Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 24/06/09 for Altham Court Nursing Home

Also see our care home review for Altham Court Nursing Home for more information

This inspection was carried out on 24th June 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 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

People are cared for in a safe, well maintained and homely environment. Assessments and care plans identify residents personal care needs and preferences, which helps staff to understand what care people need and their role in supporting them. In the main people said that they were happy with the care they received and the staff who helped them. They told us, `I really enjoy living here` and `marvelous, I can`t fault them`.

What has improved since the last inspection?

There is a more varied activities programme with designated staff to facilitate in house activities, but the manager acknowledges that more outings into the community need to be introduced. The content of the monthly care plan reviews are now more meaningful so that they reflect any improvement or deterioration in the resident`s condition.

What the care home could do better:

Although information about peoples interests and hobbies has been collated this needs to be developed into an agreed social care plan which tells staff what they like to do and how they should support them in this area. This will help to make sure that each resident receives the stimulation they prefer. Peoples individual dependency levels must be considered to make sure that there is enough staff on duty to meet the needs of the people who live at the home. At the last inspection it was identified that staff should have access to specialist training regarding the people they supported, such as physical disabilities, dementia awareness and illnesses affecting older people. So that they have a better understanding of the people living at the home. This training is still outstanding. Other areas that would benefit from attention include the following. Records for monitoring areas such as peoples fluid input and output should be consistently maintained so that there is a better record of the support given and accurate monitoring information. Care plans should contain information about recent legislation that is designed to protect people`s rights and choices. This is so the home can show they have looked at the effects the legislation has on the resident`s lives and planned their care accordingly. Training in this subject should continue so that all staff understand this legislation and their role in supporting people. Staff induction records should be completed in a timely manner and signed by all parties to evidence satisfactory completion. This will show that staff have been given essential information regarding how the home intends to operate and are therefore competent to do their job. Staff should receive regular supervision and appraisal sessions which are planned and recorded. This will help to make sure that they receive the right level of support to carry out their job. The monthly report completed by the providers representative should contain peoples views so that it demonstrates what residents, relatives and staff told them, as well as any actions needed to address any issues raised.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Altham Court Nursing Home Altham Terrace Lincoln LN6 7SP     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dawn Podmore     Date: 2 4 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 28 Information about the care home Name of care home: Address: Altham Court Nursing Home Altham Terrace Lincoln LN6 7SP 01522511373 01522511471 burrowsl@bupa.com www.bupa.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): BUPA Care Homes (CFC Homes) Ltd care home 48 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 physical disability Additional conditions: Date of last inspection Brief description of the care home Altham Court is situated in a quiet lane within walking distance of the City Centre. It is purpose built with all services situated on ground floor level. Accommodation is provided in two shared and forty-four single bedrooms, which benefit from having ensuite facilities. Altham Court is registered for forty-eight service users, 10 of which could have a physical disability, and provides both personal care and nursing care for older people. There are extensive, well-maintained gardens, which have garden furniture for the comfort of the residents and their visitors. Car parking is available at the front of the building and there is a bus service close by. Information provided on the day of the visit indicated that weekly fees ranged from Care Homes for Older People Page 4 of 28 Over 65 48 0 0 10 Brief description of the care home £360 - £610.82 depending on peoples individual assessed needs. Additional charges are made for services such as chiropody, hairdressing and newspapers. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, can be found in the Statement of Purpose which is available in the reception area. Care Homes for Older People Page 5 of 28 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 key inspection was unannounced and took any previous information held by C.Q.C about the home into account. Throughout this report the terms we and us refers to the Care Quality Commission (CQC). Before the the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, 11 of which were returned in time to be included in this report. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and observation of Care Homes for Older People Page 6 of 28 care practices. A partial tour of the home was also conducted, which included looking at some bedrooms, communal areas and bathing and toilet facilities. Documentation was sampled and the care records of the four people being tracked were examined. We spoke with 8 residents, 3 relatives and 5 members of staff, including the acting manager and her deputy. They shared their views about how the home operated on a day to day basis and the care and facilities provided. On the day of the visit 36 people were living at the home. What the care home does well: What has improved since the last inspection? What they could do better: Although information about peoples interests and hobbies has been collated this needs to be developed into an agreed social care plan which tells staff what they like to do and how they should support them in this area. This will help to make sure that each resident receives the stimulation they prefer. Peoples individual dependency levels must be considered to make sure that there is enough staff on duty to meet the needs of the people who live at the home. At the last inspection it was identified that staff should have access to specialist training regarding the people they supported, such as physical disabilities, dementia awareness and illnesses affecting older people. So that they have a better understanding of the people living at the home. This training is still outstanding. Other areas that would benefit from attention include the following. Records for monitoring areas such as peoples fluid input and output should be consistently maintained so that there is a better record of the support given and accurate monitoring information. Care plans should contain information about recent legislation that is designed to protect peoples rights and choices. This is so the home can show they have looked at the effects the legislation has on the residents lives and planned their care accordingly. Training in this subject should continue so that all staff understand this legislation and their role in supporting people. Staff induction records should be completed in a timely manner and signed by all parties to evidence satisfactory completion. This will show that staff have been given essential information regarding how the home intends to operate and are therefore competent to do their job. Staff should receive regular supervision and appraisal sessions which are planned and recorded. This will help to make sure that they receive the right level of support to carry out their job. Care Homes for Older People Page 8 of 28 The monthly report completed by the providers representative should contain peoples views so that it demonstrates what residents, relatives and staff told them, as well as any actions needed to address any issues raised. 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 set out 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information provided to people prior to admission and the initial assessment procedure helps to make sure that the home can meet the needs of the people who come to live there. Evidence: The home provides people with various information to help them decide if it is the right place for them to live. This includes the Statement of Purpose and a Service Users Guide, which was available in each persons room. A review of all information available showed that the home does not admit residents without a detailed assessment of their health and care needs being completed. People we spoke to during the visit, and those who returned surveys, confirmed that they had received sufficient information about the home that a satisfactory assessment process was in place. Care Homes for Older People Page 11 of 28 Evidence: The manager said that although people come to the home for short stay placements the home does not provide intermediate care. Care Homes for Older People Page 12 of 28 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. Peoples needs are being met by staff who have access to detailed information about their health and care needs. However shortfalls in the planning of social and leisure preferences means that all their needs may not be fully met. Evidence: Care records contained good information about what care and support people needed and their individual preferences and abilities. This included assessments regarding peoples nutritional status and their likes and dislikes. Files also contained a personal plan which outlined the way they preferred to spend their day. There was also a map of life which recorded peoples past social history their hobbies and interests. Assessments for potential risk areas, such as manual handling and risk of pressure damage, had been carried out. This information had then been used to formulate care plans to guide staff as to how to minimise these risks. A daily record of how people were progressing had been maintained and care plans had been evaluated regularly. Care Homes for Older People Page 13 of 28 Evidence: Peoples capacity to made decisions about their daily lives had been considered as part of new residents initial assessments, but not included in the care planning process. This is new legislation that is aimed at protecting peoples rights and choices. The acting manager said that training was being provided to staff regarding this subject. Records and peoples comments indicated that residents had access to outside health professionals such as doctors and specialist nurses. Peoples health care was being monitored and equipment such as pressure relieving mattresses were in use. Some concerns have been raised about the provision of this equipment and are currently being looked into. Staff were knowledgeable about the people they supported and how they preferred their care delivering. They were observed speaking to residents with respect, and in discussion with staff they had a good understanding of how to maintain peoples privacy and dignity. Most of the people we spoke to, as well as those who returned surveys, said that they were happy with the level of care and support provided. One person told us,I really enjoy living here. One relative said that although the staff were very caring her mother had not been regularly taken to the toilet that morning as planned. When the records were checked there were only 2 entries 9.30am and 2pm, when her daughter helped her. This subject was discussed with the manager who said she would look into the matter. Records and discussions with staff demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Regular pharmacy audits are carried out by Boots the Chemist. Their last visit on 27/4/09 indicated that no issues had been highlighted. Following an issue identified by an outside agency concerning the timing of some medications the company conducted an internal audit of the medication system on 17/6/09. The acting manager said that issues highlighted in the audit such as the regular checking of controlled drugs had been addressed. Care Homes for Older People Page 14 of 28 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. The home provides a varied activities programme which people enjoy. People receive a nutritious and varied diet that meets their individual preferences and health requirements. Evidence: There