Inspection on 20/07/09 for Camborne Lodge

This inspection was carried out on 20th July 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camborne Lodge 14/01/09

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Camborne Lodge 1 Camborne Place Gateshead Tyne & Wear NE8 4EU     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: Elaine Charlton     Date: 2 0 0 7 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 Adults (18-65 years) Page 2 of 30 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Camborne Lodge 1 Camborne Place Gateshead Tyne & Wear NE8 4EU 01914900901 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Aspire Healthcare Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of users who can be accommodated is : 13 The registered person may provide the following caegory of service only: Care home care home only - Code PC To service users of the following gender: Either Whose primary care needs on admisision to the home are within the following categories: Learning disability - Code LD, maximum number of places, 13 Date of last inspection Brief description of the care home Camborne Lodge is two houses know as 1 Camborne Place and Meadowfield House, that are located close to each other in a residential area of Gateshead. There is easy access to local amenities and transport systems. The houses provide single accommodation for people with a learning disability. Accommodation in both the terraced houses is split over three floors which means that people who might want to live there need to be reasonably mobile. There are some bedrooms at ground floor level. Nursing care is not provided. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 13 1 4 0 1 2 0 0 9 Brief description of the care home People are properly assessed before they move into the home to make sure their needs and wishes can be met, and they can have short stays in the home to decide whether it is the place for them. Fees are split into three categories low, medium and high. They range from £600 to £1200 a week. Information is available to help people decide about the home and tells them what they can expect, what they can do, and a bit about the staff who will help them. Reports from the Care Quality Commission (CQC) are available in both houses. Care Homes for Adults (18-65 years) Page 5 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star, this means that the people who use this service experience adequate quality outcomes. An unannounced visit was made on the 20 July 2009. A total of four and a half hours were spent in the service. The manager was present throughout the inspection. Before the visit we looked at Information we have received since the last key inspection on the 14 January 2009. The Annual Quality Assurance Assessment (AQAA) that gives CQC evidence to support what the service says it does well, and gives them an opportunity to say what they feel they could do better and what their future plans are. How the service has dealt with any complaints and concerns since our last visit. The providers view of how well they care for people, and the views of people who use the service, their relatives, staff and Care Homes for Adults (18-65 years) Page 6 of 30 other professionals who visit the service. We have also 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 the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. During the visit we Talked with people who use the service, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around the building/parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since our last visit. We told the manager what we found. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have had their varying care and support needs properly assessed so that eveyone is sure they can be met, but they may not always be provided with information in a way tht they can easily understand. Evidence: The home has a new service user guide but work is still on-going to produce information in different formats so that it is easy for everyone to understand. There have been no new admissions since the last inspection so it was not possible to fully assess this area. People are usually admitted to the home through a healthcare professional assessment and referral. We were told that an in-house assessment would then take place and people would be given the opportunity to visit the home, have a meal with residents and a short stay. This helps everyone to be sure this is the right home for them, and they would fit in Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: well with the other people who live there. The home does not provide nursing care. The needs of several residents have changed considerably and they are being supported through reviews and additional assessments to make sure that they have access to aids and adaptations to make their life easier. They are also being helped to think about where they might like to live in the future if their health needs increase. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 who live in the home make choices about how their care and support needs are met and by whom. Service user plans are improving to include all the information staff need to provide the right care and support and residents tell them who they can share that information with. Evidence: We looked at the records for one person living in the home that have been written in a new, person centred way. We were also able to talk to the person about what was written, what their hopes were and what they wanted to do in the future. The new records also include a My Health Action Plan document based on a format provided by Gateshead Health Authority. People living in the home also take the appropriate part of the record with them when they visit their GP or a nurse. Care plans and risk assessments are also being written to support the above assessments so that staff know how people want their care and support to be Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: provided. We talked to seven people who live in the home. They all took a very active part in the inspection. People can, and do, make decisions about what they want to do. They told us about what they had made decisions about and are able to talk to staff at all times. One gentleman told us that there was a house meeting that night. We saw minutes of the previous meeting and people are able to raise any issue they want or need to. People in the home support each other and help them if they need. One person went out to take some items to a charity shop and did some shopping for other people at the same time. Residents are encouraged and can travel and shop independently if they are able. Staff sign a statement of confidentiality to say that they understand their responsibilities about sharing information as part of the induction process. Residents are also asked to indicate who they agree their personal information can be shared with. This is recorded in their service user plan. One resident told us that the staff on duty had to write in their records every day. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 a varied, relaxed and flexible life in a way they choose and are provided with a choice of meals that are nutritious and fresh helping to promote their well being. Evidence: People live in a home that is in the heart of the local community and they go out to the shops, hairdresser, health centre, pubs, cinema, theatres and college. They use public transport but also have excellent relationships with a local taxi service that is reliable and flexible. One person told us about the choices she had made for when she returns to college in September but is not sure which courses she has been allocated. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Another person said I go to the hairdressers around the corner and get my hair cut and blow dried properly so it is beautiful. Staff walk with another resident to a local pub that he enjoys. Residents told us about trips to the theatre, they were going to see High School Musical at the Theatre Royal on 21 July, and were very excited. Someone else had been to see the Al Jolson Story. A group of residents enjoy going to regular discos at Washington. Two residents are hoping to go to Disneyland Paris in September, and one person had drawn a picture of this. A gentleman told us he was saving up to go to stay in a hotel in Blackpool, he said caravans were too cold. People are helped to see relatives as and when they want and also keep in touch by telephone. Two people showed us photographs of family, and family events they had been to, one of which was a recent christening. Relationships between residents are warm, friendly and supportive. Daily routines are very flexible and led by residents choices and wishes. People were seen making a drink when they wanted and helping get the dining room ready for lunch. They considered each others needs and made sure everyone got what they wanted. They told us about the lovely roast pork lunch they had had the previous day, and about new types of vegetables and fruit they were enjoying. People are aware of their dietary needs, including how to loose weight and what they should not eat if they are diabetic. Meals are planned but changes and different choices are recorded. Regular checks on fridge and freezer temperatures are carried out and recorded. We were told that the central ordering and delivery system for food and other supplies is now working well and residents were very happy with the meals they have been having. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 live in a home where they get care and support provide in a way they want, when they want, and from a member of staff they are comfortable with. They are encouraged to take their medication independently or with support helping to keep them well. Evidence: The health care needs of people living in the home are reviewed and re-assessed regularly to make sure they are getting all the help, support and input they need. Records are kept of visits to the GP, nurse, chiropodist, dentist and other healthcare professionals as individual needs dictate. People have been provided with new equipment to help their daily routines and make life easier for them. Medication reviews have been carried out and adjustments made where necessary. One person is now almost medication free. Other people have had their routines changed to suit their lifestyles. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Staff are completing a twelve week course on the safe handling of medication. Medication is kept safely and securely in the home. We carried out a random check of medication held for the person whose records we looked at. The following issues were identified. Handwritten entries on the medication administration record had not been double signed to say that the dispensing instructions were correct. The number of tablets received into the home that were not in a blister pack had not been entered on the MAR so it was not possible to check whether they had been correctly dispensed. Medication kept in the home from the previous month had also not been carried forward. People are supported to self-medication if they wish and are able. One person told us that they give themselves insulin injections because they are a diabetic. They clearly knew what this meant and how it kept them well. Routines are flexible and very much resident led. They can have baths or showers when they want and as many times a day as they wish. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 who live in the home are kept safe through policies, procedures and staff training, and know that they will be listened to if they have a concern or are unhappy. Evidence: People told us who they would speak to if they were unhappy and were clearly confident that they could do this. Policies and procedures are in place to support and encourage the receipt, recording, investigation and feedback on complaints, concerns or allegations. There is separate guidance on Safeguarding Adult procedures. Staff need to be kept up to date with regular refresher training to support this area. No complaints have been received by the home or CQC since the last inspection. Care Homes for Adults (18-65 years) Page 19 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that gives them access to private and shared space and where they can move around freely. A programme of repairs, replacements and redecoration of the premises is well underway to make sure that everywhere is safe and comfortable for the people who live there. Evidence: We only looked around number 1 Camborne Place as there was no one at home at Meadowfield and we were told the only changes that had taken place were the installation of a new front door lock and the fitting of handrails throughout. At Camborne Place a new shower wet room has been provided on the ground floor and the bathroom on the first floor has been refurbished/decorated. Soap and towel dispensers were also in the home ready to be fitted. The staircase is being re-decorated and this has made the area much brighter. An empty bedroom on the ground floor is being redecorated so that residents can use this as their own bedrooms are being re-decorated. Some windows in the house had already been replaced but the remainder have now Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: been measured and they should be fitted shortly. One lady told us that she had been out to choose a new double bed so that she would be more comfortable and several residents were choosing new bedding. Bedrooms differ in size but are all homely and reflect the personality/choices of the resident. People have their own televisions and furnishings in their bedrooms so they can spend time their quitely if they wish. New settees have been purchased for the ground floor lounge and we were told that a plasma television has been ordered and will be mounted on the wall to give residents more room. People told us where it was going to be located and how much easier it would be for them to watch. Hygiene routines had improved in the home and no odours were apparent. The laundry is on the top floor and is where Substances Hazardous to Health (COSHH) are kept. Residents ask staff for dusters and polish when they want to do some cleaning in their room. Staff do the heavier tasks like hoovering and high cleaning. Care Homes for Adults (18-65 years) Page 21 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by recruitment and selection procedures that are usually followed but not all the records that should be available could be found in the home. Staff receive training and supervision to help them carry out their job. Evidence: We looked at the records for the person most recently recruited to work in the home. All staff records are not yet available in the home and it is still not clear whether these will be centrally or locally held. If records are to be kept centrally the provider needs to enter into an agreement with CQC and to make sure that the minimum of records required are available. The manager is using an Induction and Training Record format that provides a pathway to a National Vocational Qualification (NVQ). We were told that this is completed over a 12 week period. All but two new members of staff have obtained an NVQ at level 2 or 3. One of the new employees has already commenced NVQ level 2 training. This is an excellent record. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: People who work in the home are required to have a Criminal Records Bureau (CRB) check carried out at an enhanced level to prove they are able to work with vulnerable people. They are issued with a copy of the General Social Care Council (GSCC) code of conduct as part of their induction and sign a confidentiality statement. Staff records are kept securely in the managers office, and a programme of regular supervision is now in place. The manager is putting new staff files together which will provide evidence of training and copies of appropriate certificates. A comprehensive training matrix also needs to be put in place so that it is easy to see whether mandatory training is up to date and what other training people have had access to. One further appointment needs to be made to the staff team. Care Homes for Adults (18-65 years) Page 23 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is run in their best interests and they are listened to but the manager has not yet got all the records up to date and has not completed the registration process with CQC which may mean people who live and work in the home are sometimes at risk. Evidence: We were provided with a copy of the Annual Quality Assurance Assessment (AQAA) when we asked for it. The manager has only been in post since March and has not yet completed the registration process with CQC. The organisations policies and procedures are in place but need to be amended to reflect the service being provided in the home. People who live in the home have recently completed a questionnaire about living there. The quality assurance system should be comprehensive and invite comment/input from relatives, healthcare professionals and anyone else with an interest in the service provided. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: It was not possible to check the fire log to evidence that the regular checks required by the Fire Authority were being carried out and recorded. Staff do nightly checks around the home to make sure that everything is safe when people go to bed. We were able to see that these records were up to date. People who are able to manage their own finances, or go to the bank independently, are encouraged to do so. The manager has a clear system in place for the safe keeping of money held on behalf of residents and makes sure that receipts are obtained for purchases made on behalf of residents. Copies of servicing and maintenance arrangements were not all available in the home. A copy of these documents should be available so that everyone knows proper checks on the safety of the home have been carried out and are up to date. We did not receive any of our Have Your Say questionnaires back from people who live in the home, relatives or healthcare professionals. One healthcare professional recently said they were impressed with staff commitment to residents. Care Homes for Adults (18-65 years) Page 25 of 30 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 Adults (18-65 years) Page 26 of 30 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 6 12 The introduction of person centred plans for all people who live in the home must continue. This will mean that staff have access to all the information they need to provide care and support in a way each person wants. 20/12/2009 2 34 19 At least the minimum of staff records required under this regulation must be kept in the home. This will mean that it is possible to check that people have been properly recruited and that people who live in the home are safe. 20/10/2009 3 35 13 A comprehensive training matrix must be put in place. This will mean that it is possible to see whether mandatory training is up to 20/10/2009 Care Homes for Adults (18-65 years) Page 27 of 30 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 date helping to keep people who live and work in the home safe and well. 4 40 13 Policies and procedures must be updated to make sure that they are relevant to the service being provided. This will make sure that people who live and work in the home are kept safe and well. 5 41 12 Work must continue to make 20/12/2009 sure that service user plans and other associated records are up to date and current. This will mean that everyone has access to all the information they need and help to keep people who live in the home safe and well. 6 42 13 Evidence must be available in the home to show that regular servicing and maintenance checks have been carried out, including fire checks. This will help to make sure that people who live in the home are kept safe and well. 20/08/2009 20/10/2009 Care Homes for Adults (18-65 years) Page 28 of 30 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 1 The statement of purpose, service user guide and other information should be provided in a way that it is easy for everyone who lives in the home to understand. Handwritten entries on the medication administration record should be signed by the person making the entry and a second person to check that the entry is correct. This will help to keep people who live in the home safe and well. The amount of medication that is not in a blister pack should be recorded on the MAR and boxes should be dated when opened so that an audit can be carried out to check people are receiving their medication when they should. This will help to keep people who live in the home safe and well. Staff should receive regular refresher training in safeguarding adults to keep them up to date with current legislation. This will help to keep people who live in the home safe. The programme of repair and replacement should continue so that the home is comfortable and safe for the people who live there. The recruitment of new team members should contiue until a full complement is in place helping to support the people who live in the home. The manager should complete her application to become a registered manager with CQC as soon as possible. The quality assurance system should include the opportunity for a wide range of people who have an interest in the service being provided comment and make suggestions about how improvements might be made. 2 20 3 20 4 23 5 24 6 33 7 8 37 40 Care Homes for Adults (18-65 years) Page 29 of 30 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. 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