Inspection on 08/06/09 for Ash House Residential Home

This inspection was carried out on 8th June 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ash House Residential Home 09/12/09

Ash House Residential Home 23/06/08

Ash House Residential Home 17/05/06

Ash House Residential Home 07/12/05

Ash House Residential Home 27/04/05

Ash House Residential Home 15/08/04

Ash House Residential Home 14/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ash House Residential Home Ash House Lane Dore Sheffield South Yorkshire S17 3ET     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: Sue Turner     Date: 0 8 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 29 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 29 Information about the care home Name of care home: Address: Ash House Residential Home Ash House Lane Dore Sheffield South Yorkshire S17 3ET 01142621914 01142356107 jeanwalker2009@live.co.uk 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) : Ash House (Yorkshire) Limited care home 40 Number of places (if applicable): Under 65 Over 65 15 15 25 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 0 0 0 The 15 DE/E / MD/E beds are in a separate wing. Date of last inspection Brief description of the care home Ash House is a home that provides care for 40 people (over the age of 65) of which there are 15 beds for people with dementia and 25 personal care beds. The home is situated in the Dore area of the city. The detached building is in its own grounds, which were very pleasant and well maintained. There was an outside sitting area that was easily accessible and overlooked the grounds. Local amenities were a short drive away, providing a range of shops, pubs and a picnic area close by. All but two of the rooms are single and people were able to bring their own Care Homes for Older People Page 4 of 29 Brief description of the care home possessions into the home with them. There were pleasant communal areas for people to sit and a large separate dining room. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of fees from April 2009 were 335 pounds to 377 pounds per week. Additional charges included newspapers, hairdressing and private chiropody. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection peterchart Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced key inspection carried out by Sue Turner, regulation inspector. This site visit took place between the hours of 7.30 am and 2.45 pm. The manager is Julie Shaw who was present during the site visit. The manager was given verbal feedback during and at the end of the site visit. Care Homes for Older People Page 6 of 29 Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received five from people, ten from staff and five from professionals. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Seven people, five relatives and nine staff were spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in June 2008. The progress made has been reported on under the relevant standard in this report. We wish to thank the people living in the home, staff, and relatives for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: The service provided at Ash House is of an adequate standard. Although improvements to the service have been made, further work is required to enhance the service and raise the quality rating of the home. There were an adequate number of staff on duty at the home, however staff were seen leaving people unattended whilst they went outside to smoke. This is poor practice and should cease immediately. Some staff were skilled in speaking to people who are living with dementia. Others were not as skillful which resulted in peoples dignity being compromised. During the site visit we were made aware of an incident that raised concerns about one of the home owners. The other home owners were aware of this and had not notified us, which is required by law. This raised concerns that adult safeguarding procedures were not followed. Failure to notify us and follow safeguarding procedures could put people at risk. So that peoples social life is enhanced the reception on the large screen television should be improved. So that peoples health, safety and welfare is not put at risk, staff should undertake training in food hygiene and infection control and the lock on the bathroom cupboard should be repaired or replaced. Care Homes for Older People Page 8 of 29 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 29 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 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them 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 home provided information to inform people about their rights and choices. People were assessed by the home prior to their admission. Evidence: The home had a Statement of Purpose (SOP) and Service User Guide (SUG). These were available for people living in the home and anyone who may be considering living in the home. The SOP and SUG had been recently reviewed and updated. The information in the SUG was easy to read and informative. The AQAA said, We provide an open opportunity for everybody to visit the home. Visits can be arranged or unplanned. People are invited to visit the home and have a meal prior to admission. Before people stayed in the home they were assessed by a social worker. The manager also carried out a pre assessment by visiting people in their own home or hospital. Any information collated from the needs assessment would then form the basis for the care Care Homes for Older People Page 11 of 29 Evidence: plan. This meant that everyone could be assured that the home could meet the persons needs. When people were asked, Did you received enough information to help you decide if this home was the right place for you, before you moved in. Four people said Yes and one said No. People said, I came to stay for a short holiday before I made the decision to live here. I came to look around with my family. Id heard about the home from other local people who all said it was very nice. Care Homes for Older People Page 12 of 29 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. Each