Inspection on 19/12/09 for Cornerways

This inspection was carried out on 19th December 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerways 19/06/09

Cornerways 22/06/07

Cornerways 10/08/06

Cornerways 16/01/06

Cornerways 25/07/05

Cornerways 22/02/05

Cornerways 17/08/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2010.

Key inspection report Care homes for older people Name: Address: Cornerways Church Lane Kings Worthy Winchester Hampshire SO23 7QS     The quality rating for this care home is:   zero star poor 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: Kima Sutherland-Dee     Date: 1 9 1 2 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 26 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 26 Information about the care home Name of care home: Address: Cornerways Church Lane Kings Worthy Winchester Hampshire SO23 7QS 01962882060 01962884340 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Hampshire County Council care home 40 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: 40 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Date of last inspection Brief description of the care home Cornerways is a registered care home providing personal support and accommodation for up to forty older people. Hampshire County Council owns the home and the manager is Mrs Hazel Hiskett. The home is divided into four units, with ten single bedrooms, a communal lounge, dining room and kitchenette in each unit. Both units on the ground floor accommodate residents who require dementia care. The two remaining units on the first floor Care Homes for Older People Page 4 of 26 2 2 0 6 2 0 0 9 40 0 Over 65 0 40 Brief description of the care home accommodate older people. The home is surrounded by landscaped gardens. The home is situated in the quiet village of Kingsworthy, three miles away from Winchester. A small local shop is within walking distance from the home. Care Homes for Older People Page 5 of 26 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: zero star poor 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: We prepared for this inspection by reviewing the previous report dated the 22nd June 2009 and the previous requirements that were made during that inspection. We also looked at the improvement plan the service sent dated the 18th September 2009 and the services own assessment called the AQAA. We recieved three surveys from the residents and four from the care staff and information from these are included in the report. We completed a site visit to the home on the 19th December 2009 and during the visit we spoke with twelve residents and the care staff as well as reviewing a sample of the documents and records. The registered manager is not in day to day control of the home and the temporary manager was present to assist with the inspection. This person is refered to in this report as the managerr although they are not registered with the commission at this time. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: During the last inspection an immediate requirement was left at the home because the medication storage and records were unsafe and inaccurate. The staff are now storing the medication correctly but the records remain poor despite the service improvement plan stating that actions would be taken to improve these. We have written to the responsible individual about this and we may take further action to ensure the medication is managed safely and effectively. The staff must make sure that they assist the residents if they require help with their diet. This help must be provided as soon after the food is served as possible for the wellbeing of the residents. The residents must have adequate heating in the home at all times. The service must provide suitable laundry facilities that ensure the clothes are properly cared for and returned to the residents. The residents must be supported to wear their own clothing. The staff must have criminal records bureau checks and evidence that these have been completed must be kept at the home. The manager must ensure that there are enough staff to meet all of the residents needs and they should keep the need for additional staff under review. The outcomes for the residents would be improved if the providers ensured there was a stable management arrangement at the home. Care Homes for Older People Page 7 of 26 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 26 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 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are provided with the information they need to make an informed decision about this home before they move in. Evidence: The providers of this home are Hampshire County Council. Following the last key inspection which rated the outcomes for people as poor they agreed to suspend any new admissions. No new admissions have been made to the home and there were 25 residents at the time of this key inspection. Each resident or their relatives sign a contract when they move to the home and this includes the terms and conditions. Residents are also given information about the home and the services in a service users guide, which are also displayed around the home. Care Homes for Older People Page 10 of 26 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from staff who know their individual needs and how they should meet those needs. The staff treat the residents with respect and they protect their privacy. The providers are failing to enusre that there is a safe and effective system for safely administering medication. Evidence: The staff have made changes to the care plans since the last key inspection and these now contain useful information about the needs of each resident. Four care plans were seen and these recorded both health and social care needs and how the staff should meet those needs. The residents or their relatives had signed the plans and three residents said they were aware of the information written about them. The care plans had been reviewed monthly and changes to the care had been recorded. Two of the four staff surveys said that they always had the information they needed to care for the residents, two staff said they usually had the information. The senior staff always hand over information when new staff come on duty. This handover was observed and the staff were told about each residents health and emotional wellbeing as well as any Care Homes for Older People Page 11 of 26 Evidence: changes to their care. The residents said they were happy with the healthcare at this home and they could see a doctor whenever they needed to. The care plans recorded peoples health and any doctors or