Inspection on 17/01/10 for St Anthony`s Nursing Home

This is the latest available inspection report for this service, carried out on 17th January 2010.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

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Poldhu

Queensmount

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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: St Anthony`s Nursing Home 1 Kew Road Weston Super Mare North Somerset BS23 2NP     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: Melanie Edwards     Date: 1 7 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: St Anthony`s Nursing Home 1 Kew Road Weston Super Mare North Somerset BS23 2NP 01934629378 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): admin@stanthonys.demon.co.uk www.europeancare.co.uk European Care (Combined) Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 34. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home St Anthonys Nursing Home is a double fronted, two storey victorian property, situated in a quiet residential area of the seaside town of Weston-super-Mare, North Somerset. It has a large garden and sun terrace to the front and car parking to the rear. The seafront, town centre, parks and gardens are within half a mile and a bus stop is approximately 50 yards away. The majority of rooms are single and several of them Care Homes for Older People Page 4 of 27 Over 65 34 0 2 0 0 3 2 0 0 9 Brief description of the care home have en-suite facilities. The four double bedrooms each have en-suite facilities. The home is spacious with lots of communal rooms. The home shares a wheelchair accessible minibus with a sister home, St Anthonys Court Nursing Home. 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: 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: We met ten of the twenty one residents who are living at the home. We also spoke to a number of visitors. We spent time observing residents and staff together. We joined a small group of residents for lunch. We met the recently appointed acting manager, a registered nurse, four care assistants and the chef. We saw residents being helped with their needs by staff. We looked at a selection of records relating to the daily running and management of the home. The records we saw included two care plans, two assessment records, seven Care Homes for Older People Page 6 of 27 medication records, menus,the complaints record, staff duty records, three staff members employment information, quality assurance information, three resident finance records, accident records and fire records. We saw the majority of the environment. The only areas that we did not see were a small number of bedrooms. The aqaa (an annual quality assessment document that all homes are required to complete,) has been used to help form the judgments in the report. We found the home was operating within the required conditions of registration which we impose. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the home. 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: Residents assessment records,(which are used to identify and plan the care and support that a person needs,) must be regularly reviewed and updated. This needs to be done to demonstrate what sort of help and support people currently require. Care plans must show clearly how to give residents the right care and support they need. Care plans must be regularly reviewed and updated. This needs to be done to demonstrate that the information in them is current and accurate and that residents are getting the right help and care that they need. Staff should call residents by their preferred name. This relates to hearing staff call residents young lady and good girl. All residents meals should be attractively presented when served to them. This relates to servings soft and purred diets in bowls,with staff mixing the different parts of the meal together. Care Homes for Older People Page 8 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can find a range of information to tell them about the service that the home provides. The care that people need is planned well. However information about residents is not being regularly reviewed and updated to show that it is still current. Evidence: To find out about what type of information is available for prospective residents and their representatives to find out about the home, we read the statement of purpose and the service users guide. The residents have their own copy of the service users guide so they can find out about life in the home. We saw in the service users guide information about the service provided, qualifications of the staff and the accommodation that residents can expect. The statement of purpose includes the aims and objectives of the home and how the service aim to meet residents needs. The complaints procedure is in the service users guide so that people know how to Care Homes for Older People Page 11 of 27 Evidence: complain. European Care who run the home, have a website that has useful information on it about the home and the services provided. We read two peoples nursing assessment records to find out how well needs are identified. The assessment records are also used to help plan what sort of care and support people will need. We found the assessment records that we read were helpful and they explained about residents different physical,mental and social,nursing and personal care needs. We read some useful information about the actions taken to support each person in the assessment records. However the assessment records we saw were not being consistently regularly reviewed and updated. Reviewing assessment records helps show that the information in them is still current and that residents are getting the right care and support in the home. The staff talked to us about how residents needs are assessed. They explained the system for allocating care each day. They told us a nurse and a small group of care staff will be allocated to take specific responsibility for building up a really good relationships with the residents while caring for them. In the aqaa document there is information that explains how people care is planned when they move to the home. We have quoted this extract:Full assessments are carried out by a registered nurse prior to admission in line with European Care company policy. Pre assessments are robust and completed prior to any planned admission. All other information is gathered from GP to ensure we are able to offer the right care to individuals, as well as information from relatives and other health care professionals. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met and care plans contain a generally adequate level of information to show how people are supported and cared for. However residents would benefit if care plans clearly showed what care and support each person requires. Residents medication is managed safely. Residents are treated with kindness and their privacy is mostly maintained. However residents would benefit if staff ensured they communicate with all residents effectively. Evidence: We read two residents care plans to see what is done to ensure residents are being well supported by staff to meet their nursing and personal care needs. The information we read in the care plans explained how to meet the care needs of each resident. However there was a lack of detailed information in the care plans and they did not fully set out what actions staff need to do to help the resident to meet their needs. We Care Homes for Older People Page 13 of 27 Evidence: saw that care plans had been being reviewed and updated regularly by registered nurses. However we saw gaps of times when care plans had not been reviewed for two or three months. Reviewing care plans must be done regularly to show residents needs are being. We looked at the practices and procedures for giving out, storing and disposal of residents medication. We looked at seven residents medication administration charts in detail. We saw a photo of each resident kept with his or her administration chart to help safely identify people. We saw that medication stock was generally satisfactorily organised. We saw satisfactory systems for ordering and receiving medication and the records were up to date. Medication is kept in a cupboard and in a movable metal drugs trolley, which is kept in a locked clinic room. We saw the registered nurse give residents their medication at lunchtime. The nurse was patient and took time with each resident to make sure they had their medication. The residents we met, told us staff are helpful when they assist them with their needs. We saw the staff help residents in a polite and friendly way. We saw the staff knock on bedroom doors before they went into them to maintain residents privacy. We did also see staff fail to knock on bedroom doors before going in to rooms. We pointed this out to the acting manager and the registered nurse on duty who agreed to address this. We also heard staff call residents ,good girl and young lady. We advised that however well meaning, this could be seen as talking to residents in a way that does not show respect. We read in the aqaa document some useful information about residents health and personal care needs. We have quoted this extract :Ensure that all residents have access to health care services. Policy and procedures are in place for ensuring the safe delivery handling and storage of medication. Those service users who wish, take responsibility for their own medication. Risk assessments for this are in place. The privacy and dignity of the residents is given a high priority. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have been able to take part in social and therapeutic activities. However by recruiting a new activities co-ordinator, this should offer residents better opportunities to do a range of meaningful activities. Residents are well supported to keep in touch with the people who matter to them. Residents are provided with a varied well balanced appealing diet. However action should be taken to improve the presentation of meals for people who require a soft or pureed diet. Evidence: We were told that the activities co-ordinator who did work at the home has recently left. The acting manager told us that a new activities organiser has been recruited to put on a variety of social and therapeutic activities for residents to take part in. The residents we met said that there had been a lack of social activities recently. We were told that there is a singer who comes to the home regularly. However the residents we spoke to said there had been a real, tailing of of opportunities to do social activities. We were told by the nurse on duty and by the acting manager that there is a relaxed Care Homes for Older People Page 15 of 27 Evidence: and flexible visiting policy so that residents can keep in contact with family and friends if they wish to. We saw residents were receiving visits from their family and friends. Visitors said that the staff are welcoming and friendly. There is a hairdresser who attends to hair and cuts and sets hair while residents are at the home. We looked at the residents menu to find out if residents are provided with a varied and well balanced diet. The choices seen were nutritionally well balanced and varied. There are at least two choices available each day. This demonstrates residents are offered a good variety of meals. We tasted a portion of lunch to check on the quality of the food. The meal choice was roast pork with roast potatoes and cooked vegetables. We saw people eating alternative meals who did not want this dish. This was followed by dessert. The meal was tasty and satisfactorily presented. There were alternative meals options being served to residents who are on special diets. However we saw that soft and pureed meals were served to residents in desert bowels. We also saw that staff mixed up the meat and vegetables in together. This makes the meal time experience less enjoyable for residents for three reasons, firstly flavors have all been mixed together,secondaly it could be seen as demeaning