Inspection on 18/01/10 for Petteril House

This is the latest available inspection report for this service, carried out on 18th January 2010.

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

Petteril House 03/09/08

Petteril House 21/11/07

Petteril House 23/05/06

Petteril House 12/10/05

Petteril House 20/05/05

Petteril House 01/11/04

Petteril House 23/06/04

Petteril House 18/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/03/2010.

Key inspection report Care homes for older people Name: Address: Petteril House Lightfoot Drive Harraby Carlisle Cumbria CA1 3BN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Margaret Drury     Date: 1 8 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 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 27 Information about the care home Name of care home: Address: Petteril House Lightfoot Drive Harraby Carlisle Cumbria CA1 3BN 01228606393 01228606402 petteril.house@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care care home 38 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 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 38. Date of last inspection Brief description of the care home Petteril House is a residential care home registered with the Commission for Social Care Inspection to provide care and accommodation for older people. The home is owned by Cumbria County Council and run and managed by Cumbria Care. The home is located on the outskirts of Carlisle and is close to local shops and public transport routes. The property is a two storey building and is equipped with a passenger lift to assist people living there to get about the home and use the accommodation on the first floor. People live on small units, each with its own sitting and dining area and Care Homes for Older People Page 4 of 27 Over 65 0 38 38 0 Brief description of the care home small kitchen. One unit, the Carlton, specialises in providing care to people with dementia. There are toilets and bathing facilities close to all bedrooms for people to use and some bedrooms have en suite facilities. The home is set in its own grounds and has car parking available at the front of the property. Fees charged to residents include care, accommodation, meals and laundry. Fees are charged weekly within the amounts set by the Local Authority depending on the level of care a person requires. People living at Petteril House pay separately for their own toiletries, newspapers and hairdressing. Information about the services provided and fees charged is included in the homes statement of purpose and service users guide. A copy of the latest inspection report is also available for people to read. 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 site visit to Petterill House forms part of a key unannounced inspection. We, The Care Quality Commission (CQC) were in the home for a total of 6 hours. We gathered information about this service from a number of different sources in order to help us make a judgment about the facilities on offer and the care and support provided to those living in the home. We sent out an Annual Quality Assurance Assessment (AQAA) to the home. This was completed and returned to us by the manager, Helen Hickman. The AQAA is a self assessment and dataset that must be completed annually by all registered services. It is one of the ways we gather information from providers about their service and how they believe they are meeting the assessed needs and outcomes of those people living in the home and using their service. We sent surveys to residents of Petteril House, staff, family members and advocates asking for their views and opinions of the home. We received a total of 16 survey Care Homes for Older People Page 6 of 27 forms back all of which contained positive comments. Reference is made to these comments in the main body of this report. , We looked at the information we already have, any changes and improvements made since the last inspection and what the manager hopes to achieve during the next 12 months. We looked at previous inspection reports and any visits that may have been made since the last inspection. We spent time looking at the environmental standards, speaking to residents and staff and looking at the various records required under the Care Standards Act. We examined care planning documentation, staffing records and rotas and details of training and personal development plans. The receipt and handling of medication was checked and a sample of records and safety assessments required by regulation. Feedback was given to the manager at the end of our visit. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The manager is continually working with the staff to ensure the care and support provided is as good as possible and she welcomes suggestion from staff with regards to further improvements. She has worked hard to implement the improvement plan and Care Homes for Older People Page 8 of 27 there was only 1 recommendation made as a result of our visit. 