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Inspection on 09/12/09 for Whipton Barton House

Also see our care home review for Whipton Barton House for more information

This is the latest available inspection report for this service, carried out on 9th December 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

People said they were very happy living in the home and that the staff were very kind and caring: many people had particularly chosen to live at Whipton Barton as they had previously lived close by. Health care needs are monitored and the home works closely with other health care professionals such as the Community Nursing Service. Meals were described as nice, varied and plentiful. People said they felt comfortable talking to the staff or the managers about any concerns or complaints they may have.

What has improved since the last inspection?

The newly appointed home manager has reviewed the systems and routines within the home and has begun to address matters that need reviewing such as improving the care planning documentation and staff supervision. These changes need time to implement and take effect, and in time, they will benefit the people living in the home and the staff team.

What the care home could do better:

The majority of people moving to the home are supported by social services and as such have had their needs assessed by a social worker. However, these assessments did not provide the home with sufficient detail about the person`s specific care needs and the manager should review these assessments to ensure they provide clear and detailed information to make a decision about whether the home is suitable to meet people`s needs. Staffing levels should be kept under review to ensure people`s needs can be consistently met in a safe and unhurried manner. Staff should receive training in age related health conditions to ensure they are aware of the more common illness and are able to meet people`s changing care needs. The communal space available to people living in the home should be reviewed since changing the larger of the first floor lounge rooms to an office. The home manager should be registered with the Commission. The Quality Assurances process should be reviewed to ensure people living in the home, their relatives and others, such as health care professionals who have a responsibility towards the well being of residents, are able to comment upon the services and care provided at the home. An annual development plan should result from this which reflects the home`s aims and outcomes for the people using the service. Staff should receive formal supervision at least six times a year which covers all aspects of their practice, the philosophy of care of the home and their training and development needs. Documents relating to the care of people living in the home should be current and up to date. Those documents relating to past assessments should be removed from the care planning file unless they directly influence people`s care.

