Inspection on 02/10/09 for Collingtree Park

This inspection was carried out on 2nd 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Collingtree Park 24/03/10

Collingtree Park 13/10/08

Collingtree Park 09/05/07

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 16/02/2010.

Key inspection report Care homes for older people Name: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN     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: Catherine Perrins     Date: 0 5 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 29 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 29 Information about the care home Name of care home: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN 01604763623 01604702820 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.barchester.com Barchester Healthcare Homes Ltd care home 79 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 79 The registered person may provide the following categories of service only:- Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Collingtree Park is a purpose built residential care home in a quiet residential area, close to a golf course. The home is set within well-maintained grounds and is bright, clean and modern in design. All areas of the home and gardens are accessible to people who use wheelchairs. All rooms have en-suite facilities and can be personalised with the peoples own furniture and belongings. There are attractive communal sitting rooms and dining areas on both the ground and the first floor. Care Homes for Older People Page 4 of 29 1 3 1 0 2 0 0 8 79 0 Over 65 0 79 Brief description of the care home The first floor of the home provides care for people with dementia. There are additional assisted bathing and showering facilities for less able residents. The Statement of Purpose and Service Users Guide, giving information about the home, are provided for all new residents and are available on request. Fees range from 381 to 725 pounds per week. 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 Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. This was an unannounced key inspection which means that we focused on the key national standards. The key standards are those considered by the Commission to have the most impact on outcomes for residents. As part of the preparation for this inspection a period of six hours was spent reviewing the information that CQC has about this service. We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. Care Homes for Older People Page 6 of 29 The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the visit that we carried out as part of the Annual Review of the service in October 2008. Relevant information from other organisations. The inspection visit lasted twelve hours during the morning and afternoon of two weekdays. During the inspection four people were case tracked. This involves looking in detail at all aspects of their care and experiences at the Collingtree Park, including looking as their individual plans of care and other records, talking to them and talking to their care staff. Because people with dementia are not always able to tell us about their experiences we also used observations of peoples state of well being and how they interacted with staff members and others. During the inspection a method of observation was used to look at the quality of the experiences of people with dementia by observing their state of well being and the quality of any interactions they experience every five minutes over a two hour period. A sample of staff files were also viewed as part of the inspection. The registered manager was present for the majority of the inspection. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Care plans had not been updated on a regular basis so it was not always clear whether all parts of the care plan were up to date and relevant. Some staff interactions observed did not show a full understanding of how to support and care for people with dementia. For example staff were seen not offering reassurance to one person who lives at the home who was clearly confused and anxious. Care Homes for Older People Page 8 of 29 Details showing how someone who had lost weight, was having their weight loss monitored, were not recorded on the persons file. Not all staff who work in the dementia care area have received training on how to care for and support people with dementia. Staff training records did not clearly show which staff had attended which training courses. Records show that only approximately one third of staff have obtained an National Vocational Qualification (NVQ). Action plans from the homes internal audits are not always acted on in a timely manner. 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 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. Peoples needs are fully assessed prior to admission so the individual and the home can be sure the placement is appropriate. Evidence: The home has a statement of purpose and service user guide which give people good information about the home and the services it offers. The manager explained that the service user guide is available in any other formats such as large print on request. Records show that peoples needs are assessed before they move to Collingtree Park to make sure that the home is right for them. The manager explained that people are able to visit the home before they move in to help them decide if it is the right move for them. If they are not able to visit, their relatives or friends can do so on their behalf. One person told us that their daughter visited before they moved in. Care Homes for Older People Page 11 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. Peoples health and personal care needs are being generally well met but staff may not always have all the information