Inspection on 13/10/09 for Castle Park

This inspection was carried out on 13th October 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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for older people Name: Address: Castle Park 176 Siddals Road Derby Derbyshire DE1 2PW     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: Helen Macukiewicz     Date: 1 3 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Castle Park 176 Siddals Road Derby Derbyshire DE1 2PW Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Yvonne Dziurman Type of registration: Number of places registered: care home 40 Modelfuture Limited Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To allow Castle Park Care Home to accomodate two named individuals under the age of 65 years in the category of physical disability Date of last inspection Brief description of the care home Castle Park is a purpose built 40 bed care home. There are four floors to the building. The basement houses a car park and laundry. On the ground floor is an administrators office, lounge, bathrooms and bedrooms. On the first floor are bedrooms, bathrooms and a lounge. The second floor has offices, bathrooms, lounges, dining rooms and the kitchen. This floor also has a roof top garden and conservatory. Most of the bedrooms are single occupancy and en-suite. However, there are a small number of shared bedrooms. There are no ground floor outdoor areas. However, there is a public park next to the Care Homes for Older People Page 4 of 28 Over 65 40 0 Brief description of the care home home with gardens that people can access. The home is located in Derby, with excellent transport links and access to all the amenities of Derby City centre. The weekly fees at the time of this Inspection ranged between 385.00 GBP to 605.00 GBP per week. Copies of Inspection reports will be on display in the foyer and also available from the staff office. 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: The inspection was unannounced and involved a visit to the site on 13 October 2009. At that time issues of immediate concern were found. We issued immediate requirements. We returned to undertake a second monitoring visit on 22 October, when we found that the home had complied with our immediate requirements. The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people using the service and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgments such as notifications from the provider, complaints or concerns. We also use Care Homes for Older People Page 6 of 28 information from an Annual Quality Assurance Assessment (AQAA), referred to throughout this report as the pre-inspection self-assessment, which the provider is required to complete prior to a visit to the service. This provides evidence for us to make informed judgments when assessing the National Minimum Standards (NMS). The primary method of inspection used during the visit to this service was case tracking. This involved selecting three people and tracking the care they receive through review of their records, discussion with them where possible, the care staff and observation of care practices. Time was spent in discussion with the Manager and staff. Relevant records belonging to the home were also examined such as complaints and policy documents. A brief tour of the home took place including some bedrooms. All of the key standards were inspected on this occasion. Care Homes for Older People Page 7 of 28 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. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 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 9 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. People have the information they need to choose a home that can meet their needs. Pre-admission assessment ensures people are admitted appropriately to the home. Evidence: Information about the home contained within the Statement of Purpose and Service Users Guides had been produced. This reflected the new ownership and management arrangements for the home. These documents provided people with all the information they needed about what they could expect from the service. The manager sent us a copy when we asked for it. Copies of the service users guides had been made and were going to be put into every persons bedroom, so they had access to the information at any time. In their pre-inspection surveys people told us they had been given enough information about the home before they moved in. They also told us they had been happy with their choice of home. One wrote I am very happy here and the home does everything Care Homes for Older People Page 10 of 28 Evidence: I need. On the day one person told us they had been able to choose the room they wanted and said everything has been OK so far, there have been no problems. We saw that people had their needs assessed prior to being admitted and that the forms used were comprehensive and allowed for a full assessment of the persons needs. This reduced the possibility of inappropriate admissions to the home. On our first Inspection visit we found that not everyone had their needs more thoroughly assessed once they were admitted. Two of the three most recent admissions had no assessment of need. We asked for this to be done through an immediate requirement, issued at the time. When we visited again, all the required paperwork was in place. Care Homes for Older People Page 11 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care in a private and dignified way. Gaps in recording of care needs and medications means there is potential for care needs to be overlooked. Evidence: At the time that we undertook the first Inspection visit, Southern Cross were implementing their own care planning paperwork. Staff had started to use this to