Key inspection report Care homes for older people Name: Address: Whipton Barton House Vaughan Road Whipton Exeter Devon EX1 3JN     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: Jane Gurnell     Date: 0 9 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 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 26 Information about the care home Name of care home: Address: Whipton Barton House Vaughan Road Whipton Exeter Devon EX1 3JN 01392467584 01392469417 helen.seldon@devon.gov.uk http/www.devon.gov.uk Devon County Council care home 33 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Whipton Barton House is a care home managed and operated by Devon County Council. It provides residential care for up to 33 elderly and/or frail service users. The rooms are in four self-contained wings designed to give a more homely, small community atmosphere. It also offers respite care for up to three service users. The building has two-storeys with a shaft lift and a wide staircase to access the first floor from the foyer. It is situated at the junction of Pinhoe Road and Vaughan Road in Whipton, Exeter close to local amenities. There is a small car park at the front and parking in the road. A new non-smoking policy has recently been introduced for any new residents. The average cost of care is £306 per week at the time of inspection. Additional costs, not covered in the fees, include hairdressing and personal items such as toiletries, newspapers and magazines and private chiropody and taxis. Care Homes for Older People Page 4 of 26 Over 65 33 0 3 0 1 0 2 0 0 8 Brief description of the care home Current information about the service, including CSCI reports, which are accessible at the Home, is given to prospective residents/their representatives. The Service Users Guide and Statement of Purpose are available and a copy given to all residents on admission. Care Homes for Older People Page 5 of 26 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 inspection was undertaken on 9th December between 09:40 and 14:50. One of the homes assistant manager was present throughout and two other assistant managers contributed to the inspection. The homes manager was available by phone the day following the inspection. A tour of the building was made and many of the people living in the home were spoken with, as were two relatives, two visiting health care professionals and some of the staff on duty. A range of documents were looked at including the assessments of peoples needs before their admission, their care plans and daily care notes, medication records, staff recruitment, training and supervision records and those relating the fire alarm system. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The majority of people moving to the home are supported by social services and as such have had their needs assessed by a social worker. However, these assessments did not provide the home with sufficient detail about the persons specific care needs and the manager should review these assessments to ensure they provide clear and detailed information to make a decision about whether the home is suitable to meet peoples needs. Staffing levels should be kept under review to ensure peoples needs can be consistently met in a safe and unhurried manner. Staff should receive training in age related health conditions to ensure they are aware of the more common illness and are able to meet peoples changing care needs. The communal space available to people living in the home should be reviewed since changing the larger of the first floor lounge rooms to an office. The home manager should be registered with the Commission. The Quality Assurances process should be reviewed to ensure people living in the home, their relatives and others, such as health care professionals who have a responsibility towards the well being of residents, are able to comment upon the services and care provided at the home. An annual development plan should result from this which reflects the homes aims and outcomes for the people using the service. Staff should receive formal supervision at least six times a year which covers all aspects of their practice, the philosophy of care of the home and their training and development needs. Documents relating to the care of people living in the home should be current and up to date. Those documents relating to past assessments should be removed from the care planning file unless they directly influence peoples care. Care Homes for Older People Page 7 of 26 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 26 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 26 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. Pre-admission assessments lacked detail to enable the home to make a proper judgement about whether the home is able to meet a prospective residents needs or to prepare for their admission. Evidence: Many of the people spoken with said that they had previously lived in the local area and several had spent time in the home for respite care. One person said that she was insistent on coming to Whipton Barton when it was agreed that she needed residential care and that she wouldnt consider living anywhere else. The assessment and care planning documents were examined for four people, including one person newly admitted to the home, one person receiving respite care and two people who had been living in the home for a longer period of time. The assistant manager explained that a social services assessment is obtained for each person considering moving to the home either as a longstay resident or to receive Care Homes for Older People Page 10 of 26 Evidence: respite care. However these assessments were found to give only brief information about each persons needs. For example one assessment said with regard to skin care, possible problem/need but there was no explanation as to what was meant by this, also a risk of falling had been identifed for another person but there was no further explanation. From these assessments it was not possible to judge whether the home was suitable to meet the needs of the person nor were the staff able to prepare for their admission. The assistant manager was advised to seek further clarification regarding peoples needs prior to their admission to ensure Whipton Barton was an appropriate home. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home had their health and personal care needs met in a respectful manner that protected their privacy and dignity. Medication administration practices were safe. Evidence: The majority of people living in the home were spoken with and all said that they felt very well cared for and supported by the staff. Comments included its lovely here and I really feel that this is my home now. This was supported by the eight surveys returned by people living in the home: one person said the carers are always cheerful and helpful. The home constantly encourages us to live life as normally as possible. It gives me security and I feel safe, another person said nothing is too much trouble for the staff. They are very willing to help in any way they can, the staff and managers are very caring with everyone. Both relatives spoken with during the visit confirmed that they have confidence their relatives are being well cared for and that the home keeps them informed. The care plans for the four people identified in outcome group 1 were examined and Care Homes for Older People Page 12 of 26 Evidence: these contained a variety of documents, including an example of the documents being currently introduced to enable the staff to record in more detail peoples needs. Where these new documents had been used there was a much clearer picture of