they require to support and care for people in the right way because care plans are not being reviewed and updated appropriately. Evidence: Each person who lives at the home has an individual plan of care. This contains their care plans and other information that staff need to care for people in the right way. Care plans seen covered areas such as communication, eating and drinking, personal care, mobility, health and continence. They contained some detail about peoples preferences such as what time they liked to get up and go to bed and whether they preferred a male or female staff member to assist them with personal care. There was some evidence of people being helped to make choices such as what clothes they wanted to wear. Care plans seen had not been updated on a regular basis so it was not always clear whether all parts of the care plan were up to date and relevant. Care Homes for Older People Page 12 of 29 Evidence: Where people have specific needs in relation to dementia their care plans gave details of how staff should care for and support them. For example the care plan for one person described how staff should approach in warm and reassuring manner. Observation showed that some of the staff working in the dementia area had a good understanding of peoples needs in relation to dementia. One staff member was observed helping someone with their lunch, giving reassurance and clear explanation, making good eye contact and generally making the meal a positive experience for the person they were assisting. Some other staff interactions observed, although caring, did not show a full understanding of how to support and care for people with dementia. For example staff were seen not offering appropriate reassurance to one person who lives at the home who was clearly confused and anxious. Records show that people had been assessed to find out if they are at risk of developing pressure sores. Where it was identified that there was a risk records show that the home contacts the district nurses so that measures can be put in place to reduce the risks such as provision of specialist equipment and helping people to change position regularly. Recognised assessments and screening tools are used to assess people for the risk of falls, moving and handling and nutrition. One persons records showed that they had lost weight. There was evidence that the home had sought advice from the persons general practitioner and that blood tests had been arranged to rule of certain medical reasons for the weight loss, there was, however, nothing recorded on their file to indicate the results of these tests. Their weight record had also not been completed for three months. This was raised with the registered manager who stated that the persons blood tests came back clear and that they had been weighed for two out of the three months, refusing to be weighed during the third month, and had put on weight. He stated that this had not been recorded in the persons file. Records show that people have access to a range of health professionals such as general practitioners, district nurses, community psychiatric nurses, continence nurses, dentists, opticians and podiatrists as required by their health needs. People told us that staff attend to them quickly if they ring their call bells. Records from the call bell system showed that most of the time call bells are answered promptly within two or three minutes. The administration of medication is generally well managed however there were some instances where staff had not signed the medication administration record to show Care Homes for Older People Page 13 of 29 Evidence: that medication had been given as prescribed. The majority of medication in the home is dispensed in sealed blister packs, a spot check of these showed that tablets were being administered as prescribed. The home has facilities to store medication appropriately and procedures in place to ensure that controlled drugs are stored and dispensed safely. A spot check on the total of one controlled drug showed the balance to correlate with the controlled drug recording book. Controlled drugs are prescribed medicines which some people abuse them by taking them when they have not been prescribed, there are laws and regulations about how these drugs should be stored and administered. A spot check was carried out on one persons paracetamol which was not in the sealed blister packs. This showed four tablets to not be accounted for. Staff explained that some tablets had been returned to the pharmacy and stated that was the probable cause of the discrepancy. 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. People benefit from a range of activities offered within the home. Evidence: The home employs three part time activity coordinators. This means that most days there is at least one member of staff working during the day to ensure that people have a range of meaningful activities available to participate in if they wish to. Records show that people have a life history which details significant events in their life and their interests and hobbies. This information can be used by the home to ensure that the home provides activities linked to peoples interests. Various activities were observed during the inspection. In the lounge area on the ground floor people were seen enjoying a word game and on another occasion doing some gentle armchair exercises. In the first floor lounge staff were seen helping one person with her knitting, looking at a newspaper with another person, singing songs with a small group of people and passing a large inflatable ball around another group. One persons file noted that they liked to read TV magazines, she was observed to have one of these in her bedroom. Care Homes for Older People Page 15 of 29 Evidence: The