record information about people and their care needs. However, at that point they had not received comprehensive training on the new documentation and the Manager was not having enough supernumerary time to monitor this area due to shortages of qualified staff employed at the home. As a consequence two of the three people most recently admitted did not have a care plan in place. All three were missing key risk assessments in areas such as skin care, continence and moving and handling. We issued an immediate requirement at the time of our first visit, to rectify this. By the time of our second visit all three care plans and risk assessments were completed in full. Staff had also received training on the new documentation. Care Homes for Older People Page 12 of 28 Evidence: We also found that there were some gaps in recording of basic information and in signing and dating records, this affected the contemporaneous nature of the records, and meant that certain information about people was not available, in order to plan their care in a personalised way. We also found insufficient evidence that people were being consulted about their care, within the care plans. There was information to support that people received the medical care they required and that they attended outpatients appointments and saw District Nurses and clinical specialists. One person told us I have been seen by the GP. There was a programme in place to renew beds and we saw several profiling beds that had been provided. However, we found that there was only one mobile hoist in use. Two were out of service and staff told us they had been awaiting essential repairs for some time. There was also a shortage of specialist baths/hoists for use with bathing. This meant that peoples choice regarding bathing was limited and that staff did not have access to enough hoists, should more than one person require this equipment at the same time. Staff reported that many of the wheelchairs needed attention and that some footplates were missing. People told us they were happy with the care they received and that staff were respectful in their communications. When talking about whether they got treated with privacy and respect, one person said I have no problem with that, they (staff) always knock on the door before they come in. There had been one medication error reported to us since the home was registered, this had been made by an Agency nurse and was being investigated by the Agency concerned. We found that most peoples medications were well recorded, however, photographs were missing from several medication sheets as the printer was reported to be broken. This had been out of service for some time. Having photographs to enable staff to accurately identify people was particularly important as agency nurses were being employed at the time to cover shifts and administer medications. The amount of medications held at the home for one person was inconsistent with their records, this meant they may not have had the medications they required. We issued an immediate requirement for the home to investigate this matter on the first Inspection visit. By the time we visited again, this matter had been investigated but no conclusions could be drawn due to inconclusive evidence. Medications held for other people that we looked at were accurately recorded and accounted for. Care Homes for Older People Page 13 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. People lead a varied lifestyle of their choosing. Evidence: In their completed pre-inspection surveys people told us there were enough activities they could take part in. One said very good with activities. Staff also wrote we have a range of activities that we do with the residents in order to stimulate their physical and mental abilities. We saw that people had a person centered activity plan, social care assessment and had a social care plan. The activity co-ordinator had written in each month to show what the person had been doing during that time. A Newsletter was produced each month and a scrap book was kept to record all events. There was an extensive programme of in-house social activity taking place. Activities included a coffee morning, Bingo, regular entertainers and card games. There was a Christian group attending the home each month. For people of other faiths there were individual visitors attending the home, or people were going out of the home to worship. Some people were going on shopping trips out. One person said about the previous evenings entertainment it was lovely. Care Homes for Older People Page 14 of 28 Evidence: Due to the absence of transport whilst Southern Cross were taking over, there had not been any trips out organised other than individual shopping trips. However, a mini bus had been made available and the first trip out was booked for 7th November. People told us their daily routine was flexible and they could return to their bedrooms at any time. We saw people wandering freely around the home. People told us they found the food satisfactory but would like to see improvements. Their comments included food not too bad, not much of a selection of food, food is mediocre and food was better at my old care home. In her completed pre-inspection self-assessment the manager told us following discussion with the clients, (we plan to) introduce menus which follow the new NUTMEG system which promotes a balanced diet. A change is to take place in the dining arrangements to create a lounge diner which will enhance the dining experience. The cook confirmed that he attended a talk on the Nutmeg system in April 2009. He was developing menus in line with this system and showed us recipes and menus to reflect changes. They had recently incorporated a cooked breakfast option three