is a structured activities programme that has been developed to meet the needs of the people currently living at the home. Various activities take place on a regular basis. These included arts and crafts, bingo, games and pampering sessions. Company events such as English wine week, fruity Friday and National donut day had also taken place. For the summer a world Cruise was planned with discussions about various countries to be visited and things like postcards for people to send once they had visited that country. The home arranges for some residents to go out into the community but the manager said in the AQAA that this was an area that needed to be improved. People told us that they were happy with the activities that took place and said that they could choose not to join in if they preferred not to. They said that relatives could visit at anytime and that they were always made welcome by the staff. One person Care Homes for Older People Page 15 of 28 Evidence: told us, I am not bothered about activities but I do go out shopping, in fact Im going out this Friday with my key worker. Another person commented that there were no regular entertainers who visited the home, except at holidays such as Christmas, and not many opportunities to go on outings. At lunchtime the atmosphere in the dining room was lively with people chatting and staff interacting positively with the residents. The meal was served by the chef and staff assisted people as necessary. The menu was displayed on a board and menus were on each table. People were given a choice of 2 main meals but other alternatives were available. People said that they enjoyed the meals. Their comments included:the food is nice, but the soup is delicious, the food is lovely and good choice. At the last visit by the Environmental Health Officer the kitchen was awarded a 5 star rating for the cleanliness and organisation of the kitchen, this being the highest rating achievable. Care Homes for Older People Page 16 of 28 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 by clear policies and procedures for handling complaints and allegations of abuse. Evidence: The home has a complaints procedure, this is displayed in the home and included in the Service User Guide. complaints logged had been appropriately records and addressed. People said that they knew how to make a complaint and would be comfortable highlighting any issues. Most people told us that they had no complaints, but two relatives raised concerns. As previously discussed one was regarding staff not offering a resident the toilet as agreed in their plan and recording when this had been done. Another person highlighted issues with the size of the room and the number of staff on duty. She said that on one weekend there was only 2 of the homes staff and the rest were from the agency and that staff did not have enough time to sit and chat to residents. They also said that sometimes staff placed the call system out of reach so that their mother could not ring for assistance. The home has procedures concerning the protection of vulnerable adults. At the time of the visit three safeguarding alerts were being investigated by the Safeguarding team. The company had taken action to address any areas highlighted to them. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be Care Homes for Older People Page 17 of 28 Evidence: occurring and confirmed that they had received training in this subject. Care Homes for Older People Page 18 of 28 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. People live in a well maintained, comfortable and homely environment, which offers a good standard of decor and furnishing. Evidence: We took a partial tour of the home looking at the bedrooms of the people being case tracked, communal areas and bathing facilities. The general atmosphere of the home was welcoming and homely. Bedrooms had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. People told us that they were happy with their rooms. A relative said that she had raised concerns about the size of her mothers room as she used a hoist. The manager said that she had since offered the family a larger room. The garden was well maintained and seating was available. Ramps are in place to enable easy access to all areas. Separate staff are employed to maintain the cleanliness of the home. There were no unpleasant odours detected during the visit and it looked clean and tidy. In surveys 3 people said that the home was always fresh and clean and the other 2 said that it usually was. One person said that cleanliness was one of the things the Care Homes for Older People Page 19 of 28 Evidence: home did well but another person said that it was an area that could be improved. One person said that they would prefer duvets to sheets and blankets. Care Homes for Older People Page 20 of 28 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. Residents are safeguarded by the homes robust recruitment procedure, which helps to ensure that staff are suitable to work with vulnerable people. They receive care from staff who are knowledgeable about the people they support, but staff availability and training shortfalls could lead to peoples needs not being fully met. Evidence: The home has recently changed the way it deploys the staff. While the nursing residents are cared for by a nurse and a group of carers the care of the people receiving residential care is now coordinated by a senior carer. They have received additional training, such as the administration of medications and care planning, to enable them to fulfill this role. The acting manager said that the home worked to the company staffing levels. Assessments of peoples individual dependency levels had not been carried out. Therefore there was no information to enable her to assess if the numbers of staff provided were sufficient to meet peoples needs. Some people raised concerns about the number of staff available, especially for people with nursing needs. A relative told us that she was not happy with the staffing levels as staff did not have time to talk to her mother and she raised concerns about the use of agency staff. Another person said they are always busy. Staff also raised concerns Care Homes for Older People Page 21 of 28 Evidence: about the number of staff on duty, they said that a lot of people needed 2 staff to help them get up and this meant that other residents had to wait. We checked the files of 