activity record for one person in the dementia area showed that in the week prior to the inspection they had spent some time talking to staff individually, listened to music and joined a group game with the inflatable ball. There were some days where no activity had been recorded. Observations made during lunch showed that people were given plenty of time and not rushed whilst eating their meals. The home employs catering staff who serve the meals which allows the care staff to spend time giving people assistance with their meals should they need it. Salt, pepper and sauces were offered to people with their meal. On several occasions staff interactions with the people they were helping to eat did not engage the person as fully as they might. For example a staff member held a cup up to someones mouth so they could have a drink without first asking them if they would like a drink or giving ant explanation as to what they were doing. Menus seen were varied and included fresh fruit and vegetables. People told us that the food is good. 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. People are generally well protected by the homes complaints and safeguarding arrangements but the lack of training for some staff in these areas mean that concerns may not always be acted appropriately. Evidence: The home has a complaints procedure which outlines what people should do if they wish to raise a concern about the home and the response that they can expect. In the Annual Quality Assurance Assessment the manager states that the home has received eight complaints in the previous twelve months. Records showed that the home had followed their complaints procedure in dealing with the concerns raised. The outcome for one complaint detailed actions that staff would take to support the person involved to eat their meal. The persons care plan had not been updated to reflect the agreed actions that staff should take. Two referrals have been made about the home to the Local Authority under the locally agreed safeguarding adults procedure. The manager stated that the home had learnt lessons from one of the safeguarding investigations and would take action in a more timely manner should a similar situation occur again. Staff spoken to had a good knowledge of how to raise concerns although training records show that just over half of the care staff have not received training in their Care Homes for Older People Page 17 of 29 Evidence: responsibilities to safeguard people. Advice was given to the home to ensure that the internal training that they provide to staff on safeguarding adults links into the locally agreed multi agency safeguarding adults policy and procedures. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a clean, comfortable, spacious and homely living environment. Evidence: Collingtree Park is a large purpose built home. The first floor accommodates people with dementia. The home is decorated to a high standard throughout and communal areas are comfortable and spacious with flowers, pictures and ornaments giving a homely feel. Downstairs there are two lounge areas, one has access to a well maintained garden with seating areas. The first floor had been redecorated since the last time we visit we did to the home in October 2008. The home was clean and hygienic throughout. The deputy manager, who is responsible for managing the domestic and housekeeping staff explained that a new cleaning schedule had also been introduced since our last visit. The main lounge on the first floor had various items of interest and memorabilia on display such as a hat stand with various hats on, a piano, a dolls house and large, brightly coloured fans on the wall. There were also items in the hall way such as a chest of draws with different handles on and a display of locks and keys. The manager Care Homes for Older People Page 19 of 29 Evidence: explained that the home had plans to develop further areas of interest such as a shop area. The majority of bedrooms in the home are single with two offering double accommodation should it be requested. Bedrooms seen had been made personal with pictures, ornaments and other personal effects. One person told us that the home had encouraged them to bring in their own items. As well as en suite facilities in peoples bedrooms communal bathrooms are also available. 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. People benefit from being cared for by sufficient numbers of staff but shortfalls in staff training mean that staff may not have all the competencies required to fully meet peoples needs. Evidence: The recruitment of staff is well managed with all of the necessary pre recruitment checks being carried out to ensure that staff are suitable to work with older people. When we visited the home in October 2008 after it was noted that the staff turnover was high, during that inspection we did not find any one underlying reason for staff leaving the home. During our recent visit the manager explained that the staff team had been much more static over the previous six months and that the home had not needed to use any cover staff from an agency in the last twelve months. Staff told us that they had an induction when they first started working at the home which included working alongside an experienced colleague to make sure that they had all of the information that they need to do their job in the right way. The home keeps records of staff training on a computerised system which shows Care Homes for Older People Page 21 of 29 Evidence: which staff have attended each training course and which staff require training. This system did show that staff were receiving some training however we were unable to obtain accurate details of all the training that staff had attended. For example we were unable to ascertain