peoples needs, however some further information was required to clarify what the person could do for themselves and how staff should offer support in a consistent and safe manner. For example, one person was using oxygen and there was no information in the care plan to say whether the staff should assist the person with this and at what dose the oxygen should be used. Another care plan indicated that the person used a wheeled frame to walk but gave no further indication as to how far the person could walk, whether they could manage steps and stairs or whether the person needed assistance to get in and out of a chair. It is important that more information is recorded to ensure peoples needs are known by all of the staff team and that assistance is offered in a manner acceptable to the person. The assistant manager confirmed that all the care plans would be rewritten following the new format that gave much more information about not only the persons care needs but their life history and how they wish to spend their day. The survey received from a health care professional prior to the inspection confirmed that peoples health care needs are monitored and met and that the home seeks advice appropriately: this was further supported by the two health care professionals visiting the home at the time of the inspection. The assistant manager was observed giving medicines over the lunchtime period and this was seen to be done safely. Medicines are stored safely and records were found to be neat and accurate. A sample of the controlled drugs kept in the home were checked and found to be stored and recorded correctly. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines in the home are flexible and people are able to make decisions about how they wish to spend their day. Social activities provide stimulation and interest to people. Meals are nutritious and plentiful. Evidence: People said that they enjoyed the activities facilitated by the staff, but that recently this has not been as frequent as in the past. Staff said that they endeavour to provide some planned activity each day, including quizzes, bingo, cards and board games and arts and crafts, however due to recent changes in staffing this had not been possible each day. The noticeboard in the main hallway gave details of the events during December to celebrate Christmas and these included a carol service at Exeter Cathedral, Christmas play from the local school, going to the pantomime, a flower arranging session to make individual Christmas floral displays and a Christmas party at the home. People also said that they enjoyed the occasional trips to local places of interest, and two relatives spoken with said they were impressed with the range and frequency of activities offered in the home. Of the eight people returning a survey, three people said that they home always arranges activities to take part in, two people said usually and two people said sometimes, (one person did not answer this question). The assistant manager said that a member of staff is allocated each Care Homes for Older People Page 14 of 26 Evidence: day to provide activities and the home manager confirmed that staffing levels would be increased during the mornings when the new staffing duty rota was implemented and staff would be available to facilitate more activities. People praised the quality of the meals provided and said there was always plenty of choice. On the day of the visit to the home the lunchtime meal was either a choice of cottage pie and vegetables or a baked potato with a variety of toppings. People confirm that drinks and snacks were available during the day in addition to the regular morning and afternoon drinks and cakes. Of the eight people returning a survey, four people said they always liked the meals at the home, one person said they usually and two people said they sometimes enjoy the meals at home but offered no information regarding why this would be the case (one person did not answer this question). Care Homes for Older People Page 15 of 26 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. People can be confident that their concerns or complaints would be listened to, taken seriously and action would be taken promptly to resolve the matter. Evidence: Those people spoken with said they had no concerns about the home and felt very well cared for. When asked if they could think of anything that would make life more comfortable in the home, all said they couldnt think of anything. All of the people returning the survey said the staff listened to them and acted upon what they said and they knew who to talk to should they be unhappy about anything. The home maintains a complaints register which provides details of any complaints received by the home and the actions taken to resolve the matter. The home also kept a record of the compliments received and these demonstrated peoples thanks and satisfaction with the services and care provided at home. From the examination records and through discussion with the staff it was evident that staff had received training regarding the safeguarding of vulnerable adults and were aware of their responsibilities should they suspect somebody be at risk from abuse. Care Homes for Older People Page 16 of 26 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. Whipton Barton provides a comfortable home with sufficient facilities for the people living there. Evidence: The home was found to be clean and tidy and with no unpleasant odours. The home is generally maintained in good repair, although the decor is dated and the bathrooms and toilets would benefit from refurbishment as there appear to be some damp issues in those on the ground floor. The assistant manager confirmed that the communal areas and hallways were due to be decorated. People said that they were happy with their rooms and that they had been able to bring some personal items with them, although this was restricted due to the size of the rooms. The home has a light and spacious entranceway where people can sit should they wish to do so. There are two lounge rooms and a dining room on the ground floor and one lounge room on the first floor. A room on the first floor that had previously been used as a lounge room had been converted into an office, and the manager has been asked to review the communal space available since making this change as standard 20 of the National Minimum Standards for Care Homes for Older People indicate that there should be no less than 4.1 sq m. of communal space per person. Should the Care Homes for Older People Page 17 of 26 Evidence: communal space fall below this then the use of this room will need to be returned to a lounge room. Hoists and wheelchairs were seen to be easily accessible for staff and these were stored safely when not in use. Radiators were seen to be covered to protect people from the risk of burns should they come into contact with them when on, and the hot water temperature was controlled to reduce the risk of scalding. Window openings were restricted to maintain peoples safety both on the ground floor and first floor. Care Homes for Older People Page 18 of 26 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. People are cared for by kind and competent staff. Staffing levels should be kept under review to ensure peoples needs can be fully met in a timely and unhurried manner. Evidence: People said they were well cared for by kind and competent staff. People said the staff were caring and friendly and nothing was too much trouble. This was supported by the eight people who returned a survey and the two relatives spoken with at the time of the visit to the home. There were 28 people living in the home at