned and maintained to a good standard. Evidence: We toured the home with the acting manager and visited a number of residents rooms. We also looked at the bathroom and toilet facilities in the home. Peoples rooms were individual and contained some of their personal possessions like furniture and photos. One resident told us, My family fitted it up for me special. The home appeared safe and reasonably maintained. There are three assisted bathrooms available. The home has a lift, a call system and handrails as appropriate. All the rooms contain a lockable box for valuables. All toilets and bathrooms contained paper towels and anti bacterial soap to reduce the risk of cross infection. Training records indicated that most staff have undertaken infection control training and people who use the service said that the home was always clean. There were no offensive odours detected throughout the home. Care Homes for Older People Page 20 of 32 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. Staff at the home work hard to meet the needs of residents in a kind and supportive manner. However the increasing dependency levels of residents means that some recreational and social needs are not being met. Staff development and training is not being fully addressed by the home. Recruitment practices are sufficiently detailed in order to protect residents at the home. Evidence: On the day of this inspection there were nineteen residents at the home and three care staff to support them. The acting manager told us that dependency levels of residents had increased. This was also confirmed by looking at care plans for people who use the service. This is in part due to the care people receive from staff at the home which ensures residents can remain at the home even though they have become frailer. The acting manager was also carrying out some personal care tasks during the inspection which indicated that care staff were very busy. At lunchtime six residents needed assistance with eating their meals. People who use the service were very positive about the staff team. One resident commented, I dont think you can get better staff. Another person told us, The staff are excellent. Care Homes for Older People Page 21 of 32 Evidence: However people did say the staff were very busy at times and we observed this in practice. One resident told us, They work hard. Staff we interviewed told us that they sometimes struggled to meet the needs of the residents and that activities were particularly difficult to undertake with residents. It is vital that staffing levels reflect the current needs of people at the home. A requirement has been issued that residents dependency levels are assessed so that staffing numbers can be adjusted accordingly. This should ensure that there are always enough staff to meet the needs of residents at the home. There has been a number of new staff employed at the home since the last inspection. This has meant that under half of all staff employed at the home do not have an NVQ level 2 qualification in care. A requirement has been issued relating to NVQ training. We also saw that there were some gaps in staff training however the acting manager told us that more training has been booked for staff in the remaining year. Staff were generally positive about the training opportunities at the home and told us the induction programme they undertook when they first started had been useful. A requirement has been issued that a training programme is developed for all staff at the home. This should include all mandatory training as well as further staff development. The home is not registered to admit people with a diagnosis of dementia however a number of resident have developed this illness since being at the home. It was positive to see that most staff were undertaking a distance learning course in dementia care. Interactions we observed between staff and residents with dementia was kind, supportive and appropriate. Three staff files were examined from staff recently employed by the home. We checked these files to see if the homes recruitment procedures were being followed so that residents are protected from unsuitable staff working at the home. The files examined contained all the information needed to protect residents including two written references, proof of identity and criminal record checks. It would be prudent to review the job application form and include requests for references from the applicants last two employers. A good practice recommendation has been issued relating to staff recruitment. Care Homes for Older People Page 22 of 32 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 acting manager of the home knows the residents very well and understands their needs. Residents have opportunities to have a say in how the home is run. Residents financial interests are being safeguarded. The health and safety of residents and staff are promoted and protected. Evidence: The acting manager has been in this role for some time and is undertaking the required training for this role. The acting manager will need to apply to be registered with the Commission as soon as possible. We have issued a requirement that the acting manager of the home applies to be registered with the Commission. Both residents and staff were positive about the acting manager. A resident told us that the manager was, Very good indeed, always there to help. Some staff said the manager was supportive and helpful. Some staff mentioned that Care Homes for Older People Page 23 of 32 Evidence: staff meetings could be a little one sided and that staff were not always given the opportunity to express their views about possible improvements to the service provision. It is important that all staff at the home are able to express their views about the service. A good practice recommendation has been issued. There is a system for monitoring the quality of service provision at the home. Surveys were sent out to residents, relatives and other stakeholders in June of this year. In order to meet the National Minimum Standard for quality assurance the service must collate the information from these surveys and publish a written report which must be available to all interested parties. The registered provider, Mrs Julie Chon, told us that she undertakes monthly visits to the home