days a week and about a third of people living in the home took up this option. The cook also showed us Southern Cross health and hygiene documentation, which they had started using very recently. He said there were some gaps as they were not familiar with the documents, but that this was getting better. Care Homes for Older People Page 15 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. People are kept safe and have their rights upheld through effective complaints procedures and staff training. Evidence: There had been two complaints received at the home. The latest one had been sent to the operational manager for a response so there were no records yet at the home. One complaint was not recorded in the complaints file but had been dealt with and recorded in the care records. One relative told us they knew how to complain and that they would go and see the manager with concerns, they were confident she would sort things out. One person living in the home said I ask to see the manager if I have any problems. Some staff had attended the Mental Capacity Act and Deprivation of Liberty training and it was intended that all staff would eventually receive this. The manager confirmed that there was no-one at the home who was subject to deprivation of liberty at the time of this visit. There had been one safeguarding issue at the home that had been resolved. Safeguarding procedures were available to staff. Staff were also able to show a sound understanding of procedures when asked and said they had received training. The manager told us that safeguarding procedures, whistleblowing and staff grievance policies were part of a batch of policies that were going to be issued to all staff who Care Homes for Older People Page 16 of 28 Evidence: hadnt yet received them. Care Homes for Older People Page 17 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 surroundings that are well maintained although lack of door locks has the potential to impact on peoples privacy. Evidence: In her pre-inspection self-assessment the manager told us we are have a planned refurbishment programme to be completed before May 2010 which will see improvement in the fabric of the building by replacing bedroom furniture, flooring chairs etc. We saw that there had been some redecoration and that a full time handyman was employed on-site to attend to routine essential repairs. One person told us they had the option to change to a room with an en-suite. During a walk around the building we saw aprons, hand gel and gloves in toilet areas and information for people regarding infection control. Staff were wearing aprons. There was equipment in the laundry for handling of soiled items although it was reported that one washing machine and one dryer were currently awaiting repair. People told us that the home was kept clean and tidy, we saw cleaning staff during the day. One visitor told us they are always cleaning and (x) room is always tidy when they have finished with it. The manager told us they were planning to convert the bathroom on top floor, Care Homes for Older People Page 18 of 28 Evidence: currently used to store wheelchairs, to a large assisted toilet. This meant that people would have more choice and that staff would be able to assist people in a safer way. The privacy lock was broken one of top floor toilets and the handyman agreed to attend to this at the time. More generally we found that the bedroom doors did not have the capacity to be locked, and that not all people had lockable space within their bedrooms. This compromised their choice and privacy. Although not all people we spoke to said they wanted a key for their room, two people said we were told it was a fire hazard so we cant lock them and I would like somewhere in my room to lock things away, there is a lock on my drawer but I dont know if theres a key. Care Homes for Older People Page 19 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. Perceived shortfalls in staffing and gaps in training means there is the potential for care needs to be overlooked. Evidence: In their completed pre-inspection survey one person wrote I enjoy the company of staff. Others raised issues of shortfalls in staffing. Their comments included many times they are short staffed, so they do work extremely hard at the jobs they have to do and keep cheerful also doing them and sometimes could have more staff. On the day, people living in the home also told us they perceived shortfalls in staffing, but generally got on well with staff. Their comments included the staff all seem very nice, you have to wait for care, I have to wait to get up in a morning, sometimes its 10am before they (staff) come to get me up, Im not very happy about that, sometimes there are only 2 on nights, sometimes they are short and when I buzz they come in to switch it off and say wait and be patient. The staffing rotas showed that there were five care staff in a morning, four in an afternoon and two on nights. In addition, there was always a qualified nurse on duty and catering staff. During the week there was an activity co-ordinator and domestics. However, the total number of qualified and care staff employed meant there was limited back up should there be any unexpected staff absences. Agency nurses and Care Homes for Older People Page 20 of 28 Evidence: the manager were covering shifts although the manager was in the process of recruiting more. Staff told us they had started to undertake National Vocational Qualifications, although only about half of the care staff employed had achieved this level of training. There was a programme in place to enable staff to attend mandatory training and some staff had certificates to support training received, in their files. However, not all staff had achieved required levels of training or had been subject to foundation training when they commenced employment. In her pre-inspection self-assessment the manager recognised the need to provide staff with more training and wrote that she intended to develop our staff in training especially 100 of all staff to be trained to a minimum of level 2 NVQ with more staff trained to NVQ level 3. More training within the home. Register with Skills for Care. Staff recruitment files were generally well maintained although one did not contain written verification as to why the person had ceased to work, in previous positions involving children and adults. Staff told us they had received an induction, and there was some evidence of them having received a short induction in staff files that we saw. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is effectively managed in peoples best interests. Evidence: The manager was new in post. She is a registered nurse with management experience. she told us she was due to start a Registered Managers Award and will be applying to register with us. She told us that she was attending an induction programme for new managers with Southern Cross. We saw an induction pack she was working through. She had also started her NVQ 4 in management. In her completed pre-inspection self-assessment the manager told us that as part of her ongoing quality assurance, she had an open door policy to Manager; Regular reviews with residents (when able) and their families; Resident / Relatives Questionnaires , suggestion box, regular residents / relatives meetings. No satisfaction questionnaires had been sent out at the time of our visit, but the manager had received training on what Southern Cross expected in terms of consulting people. People told us that they had attended residents meetings, although they said they Care Homes for Older People Page 22 of 28 Evidence: found it difficult to hear what was going on. However, they did say that the manager had told them she is always available and one person said I got asked if I was happy here and what could be improved. A full internal audit of service was done in August 2009, and a copy of the outcome was seen. The manager has notified us of incidents that have happened in the home, as required. She completed an annual self-assessment and sent it to us when we asked for it. People told us they were happy with the way the home handled money on their behalf, they said if you ask they will tell you how much you have got in, they will write you a receipt out if you deposit any money and (x) gets a statement every month. A programme for staff supervision had commenced. Some staff told us they had received supervision, while others had not. There were records in place to support that equipment around the home was being regularly serviced. A health and safety audit took place in September 2009 and an action plan devised for remedial action that was identified. Care Homes for Older People Page 23 of 28 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 24 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 1 3 14 People must have their needs assessed upon admission to the home. This must be completed by 15.10.2009 This is to ensure that care needs are not overlooked and to keep them safe. 26/10/2009 2 7 15 All people living at the home 26/10/2009 must have a care plan and risk assessments in place as soon as is reasonably practicable. A timescale of 15/10/2009 was given for this to be met. This is to ensure people are kept safe and that no care need is overlooked. 3 9 13 (2) Medication records must 26/10/2009 accurately reflect numbers of medications in the building and what medications people have actually received. This is to ensure people get the medications they need. 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 Care plans must be completed in full and 31/12/2009 Care Homes for Older People Page 25 of 28 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 demonstrate consultation with the person themselves. Entries must be dated and signed. This is to ensure people are fully involved in their care, that they are contemporaneously recorded and that care needs are not overlooked. 2 8 23 2)c) Hoists, wheelchairs and the camera printer must be kept in good working order and repaired in a timely way. This is to ensure that people are safely assisted with their mobility. Also that staff have access to photographs to enable them to accurately identity people. 3 24 23 e) People must be consulted about their requirements regarding door locks and personal lockable space within bedrooms. These must be provided consistent with their requirements and outcome of any risk assessment undertaken. This is to ensure privacy and choice within the home. 31/01/2010 31/12/2009 Care Homes for Older People Page 26 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 4 27 18 1) Staff must be provided, in 31/12/2009 sufficient numbers, to meet the needs of people living in the home. This is to ensure people have their needs met in a timely way. 5 29 19 and Schedule 2) Written 30/11/2009 verification as to the reasons why the person had ceased to work, in previous positions involving children and adults must be sought prior to appointment, where possible. This is to ensure people are not exposed to potentially unsuitable workers. 6 30 18 1) Staff must all receive training in mandatory subjects. This is to ensure people are cared for by suitably trained staff. 31/01/2010 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 36 All staff should receive regular supervision to ensure they are working competently. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 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. 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