hospital visits and any treatments. The staff had assessed the risk of the residents getting pressure sores and taken action to prevent this. The staff had also assessed the residents nutritional needs and the residents were regularly weighed to monitor their health. Where the residents had been assessed as needing extra fortified drinks it was observed that these had been supplied. The residents said that the staff were kind and caring. The three returned surveys stated that the staff were patient and approachable and that the staff are friendly and they make the home a pleasant place to live The care staff were observed and they talked to the residents kindly. The staff had a good understanding about each persons needs and about their backgrounds. The staff chatted to the residents during care and the residents said they appreciated this. Two of the four staff surveys and one of the three residents surveys said that there needed to be more staff. One residents survey said there should be less reliance on agency staff. Three staff spoken with during the key inspection said that the staff numbers had changed and there was less time to do care. Two carers said they could manage to meet meet all the residents needs but it was busy and challenging. The number of staff and the impact this has will be reported in the staff section of this report. During the last key inspection in June 2009 we found that medication was not being stored or recorded safely. The providers sent us an improvement plan which gave details of how they would make sure this improved and was safe for the residents. During this inspection we found that these improvements had not been sustained and the administration and recording of medication was still incorrect and inconsistant. The providers told us that senior staff would audit the records daily to ensure that staff always remembered to record the medicines they gave to the residents. This was inconsistant and there were still missing records that would show whether a medicine had been given to a resident Three recent medication errors had been reported to us. The acting manager stated that the staff responsible had been stopped from adminsitering medication until they had been retrained. The records showed that the nurse practitioner was due to give the staff medication instruction on the 22nd January 2010. Further action may be taken to ensure that medication is administered and recorded safely. Care Homes for Older People Page 12 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents benefit from an increased range of activities and opportunities to go out. The residents are welcome to invite their family and friends to the home. The residents are offered a choice of foods which they enjoy but not all of the residents are being assisted when required to have a nutritious diet that meets their needs. Evidence: The residents and the staff said that there had been an increase in the activities that were available since an activity co ordinator had been employed in August 2009. Everyone praised the co ordinator and their input has made a difference to the lives of the residents. The residents had enjoyed a visit from a musician the day before the inspection and there was a christmas party advertised around the home. The staff had kept a record of the activities and who had taken part. The activities co ordinator is also spending time with residents who choose not to take part in group activities. When the activities co ordinator is not at the home they leave the staff instructions on activities to do with the residents. During the inspection the staff were seen playing board games with residents, including dominoes and ludo. A group of residents choose to sit in a quiet area and chat. There were fewer residents than during the last inspection that were sitting unoccupied or asleep. The residents and the staff Care Homes for Older People Page 13 of 26 Evidence: confirmed that the home was busier with a livelier atmosphere. A new sensory room had been set up but the staff have not kept a record of how this is used. The staff commented that it was a bit out of the way and difficult to use when there was only one member of staff on each wing of the home. The sensory room was located right opposite the lift on the first floor and it was well equipped. There was a record and some photographs of a trip out from the home which the residents said they had enjoyed and more of these are planned when the weather improves. Ideas for activities are discussed at residents meetings. One member of staff took a resident for a short walk in the afternoon and one carer brought a bowl of snow in for the residents to feel if they chose to. The residents said they enjoyed the food at the home. Two of the three surveys said the food was usually good and one said the food was always good. During breakfast the residents were offered choices and the staff knew peoples likes and dislikes. The residents are asked their opinion of the food at their meetings and menu changes have been made as a result. It was concerning that a resident had not been assisted to have their breakfast at 9.55 a.m and this was sitting on their table out of their reach. A senior member of staff had to alert a carer to go and assist the resident. Care Homes for Older People Page 14 of 26 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. The residents were confident that any complaints would be taken seriously but they may need reminding about how they could make a complaint. The residents feel safe and the staff have the information they need to deal with suspicions of abuse. Evidence: The home uses the Hampshire County Council complaints policy and this has been given to all of the residents. This document is also displayed around the home. The resident meeting minutes demonstrated that the residents had been asked if they had any complaints. The staff have introduced a new suggestions sheet and copies were available for the residents or their families to use. In the hallway of the home there is a book that relatives use to compliment the staff and the home. There are many compliments in this book as well as thank you cards and messeges. Four residents said they knew who to speak to if they had a complaint. Out of the three surveys received from the residents one person said they knew how to complain, one person said they knew who to speak to if they were unhappy but two people said they did not know how to make a formal complaint. The information is available but it is recognised that a large number of the residents have some form of dementia. The residents relatives have been given