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Inspection on 16/12/09 for Perth House Care Home

Also see our care home review for Perth House Care Home for more information

This is the latest available inspection report for this service, carried out on 16th December 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People using the service and their representatives spoke positively about the staff and the care provided. Comments included `staff are easy going and helpful`, `quality of care is good` and `I could not be in a better home`. People we spoke with told us that they were happy with living at the service and their needs are met. People we spoke with told us that the meals at the home are enjoyable and they had many choices. We observed interaction between staff and people living at the home which was friendly and caring Members of staff we spoke with knew the people they care for well and told us that they enjoy working at Perth House.

What has improved since the last inspection?

Following the last key inspection 16 June 2009 and the random inspection 10 June 2009, there have been significant improvements. The service has worked well in addressing requirements from their last inspections. People`s needs are now assessed before they are admitted to the home, ensuring the service can meet their needs. We looked at the care files for three people and these contained up to date care plans. Staff at Perth House have received training in safeguarding adults ensuring people are safe and are protected from abuse. There is now a fire risk assessment in place concerning the smoke room which details the existing control measures in place. All confidential records concerning people working at the service and living at the service are being kept securely. We briefly watched medicines being administered at lunch time and saw that people were observed taking their medication and then the medicine administration record was signed. The controlled drugs cabinet was installed during this inspection visit and all controlled drugs were placed into this cabinet. Accurate records of the use of controlled drugs have been kept and the return of controlled drugs to people going home was clearly recorded. Medicines we looked at were all labelled in accordance with the Royal Pharmaceutical Society making sure the safety and well being of people was promoted.

What the care home could do better:

Following this inspection we have made four requirements and one good practice recommendation. Medication management needs to be improved further to ensure the safety and well being of the people living at the service. The falls assessment screening tool must be completed on admission, so that any risk identified can be monitored and as far as possible eliminated. Training records for two members of staff showed that they last undertook fire training during December 2008.