to residents to serve their food stirred in to one mixture, thirdly the meals did not look appetizing after this had been done. We told the acting manager and the registered nurse of our concerns about this practice . They agreed this would be reviewed and addressed. Residents who needed help to eat their lunch were being assisted in a kind and patient way by staff. Residents who were asked said the food they are provided with is tasty and very good. We read in the aqaa document some useful information about daily life and social activities in the home. We have quoted this extract :Daily routines are flexible. We have an open visiting policy; residents are able to plan their own day, with support from the staff. The home has a mini bus which is available to residents and their families for accessing the wider community. The menu is varied with at least two choices for all the main meals. Snacks are available at all times. Religious and cultural needs are met. However we were told by the resident and staff we met that the minibus has not been used for some time. It would be a real benefit for residents if regular trips out could be maintained. 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. Residents are protected from abuse. Complaints about the service are responded to promptly. Evidence: We saw a copy of the complaints procedure on display in the home. Residents have now been given their own copy of the complaints procedure with the service users guide. This means residents have the information they need to make a complaint. The complaints procedure includes our up to date contact information for us if people wants to contact us directly. We saw that there had been four complaints received since the last inspection We saw evidence that complaints are addressed and responded to throughly. There is a policy in place relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. The staff spoke knowledgeably about the subject of abuse and how they protect residents in the home. The staff do regular training in the understanding of the principle of the protection of vulnerable adults from abuse. Care Homes for Older People Page 17 of 27 Evidence: We read in the aqaa document some useful information about making complaints and keeping residents safe from abuse. We have quoted this extract :We have a complaints procedure in place. Complaints are taken seriously and addressed as soon as possible ,within time frame set by European Care. Staff receive training on the protection of vulnerable adults, and any reported incidents are followed up according to the prevailing guidelines. Staff are encouraged to report and document any issues. 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. The home is safe satisfactory maintained and suitable for the people who live there. Evidence: St Anthonys Care Home is an older property built over three floors and there are stairs and a lift to each floor. The building located in a residential area of the town of Weston super mare and is near local shops, a church, pubs and local bus route. Most of the bedrooms are for single use. We found that rooms looked satisfactorily decorated and maintained. We noticed that bedrooms have been made to look more personal and homely, we saw with photographs, mementos and small items of furniture in the rooms. The environment was generally clean and tidy throughout. However we did point out that a tub of cleaning granules and two cardboard boxed was being used to prop open a fire door. We advised that this is a health and safety risk. We found the standard of furniture and fittings to be satisfactory in the part of the home that we saw.We did point out to the acting manager that one of the residents dining room tables was wobbly due to the base of it being uneven. Action was taken to immediately address this by the acting manager. We saw that there are two dining rooms and three lounges in the home. We saw residents sitting in communal areas Care Homes for Older People Page 19 of 27 Evidence: looking very relaxed and comfortable in the surroundings. We found the home felt well ventilated and warm and there was plenty of light. The radiators had been fitted with guards throughout helping maintain residents health and safety, so that they do not risk burning themselves. We saw special equipment and adaptations are in place throughout the building to help people who may have reduced mobility. We saw easily accessible toilets are located close to the dining rooms and lounges. We found bathrooms and toilets were clean and well maintained and were free of any unpleasant odours. We saw domestic staff cleaning the home. We saw a good standard of cleanliness being maintained. We noticed soap and hand-towels available in the toilets and bathrooms to help minimise the risks of cross infection in the home. We read some useful information in the aqaa document about the building and the home environment and we have quoted this extract:The building is over 100 years old, but has been adapted well to suit the needs of the residents. The communal rooms have high ceilings which give a good feeling of space. The home is decorated in a homely style. There is a rolling maintenance programme. The laundry is washed as appropriate. Laundering of the residents clothing and bedding is carried out in a separate building and does not pass through the kitchen area. The home is kept clean to a high standard which is a credit to the domestic staff and Home is odour free. 