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 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 10 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. People are fully assessed before moving into Petteril House so they know their hopes, expectations and needs can be met. Evidence: There is clear information about the home that is made available to any prospective resident and their family. This is in the form of a statement of purpose that sets out the facilities on offer. There is also a contract and terms of residency available to all those living in the home. Although there have been few changes to the information in these documents, the statement of purpose has been updated to show changes in management and staff and information about Cumbria Care. The manager ensures that all those who wish to move in to Petteril House have a full assessment of their needs completed. This is based on all activities of daily living and gives an indication as to whether or not the home will be able to meet the residents hopes and expectations. The admission process also includes a Social Services assessment and this information is taken into account before an offer of accomodation Care Homes for Older People Page 11 of 27 Evidence: is made. The details of each needs assessment forms the basis of the plan of care prepared for every resident. There is a trial period when people first come into the home to make sure it suits them and their needs can be fully met. This period of 6 weeks can be extended if the manager feels this would be advantageous to the resident. There is also a review with the social worker to ensure the placement is appropriate for all concerned. Information from other healthcare professional and external agencies is also taken into account during the admission process, which also ensures that for any prospective resident moving in is as easy and relaxed as possible. Care Homes for Older People Page 12 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. The personal and healthcare needs of those living in Petteril House are well managed and ensure they receive the care and support they want in a way that protects their privacy and dignity. Evidence: All those living in Petteril House have an individual plan of care generated from the initial assessment of needs. We looked at a sample of the care plans and found that each contained personal information relating to likes and preferences recorded in the All about me section. This information, together with that discussed with the resident gives a picture of the person so that staff can provide a level of care that is relevant to the persons individual needs. In the coming months the manager is hoping to promote a more person-centred approach to the care provided by completing a pen picture of each resident. However some residents are reluctant to give any further infomation and their decision is respected. The sample we looked at all contained relevant and clear risk assessments. These included nutrition, manual handling, personal and healthcare needs and preferences. The assessments and associated care plans are reviewed regularly by the supervisors and staff giving direct care, with any Care Homes for Older People Page 13 of 27 Evidence: changes or special needs recorded. These included special diets for those who may have difficulty with swallowing and any resident needing a diabetic specific diet. Any changes made reflected peoples needs and expectations together with a reassessment of the level of care required. Care plans are now started immediately a person is admitted to the home with, at the very least, a manual handling assessment completed. The record of healthcare visits is now more easily accessed and staff who update or review information on the care plans are now signing and dating the entries. This work has been completed as a result of recommendations made during the last inspection. We were not able to meet with any family visitors during our visit but we did receive some completed questionnaires from family members with their opinions about the care provided. Comments included, They are very attentive to the patients needs, The general care is good and they get good food. One family member did say the home would benefit from extra staff to avoid delays when residents needed attention. Healthcare needs are met through doctors visits, input from the district nursing service for dressings and injections and visits from psychiatric services when required. Residents have access to optical and chiropody services although it is proving difficult to obtain regular dental services. If necessary, however, the staff will call on Cue Dent to attend. We did a spot check of the medication looking at the receipt, storage, administration and recording to see how medicines are handled and managed. There is a mobile drugs trolley that is used for the medication rounds and the home uses the second checker process introduced by Cumbria Care as a safeguarding measure. All medicines are stored securely and the manager completes regular audits of the records to ensure these are correct. Stock audits are also completed to ensure there is no build up of prescribed medication. All medication is received from the pharmacy in blister pack with the relevant medication record sheets. This is checked in by the supervisor on duty. Any medication received mid-month is counted and recorded on the medication sheets. We did recommend that there are 2 signatures on the record as a further safety measure. There are currently no medicines liable to misuse prescribed but there are adequate measures in place for recording such medication. Overall ther has been an improvement in the handling and administration of medicines and all the recommendations made at the last inspection have been met. Care Homes for Older People Page 14 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. People are provided with activities and a variety of home cooked food which they enjoy. Evidence: Although Petteril House does not employ a specific activities organiser each spervisor and their team of carers take responsibility for organising one event for the residents every month. This is in addition to any regular activities that are organised. Regular bingo sessions are arranged for a group of those living in the home. Residents took part in a taster session of sing, move and dance that proved so popular that it is now a regular monthly activity. The Therapy Centre attend the home and provide massages for any wishing to enjoy therapy. This too is gaining in popularity. Records of all the activites