Key inspection report Care homes for older people Name: Address: Perth House Care Home Athlone Close Chaddesden Derby DE21 4BP     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: Rehana Rashid     Date: 1 6 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Perth House Care Home Athlone Close Chaddesden Derby DE21 4BP 01332717550 01332717550 kevinjowett@derby.gov.uk Derby.gov.uk Derby City Council care home 39 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) : 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 Perth House is situated within a residential area of Derby city. It is registered to provide residential care for 39 Older People, although following the refurbishment there are only 36 beds available. All bedrooms are single and are provided across two floors, which are connected by a shaft lift and staircase. A variety of communal areas are provided. The service provides places for up to 10 people for intermediate care. This is to support people to regain their independence, with a view to returning home. There are also up to 4 short-term care beds. This accommodation is on the ground floor. Long-term residents accommodation is on the first floor. All areas of the care home are accessible to people living at the home and seating is provided in the Homes garden. There is parking available for visitors. Fees are calculated by the assessment and collection section in Social Services and are based on capital and any regular income. At the time of inspection the fees were between £108.10 - £350 per week. Further information regarding the fees can be obtained by contacting the Registered Manager at Perth House or through your local Social Services office. Inspection Care Homes for Older People Page 4 of 28 Over 65 39 0 1 0 0 9 2 0 0 9 Brief description of the care home reports by the Care Quality Commission are available at the service. 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 was an unannounced inspection carried out by two Inspectors on 16 December 2009 which took place over six hours. The main method of inspection was case tracking, which involved examining three peoples care records. Case tracking is used to establish if the needs of the people living at the home are being appropriately assessed and their needs are being catered for. The registered manager was present during the inspection visit. Discussions were held with four members of staff about the care provided to people living at the service and the support and training they receive. Two staff files were examined. We spoke to two people visiting the service, a health care professional and two people who live at the service. Care Homes for Older People Page 6 of 28 A partial tour of the building was carried out which included viewing communal areas. Before the visit the registered manager submitted an Annual Quality Assurance Assessment (AQAA), which is a self assessment detailing what the home was doing well and any plans for improving the service over the next twelve months. Information from the AQAA was used within this inspection report. We received no surveys from people who use the service or from staff who work at the service. Prior to this inspection visit time was spent looking at information we had received since the last key inspection which was undertaken 16 June 2009. A further inspection visit was made to the service on 10 September 2009 by the Pharmacist Inspector this was to check the progress made on addressing the requirements made at the last inspection relating to the management of medication. To assist with planning the AQAA, notifications from the provider and any other information received about the service were also examined. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? Following the last key inspection 16 June 2009 and the random inspection 10 June 2009, there have been significant improvements. The service has worked well in addressing requirements from their last inspections. Peoples needs are now assessed before they are admitted to the home, ensuring the service can meet their needs. We looked at the care files for three people and these contained up to date care plans. Staff at Perth House have received training in safeguarding adults ensuring people are safe and are protected from abuse. There is now a fire risk assessment in place concerning the smoke room which details the existing control measures in place. All confidential records concerning people working at the service and living at the service are being kept securely. We briefly watched medicines being administered at lunch time and saw that people were observed taking their medication and then the medicine administration record was signed. The controlled drugs cabinet was installed during this inspection visit and all controlled drugs were placed into this cabinet. Accurate records of the use of controlled drugs have been kept and the return of controlled drugs to people going home was clearly recorded. Medicines we looked at were all labelled in accordance with the Royal Pharmaceutical Society making sure the safety and well being of people was promoted. Care Homes for Older People Page 8 of 28 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. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were assessed before admission which ensures Perth House can meet their needs and is right for them. Evidence: The manager told us in the Annual Quality Assurance Assessment (AQAA) that on admission each person has a care assessment and risk assessment in place. At our last key inspection 16 June 2009 not everyone had an up to date full needs assessment prior to them moving into the home. At this inspection we looked at the care records for three people who were recently admitted to the home. We found that that pre admissions assessment documentation had been completed before people were admitted to the home. Perth House provides up to ten places for intermediate care. In the AQAA the manager told us that people at the home for intermediate care have an individual planned Care Homes for Older People Page 11 of 28 Evidence: programme which is reviewed at intervals. At this inspection we spoke with a health care professional who stated that the imtermediate care provided at the service is good and the service work well with the intermediate care team. They also told us that some people came back to Perth House for respite care. People admitted for intermediate care are supported by community nurses, ccupational therapists and physiotherapists who visted the home as well as care staff. 