the time of the inspection and four care staff on duty with an assistant manager, as well as housekeeping and catering staff. The assistant manager confirmed that during the afternoon there were three care staff on duty with an assistant manager, during the evening there were four care staff available with an assistant manager and during the night two waking care staff with an assistant manager sleeping-in and on call. Whilst there were five empty beds at the time of the inspection, the assistant manager confirmed that there were a number of people waiting to be admitted to the home for respite care and staff were concerned about their ability to continue to meet peoples needs.Those staff returning a survey prior to the inspection had raised concerns over the staffing levels. The home manager confirmed that a review of staffing by seniour managers within Devon County Council had taken place which had resulted in an increase in the staffing during the mornings Care Homes for Older People Page 19 of 26 Evidence: which would ease the workload of the staff and enable staff to spend more time with people and to provide leisure and social activities. Concerns were also raised by the staff about the difficulty in accessing agency staff to cover short notice sickness as this needed to be approved by a senior manager who was not available out of office hours or at weekends. The home manager was asked to keep the situation under review and to report to the commission should there be a time when she had been unable to arrange cover and peoples well-being and safety was being placed at risk. The recruitment and training files for three members of staff were examined. All three contained the necessary pre-employment documents including two written references and a Criminal Records Bureau check to ensure, as far as possible, only suitable staff are employed at the home. Training files indicated staff had received training in Safeguarding Vulnerable Adults, Manual Handling and Infection Control. There was no evidence that staff had received training in issues relating to the health needs of older people, such as diabetes, nutrition or Parkinsons Disease, and four out of the five staff who returned a survey said they did not receive training relating to health care and medication. Care Homes for Older People Page 20 of 26 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 home is run in the best interests of the people living there. The newly appointed manager and her staff team are striving to provide a safe and homely environment people. Management structures need to be strengthened to ensure important documents such as care needs assessments and care plans are detailed and kept upto-date and the quality of the care and services provided are reviewed and assessed with people living in the home as well as others involved in their care. Staff would benefit from more frequent formal supervision. Evidence: Since the previous inspection a new home manager has been appointed. She has been working in the home since July 2009 and has yet to have her position confirmed by Devon County Council. Once this has been confirmed the home manager will be making an application to the commission to register. This is an important process as it confirms that the home is being managed by someone who has been assessed as fit and competent to run the home and who has a legal responsibility to maintain the health and welfare of people living in the home. Care Homes for Older People Page 21 of 26 Evidence: The home has a formal quality assurance process which involves providing people living in a home with questionnaires regarding the quality of the service and care provided. These surveys and results from 2008 were available and the results were generally very favourable: no survey had taken place during 2009. At the time of the previous inspection the home had been advised the home to involve more people such as relatives and visiting health-care professionals who could also contribute to the assessment process. For those people who are unable to manage their own finances the home offers a safe for small amounts of money and valuables and a bank account for larger sums of money. Individual records were maintained and receipts for all expenditure obtained to ensure peoples money can be audited for accuracy. Records were stored securely and were accessible to staff, however some of the records were found to be out of date, for example social services assessments and reviews undertaken in past years could be confusing for people when looking for current information, and the assistant manager was advised to remove this out of date information. The assistant manager and the home manager confirmed that staff supervision had been reintroduced as this is something that had not occurred for some time prior to the current home manager being in post. Those staff files examined indicated that staff had received supervision in November 2009: this was the first time this had occurred in several months or in one case years. It is important that staff are offered support with regard to the running of the home, their training and development needs as well as having their work performance observed and assessed to ensure it reflects the values and principles of the home. The home employs a member staff two days a week to undertake day-to-day repairs and general health and safety work: the assistant manager confirmed that he is available at other times should that be necessary. The fire logbook was examined and indicated that regular testing and servicing of the system takes place to ensure it is maintained in good working order, and that staff receive regular fire safety training. Care Homes for Older People Page 22 of 26 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 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 3 The pre-admission assessments should provide clear and detailed information regarding the persons care needs to ensure that the home is suitable to meet their needs. The communal space available to people living in the home should be reviewed in light of the changes made to the first floor lounge room. Should this be less than 4.1 sq m. per person, the room should be returned to use as a lounge. Staffing levels should be kept under review to ensure peoples care needs can be met safely and in an unhurried manner. Staff should receive training in health care matters, including medication, relating to aging to ensure they are able to meet the changing needs of the people living in the home. The home manager should be registered with the Commission. The Quality Assurances process should be reviewed to ensure people living in the home, their relatives and others such as health care professionals who have a responsibility towards the well being of residents are able to comment Page 24 of 26 2 20 3 27 4 30 5 6 31 33 Care Homes for Older People 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 upon the services and care provided at the home. An annual development plan should be put used from this which reflects the homes aims and outcomes of the people using the service. 7 36 Staff should receive formal supervision only six times a year which covers all aspects of their practice, the philosophy of care of the home and training and development needs. Documents relating to the care of people living in the home should be current and up to date. Those documents relating to past assessments should be removed from the care planning file unless they directly influence peoples care. 8 37 Care Homes for Older People Page 25 of 26 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 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!