information on how to complain. The AQAA states that this information is also available in other formats such as large print or braille if this is required. One visitor said they knew who they would speak to if they were concerned and they had done so in the past. Care Homes for Older People Page 15 of 26 Evidence: The providers have ensured that the staff have either completed training or are due to train in safeguarding vulnarable adults before the end of March 2010. The training records showed that 23 of the 33 care staff had already completed a course and the remaining 10 staff have places in the new year. The staff could describe what they would do if they suspected abuse and they knew where the procedure was kept so they could refer to this if they needed to. The manager is due to attend a seven day training course in the mental capacity act and safeguarding between March and May 2010 and they will then be able to further train all of the staff. Two residents said they felt safe in the home and they could speak to the staff if they had concerns. There have been two recent safeguarding concerns that social services have been investigating and working with the home to resolve. Care Homes for Older People Page 16 of 26 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building and the equipment are suitable for the residents needs. The service is failing to provide adequate heating and laundry services that meet the residents needs. Evidence: The home is a large purpose built building made up of four wings with a central courtyard. One of the wings is closed at the moment. The residents said they liked their home and they were comfortable. Each wing has a lounge, a dining area and a small kitchen. The staff said that the residents did not use the kitchen areas but they could if they chose to. The residents were observed moving around the home and they had the equipment they were assessed as needing to maintain their mobility. The residents were using walking frames, walking sticks and wheelchairs and all areas of the home are accessible to them. The home is equipped with adaptations to assist the residents with bathing, and a passenger lift gives access to the first floor. The AQAA states that any resident with specific mobility problems are accomodated on the ground floor. The residents said they liked their own rooms and these were seen to have items of the residents furniture as well as personal pictures and ornaments. One resident said that they had been cold in their bedroom at night over the last few Care Homes for Older People Page 17 of 26 Evidence: weeks. A thermometer was placed in their room and this indicated that the temperature was 24 degrees celsius. Their heater was giving out very little heat. Two further rooms were then checked and one had full heating but the other had no heating. The domestic staff said that the heating on the boiler kept cutting out and needed to be re set. The staff contacted an engineer who arrived during the key inspection and said that the heaters needed cleaning out and the heating and water supplies at the home were inadequate and needed constant maintenence. The communal areas of the home were at a comfortable temperature and the other residents said that they were warm. The domestic staff were leaving windows open on the restrictors when they finished cleaning rooms and with snow on the ground this was not maintaining the bedrooms at a comfortable temperature. The residents were not being asked if they wanted their windows left open. The home was free from odours and the staff had completed infection control training in the last twelve months. Since the last inspection the service had ordered new supplies of linens and laundry equipment as well as laundry bags. This equipment meant that the staff could work properly to minimise infections. One visitor said that their relative had had five cardigans ruined by the laundry staff in the last year or so. They said they had complained and all relatives had had a letter saying that the laundry service would be improved. The visitor said that the cardigan their relative was wearing was not their own and they did not know where it had come from. Care Homes for Older People Page 18 of 26 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff were failing to meet all of the residents needs and there were concerns about the number of staff available. The residents are not being protected by the failure of the home to follow safe recruitment practices. The residents benefit from a staff team who are committed to meeting their needs. Evidence: The providers of the service have recently changed the staffing numbers and there are now three care staff on duty in the day time, this means that there is one carer on each wing accomodating between seven and ten residents. There is also a senior member of staff who helps with the care and an activities co ordinator during the week as well as the manager. Six staff commented during the inspection and in the surveys that they had concerns about this number of staff caring for twenty five residents, when a large proportion of people have some form of dementia. They were concerned about a number of issues including the safety of the residents, the amount of staff sickness due to stress, and not being able to take proper breaks during the day. The manager said that they monitored the needs of the residents and if more staff were needed they could be used. They agreed it was difficult when staff went off duty sick and agency staff could not be found. The use of agency staff had reduced and the home had just employed two new carers. The senior staff had recently been asked to do less office duties and to help the care staff caring for the residents. The Care Homes for Older People Page 19 of 26 Evidence: residents praised the staff and said they were kind and caring and they did not have to wait long for staff when they used their call bells. Two staff said that although the work was challenging and busy they could meet the residents needs. The staff were not able to meet all of the residents needs and an example was that in one case a resident had to wait too long after breakfast was served to be assisted with their food. Their breakfast had been left out of reach and after this was pointed out a senior member of staff called a carer to assist the resident. The staff were finding the time to chat and to play board games with a small number of residents in the afternoon. The manager acknowledged that it would not be safe for the staff to work with less than three carers a senior and the manager on duty. This is partly because of the