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Inspection on 19/04/10 for St Benedict`s Nursing Home

Also see our care home review for St Benedict`s Nursing Home for more information

This is the latest available inspection report for this service, carried out on 19th April 2010.

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

The inspector found no outstanding requirements from the previous inspection report, but made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

The registered provider has met the requirements from the previous inspection, including a number of improvements made to the physical environment of the home. The staff employed in the home have a good relationship with the people using the service and treat them with kindness and respect. People that use the service say that they are happy with their accommodation and that they feel the staff respect their dignity and privacy.

What has improved since the last inspection?

The registered provider has improved some areas of the home including the redecoration of a number of bedrooms and fitting of new carpets. A new floor has been fitted to the clinical room and a new shower room fitted, although this is not yet fully functional. Some of the damaged cupboards in the kitchen have been replaced. The garden is now safe for people to use and new patio furniture has been purchased.

What the care home could do better:

The home does not currently have a registered manager. The registered provider has informed us that a new manager has been appointed and will join the home within the next few weeks. A application for registration must be made as soon as possible. New staff that join the home must have a full induction that meets the standards of `skills for care` (the national training organisation) and they must be made aware of the content of each person`s care plan. The registered provider must be able to evidence that staff working in the home have completed the training they need to safely support service users and this must include training in safeguarding vulnerable adults. Care plans must be fully completed and action plans developed where there are areas of risk, for example for the prevention of pressure areas. Accurate records must be maintained to evidence that individual`s care needs are being met. The registered provider must ensure that all areas of service users needs are met, including their social needs, and that activities are provided to meet the needs and preferences of those living in the home. Service users must be consulted about their preferences regarding their meals, including their views of the quality of the food at regular intervals. Sufficient food and drink must be offered to all service users at regular intervals throughout the day and accurate records kept to evidence that their nutritional needs are being met. The registered provider must ensure that the programme of redecoration for the home continues and that the remaining bedrooms that require new carpets have these fitted. Bathroom facilities must be suitable for the needs of service users and an assessment of the layout of the premises must be carried out by an occupational therapist or other appropriately qualified person. Service users must be offered the opportunity for a bath as often as meets their needs and preferences. All equipment in the home must be working properly. The registered provider must ensure that the airflow mattresses, for the purpose of pressure relief for service users, are serviced by a qualified person and are functioning effectively.The kitchen shelves that are rusty must be replaced to prevent hygiene risks.