are kept on the care plans and one which residents most enjoy is a chat with the staff. There is some interaction with the local community and residents like to go to the nearby community cafe for tea and coffee. Pupils from the local junior school used the home for their Banner Project. The manager hopes, in the future, to expand community involvement in the home. Currently there is one volunteer helping one of the residents with the garden. The manager did ensure all legal checks were completed in respect of the visitor. Most of the residents enjoy the activities although Care Homes for Older People Page 15 of 27 Evidence: there are some that prefer to sit in their room or sit and watch the other residents. Every effort is made to ensure residents enjoy activities of their choice and they are encouraged to persue new interests. There is a church service with communion organised by the local church, which means the spiritual needs of residents are met. Private communion is provided for those not wishing to attend the service. We spoke to residents regarding their meals. These are served on each unit although residents can choose to eat in their rooms if they wish. We observed lunch being served in one of the lounge/dining rooms. There was a warm and relaxed atmosphere and if a resident requires assistance this is given in an appropriate manner. There is a choice at each meal and the residents we spoke to had all enjoyed their lunch. One lady told us that her meals are always hot. All food and dry goods are ordered through Cunbria Cares ordering system and delivered weekly. Care Homes for Older People Page 16 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. There are appropriate procedures in place so people living in Petteril House are able to express their concerns and know they will be listened to. Their rights are protected and they are safeguarded from abuse. Evidence: There is a clear complaints procedure that is provided to all residents. There is also a copy on display in the foyer for anyone to refer to if they wish. There has been one complaint received in the last 12 months concerning the environmental standards within the home. It was settled by replacing floor covering to 2 rooms, the work being already in hand when the complaint was made. People we spoke to during our visit told us they knew what to do and who to speak to if they had any complaints to make. They all said they had no reason to complain and one lady told us I most certainly would speak to the manager if I felt it was necessary. Training records indicated that all staff had recently completed training in the Protection of Vulnerable Adults. There have been some issues between residents that have all been dealt with but we at CQC have not received any referrals. The subject is discussed during the staff induction programme, staff supervision and staff meetings. We discussed this subject with staff during the visit and were confident that staff were aware of the reporting procedure to follow should this be necessary. The relevant policies and procedures are available for staff to read which, together with a copy of Cumbrias policy, ensure staff are aware of the importance of the protection of Care Homes for Older People Page 17 of 27 Evidence: vulnerable adults. There is also a copy of the Department of Healths policy on NoSavailable for staff to read. Financial policies and procedures are in place to ensure residents monies are held securely. Care Homes for Older People Page 18 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. Petteril House provides a safe and comfortable home that suits the needs and lifestyles of the people living there. Evidence: Petteril House is operated by Cumbria Care an internal business unit of Cumbria County Council. It is purpose built on 2 floors, the upper being accessed by a passenger lift. The home is divided into separate units each having bedrooms and lounge and dining facilities. Although the bedrooms are on the small side the residents we spoke to during our visit were all happy with their accommodation. All the rooms were personal to the individual as the residents had brought in personal items such as pictures and photographs from their own home. There is a programme of internal decoration that is discussed and agreed with the estates manager but the home manager did express concern about the regular delays in dealing with environmental issues. She does appreciate that she has to work within the confines of a set budget but only wants what is best for those living in the home. Some bedrooms have been redecorated and new flooring has been laid to 2 of the rooms. Corridors have been decorated which has made them much lighter. Communal facilites are provided on each floor in the form of a lounge with dining facilites. Whilst this is not always a suitable arrangement the residents were happy with the situation. The laundry facilites have been improved as a result of an earlier requirement and the Care Homes for Older People Page 19 of 27 Evidence: work is now complete. The home employs domestic staff in order to keep everywhere clean and tidy. Care Homes for Older People Page 20 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. The people living at Petteril House are supported by a trained staff team who have been correctly and thoroughly recruited. This means their needs are met and they are protected. Evidence: We looked at the staffing levels throughout the home and found them to be adequate for the size of the home and the dependency levels of those living there. We also spoke to members of staff and some of the people living in Petteril House about the staffing within the home. Comments from residents included, The girls are lovely and very helpful and I like all the staff and they help me