Inspection on 26/11/09 for Prudential Care Home Ltd

This is the latest available inspection report for this service, carried out on 26th November 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Prudential Care Home Ltd 300 Philip Lane London London N15 4AB     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: Susan Shamash     Date: 2 6 1 1 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 Adults (18-65 years) Page 2 of 29 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Prudential Care Home Ltd 300 Philip Lane London London N15 4AB 02082111957 02082117406 prudentialcarehome@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Prudential Care Home Ltd Name of registered manager (if applicable) Marshall Gore Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: Seven The Registered Person may provide the following category of service only: Care Home only-PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Mental Disorder excluding learning disabilities or dementia Code:MD Date of last inspection Brief description of the care home 300 Philip Lane provides support for up to seven adults with mental health needs including those subject to conditions of Section 37/41 of the 1983 Mental Health Act including waking night provision. The home is run by Prudential Care Home Ltd, a private provider that owns other residential services in the area. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 7 Brief description of the care home The property is a large three storey building with seven bedrooms for residents. There are two bedrooms for residents on the ground and second floors, and three on the first floor. Amongst the furnishings, bedrooms include sinks with hot and cold water, a refrigerator, television and telephone. Three bedrooms have en suite toilet facilities, and there are two separate toilet and bath/shower rooms and a separate toilet room. There is a comfortable lounge, with Sky television provided, and a large kitchen and dining area, including lockable storage cupboards for residents. The stated aim of the home is to provide the high quality residential support for adults with mental health needs who are not yet ready to live independently. The home is approximately fifteen minutes walk from Seven Sisters Underground (Victoria Line) or Turnpike Lane (Piccadilly Line) Underground/Bus Station, and is served by local buses. It is close to shops, pubs and other public amenities. Buses 230, 41, and 341 stop within a few minutes walk from the home. Weekly fees as at December 2009 range between approximately 1038 - 1300 GBP depending on assessed need. Current CQC inspection reports can be obtained directly from the home and can also be viewed on www.cqc.org.uk Care Homes for Adults (18-65 years) Page 5 of 29 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was the first inspection carried out on this service which was newly registered in September 2009. This unannounced inspection took place over one day and lasted approximately six hours. There were five people living at the home at the time of the visit, with two vacancies. The deputy manager for the service, and the registered manager of another care home owned by the provider organisation assisted throughout the inspection, and I also had the opportunity to meet with the responsible individual from the registered provider organisation, the operations director, and training director. I conducted a tour of the home and I had the opportunity to speak to four people living at the home, albeit only briefly to one of them. I also spoke to two support workers on duty and observed routines within the home. Care Homes for Adults (18-65 years) Page 6 of 29 A variety of records, including care plans, staff files and health and safety documents, were examined. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 29 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 Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 moving into the home feel that they are provided with sufficient information and opportunities to visit and stay at the home prior to making a decision. Their needs and wishes are assessed so that the home can be sure that it can meet their needs and preferences. Evidence: The home had newly been registered in September 2009, and at the time of the inspection five people were living at the home. I had the opportunity to speak with four residents living at the home, albeit only briefly to some. They advised that they had settled well in the home, and thought that all their needs were being met appropriately. Detailed assessments were available in each persons care file indicating that a comprehensive assessment is undertaken prior to any person being admitted to the home. People spoken to advised that they had been given sufficient information about the Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: home prior to moving in, and one person noted Ive lived in quite a few places, and this is the best place that Ive lived. An appropriate statement of purpose and service users guide was seen for the service. The statement of purpose indicates that the home will take all steps necessary to combat discrimination and take positive action to promote equal opportunities while appreciating the benefits of diversity. People living at the home advised that they had had opportunities to visit the home for short visits, overnight and weekend stays prior to moving in. This was confirmed by staff spoken to and recordings in each persons daily notes. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 assesses and responds to the needs of residents whilst helping them to make decisions for themselves. People living at the home are supported to take appropriately assessed risks in order to develop their independence skills as far as possible. Evidence: I looked at four residents files, including inspection of the care plans of three people living at the home, in detail. Care plans identified peoples primary needs and how these were being met. I also spoke to four residents about the support that they receive, and two staff members advised on how they assisted residents to achieve the aims set out in their care plans. Given that residents had only been in the home for a short time, the home is particularly commended for its progress in producing detailed and up to date care plans and risk assessments, reflecting a person-centred approach to supporting Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: residents. These were based on detailed assessments undertaken by the home and obtained as part of the admission information for each person, and were signed by the relevant resident. The minutes of recent Care Programme Approach and psychiatric reviews were also available. Care staff interviewed were aware of the need to provide guidance and support to residents where necessary, whilst letting them decide for themselves, as much as possible how they lead their lives. The residents said they could decide when they wanted to have their meals and what they had to eat, and generally chose how to spend their days. A comprehensive selection of risk assessments for each resident, indicated that staff support residents to take risks as part of a more independent lifestyle, and this was confirmed by staff and residents spoken to. Observation of interactions in the home indicated that staff had already formed supportive relationships with residents. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 enables people to get out and about and lead lives of their choices. Residents are encouraged to enjoy good links with the local community and close contact with friends and family. People are supported to make choices for themselves about how they spend their time. They are encouraged to help prepare meals at the home and consulted about the menus so that their preferences are taken into account, and a varied and nutritious diet is provided to them. Evidence: Residents had only been living at the home for a short time, and had not yet set up organised programmes of activities such as college courses, employment or attendance of drop in centres, although some had goals to be addressed in these areas. Those spoken to advised that they were satisfied with activities available to Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: them. All residents go out independently and make use of local shops and amenities. Other activities available to residents include playing football, trips to the cinema, playing board games, reading daily newspapers and going clubbing. I had the opportunity to meet the operations manager briefly during the inspection, and she advised that she is also involved in taking residents on trips out within the local area and further afield. Residents confirmed that they had the oppoturnity to go out on trips regularly, and recent trips had been arranged to local places of interest. Within the home people are supported to be involved in cooking their own meals and undertake housework in order to develop their independence skills. This was confirmed by staff members and residents spoken to. Staff were aware of peoples cultural needs, including dietary preferences and religious observance. Foods on the homes menu took account of the cultural diversity of people living at the home, including Halal meat for residents requiring this. People spoken to confirmed that they would be supported to attend their place of worship should they wish to. People said they could have visitors when they wanted and spoke positively about how staff members respect their rights and give them responsibility. All are supported to have contact with family members where possible, and see them regularly. Residents have their own keys to the home and their rooms and staff have no access to personal/private space unless permission is received. Restrictions are kept to a minimum and where they are in place they are stated in the homes brochure or the contract. I observed that residents and staff related to each other in a relaxed way. The home was well stocked with food including fresh fruit and vegetables. One person told me that the staff were excellent cooks and others confirmed that they were happy with the food provided. People that I spoke to advised that they were consulted on menu choices and evidence within one persons care plan indicated that they were receiving support and advice around managing their diabetes. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team is effective at providing physical and emotional support to residents in a way that they are comfortable with. Residents are supported to attend regular healthcare appointments, in accordance with their needs. They are protected by rigorous medication arrangements in place in the home. Evidence: Staff were observed to interact appropriately with residents and in a way that recognised their individual needs and preferences. Residents spoken to told me that their physical and emotional needs were being met, and that staff were easy to talk to. Clear recording was in place regarding residents attendance of regular healthcare appointments, including GP and consultant appointments, and visits to dentists and opticians. Since the home opened, the Consultant Psychiatrist for one residents had written to the service to express how impressed he was with the standard of provision within the home. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: No residents were self-medicating at the time of the inspection, although the manager advised that some residents may be able to work towards this in the future. A detailed medication administration policy was in place for the home. The records relating to the administration of medication to residents were up to date and accurate. Medicines were stored within a separate small cabinet for each person. The storage temperature of medicines stored at room temperature were also being monitored as appropriate to ensure that it does not exceed 25 degrees Celsius. Medicines were provided in a monitored dossage blister packs, to prevent errors in administration. There were records of all medicines received at or disposed of by the home, however the pharmacy providing prescribed medicines, did not include descriptions of each medicine, so that these could be effectively checked and signed into the home. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 home has a satisfactory complaints system so that people can be confident that their complaints and concerns will be listened to and acted on. Safeguarding Adults procedures are in place to protect people from abusive practices, alongside local authority policy and procedures. Evidence: The home has policies and procedures in place in relation to reporting and investigating complaints, with each resident given a copy of the complaints policy as part of the service users guide. No complaints had yet been received by the home, however an appropriate format including actions and timescales taken to address concerns and complaints was in place. Residents said they felt able to make complaints and raise issues if they needed to. There had been no incidents in relation to adult protection in the home. Staff had had training in this area and the staff members on duty were aware of how to respond to incidents or allegations. However no staff member had yet undertaken the local authoritys safeguarding adults training, and this is recommended. The home has a detailed adult protection policy, including a copy of the adult protection policies and procedures for the host local authority (Haringey). Care Homes for Adults (18-65 years) Page 19 of 29 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is commended for providing people live in a homely, clean and comfortable environment, appropriately furnished to meet their needs. Evidence: Inspection of the premises showed that it was furnished and decorated to a high standard comfortably furnished and well decorated, providing a homely environment for residents. Residents spoken to commented that it was a pleasant environment to live in, one person noted this is the nicest place like this that Ive lived in. The home was clean, and staff advised that they supported residents to keep their home clean and tidy. There is a covered smoking area in the garden, and the laundry facilities are also in the rear garden area. Bedrooms were beginning to be personalised, and each bedroom had a sink, radiator, bed, wardrobe, chest of drawers, table and chairs, bedside lamp, television, telephone and refrigerator provided by the home, exceeding the provision specified by the national minimum standards. Lockable storage facilities had been provided in each room, to which residents had been provided with the keys. One person told me about some preferences for their bedroom, and it is recommended that staff facilitate these Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: as far as possible. The garden area was maintained appropriately, with seating provided, and some plants. Residents told me that they had used this area in the summer, and continued to use it for smoking. The kitchen was well equipped, and staff and residents advised that all equipment was functioning well. Bathrooms and toilets were clean and pleasantly decorated, and had been fitted with soap and paper towel dispensers, to prevent the possible spread of infection within the home. It is recommended that consideration be given to providing a computer for the use of people living at the home, as has been provided in other services belonging to the provider organisation. Care Homes for Adults (18-65 years) Page 21 of 29 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 benefit from an experienced team of staff who support them appropriately. They are protected by the homes recruitment and training procedures, and regular staff supervision to ensure that they work in line with best practice. Evidence: I had the opportunity to speak to two staff members and the deputy manager. Most staff at the home have worked at another home belonging to the registered provider and are therefore experienced at meeting the needs of people with mental health problems. Positive feedback was received from all residents spoken to, indicating that they felt well supported by staff at the home. Inspection of five staff files indicated that they contained sufficient information to evidence that staff members had the appropriate checks made to protect residents from having unsuitable staff working in the home. These checks included two written references, identity documents and enhanced CRB disclosures. Discussion with the deputy manager and other members of the management team indicated that they were aware of the appropriate procedures to follow when recruiting staff, including verification of references prior to staff commencing work at the home. There were records of induction training for each staff member working at the home, however these documents were not dated, and this is recommended. Staff spoken to confirmed Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: that they had received detailed induction training prior to and on commencing work within the home. Induction training included basic counselling skills and mental health awareness. Certificates were available for other training courses undertaken by individual staff including health and safety, food hygiene, first aid, fire safety, infection control, risk assessment , communication, medication administration, managing challenging behaviour, and safeguarding adults. Three staff had already completed NVQ level 2/3 qualifications in care, and others were in the process of undertaking or upgrading these qualifications. The management team advised that further external training was due to be provided in mental health in the community, schizophrenia, bipolar disorder, team building, and the Health of the Nation Outcome Scales. The home also has a DVD for training regarding the Mental Capacity Act 2005, which all staff will be expected to watch. Supervision records indicated that staff receive regular one-to-one sessions as appropriate, and this was confirmed by staff spoken to. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 run and people living there benefit from having their individual needs and preferences responded to. Residents contribute to the way in which the home is run, and appropriate quality control measures are in place to ensure that high standards of support are maintained at all times. People living at the home benefit from a high standard of health and safety procedures and record keeping. Evidence: The registered provider advised that the registered manager had not taken up the post when the home opened, largely due to the length of time taken for the service to be registered. Instead the deputy manager was currently undertaking the role, with support from the provider, director of operations, and the registered manager of another service run by the provider organisation. The Care Quality Commission must be notified in writing regarding the vacant registered manager position. Discussion Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: with the registered provider indicated that efforts were being made to fill the position. The management, advised that regular staff meetings are held at the home during which people can put forward their ideas and suggestions on how the home is run, and this was confirmed by staff spoken to and meeting minutes. The deputy manager advised that resident meetings were also held regularly and minutes indicated that these had recently addressed activities, food provision, and general shared living issues. Monthly quality assurance visits were also being undertaken by a representative of the provider organisation, and there were reports of these visits available in the office, to evidence this. Staff and residents confirmed that the provider and other members of the management team visit the home regularly and makes time to speak to them. A continuous development plan was available for the service covering the period until April 2010, following which a new strengths, weaknesses, opportunities and threats analysis will be undertaken. Clear policies were in place for supporting residents with their finances, and the deputy manager explained the current procedures, and showed me current records. However there were some minor discrepancies indicating that the totals were not always recorded accurately with regard to change returned. A requirement is made accordingly, to ensure that weekly audits are undertaken with regard to monies stored on behalf of residents, to ascertain that records are accurate. A detailed selection of policies and procedures were available for the home. Health and safety records were looked at, including accident reports and daily refrigerator and freezer temperatures, which were current and complete. Inspection of safety certificates for the home showed that current gas and electrical installation certificates were in place, a current portable appliances testing certificate, emergency lighting certificate, and fire extinguishers servicing certificate were available. Environment risk assessments had also been produced for the home. A detailed fire risk assessment for the home had been produced, and regular fire drills were being arranged, as appropriate, alongside weekly testing of the fire alarm call points. It is recommended that records of fire drills held at the home should include more detail including the time of each drill, agreed site of fire, names of all staff and residents participating and any issues of concern. Care Homes for Adults (18-65 years) Page 25 of 29 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 Adults (18-65 years) Page 26 of 29 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 37 9 The registered person must ensure that the Commission are notified in writing that the registered manager position is now vacant, and that a new manager is recruited, and applies to be registered as soon as possible. . 29/01/2010 2 41 13 The registered manager must ensure that weekly audits are undertaken with regard to monies stored on behalf of residents, to ensure that records are accurate, and people are protected from financial abuse as far as possible. . 24/12/2009 Care Homes for Adults (18-65 years) Page 27 of 29 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 12 It is recommended that more detailed records be maintained of activities provided to residents, including details of the destinations of road trips, to evidence that people are provided with a variety of stimulating activities. It is recommended that the pharmacy be requested to provide descriptions of all prescribed medicines delivered in blister packs, to ensure that these can be checked into the home effectively, for the safety of people living at the home. It is recommended that the manager undertakes the local authoritys own Safegarding Adults training and cascade the information provided to the remainder of the staff team. It is recommended that the preferences expressed by one resident with regard to heating, provision of a stereo, and wall decorations within their room be facilitated as far as possible, and consideration be given to providing a computer for the use of people living at the home. It is recommended that the induction forms completed by new staff members should be dated at the time that each part is completed, as a record of particular training provided. It is recommended that records of fire drills held at the home should include more detail including the time of each drill, agreed site of fire, names of all staff and residents participating and any issues of concern. 2 20 3 23 4 24 5 35 6 42 Care Homes for Adults (18-65 years) Page 28 of 29 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. 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