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. Residents are cared for by a sufficient number of competent trained staff. The recruitment procedures are safe and protect residents. Evidence: We checked the number of nursing and care staff on duty to find out if residents benefit from a sufficient number of staff to meet their needs. There is always one registered nurse on duty and at least four care assistants in the morning and one registered nurse and three to four care assistants in the afternoon. At night there is one registered nurse and two care assistants on duty. Based on our observations during the inspection the number of staff we saw were meeting residents care needs. The staff demonstrated a good knowledge of the needs of residents and how they help and support people in the home. The acting manager works full time,they also work alongside the registered nurses and care staff to ensure they keep up to date with matters in the home. We saw evidence in the three staff training records we saw that demonstrated registered nurses had attended training sessions and updating over the last twelve months. The care assistants records demonstrated staff had attended training sessions as well. There are now a number of care staff in the home who have National Care Homes for Older People Page 21 of 27 Evidence: Vocational Qualifications. There are full time catering, domestic and laundry staff employed although we did not check the number of these staff in detail at the inspection. We saw information that confirmed that two written references are taken up before all new staff start work. We saw as well confirmation that the staff have a Criminal Records Bureau Checks and Protection of vulnerable adults from abuse first checks done before they started work. This is to ensure staff are judged to be suitable to work with vulnerable people. We read some information in the aqaa document about the staff team and we have quoted this extract : Staff numbers reflect the residents needs at different times of the day. Several staff have National vocational qualifications,(NVQ) in care at level two and two staff have NVQ3. Two staff are on a registered training scheme. Staff are recruited under equal opportunities. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment of a new manager should offer a really good opportunity to drive up standards even more in the home. There is an effective system in place to monitor and review the overall quality of care and the service in the home. Residents moneys are looked after safely. Residents, staff, and visitors, health and safety is generally satisfactorily protected. Evidence: The acting manager has only been working at the home since the end of November 2009. The acting manager is a qualified mental health nurse and has many years of experience caring for people with a range of care needs. They have not yet been registered with us as the manager of the home. Before this there had been four months approximately without a full time manager working at the home. It is possible Care Homes for Older People Page 23 of 27 Evidence: that the lack of leadership from a full time manager in the home may have had an impact on some of the outcomes from this inspection. We saw detailed written evidence of a quality assurance system in place, to check on the quality of the care and the service residents receive. We saw that a senior manager who works for European Care, has been completing regular reviews of the overall quality of care and service at the home. We checked three residents finance records and we found that the records were well maintained and in satisfactory order. The records relating to the management of the home were also satisfactorily maintained up to date and in order. Individual records and the homes records were kept secure in the home and available to staff when needed. We have referred to other records elsewhere in the report. We found that the environment looked satisfactorily maintained throughout. A recent environmental health inspection of the kitchen had awarded two stars out of a possible five stars for good and safe practice in the kitchen . The acting manager has addressed the requirements that had been made by the Environmental Health Officer for improvements in the kitchen. The kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practices for preparing and cooking food. All staff do regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff maintain a good understanding of health and safety principals and practices. We checked the fire logbook and we found that fire checks and drills are being carried out. We read some information in the aqaa document about the way the home is manged and run and we have quoted this extract: Service users monies are documented in a ledger signed by 2 staff and locked in the safe in nursing office. Limited staff access to safe. Mandatory training has commenced for all staff with a good external training company. Staff use mechanical aids to deliver safe care to residents. All mechanical aids have been checked to ensure they comply with health and safety regulations and are serviced bi annually. Staff supervision has been in place since May 2009 with a cascading system in place from manager down to nursing assistants and ancillary staff. Confidential and safe system to allow staff opportunity to speak about issues. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 The registered person must 20/05/2009 ensure that a care plan is drawn up for each person that states how individuals specific needs are to be met. This is so that care staff know what actions they have to take and peoples needs will be met. 2 7 15 The registered person must ensure that care planning documentation is meaningfully reviewed. This is so that any new needs are appropriately planned for and met. 20/05/2009 3 36 18 The registered person must ensure that staff are appropriately supervised. This is to ensure that all staff work within the policies and procedures of the home. 20/06/2009 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 1 2 14 The assessments of residents 17/03/2010 care needs must be reviewed and updated regularly. Meeting peoples needs. 2 7 15 Care plans must show how peoples needs are met. Health and wellbeing. 17/03/2010 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 2 3 7 8 15 Care plans should be reviewed each month. Staff should call residents by their preferred name. Ensure soft diets and pureed diets are served to residents in an attractive and appealing way. 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. 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