person had a care plan that reflected their individual care and support needs. Medication procedures protected people. The actions of staff put the health and welfare of people at risk. Not all staff were skillful in dealing with people with dementia. Evidence: Each person that lived in the home had an individualised plan of care. These were checked for three people. Care plans contained information about peoples health and personal needs. Care plans had been updated as necessary. When we checked the information in the care plans, against what people told us, it corresponded. This made it easy to establish peoples present care needs and requirements. Staff completed daily records at the end of each shift. Those seen related to the care plans. Staff worked closely with external professionals and specialists for advice and support. Access to dentists, chiropodists and opticians was available. Individual risk assessments were seen in peoples care plans. People seen looked well cared for and were dressed appropriately. When people were asked, Do you receive the care and Care Homes for Older People Page 13 of 29 Evidence: support you need. Three people said usually and two people said always. People said, Staff are good and help me if I need it. Staff are supportive and helpful. Staff are available to assist me if I need help. We arrived at the home at 7.30am. Three staff were outside the front door smoking. This meant that there were no staff in the building, overseeing and caring for people. The home accommodated people who were elderly and infirm. There was a separate unit that was the home for people with dementia. It was not appropriate or safe for people to be left in the home unattended. Staff said they were aware that they should not have all been outside. We asked the provider and manager to investigate this and take appropriate action so that staff were not putting people at risk. There was a medication policy and procedure that staff were familiar with. Senior carers that had undertaken training, administered medications. Medicines were securely stored in locked trolleys and kept in a medical room. Medication Administration Records (MAR) sheets seen had been signed by the staff. Controlled Drugs (CD) were kept securely stored. The manager said that medications were monitored each week. During the site visit we observed that people were cared for in a friendly way. However staff were not skillful in communicating and dealing with people that had dementia. When staff were sat with people in the lounge they didnt initiate conversation and only briefly answered people when they spoke to them. Staff seemed to be more interested in watching what was on the television. Twice during the day we saw that programmes on the television were not being enjoyed by the residents, but being watched by the staff. One person said I dont like listening to all this shouting and arguing. This meant that people were not always treated with respect. Five health professionals were asked Does the service respect peoples privacy and dignity. Four said usually and one said always. Care Homes for Older People Page 14 of 29 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. In the main peoples recreational interests and needs were met. People were receiving a healthy, balanced diet in pleasant surroundings. Evidence: We arrived at the home at 7:30 am. Some people were already up and moving around, others were still in bed. People said they were able to get up and go to bed when they chose. They said there was enough staff on duty to give them help and support when they needed it. We saw that people coming into the home, including ourselves, were made to feel welcome. The home had recently employed an activities co ordinator, who worked 21 hours per week. People external to the home also came in and provided entertainments. The activities co ordinator was very enthusiastic about her role. She had introduced many new activities which included crafts, games, exercises and cake decorating. Trips out of the home to the seaside and luncheon clubs had also been arranged. The activities co ordinator said that she also spent time with people on a one to one basis. This benefited some people that lived on the dementia wing. We saw that people living in the dementia unit were left to sit in the lounge, in-between meals. During this time very little social stimulation was provided. Carers sat with them but didnt engage Care Homes for Older People Page 15 of 29 Evidence: people in conversation. The television was on however people didnt seem interested in this and in some cases it had a negative effect on people. When we spoke to carers they said their role was to sit in the lounge to make sure people didnt fall. We believe that this time could be spent interacting with people and improving their social contacts and enhancing their social lives. When people were asked Does the home arrange activities that you can take part in if you want. Three people said usually and two said always. People said, I choose not to participate in the activities. The new lady is very good and always asks me if I want to join in. Im enjoying doing new things. Health professionals said, I think the staff could spend more time sitting and talking to residents. I used to think there should be more activities, but I have noticed that they have employed someone now, just for activities. We observed breakfast and lunch being served in the dining rooms. The dining room tables were set very nicely with tablecloths, flowers, condiments, cutlery and matching crockery. We observed that people were given as much independence as possible at meal times. Some people used plates with raised edges, others drink from cups that assisted their disability. Where necessary staff assisted people, for example, cutting up their food, however people were encouraged to exercise choice and control. People werent rushed making the ambiance in the dining room pleasant and relaxed. People said Theres a good choice. I am very happy with the meals. Theres always plenty to eat. The food is very average. Were