to get in and out of the bath. The manager recently conducted a a review of the deployment of staff and has reorganised the staffing in each of the units. This now means that there is at least 1 member of staff in all the units during the day. This has ensured that there is improved support and supervision for those living in the home. It has also meant that the staff are able to provide a more person centred approach to the level of care given. Staff have found the new arrangements more beneficial to the residents and themselves. Petteril House employs 3 members of waking night staff, which means that all 3 units are covered through the night. Domestic and kitchen staff make up the total complement of staff. There is an annual training plan in place and all mandatory subjects are covered and up to date. There are 2 of the supervisors who are internal trainers for moving and Care Homes for Older People Page 21 of 27 Evidence: handling. The manager does her best to access as much staff training as possible but there are still some difficulties in booking places and the variety of training provided seems to be limited. There is 75 of the staff qualified to NVQ level 2 with 5 working toward level 3. There are also 5 other members of staff waiting to start the course. Training in aggression and challenging behaviour has been completed along with infection control and adult protection. The manager has completed the training to enable her to facilitate the dementia care training organised in conjunction with the University of Stirling and it is hoped that 5 members of staff will start this course in February. All recruitment is the responsibility of the home manager and the staff files we checked were all up to date. Application forms are completed, references taken up and a formal interview is arranged. There is, however, a certain amount of delay in the completion of the paperwork by the Human Recources department at the organisations head office which can mean that the candidates find a job elsewhere. The manager is working hard with the staff to emphasise the importance of keeping uo to date their personal development files and it is hoped that this task will be completed in the not to distant future. All new staff complete the 5 day induction course organised by Cumbria Care. Care Homes for Older People Page 22 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. Petteril House is being run in the best interests of the people who live there and their welfare is promoted and protected. Evidence: Petterill House has an experienced and qualified manager responsible for the day to day operation of the home. She is registered to manage another home within Cumbria Care and the organisation has just started the process of applying for her registration at Petteril House. She is a qualified nurse manager with experience in the care of older people. She is part way through her registered manager award but this has been delayed due to internal problems with her assessor. She is working hard with the senior team to ensure the home is run efficiently and in the best interests of those living there. There is now a clear line of accountability within the home with the supervisors now fully aware of their roles and responsibilities. She provides clear leadership and is gradually working towards the completion of the action plan put in place after an earlier inspection. When we spoke to the staff and residents they all confirmed she is very approachable and makes Care Homes for Older People Page 23 of 27 Evidence: herself available to speak to those who want to discuss anything with her. This open door policy is working well and residents know they can raise any issues and know that it will be dealt with. Internal quality audits are completed through surveys sent to residents, families and external health care professional. Quality issues are also dealt with during staff and residents meetings. The manager also speaks to residents on a one to one basis to gauge their opinions of how the home is being run. The operations manager also visits the home each month to monitor practices and speak to residents and staff. There are policies and procedures in place to deal with residents finances and we were able to check the records. Any expediture or receipt of cash is signed in or out by 2 members of staff as a safeguard and there are also regular audits of the records. All staff are regularly supervised by their line manager which gives opportunity to discuss personal and professional development. Records of these meetings were made available to us during the visit. Health and safety is ensured by safe working practices. All risk assessments were up to date as was all manual handling training. Infection control training has been completed and there is a plentiful supply of protective clothing for staff to use. There is a fire risk assessment in place that has been checked by the fire department. All fire training regularly takes place and the safety equipment is maintained through an annual contract. All other equipment used in the home is maintained through annual service level agreements. There is an annual health and safety audit completed with a written report provided to the manager. All these procedures help to ensure that, as far as possible, residents and staff are safeguarded at all times. Care Homes for Older People Page 24 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 25 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 9 It is recommended that any medication received midmonth is checked and signed in by 2 members of staff. Care Homes for Older People Page 26 of 27 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 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. 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!