layout of the home in seperate wings and also because of the residents needs. The manager stated that they were reviewing the effectiveness of the staff and the way they worked. Four staff files showed that all of the required recruitment information was available for the safety of the residents except current criminal records bureau checks. After finding that one member of staff did not have a check in their file we looked at all of the staff records and found that eight out of fifty one staff did not have criminal records bureau checks. The manager said that this was completed as part of the central recruitment process through Hampshire County Council, but proof of the checks being carried out had not been supplied to the home. The staff training records were detailed and they showed that staff had taken part in a range of training since the last key inspection. These courses included manual handling, first aid, dementia awareness and infection control. The staff said they had had opportunities to improve their knowledge and skills and they welcomed this aspect of their job. The residents said that the staff do a good job and they care for us very well. Care Homes for Older People Page 20 of 26 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements have meant that the service has failed to sufficiently improve the outcomes for the residents. The residents and their relatives do have opportunities to give their opinions of the home and these have lead to changes. The staff are supervised and supported. The staff do have the information and the equipment they need to work safely for the benefit of the residents. Evidence: The registered manager has not been in day to day control of the home since June 2009. The providers of the service have kept us informed of the interim management arrangements. During this key inspection we found that the temporary management arrangements had meant that the improvement plan had either not been used to make improvements or these had not been sustained. The outcomes for residents have been judged to be poor in areas of health and personal care, the environment, staffing and management and administration. The outcomes in choice of home and daily living are judged to be adequate and the outcome for complaints and protection Care Homes for Older People Page 21 of 26 Evidence: is judged as adequate. A number of temporary managers have been at the home since June 2009. This has had an impact on the outcomes for the residents. The staff also said this has affected their ability to work effectively as a team, but this was improving. The current manager is working with staff to implement the action plan to improve the care and the the record keeping at the home. The staff commented that this manager was approachable and morale had improved recently. This manager is being supported by the service manager and by more senior managers on a weekly basis. The responsible individual told the commission after the inspection that Hampshire County Council will infom us of the permanent management arrangements in the next two weeks. The residents and their relatives get opportunities to give their views of the service in a number of ways. A survey takes place every six months and the results had been analysed and displayed around the home, changes to the menus had been made a result. Relatives meetings have been introduced bi monthly and the residents also meet regularly. The service has also introduced suggestion fiorms that are available around the home and in the front hallway. The responsible individual or their representative visits the home monthly and during that time they seek the views of the residents. The reports for these visits were seen for September,October and November 2009. The staff are being supervised more often since the last inspection and the records confirmed that this was taking place. Three staff surveys stated that the staff were supervised regularly or often. The staff said that they were being supervised and the senior staff also check on their work during care tasks. The home follow Hampshire County Council policies and procedures for safe working and the staff know where these are kept and how to access them. The service has met a previous requirment to improve the fire records and regular fire drills are now being carried out and the correct records mainatined. The last drill was on the 17th December 2009. The staff have attended infection control training and they have the equipment they need to minimise infections. The staff have completed risk assessments for each resident and for the environment so they have the information they need to work safely. The staff have also attended health and safety training. The staff were observed using safe working practices when they carried out care for the residents. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must 06/07/2009 make suitable arrangements for the recording,handling, safe keeping and safe administration of medicines. All medicines must be stored, administered and recorded safely. Allergies must be recorded in the appropriate records. Care Homes for Older People Page 23 of 26 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 15 16 The registered person must 07/01/2010 provide adequate quantities of nutritious food at times that are reasonably required by the service users. The residents need to have their meals as soon after they are served as possible and they may require staff assistance to do so. This is for the residents health and wellbeing. 2 25 23 The registered person must not use the premisis unless heating suitable to the service users is provided in all parts of the home. 29/01/2010 All of the residents need to have suitable heating to keep them warm and comfortable. 3 26 16 The registered person must provide regular laundering 29/01/2010 Care Homes for Older People Page 24 of 26 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 of clothes and linens. They must also arrange for clothes to be kept seperately. The residents need to have their own clothes available to them at all times and for these clothes to be cared for and kept in good condition. 4 29 19 The registered person must 08/01/2010 not employ a person to work in the home unless they have obtained all the information in schedule 2. For the safety of the residents the home must maintain evidence that a criminal records bureau check has been completed for all of the staff. 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 Care Homes for Older People Page 25 of 26 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. 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