2 new staff and these showed that their recruitment had been carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks, being undertaken. Staff comments demonstrated that new staff received a satisfactory induction to the home. This included shadowing an experienced carer and completing the company induction portfolio. We did however find that an induction book for a carer who had been at the home for sometime had not been fully completed. The home has a training programme which includes essential subjects such as manual handling, protection of vulnerable adults from abuse, fire safety, medications, food hygiene and infection control. Specialist training such as dementia and conditions associated with old age had not taken place. The acting manager said that a session on catheterisation was the only specialist training planned for the near future. We were told that arrangements were in place to make sure that all staff received training about the Mental Capacity Act and Deprivation of Liberties, which are aimed at protecting peoples rights and choices. The acting manager said that they were using the Local Authority pack to do this. Some staff confirmed that this training had already been started. The company encourage staff to complete an N.V.Q (National Vocational Qualification) in care. Information provided showed that out of 25 care staff 10 have attained an NVQ and the manager said that some more were to be enrolled shortly. People said that with the exception of the number of staff on duty they were very happy with the way staff supported them. One person told us, the staff are great. Another said, marvelous, I cant fault them. Staff demonstrated a satisfactory knowledge of the people they were caring for. Care Homes for Older People Page 22 of 28 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. Management systems are not robust enough to make sure that the home is managed and staffed to ensure the wellbeing of the people who live there. Evidence: The home does not have a registered manager at the moment, but Mrs Kath Eglon who is a qualified nurse with experience in managing a care home is employed as the acting manager. In the main people said that they were happy living at the home and felt that it was meeting their needs. Some staff said that they were happy with how the home was operating while other expressed concern about the changes being made. One person said that the changes were mostly for the better and that they found the manager approachable. However another person told us that with all the attention focused on new arrangements for the residential people staff on the nursing side were feeling left out. When asked what was good about the home one person said, the care of residents, Care Homes for Older People Page 23 of 28 Evidence: especially on the residential side. When asked what could be improved staff said that they had concerns about the staffing levels. They also highlighted that they did not have time to talk to people, staff moral was low and one person said that training could be better. The requirement made at the last inspection regarding making sure that all staff had the right level of knowledge and skill to meet the needs of the people who lived at the home had not been fully met. As discussed in the last section there was no evidence that any specialist training had been provided. Records also failed to demonstrate that all staff had received regular supervision and appraisal sessions. The acting manager said that a better system had now been introduced to address this shortfall. The home has a quality assurance system so that they can gain the views of the people who use the service. The AQAA said that this included surveys and meetings. Surveys had been sent out to residents in 2008 and the results analysed to provide an action plan to address any ideas or issues they had raised. It indicated that overall 80 of the people who completed the surveys were happy with the service they were receiving. There is a system in place for residents monies to be held in safe keeping by the home. This includes keeping a computerised record and running total of all transactions and obtaining receipts and signatures. The home has health and safety polices and procedures to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA demonstrated that regular checks on equipment, such as fire equipment had taken place as scheduled. Monthly visits had been made to the home by the providers representative and a report of their findings completed. However the report did not include the comments of the people they had spoken to. Therefore it did not indicate if they were satisfied with the service they were receiving, or in the case of staff that the home was operating adequately. Care Homes for Older People Page 24 of 28 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 30 18 (1) Training must be provided in 30/11/2009 subjects such as physical disabilities, dementia awareness and illnesses affecting older people so that staff have the skills and knowledge to understand these conditions and fully meet peoples needs. This requirement has not been fully met. The original timescale was 1/2/08. Care Homes for Older People Page 25 of 28 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 15 Each person must have a 07/09/2009 plan that outlines their social and recreational needs. This will enable staff to understand what each person likes to do and their role in supporting them. 2 27 18 Peoples individual dependency levels must be reviewed to ensure that there is sufficient staff on duty to meet their needs. This will help to make sure that staffing level are appropriate to meet peoples needs 31/08/2009 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 7 Care plans should include reference to the Mental Capacity Act, 2007 and the effects it has on resident lives. This is to Care Homes for Older People Page 26 of 28 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 help to make sure that their rights and choices are protected. 2 30 Records pertaining to the induction undertaken by staff should be fully recorded and signed to show that they have completed all topics outlined. Staff should receive regular supervision and appraisal sessions which are planned and recorded. This will help to make sure that they receive the right level of support to carry out their job. 3 36 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!