Key inspection report Care homes for older people Name: Address: St Benedict`s Nursing Home 22 - 23 St George`s Terrace Herne Bay Kent CT6 8RH     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: Jo Griffiths     Date: 1 9 0 4 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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 Benedict`s Nursing Home 22 - 23 St George`s Terrace Herne Bay Kent CT6 8RH 01227362398 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Macari Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 25 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 to be accommodated is 25. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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 (OP). Date of last inspection Brief description of the care home St Benedicts Nursing Home is situated in a residential area of Herne Bay overlooking the sea, and is close to local amenities including local pubs, shops and churches. It is owned by Macari Homes Limited. The building is a large detached house, which has been extended and converted. There is a car park at the rear of the building and car parking on the road at the front. 0 Over 65 0 Care Homes for Older People Page 4 of 27 Brief description of the care home Accommodation is provided on two floors, with a passenger lift between floors. Most bedrooms are for single use, and some have en-suite facilities. Two bedrooms are shared rooms. There are a number of communal areas with the rear lounge leading into a conservatory and to a paved patio area in the garden. Access to the garden is facilitated via a ramp. There is wheelchair access to some areas in the home, however there is currently an issue with accessibility in bathrooms. Each bedroom is fitted with a call bell and a TV point. The home offers mainly nursing care but residents requiring residential care can also be accommodated. Weekly fee levels were not available at the time of this inspection visit, but can be obtained from the manager of the 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: This was a key inspection of St Benedicts care home with nursing. The inspection took place on 19th April 2010 between 10.30am and 4pm. The deputy manager of the home assisted throughout the inspection with the registered provider also present at the home for the part of the inspection visit. The inspector had a look around the home and spoke with staff and service users. A number of records and documents for the purpose of running the home were inspected. Care Homes for Older People Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The home does not currently have a registered manager. The registered provider has informed us that a new manager has been appointed and will join the home within the next few weeks. A application for registration must be made as soon as possible. New staff that join the home must have a full induction that meets the standards of skills for care (the national training organisation) and they must be made aware of the content of each persons care plan. The registered provider must be able to evidence that staff working in the home have completed the training they need to safely support service users and this must include training in safeguarding vulnerable adults. Care plans must be fully completed and action plans developed where there are areas of risk, for example for the prevention of pressure areas. Accurate records must be maintained to evidence that individuals care needs are being met. The registered provider must ensure that all areas of service users needs are met, including their social needs, and that activities are provided to meet the needs and preferences of those living in the home. Service users must be consulted about their preferences regarding their meals, including their views of the quality of the food at regular intervals. Sufficient food and drink must be offered to all service users at regular intervals throughout the day and accurate records kept to evidence that their nutritional needs are being met. The registered provider must ensure that the programme of redecoration for the home continues and that the remaining bedrooms that require new carpets have these fitted. Bathroom facilities must be suitable for the needs of service users and an assessment of the layout of the premises must be carried out by an occupational therapist or other appropriately qualified person. Service users must be offered the opportunity for a bath as often as meets their needs and preferences. All equipment in the home must be working properly. The registered provider must ensure that the airflow mattresses, for the purpose of pressure relief for service users, are serviced by a qualified person and are functioning effectively. Care Homes for Older People Page 7 of 27 The kitchen shelves that are rusty must be replaced to prevent hygiene risks. 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 8 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 9 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. The home provides information about the services offered to enable people to make an informed choice about moving to the home. Evidence: The Statement of Purpose and Service User Guide provides prospective residents with information about the services the home can provide. There have been no new admissions to the care home since the last inspection due to an imposed restriction to the registration of the home. Further information can be obtained from the registered provider of the home. Care Homes for Older People Page 10 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service do not always have their health and personal care needs met. They are at some risk from poor record keeping and are not provided with suitable facilities to meet their individual personal care needs. People that use the service are supported to take their prescribed medication in a safe way. Evidence: Two care plans were inspected in detail. A standard template is used as the basis for each persons plan therefore the registered provider must ensure that the plans are person centred for the individual. Some areas of the assessments, for example the waterlow pressure area assessment, had not been fully completed. This meant that there was no outcome of the assessment or action plan to address any risks. Some areas of the care plans were difficult to read and the provider must ensure that care plans are clear and legible for care and nursing staff to access. Two newly employed care staff were working on duty. Neither staff member had seen Care Homes for Older People Page 11 of 27 Evidence: the care plans as part of their induction into the home and when asked how they know what care to provide, one staff member stated that they follow the instructions of senior staff. Records of the persons wellbeing are maintained by care staff, but these are kept separately to the care plan, which does not encourage staff to refer to the plan. A summary record is completed by the nurse on duty within the care plan at the end of each shift. One person is at high risk of poor nutritional and fluid intake and requires careful monitoring of this. The daily food and fluid charts for this person showed no entries of any food or drink being offered after 5.30pm. The nurse on duty said that the service user goes to bed quite