and produces a report which is given to the acting manager. These reports were not available for inspection and the registered provider told us she had taken these reports home. It is important that these reports are kept at the home and available for inspection at all times. A new requirement has been issued relating to this matter. Residents who we spoke to confirmed that they were asked about how they were getting on at the home. As mentioned in a previous section of this report, residents meetings need to take place on a regular basis. The home does not usually hold any money on behalf of residents. Instead residents or their families deal with their finances. The home does hold some money on behalf of one resident. These records were inspected and were accurate with clear audit trails. The acting manager told us that staff supervision has been a little patchy lately. This could have something to do with the acting manager not having time to carry out these supervisions as she is attending to residents care needs. Staff also told us that supervisions have not taken place as regularly as they should. A requirement has been issued that all staff receive supervision on a regular basis so their working practices can be monitored and supported. The maintenance certificates were checked for the water system, nurse call, lift, hoist, electrical systems, gas safety and fire appliances and these were all in place. Satisfactory records were also seen in relation to fire safety. Records indicated that staff undertake regular fire drills. We reminded that acting manager that the fire risk Care Homes for Older People Page 24 of 32 Evidence: assessment for the home is due to be reviewed at the end of August 2009. Care Homes for Older People Page 25 of 32 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 32 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 7 15 The registered person must ensure that care plans are reviewed on a regular basis and changes made when required. This should ensure that staff have up to date information about the care needs of each resident. 30/09/2009 2 12 16 The registered person must 01/10/2009 ensure that residents are enabled to engage in local, social and community activities as well as being able to take part in activities within the home. This should ensure that everyone at the home can take part in varied and interesting activities. 3 14 12 The registered person must ensure that residents meetings or a similar forum take place on a regular basis. 30/09/2009 Care Homes for Older People Page 27 of 32 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 This is to ensure that people who use the service can have a say in how it is run. 4 15 16 The registered person must ensure that the bin in the kitchen has a lid fitted. This is to ensure that hygiene standards are maintained. 5 15 16 The registered person must ensure that the fly screen in the kitchen is repaired. This is to ensure that hygiene standards are maintained. 6 27 18 The registered person must ensure that residents dependancy levels are assessed and staffing numbers adjusted accordingly. This should ensure that there are always enough staff working at the home to meet all the needs of residents. 7 28 18 The registered person must ensure that staff undertake NVQ level 2 training. This is to ensure that over 50 of staff have this qualification at the home. 30/10/2009 30/10/2009 23/09/2009 23/09/2009 Care Homes for Older People Page 28 of 32 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 8 30 18 The registered person must ensure that there is a training and development plan for all staff working at the home which includes all mandatory training requirements as well as other staff developmental needs. This is to ensure that all staff at the home receive the training they need to support residents at the home. 30/10/2009 9 31 8 The registered person must ensure that the manager applies to be registered with the Commission. This will ensure that that home has a registered manager. 30/09/2009 10 33 26 The registered person must ensure that all monthly visits undertaken by her are written in a report format and are available for inspection at all times. This is to ensure that the quality of care provided by the service can monitored and improved. 30/09/2009 11 33 24 The registered person must ensure that the results of annual quality monitoring 01/10/2009 Care Homes for Older People Page 29 of 32 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 surveys are collated and published and made a vailable to all interested parties. This is to ensure that residents and other stakeholders are given information about how well the home is meeting the aims and objectives of the service. 12 36 18 The registered person must ensure that all staff receive regular supervision. This is to ensure that staff working practices can be monitored and supported. 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 30/09/2009 1 9 The registered person should ensure that where residents have been prescribed medication on an, As required basis, that a written explanation is provided to indicate when a resident may need this particular type of medication. The registered person should ensure that any allergies are recorded on the individuals medication chart. If none are known then this should also be recorded on the each chart. The registered person should ensure that a list of all staff who are trained and assessed as able to administer medication is produced and placed in the front of the medication charts. This list should also include a sample signiture and initials of each staff. Page 30 of 32 2 9 3 9 Care Homes for Older People 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 4 15 The registered person should ensure that a dishwasher is provided in the kitchen so that plates and cutlery can be washed in a more hygienic manner. The registered person should review the homes job application form and include a request for references from the applicants last two employers where possible. The registered person should ensure that staff meetings take place on a regular basis and that staff are given the opportunity to express their views about the home. 5 29 6 32 Care Homes for Older People Page 31 of 32 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!