Inspection on 29/04/09 for Penlee

This is the latest available inspection report for this service, carried out on 29th April 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Penlee 11/05/07

Penlee 01/12/05

Penlee 27/06/05

Penlee 07/12/04

Penlee 04/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Penlee 56/57 Morrab Road Penzance Cornwall TR18 4EP     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: Melanie Hutton     Date: 2 9 0 4 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 27 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 27 Information about the care home Name of care home: Address: Penlee 56/57 Morrab Road Penzance Cornwall TR18 4EP 01736364102 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : robputterill@aol.com Mrs Kathleen Mary Lucy Putterill,Mr Robert David Putterill care home 22 Number of places (if applicable): Under 65 Over 65 6 6 22 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 0 0 0 No more than 6 service users must be in the category DE(E) and MD(E) in total. Service users to include up to 22 adults of old age (OP) Service users to include up to 6 adults over 65 with a mental illness (MD) Service users to include up to 6 adults over 65 with dementia (DE) Total number of service users not to exceed a maximum of 22 Date of last inspection Brief description of the care home Penlee is a substantial Victorian building formed from two houses in Morrab Road, a pleasant residential area between Penzance town centre and the promenade. The registered providers are Mr and Mrs R Putterill. Penlee is close to the town, local GP surgeries, Penlee Park and the public library. Mr and Mrs Putterill are registered to Care Homes for Older People Page 4 of 27 Brief description of the care home provide accommodation and care for a maximum of 22 older persons, including six who have dementia or have a mental disorder, which is not learning disability. There are 18 single rooms and two double rooms. The providers intend that a double room would only be used as a double for two partners or relatives who wished to share. The access at the front has a small granite step at the gate and two granite steps at the main door, which has a ramp. There is a shaft lift between the floors, and there are stair lifts on longer flights of stairs. The gardens are small but pleasantly laid out with sitting areas. The provider describes the aims, services and facilities clearly in the Statement of Purpose. The home sets out to provide a high quality service that responds to individual needs and preferences. Mr and Mrs Putterill are generally able to take the residents to hospital and medical appointments. The weekly fee for new admissions was given at May 2007 as 405 pounds. Costs for care will vary according to financial status based upon a financial assessment carried out by the Department of Adult Social Care. Care Homes for Older People Page 5 of 27 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 was a key unannounced inspection within our planned inspection programme. One inspector visited the home on the 29 April 2009 spending 7 hours in the home. During the visit we spoke with residents and visitors to the home to hear their view of the service provided. We spoke with staff members on duty and the registered providers. During this visit we case tracked the records of 4 residents and reviewed policies, procedures and staff files and associated documentation. We undertook a tour of the premises. Care Homes for Older People Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 27 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 8 of 27 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. Residents are provided with detailed information so that they can make a choice of which care home to live in. The needs of prospective residents are assessed so that they can be assured that the home can meet their identified care needs. Evidence: The home has a statement of purpose and service users guide that is given to residents on their arrival at the home. Relatives and Representatives of people who use the service are also able to have a copy of these documents if they so wish. The statement of purpose and service users guide have been recently updated in the last month and provide detailed information about the care home and the services provided. Prior to someone moving into the home the registered provider visits them and Care Homes for Older People Page 9 of 27 Evidence: completes a care needs assessment. This is a detailed assessment, a written record of which is held on the persons individual file at the home. If the person then chooses to move into the home, an admission assessment is undertaken that includes their care needs and how these will be met, a nutritional assessment and individual risk assessments e.g. moving and handling. These assessments form the basis of the residents care plan. We reviewed the assessment documentation of a resident most recently admitted to the home and this was detailed and informative. Residents we spoke with told us that they felt welcomed to the home on admission and that staff were very kind and helpful and made them feel at home. Care Homes for Older People Page 10 of 27 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. Written care plans direct and inform staff about the residents health and personal care needs so that these can be met. The privacy, dignity and independence of residents is respected and promoted by the staff. The systems of medication management within the home protects residents. Evidence: We case tracked the records relating to 4 residents. These records all had written care plans. The care plan documentation consists of an overview sheet detailing each care need, activity and risk followed by an individual care plan for each issue. These care plans are generally detailed and informative and reviewed monthly, setting out an objective, the action to be taken and are signed and dated by the member of staff who develops them. It is recommended that the care plans are signed by the resident and / or their representative whenever possible to show their agreement with the planned care. Staff maintain daily records for each resident that show how their care needs are being met. Some daily records are more detailed than others. We discussed with the Care Homes for Older People Page 11 of 27 Evidence: registered providers some of the terminology used by staff that could be open to misinterpretation. The registered providers agreed to address this. We asked residents about the care provided to them at Penlee and we were told Staff are excellent, kind, caring and efficient, the staff are lovely, kind and helpful and very good at heir jobs, they cannot do enough for me and I am really happy here, the staff are a great team, they do an excellent job. Residents are registered with local surgeries, 2 of which are located nearby. One resident told us that they regularly visit their Doctor at the surgery. The registered providers assist residents to medical appointments e.g. hospital, Doctors, dentist or opticians when necessary. Individual care plans advised us of residents health needs and how these will be met by the home supported by the appropriate external professionals. Records identified that Doctors, community nurses, community psychiatric nurses and chiropodists visit the home. The chiropodist was at the home on the day of this inspection. Residents were positive about the medical support they receive and the manner in which the registered providers have helped them to access this. We were able to see pressure relieving equipment in use within the home for those residents assessed as needing this for their tissue viability. The medication policy and procedure complies with the standard and is based on the Royal Pharmaceutical Society guidance. The storage facility is a locked wooden cupboard, not a standard steel double locking medicines cupboard, that is located in the utility room. The Controlled Drugs (CD) are stored within a fixed metal tin that is lockable, situated within the medicines cupboard. We were told by the registered providers that the community pharmacist has visited the home and is satisfied with the storage and administration systems in place in the home. It is recommended that the registered providers ensure that the temperatures within the utility room do not fluctuate unduly which could impair the stored medication. The CD register is maintained and up to date, reflecting the CDs stored in the home. The home uses a monitored dosage system, which staff check and book into the home. Medication returned to the pharmacist are recorded. Staff have recently undertaken medication training, provided by an external agent. Residents told us that their privacy and dignity is respected by the staff. We observed staff knocking prior to entering rooms e.g. bathrooms and bedrooms. Residents told us they - the staff - are so kind and always very polite. They make me feel very comfortable and happy here, the laundry is always very well done and the staff look after my clothes very well and I can go where I like in the home, when I have visitors we either sit in the bedroom or conservatory to chat. In the summer the garden is nice to sit in too Care Homes for Older People Page 12 of 27 Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to make choices reflecting their wishes and preferences within their daily routines. Activities are provided according to residents wishes. The menu provided is varied and provides a nutritious and balanced diet for residents, taking into account their preferences and choices. Evidence: The registered providers have recently completed a full audit of the wishes, preferences and choices regarding the provision of activities within the home. Additional staff hours are now available to ensure that opportunities for group and one to one activities take place daily. On the day of inspection we observed a member of staff providing residents with a manicure, doing crosswords and generally chatting. Also on the morning of inspection 7 residents were able to go to St Ives in the mini bus. One resident said It was a lovely trip out, it is good to get out and have a coffee and see the views. Records are maintained of the activities that people take part in and how they enjoy the activity. External entertainers e.g. singers and a violinist visit the home, residents expressed their enjoyment of this to us. Care Homes for Older People Page 14 of 27 Evidence: We were able to speak with visitors during this inspection. We were told that they are always made to feel welcome to the home. The home has an open door policy for visitors. It was difficult to establish exactly how many people visit the home as the visitors book does not appear to be consistently completed. We discussed this with the registered provider. The registered providers told us that if necessary, they will and have supported residents with which visitors they see, based on residents wishes. Residents clearly expressed that they are able to make their own choices and exercise control over the routines of their day and lives. We were told by a resident that they have their main meal in the evening rather than at midday, bedrooms were seen to be personalized with their own possessions and all of the residents manage their own finances (often with the support of relatives or representatives). Residents records should be stored securely. Currently care plan documentation is stored within a staff area in an unlocked cupboard. The registered provider has agreed to ensure that this cupboard is securely fastened. The menu is prepared by the 2 cooks and the registered providers with considerable input from the residents. An audit has recently taken place that reviewed the menus and included the residents involvement. Written evidence is available to demonstrate residents personal preferences and choices regarding the menus. Different meals e.g. curry, spaghetti bolognese and tripe and onions have been included on the menu since this review. Residents were very positive regarding the meals provided. There is a formal choice available for breakfast and tea, with records maintained that show the choices made by residents. The menu for the main meals of the day do not show a choice of dish. If residents do not like the meal they are provided with a replacement. We discussed this with the registered providers who agreed to review and develop the menus in order that an alternative is available every day. The meal on the day of inspection was roast lamb, roast potatoes, cabbage, swede and carrots followed by trifle. Residents said the lamb was delicious, very tender and I always enjoy my meals, the cooks are very