early, after supper, but that they would still be offered drinks. It was stated by the registered provider and the nurse in charge that it was likely that the records had not been completed accurately. The registered provider must ensure that service users are offered food and drinks at regular intervals, even if wanting to go to bed early, as it is a long period of time between 5.30pm supper and 8.00am breakfast. The GP notes for one person showed that the GP had recently advised the service user have their legs elevated during the day. There was no amendment to the care plan following this advice and the care staff spoken with were not clear when the service user should be having their legs elevated. The service user was not seen to be encouraged to do this at any time during the inspection. The care plans inspected did not show any records of baths for the service users. Staff and service users spoken with confirmed that only two people in the home have a bath and that this is once per week. One service user said that they did not feel this was sufficient and would like a bath more frequently. Three different staff members spoken with stated that the remaining service users do not have baths as they are require the use of a hoist which does not fit in two of the three bathrooms. The staff said that the seated lift in the third bathroom was not of a suitable design for the service users as they slip off and could injure themselves. The registered provider must ensure that suitable facilities are provided for bathing and that all service users are consulted on how frequently they would like a bath and that this need is met. The medication is stored safely and improvements have been made to the clinic room including a new floor and pedal bin. The new floor is not fully sealed around the edge and the registered provider must ensure safe practices are in place for cleaning and infection control to avoid any risks. Care Homes for Older People Page 12 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. People that use the service enjoy most of the meals, but would benefit from being consulted about their views of the quality of the meals. People that use the service would benefit from a regular programme of activities that meets their expectations, preferences and needs. Evidence: The home employs an activity coordinator, however since the last inspection the activity worker has been required to undertake housekeeping duties due to a lack of housekeeping staff in post. The registered provider stated that a new activity worker has been employed and will start work within the next few weeks. The current activity worker stated that she is able to continue to provide a weekly massage and chair exercise session, however the registered provider must ensure that the staff member is appropriately trained to do this. Service users spoken with and staff on duty confirmed that there have been no other activities provided in the home recently. A choice of meals is provided, however service users stated that they are not consistently provided with a choice each day. Two service users spoken with stated that they enjoyed some of the meals, but did not like the cheap foods that were Care Homes for Older People Page 13 of 27 Evidence: sometimes provided, particularly with regard to meats. The cook on duty saids that some budget foods are purchased and that the budget meats do not cook well. The cupboards contained a range of budget and branded foods. The registered provider should consult with service users about their views of the meals. The cook and the staff said that drinks and some snacks can be accessed during the evening, but the main food storage areas are locked. As mentioned in the previous section of this report the registered provider must ensure that service users are offered drinks and food at regular intervals, including during the evening. Care Homes for Older People Page 14 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service know how to make a complaint if they need to. People that use the service are safeguarded from harm through the recruitment procedures for new staff, but would benefit from all new staff completing safeguarding training. Evidence: The home has a complaints procedure which is displayed in the entrance hall and included within the Service User Guide. The registered provider stated that there have been no complaints received by the home since the last inspection. Some staff have completed training in safeguarding vulnerable adults, but some of the newly employed staff have not yet attended this training. The recruitment procedures for the home ensure that a CRB (criminal records check) and ISA (safeguarding register check) are made for all new employees. Care Homes for Older People Page 15 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides sufficient private and shared space for service users, but they do not have access to suitable bathroom facilities that meet their needs. The home requires some further improvements to ensure it provides a comfortable, clean and hygienic environment. Evidence: The required improvements from the last inspection of the home have been made. This included replacing carpets in bedrooms, although two bedrooms still require this and the registered provider has stated this is in hand. The majority of bedrooms have been redecorated. There are two shared bedrooms in the home, however they were both being used as single rooms at the time of the inspection. The occupant of one room said that they did not want to share a room again, and the registered provider must ensure that they are offered a single room instead. Some bedrooms have an airflow mattress for pressure relief. Staff reported that some of the mattresses have not been functioning properly for some time. It was noted at the time of the inspection that two of the mattresses were very noisy and may disturb the sleep of the service user. The registered provider must ensure that the mattresses are serviced and are working correctly. Care Homes for Older People Page 16 of 27 Evidence: The patio area in the garden has been made safe for people to use and some new garden furniture provided. There are two lounge areas, a dining room and a conservatory to the ground floor. There was previously a quiet lounge to the first floor, which has lovely views of the sea, but this has been converted to the managers office. One bathroom has been refurbished to provide a shower room, but this is not yet completed and is therefore not usable by service users. There are three bathrooms, two with a chair hoist and one with a parker bath. The staff stated that the hoist does not fit into two of these bathrooms and that the chair hoist in the other bathroom is not suitable for the needs of the service users. This means that only two people living in the home can currently have a bath. Some bedrooms have an ensuite toilet and sink, but these are small and not suitable for people who have mobility difficulties. The registered provider must ensure that the environment is assessed by an Occupational Therapist, or other suitably qualified person, to ensure that the required equipment and space is provided. Some of the cupboards in the kitchen have been replaced, however the kitchen floor is old, worn and dirty. The registered provider stated that she was in the