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. Peoples health and personal care needs are met. Medication management does not ensure peoples safety and well being. Evidence: The Annual Quality Assurance Assessment (AQAA) stated that each person has a care plan which is updated in order to recognise changing individual needs. We looked at the care files for three people, which contained clear information regarding their daily routines. These care plans were detailed and provided clear instructions for staff to support the people. One of the people case tracked was a permanent resident at the home. Their care plan has been reviewed monthly and evidence on the file confirmed that any areas of need which have changed are updated accordingly on the care plan. The care files we looked at contained up to date risk assessments which included fire, manual handling and nutrition. One of the people we case tracked was at the home for short term care. Their care plan was person centered and provided detailed Care Homes for Older People Page 13 of 28 Evidence: information on the persons abilities and areas where support was required. However the falls assessment screening tool and action plan template had not been completed even though the person has a history of falls. Evidence was seen to demonstrate that access to health care services was provided for the people living at Perth House. Records we looked at included evidence of visits from and by the GP, District Nurses, Chiropodists ,Opticians and Dentists. Since the last inspection bedrooms on the intermediate care unit have had medication storage cabinets fitted in the en suites. A visiting health care professional told us that since the introduction of lockable medication storage this works a lot better. Not everyone who self medicates had lockable storage arrangements in place to keep their medication safely. During the inspection this was addressed by the service and keys were located for a cabinet for one person who self medicates. We spoke with this person at the inspection and they confirmed that now had a key to lock their medicine in their room. We found that one medicine for a person who was staying at the home for a short stay had not been signed in inaccurately. When we audited these tablets there were more tablets than the amount which had been signed in. For the same person on two occasions it was not clear on their medicine administration record (MAR) as to the amount given, the medicine was prescribed to be given as 1 or 2 tablets four times a day. We also found that on one occasion there was a gap on the MAR entry so it was unclear whether this had been given. For the same person upon admission they had signed a declaration confirming that they are able to self medicate. There was conflicting information on the file regarding the persons ability to mange their own medication. Through discussion with the manager it emerged that the person only administered their own insulin. However the declaration on their file did not include this information. People we spoke with told us that they supported in a respectful and dignified manner. Our observations between staff and the people at the home supported this. Staff interacted with people in a caring and friendly manner. Comments from people about the care they receive included staff always knock on my bedroom door before they come in and the staff support me and will call the doctors when I am not well. We spoke to people who were visiting during our inspection visit, they told us that the staff our polite and that they are kept well informed by them. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People find the lifestyle experienced at Perth House meets their expectations and preferences. Evidence: In the Annual Quality Assurance Assessment (AQAA) the manager told us that the service offers activities in line with the expressed wishes of the people living at the service including a weekly exercise class. Care files we looked at contained information regarding peoples social needs. There is a hairdressing room at Perth House, the hairdresser visits the home weekly. On the day of the inspection Christmas Carols were going to take place in the evening, people we spoke with told us they were looking forward to this. During this inspection we observed the routines at the home to be flexible. Some people were reading newspapers, talking to other people in the home, watching television and receiving visitors. On the ground floor there is a day care area for people from the community, which Care Homes for Older People Page 15 of 28 Evidence: can also be used by people living at Perth House. Staff we spoke with told us that activities provided by the service include skittles, scrabble and keep fit. People living at the service told us that there is plenty for them to do, confirming that there was a variety of activities available to participate in. Visitors we spoke with confirmed that they were made welcome and said that they were always offered refreshments. Records we looked at showed that people are given a variety of different dishes including a meat and vegetarian option. We observed people at their lunch time meal. There was a relaxing and sociable atmosphere. On each table there was condiments so that people could help themselves to vegetables. People we spoke with told us they liked the food provided at Perth House and stated that they are offered choices. Comments included the food is very nice and there is plenty to eat. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to deal with complaints which ensures people have the confidence to raise their concerns and are safeguarded from harm. Evidence: Information in the Annual Quality Assurance Assessment (AQAA) from the service told us the complaints procedure is displayed throughout the home and explained upon admission. They said staff listen to people living at the service and take their concerns seriously. They also said that service managers are involved in formal complaints. The complaints procedure was examined which provided details how to make a complaint and response timescales. Since the previous inspection the complaints procedure has been updated to reflect the name change of the regulator. The complaints procedure was displayed in the home. During our discussions with people they told us they knew how to make a complaint should they need to and were confident that they could raise issues either with staff or the manager. Examination of the complaints record confirmed that the service have not received any complaints since the previous inspection in June 2009. There have been no complaints received by the Care Quality Commission since the last inspection visit. Care Homes for Older People Page 17 of 28 Evidence: The manager told us in the AQAA that safeguarding adults training is part of the induction training. We spoke with four member of staff who demonstrated good awareness around their responsibilities with dealing with issues around safeguarding adults. The service held an up to date safeguarding policy. The manager told us that since the last inspection there have not been no safeguarding referrals or investigations. At the last key inspection a requirement was made that all staff at Perth House receive training in safeguarding training. Since the inspection in June 2009 the Care Quality Commission received an action plan from the service confirming that all staff at Perth House had received this training. The four members of staff we spoke with confirmed they had undertaken safeguarding adults training. We looked at staff training records for three members of staff which confirmed that they had received safeguarding training. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe and well maintained environment which meets peoples needs. Evidence: The Annual Quality Assurance Assessment stated that the building is in a good state of repair and the environment is safe, clean and suits the needs of the people living at the service. The service also told us people can personalise their bedrooms and can bring their own possessions. We undertook a brief tour of the building with the manager. We found that all communal areas were very clean, warm and comfortable. All areas viewed were well furnished and decorated. The toilets on the first floor were clean, however the raised toilet block was stained. There is a garden area , which goes round the building and has a patio area which can be used by people. The kitchen area was well organised, clean and tidy. Since the last inspection there have been improvements made which ensure people living at the home are safe. There is now a smoke room risk assessment in place which provides details of existing control measures in place to minimise fire risk. Fire doors have also been fitted. Care Homes for Older People Page 19 of 28 Evidence: Two peoples bedroom were viewed, these were personalised and decorated well. People we spoke with told us that they liked their bedrooms. One person told us the home is always clean and I am happy with my bedroom. The laundry room contained appropriate equipment which ensured people had clean and fresh laundry. There was a industrial washing machine with built in sluicing facility. The service also have a tumble drier within the laundry room. Separate baskets were in place for each persons laundry. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of staff are available to ensure people needs are met. Evidence: The staffing rota examined showed that the staffing levels at Perth House are sufficient. Discussions with members of staff confirmed that there are enough staff on duty. Their comments included we are fully staffed and if staff are sick the management team will do their best to cover the shift. People living at the service told us there are always staff around and if you press the buzzer in an emergency staff get to you promptly. The service told us in the Annual Quality Assurance Assessment that all staff have Criminal Record Bureau (CRB) checks and that induction and mandatory training is in place. During this inspection we were unable to fully assess recruitment processes. Staff files are held centrally and on the day of the inspection these were not available as they were being scanned. We did manage to look at some information on two staff files which were at the service, both these staff files evidenced that CRBs were in place. The Annual Quality Assurance Assessment stated that nineteen of twenty four care staff had achieved National Vocational Qualification (NVQ) level 2 or above. The Care Homes for Older People Page 21 of 28 Evidence: service has achieved the target of having at least 50 of care staff with an NVQ 2. Staff we spoke with confirmed that NVQ training has been undertaken by them. Two staff training files we looked at contained confirmation that these staff had achieved NVQ level 2. Staff we spoke with confirmed that training provided is relevant to their roles. They told us the management team encourage staff to attend training. We looked at two training records which evidenced that staff have received training in moving and handling, infection control and first aid. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is generally ran in the best interest of the people living there. Evidence: The manager told us in the Annual Quality Assurance Assessment (AQAA) that he has achieved the National Vocational Qualification level 4 in management. He also told us that the service ensures the views of the people using the service are taken into account. Procedures and policies are in place to ensure and safeguard peoples finances and their health and safety. Since the previous inspection June 2009 the service have worked with the Care Quality Commission to comply with the requirements made. During this inspection visit me received positive comments about the management team. Staff, people and their representatives told us they have found the management of the service to be supportive and approachable. Care Homes for Older People Page 23 of 28 Evidence: Staff members comments included the management is good, the management team are approachable, if there any concerns you can go to them. There is a quality assurance system in place to obtain the views and opinions of people who use the service. As part of the quality assurance process the service told us that surveys are placed in the main foyer so that they can be completed by any visitors that wish to do so. The last audit took place March 2009. We looked at the minutes of meetings held for the people living at the service, these meetings are held regularly. Following the last inspection staff have started to have regular access to supervision. We saw evidence supporting this in staff files, supervision notes were found in the files. There was also a supervision matrix in the office giving details of supervision dates both completed and forth coming dates. During discussions with staff they confirmed that supervision was taking place. At this inspection visit we found that systems had improved, confidential records concerning staff and people who the service were now kept securely at the home. The service remain unclear under what circumstances they should be sending the Care Quality Commission (CQC) notifications. Since the last inspection visit there had been three hospital admissions which the CQC received notifications for. During the inspection the service completed these notifications and at the time of writing the report CQC have received these notifications. The service told us in the information supplied about the service that there are procedures and policies in place to ensure and safeguard peoples financial interests. We looked at the system in place for managing peoples finances. We examined financial records for two people living at the service and these were found to be satisfactory. Suitable records and receipts were retained for transactions made. In the AQAA the service told us maintenance checks were up to date. At the last inspection June 2009 the portable electrical appliances certificate could not be located. During this inspection visit we looked at this certificate which confirmed that these appliances had been tested March 2009. Information we looked at relating to fire training showed that two staff members undertook this training December 2008. Fire training should take place at the required intervals. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 13 The registered person should make sure the falls assessment screening tools are undertaken on admission. This will ensure that any risks to the persons health and safety can be identified and monitored and as far as possible eliminated. 01/03/2010 2 9 13 The registered person must make sure all medication received into the home be counted in accurately and this information be recorded accurately. This will support that people receive the medication they require. 01/03/2010 3 9 13 The registered person should ensure there are no gaps on the medicine administration record. 01/03/2010 Care Homes for Older People Page 26 of 28 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 will ensure that people are given their medication as prescribed. 4 9 13 The registered person must ensure that any person who self medicates must have lockable storage. This will ensure the safety and well being of people living at the service. 5 38 23 The registered person must make sure all staff have up to date fire training. This will ensure the health and safety of all people living at the service, staff and people visiting the service is protected. 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 19/02/2010 01/03/2010 1 7 The registered person should ensure that minimum and maximum medicine fridge temperatures are recorded daily as well as the actual temperature. This is to ensure the medicine fridge is working correctly. 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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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