good. Staff were observed to assist residents with their meal in a large and spacious dining room that is pleasantly decorated. Condiments, napkins and juice were available at the meal. Fresh fruit is available in fruit bowls within the dining room and lounge for people to help themselves to. Snacks and hot drinks are available in the morning, afternoon and evening with any additional requests responded to by the staff. Care Homes for Older People Page 15 of 27 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. The home has a satisfactory complaints procedure that would ensure complaints are listened to and acted upon. Further action must now be taken to ensure that residents continue to be protected from abuse. Evidence: Residents and their representatives are advised about the homes complaints procedure within the service users guide. Residents and relatives that we spoke with told us that they had no reason to complain. One person said Kathy sorts things out for us. The Care Quality Commission (CQC) has not received any complaints about this service. The home has in place, a policy and procedure regarding safeguarding adults. This provides detailed information for staff on the types of abuse and how to recognise abuse. It is not specific regarding the action that must be taken by the staff and registered providers with the Department of Adult Social Care (DASC), should there be any suspected abuse. Staff are provided with safeguarding adults training during induction. Some staff have not received refresher training for a number of years and the registered providers should now review the provision of regular refresher training for staff in this area. Care Homes for Older People Page 16 of 27 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 well maintained, clean and hygienic providing a pleasant environment to residents. Evidence: Penlee is an older styled property situated in a residential area of Penzance, near the town center. There is limited parking at the rear of the home, with a public car park available near by. Information about the accommodation is contained within the statement of purpose. There are outside seating areas at the front and rear of the home that are attractively maintained. The access at the front has a small granite step at the gate and two granite steps at the main door which has a ramp. Inside the building, some parts of the building are only accessible by steps. Mobility aids are installed where possible e.g. ramps and handrails. Parts of the home are accessible by the stair lift and passenger lift. The passenger lift reaches the first floor and both sides of the building. There is a stair lift and a small flight of stairs to the rooms on the second floor of the main house. There is a second stair lift to the first floor in the other side of the building. We were told by the registered providers and residents that the passenger lift sometimes breaks down. When this happens the engineers are called immediately and repairs undertaken. A programme of maintenance has continued since the last inspection, with a number of private rooms and communal areas redecorated and recarpeted. A maintenance person is employed and has a presence in Care Homes for Older People Page 17 of 27 Evidence: the home every day. The registered providers have an ongoing maintenance plan and staff record issues on a daily basis within the diary e.g. lightbulbs that need changing. The home is comfortable and homely. Communal spaces include the sitting room, the dining room and two conservatory areas. This exceeds the national minimum standard in area. Furniture is domestic in style and of good quality. The home is centrally heated and was warm on the day of inspection. Lighting is domestic in nature and appears adequate. Bedrooms are comfortably furnished and well maintained. Residents have personalised their bedrooms with their own belongings and furniture. Residents that we spoke with were all positive about their bedrooms and felt they were suitable for their needs and were comfortable. Residents are able to call for help using the call bell system installed throughout the home. Some rooms have extension leads and others have remote call bells so that people can reach the bell when sat in their chair or in bed. The registered providers should ensure that suitable arrangements are in place for all residents to be able to access the call bell. The laundry is accessed through the kitchen or through an external door. A procedure is in place directing staff on the systems to follow for the transfer of laundry. The registered providers told us that this has been agreed by the environmental health officer. One resident confirmed to us that staff take the washing to the laundry through the conservatory thus avoiding the kitchen areas. The washing machines have recently been replaced and are large industrial grade machines. The home has 2 tumble driers, one of which is an industrial grade. Handwashing facilities are available for staff within this area. Residents told us that their clothes are laundered with a good standard of care and are returned to them promptly. Gloves and aprons are plentiful within the home and easily accessible to the staff. We observed staff using and changing their gloves and aprons frequently. Alcohol gel was noted throughout the home. The baths, showers, toilets and commodes inspected appeared clean, hygienic and odour free. A number of the rooms have ensuite toilet facilities, those that do not have access to toilets close to their rooms. Bathing facilities are available to residents that need assisted bathing, with both a bath and shower in place. The temperature of the hot water is restricted by thermostatic valves to the bathing facilities. Some of the hand basins appeared to provide water above 43 degrees centigrade. It is recommended that the registered providers review this and ensure that all areas of the home accessible by residents do not provide an unnecessary risk to them. Residents were able to tell us that they were pleased with the standard of cleanliness Care Homes for Older People Page 18 of 27 Evidence: within the home. A cleaning member of staff is on duty each day, with care staff taking action for any emergency cleaning outside of the domestic duty rota. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the homes recruitment procedures. Staffing levels and training of staff ensure that the care needs of current residents are met. Evidence: The duty rota shows that there is a consistent reliable staff team. Care staff we spoke with told us that they feel there are sufficient numbers of staff to meet the care needs of residents. The residents themselves confirmed this. We were also told by staff that the registered providers always roster additional staff when needed e.g. if a resident becomes unwell or has increased needs for other reasons. There are 2 or 3 care staff on duty during the day. The duty roster, staff and residents all confirmed that the registered providers are in the home most days and always available by telephone if needed. Additional staff include the cook, domestic and maintenance staff on a daily basis. One person has responsibility for activities for part of each day. At night there is 1 waking and 1 sleeping member of staff on duty. The Annual Quality Assurance Assessment states that 9 out of the 12 staff are qualified to NVQ level 2 or above. This gives an overall level of qualification of 75 . Recruitment records for 4 members of staff were inspected. These contained the Care Homes for Older People Page 20 of 27 Evidence: required information and documents including application forms, references, photographs, Criminal Records Bureau disclosures and PoVA first checks. The home has a structured induction programme that reflects the skills for care foundation standards. Written and signed records are held on staff files of the induction undertaken by the staff member. An ongoing training programme is in place. The registered provider was able to tell us about the refresher training being planned e.g. safeguarding adults and moving and handling. Recent training provided to staff has included dementia care and medication. Records show that staff supervision takes place on a regular basis and that staff meetings are held and attended by many of the staff members. Care Homes for Older People Page 21 of 27 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 registered providers are experienced, qualified and fit to run a care home. The home is run in the best interests of the residents. Evidence: The registered providers have equal responsibility for the management of the care home with divided responsibilities. Both registered providers have the experience and skill to run the care home. Mrs Putterrill has achieved the registered managers award, is a registered nurse (although she does not provided nursing care within the home) and is a NVQ assessor. Mr Putterill has NVQ level 3 and has completed the Moving and Handling trainers training. Staff and residents made positive comments about the support received from the registered providers. The registered providers ensure that the home is run in the best interests of the residents and seek their views through a number of ways. Recent quality audits have been undertaken including residents views of the menus, activities and premises. The Care Homes for Older People Page 22 of 27 Evidence: outcomes of these surveys should be published and available to interested parties. Written evidence was available on the day of inspection to demonstrate the outcomes of these surveys and action taken as a result. The majority of residents have support from relatives / representatives with their finances. Mr Putterill assists 2 residents by collecting their pensions for them although he is not the appointee for these people. Personal allowances can be stored securely for residents if they so wish, detailed records of transactions are recorded. The health and safety of residents and staff is promoted within the home. Maintenance and servicing checks are undertaken by the providers, with written records to demonstrate that these have been carried out. Information regarding maintenance and safety checks was included within the Annual Quality Assurance Assessment. A number of these were sampled and confirmed against the original documents. Health and safety policies and procedures are in place for staff to refer to as necessary. Health and safety training is included within the induction period. Accident records are completed appropriately and were available for inspection. Ongoing fire training is provided to staff and regular fire checks of equipment e.g. doors, lighting is carried out as required by the maintenance person with records to support this. The Annual Quality Assurance Assessment detailed routine servicing Care Homes for Older People Page 23 of 27 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 24 of 27 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 7 It is recommended that the resident is encouraged to sign their care plan to show their agreement with the planned care. It is recommended that the terminology used by staff within daily records be reviewed so that it is clear and concise and not open to misinterpretation. It is recommended that the registered providers ensure that the temperature of the utility room does not fluctuate unduly which may impair the stored medication. It is recommended that personal information is securely stored within the home. It is recommended that a formal choice is offered at the main meal of the day. It is recommended that the safeguarding adults policy and procedure be reviewed and updated to reflect the actions that must be taken by the staff, registered providers and the Department of Adult Social Care should there be any suspected incident of abuse. It is recommended that the registered provider review the provision of regular refresher training regarding safeguarding adults. 2 9 3 4 5 14 15 18 Care Homes for Older People Page 25 of 27 6 22 It is recommended that a review take place to ensure that all residents are able to use the call bell system in their bedrooms to summons help if needed. It is recommended that the registered providers ensure that all areas of the home accessible to residents are safe e.g. the delivery temperature of the hot water from hand basins. It is recommended that the results of service user surveys are published and made available to prospective users, their representatives and other interested parties, including CQC. 7 25 8 33 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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. 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