asked what we want the day before, theres always a choice. Care Homes for Older People Page 16 of 29 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. Complaints were dealt with effectively. The policies and practices for referring adult safeguarding concerns had not ensured that people were kept safe. Evidence: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. This detailed who to speak to at the home or, if preferred, external to the home to make a complaint, should they wish to do so. The complaints procedure was easy to understand. The home kept a record of complaints, this detailed any action that had been taken and the outcome of the complaint. Since the last inspection the home had not received any complaints. We had received some information that raised concerns about the manager. The provider was asked to investigate these issues. The issues raised were unfounded. When people were asked Do you know how to make a complaint. Five people said yes. People said, I would go to the manager. If I had any worries or concerns I could go to any of the staff and they would help me. Ten staff were asked Do you know what to do if someone has concerns about the home. All ten staff said yes. Since the last inspection there had been no adult safe guarding referrals. The manager said that the staff had completed training in adult safe guarding. However some staff needed updated and refresher training in adult safe guarding as they had not had any Care Homes for Older People Page 17 of 29 Evidence: training since their induction, which for some staff was several years ago. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. People spoken to said they felt safe living in the home. Whilst on inspection we were made aware of an incident that raised concerns about one of the homes owners. The manager said that the other owners had said that they had informed us of this. We had not been informed. This meant that adult safe guarding procedures had not been followed by the homes owners. We spoke to one of the home owners and asked that they investigate the allegations and report back to us with their findings. Immediate action was taken by the home owners to ensure that all people living in, visiting and working at the home were not put at risk. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was maintained to an adequate standard. Staff would benefit from receiving training in infection control, to promote peoples health and welfare. Evidence: The AQAA stated, We have a refurbishment and redecoration programmme that is continual and on going. We saw that the home was maintained to an adequate standard. The outside grounds and gardens were very pleasant. Lounge and dining areas were clean, tidy and domestically furnished. Bedrooms varied greatly in their size and appearance. Some people had brought in their own furnishings which made their rooms look homely and welcoming. Some rooms were in need of updating and re decorating. Since the last inspection some refurbishment of the home had been completed and some carpets and furniture had been replaced. There remained some carpets and furnishings that looked stained and worn. The television in the small lounge on the residential wing had a very poor reception. People said they were unable to watch television because of this. An adequate number of bathrooms and toilets were fitted with appropriate aids and adaptations. People said they could choose if they preferred a bath or shower. Many toilets and bathrooms needed to be up graded. When people were asked, Is the home fresh and clean. Three people said usually and two said always. When we arrived at the home there were unpleasant odours on the corridors and in communal areas. As Care Homes for Older People Page 19 of 29 Evidence: the day passed and the domestic staff worked hard, the odours lifted and the home smelt much fresher. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. The home had been awarded a 4 Star Very Good Standard of Hygiene from the last Environmental Health visit. Staff said they had not received training in infection control. They said that they would find this training very useful. People said, I love my room its so spacious. I was able to bring in my own furniture so its just like home. I have everything I need in my room. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent 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. Staffing numbers were appropriate to meet the assessed needs of people. Recruitment information obtained protected the welfare of people. Staff needed to complete updated and refresher training in some mandatory subjects. Evidence: On the day of the site visit staffing numbers were adequate. We saw that the staff rotas were planned in advance and staff were asked to work extra shifts if people were on holiday or off sick. Some staff spoken to clearly enjoyed working at the home and said they got alot of job satisfaction. However there were some staff who were less enthusiastic about their role. One member of staffs attitude to us was unacceptable and raised issues about their attitude towards people living in the home. This was pointed out to the manager who was asked to take appropriate action to ensure that people were receiving a consistant high level of care at all times. When people were asked Are the staff available when you need them. Three people said usually and two said always. People said, The staff are very good and always available when I need them to assist me. If I need somebody, I ring the buzzer and staff come to help me. Staff are always willing to help you. One health professional said, The staff here always seem to be well organised. The manager said that she was aware that staff training, in some areas, was overdue. Care Homes for Older People Page 21 of 29 Evidence: Mandatory training had been booked for the forthcoming months. Staff were able to talk about the various training courses that they had attended recently which included fire training and oral health. One person working in the kitchen said she had not received training in food hygiene. The manager