process of obtaining quotes for the replacement of the flooring. The food storage shelves near the freezers were rusty. Care Homes for Older People Page 17 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does not employ sufficient numbers of ancillary staff and consequently care staff are taken from their caring duties to undertake these roles. There is no activity worker employed at present and service users social needs are not being met. Service users cannot currently be assured that they supported by trained and qualified staff. The recruitment procedures for new staff ensure that service users are safeguarded. Evidence: The home provides sufficient number of care and nursing staff to meet the needs of service users, with a registered nurse on each shift. Some new staff have been employed since the last inspection. The recruitment files for new staff were examined and found to contain evidence of the required checks. Two of the new care staff were working on duty at the time of the inspection. One did not have an induction on their file. The registered provider was asked about this and after going to look for it with the new staff member then provided it later in the day. The other new staff member on duty said that they had not completed an induction. The induction that is used by the home is a basic induction to the care home and does not meet the standards of the national training organisation skills for care. The registered provider said that she thought staff had completed the full induction, but was unable to provide any evidence Care Homes for Older People Page 18 of 27 Evidence: of this. There are currently no cleaning staff or kitchen assistant employed in the home, due to staff leaving. This means that care staff have to undertake the cleaning duties and assist the cook in the kitchen during their shift. The registered provider acknowledged that this was not suitable and stated that she intended to recruit to both these posts. As previously reported the home does not currently employee sufficient numbers of staff to meet the social needs of service users. It was not possible to assess whether staff have completed all the training they require as the training matrix and records were not up to date. Some certificates were seen on staff files, however the registered provider must ensure that clear training records are maintained to evidence that staff have undertaken all the training they need to safely care for people in the home. The rotas showed that one of the owners of the care home sometimes works on shift in caring for service users. The registered provider was asked to provide evidence that he has completed the required training, but this was not available in the home. Care Homes for Older People Page 19 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. Service users would benefit from a registered manager for the home as they cannot be fully assured at present that the monitoring arrangements for the service are effective. Evidence: Since the last key inspection the registered manager of the home has left. A new manager has been recruited and the registered provider is currently undertaking the necessary checks. The deputy manager has been running the home with the registered provider visiting weekly. Monthly audit visits have been completed by the registered provider and some of the issues identified through the inspection had been noted through the audits, for example the need to review the menu and to replace the kitchen floor. However, there were other areas of concern that the provider said she was not aware of, including that service users cannot access the baths. Care Homes for Older People Page 20 of 27 Evidence: The general safety of the service users has been maintained and there were no serious issues of safety concern during the visit. Areas of required improvement have been noted throughout this report and the registered provider must closely monitor the service, in the absence of a manager, to ensure that the requirements are met. Care Homes for Older People Page 21 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 22 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 1 7 12 The registered provider must ensure that action plans are included in the care plans for areas of identified risk, for example pressure areas. To ensure that risks to service users wellbeing are minimised. 31/05/2010 2 7 15 The registered provider must ensure that staff are aware of service users care plans and follow them to meet their needs. To ensure service users assessed needs are met. 31/05/2010 3 12 16 The registered provider must ensure that service users social needs are met To ensure that services users physical and psychological needs are met. 31/05/2010 Care Homes for Older People Page 23 of 27 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 4 15 16 The registered provider 31/05/2010 must ensure that service users have their nutritional needs met and are consulted about their meals and the quality of food provided. To ensure service users health and wellbeing. 5 18 13 The registered provider must ensure that staff are provided with training in safeguarding vulnerable adults. To ensure service users are safeguarded from harm and abuse. 31/05/2010 6 19 23 The registered provider 31/05/2010 must ensure that the kitchen floor and shelves are hygienic and free from risk of cross infection. To reduce the risk of infection in the home. 7 19 23 The registered provider must ensure that the remaining soiled and worn carpets in bedrooms are replaced. To provide a comfortable environment for service users. 31/05/2010 Care Homes for Older People Page 24 of 27 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 8 21 23 The registered provider must ensure that bathroom facilities are suitable for service users needs. To ensure service users have access to sufficient suitable facilities. 31/05/2010 9 22 23 The registered provider must ensure that the pressure relief mattresses are serviced by a qualified person and are functioning properly. To prevent the risk of pressure wounds for service users. 31/05/2010 10 22 23 The registered provider must ensure that the layout of the premises and equipment supplied meets the needs of the service users To ensure that those with mobility difficulties or other needs can access all facilities in the home. 31/05/2010 11 27 17 The registered provider 31/05/2010 must ensure that sufficient numbers of staff are employed in the home for the preparation of meals, cleaning and providing social activities. Care Homes for Older People Page 25 of 27 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 To ensure the home is run in the interests of the service users. 12 30 18 The registered provider must ensure that staff have completed the training they need appropriate to their roles. This includes an induction programme that meets the standards of skills for care. To ensure staff are skilled to meet service users needs. 13 31 8 The registered provider must ensure that a suitable manager is appointed to the home who makes an application for registration with CQC. To ensure the effective management of the home. 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 25/06/2010 18/06/2010 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. 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