which staff had received training in dementia care. Staff told us that not all of the care staff working in the dementia area had attended training on dementia care. Staff informed us that they were attending training the following week on person centred care which would include some details about how to care for people with dementia. Observations made of staff on the dementia area showed that interactions were generally positive however some staff lacked full understanding of how to engage with and promote well being in people with dementia. The staff approach was, however, noted to be caring and unrushed. When asked in a survey how they thought the service could improve a visiting professional noted Train its staff in dementia, the problems it creates for people and how to support them emotionally. Staff explained that some training is delivered at the home by their own trainer while other courses are completed by e learning computer training packages. Staff told us that sometimes it was difficult to complete the e learning as they needed to have time and an available computer. Records show that only approximately one third of staff have obtained an National Vocational Qualification (NVQ). This is below the fifty percent specified in the national minimum standards for care homes for older people. NVQs demonstrate that a worker has reached a nationally recognised standard within their work. People who live at the home told us that their were enough staff available to meet their needs and that staff came promptly when they rang their call bells. Observation during the inspection suggested that staffing levels were adequate with the domestic and catering staff complimenting the care staff to ensure that care staff could focus on providing care and support to people. One person told us that staff are very helpful, could not do more for us, nothing is too much trouble. They added that staff always knock on door. before entering the persons bedroom. 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. The home has audit systems in place but these are not suitably robust to ensure that people needs are being fully met. Evidence: The home is managed by the registered manager with assistance from a deputy manager, who manages the housekeeping and ancillary staff. The home also employs a head of unit for the ground floor and for the dementia area. Records show that the heads of unit conduct monthly audits on infection control, person centred care and medication. Following the completion of an audit the home devises an action plan to show any areas that need attention. The action plan for the person centre red care in the dementia area high lighted the need for monthly care plan review system. This was dated 5th June 2009 but evidence from our inspection showed that it had not been completed. This had also been noted in the inspections carried out by the regional operations director. Care Homes for Older People Page 23 of 29 Evidence: Results of a satisfaction survey carried out in October 2008 for people living in the home were generally positive with ninety-four percent of respondents said that they were treated with dignity & respect. The home holds residents meetings, minutes of which were viewed and showed that people discuss the menus and call bells as well as other things to do with the running of the home. Records show that the necessary safety checks such as fire checks, checks on the water system and portable appliance testing have all been carried out recently. Hoists and lifting equipment has been serviced as per manufacturers recommendations. Advice was given to the manager about the need to ensure that notifications are sent to the Care Quality Commission in line with the Care Homes Regulations 2001 and about the level of detail that should be included in a notification. Two accident forms were found which detailed accidents by people living at the home which the Care Quality Commission had not been informed of. Further notification records contained typex typing correction fluid. 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 37 The Care Quality 30/10/2009 Commission must be notified of any occurrence as specified in regulation 37 of the Care Homes Regulations 2001 To ensure the health, safety and welfare of all. 2 7 15 Care plans must be reviewed 19/01/2010 and updated to reflect peoples changing needs and preferences. To make sure that staff have accurate information to care for and support people in the right way. 3 8 17 Nutritional assessments 19/11/2009 must be conducted on a regular basis and appropriate action taken and documented where a person is shown to have lost or gained weight. Care Homes for Older People Page 26 of 29 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 To ensure that peoples health is being appropriately monitored. 4 9 13 Robust procedures must be 30/10/2009 put in place to ensure the safe and accurate administration and recording of all medication. To ensure people receive their medication as prescribed. 5 28 18 Staff must receive training and development opportunities to ensure that they are suitably qualified and competent to meet the needs of the people living in the home. To ensure that people living in the home receive the appropriate care and support. 6 33 24 A system needs to be established and maintained to review the quality of care provided in the home. Where issues are identified these must be acted on in a timely manner. To ensure continual improvement of the service. 29/01/2010 19/04/2010 Care Homes for Older People Page 27 of 29 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 37 Typing correct fluids , such as Typex should not be used in official documentation and records. Care Homes for Older People Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!