was unable to confirm if she had or not received training. Ten staff were asked Did your induction cover everything you needed to know to do the job when you started. Eight said very well, one mostly and one said partly. A number of care staff had completed the NVQ Level 2 in care and others had commenced the training. The number of staff trained met the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. Three records of employment were checked. These included the required references, certificates of training, health checks and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. Prior to their employment people were required to provide a detailed employment history. If there was any gaps in their employment history then at interview they were asked about this and this was recorded on their recruitment file. Care Homes for Older People Page 22 of 29 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. There were quality assurance systems in place. Peoples finances were safe guarded. In the main peoples health and safety were protected and promoted. Evidence: The registered manager had completed the NVQ Level 4 qualification. She was competent to run the home and meet its stated aims and objectives. Ten staff were asked Does your manager give you enough support and meet with you to discuss how you are working. Seven said regularly and three said often. Staff said that they found the manager easy to talk to and they could go to her at any time to discuss issues or concerns. They said they also met with the manager or deputy manager formally for one to one supervision. The provider visited the home on a regular basis. Staff said that he was always available to speak to if they wished. He completed a written report each month which briefly highlighted who he had talked to and what he had observed on his visits. The report wasnt very detailed and it didnt provide any evidence that action was taken Care Homes for Older People Page 23 of 29 Evidence: following the comments made by people. The manager showed us a number of surveys that had been sent out and returned by people and their relatives. People had said positive things about the home and staff and were pleased with the service they were receiving. Regular staff, resident and relative meetings were arranged. Minutes from these were seen. Only a small number of staff attended the staff meeting. We talked to the manager about ensurung that staff were made aware of the topics covered in the staff meeting and suggested that staff who didnt attend signed the minutes of the meeting to confirm that they had read them. The home handled money on behalf of some people. This was checked for two people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Fire records evidenced that fire alarm checks and fire drills took place. A fire risk assessment had been completed and updated. The fire risk assessment included extra precautions that needed to be considered due to the home caring for people with dementia. We asked to see the electrical certificate for periodic inspection, this had not been completed. The manager said that quotes for this work to be done had been obtained and she was waiting for the providers to give the go-ahead for the work to be completed. During the site visit we saw that the lock on the cupboard in the bathroom was broken. The cupboard contained creams, ointments and razar blades, which could have posed a risk to people. We asked the manager to ensure that the items were removed from the cupboard until the lock was either repaired or replaced. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 12 There must be staff on duty in the home at all times. So that proper provision is provided for the health and welfare of people. 15/06/2009 2 10 12 People must be treated in a manner that respects their privacy and dignity at all times. So that people feel they are treated with respect. 15/06/2009 3 18 37 The commission must be notified without delay of the occurrence of any allegation of misconduct by the registered person or any person who works at the home. So that peoples health, safety and welfare is not put at risk. 22/06/2009 4 19 23 Work must be carried out to improve the picture reception on the television. 22/06/2009 Care Homes for Older People Page 26 of 29 So that people are able to clearly see television programmes. 5 26 23 Staff must undertake training in infection control. To control the spread of infection. 6 30 18 Staff working in the kitchen must have training in food hygiene. So that peoples health is promote and protected. 7 27 18 People must receive a consistent high quality of care and support at all times. So that peoples health, safety and welfare is maintained and promoted. 8 38 13 The lock on the bathroom cupboard must be repaired or replaced. So that peoples health and safety is not put at risk. 15/06/2009 15/06/2009 06/07/2009 03/08/2009 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 10 Staff would benefit from undertaking training in how to talk and communicate with people that are living with dementia. Staff should undertake training in maintaining peoples dignity. Carers should use their time more smartly so that they are 2 3 10 12 Care Homes for Older People Page 27 of 29 more involved in enhancing peoples social interests and needs. 4 5 6 7 8 12 18 19 30 33 Televisions in communal areas should only be put on at the request of people living in the home. Staff should undertake updated and refresher training in adult safe guarding. A continual programme of re decoration and refurbishment work should continue. The planned programme of staff training should continue. Staff that do not attend the staff meeting should read the minutes from the meeting and sign to say they have done so. The reports written following Regulation 26 visits should be more detailed. The home should have a periodic inspection certificate to certify that the electrical fixed wiring has been checked. 9 10 33 38 Care Homes for Older People Page 28 of 29 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. 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