Inspection on 27/05/09 for Cornwallis Court Residential And Nursing Home

This inspection was carried out on 27th May 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

Cornwallis Court Residential And... 24/05/10

Cornwallis Court Residential And... 12/05/08

Cornwallis Court Residential And... 07/06/07

Cornwallis Court Residential And... 20/12/05

Cornwallis Court Residential And... 29/04/05

Cornwallis Court Residential And... 25/10/04

Cornwallis Court Residential And... 20/07/04

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

Key inspection report Care homes for older people Name: Address: Cornwallis Court Residential And Nursing Home Hospital Road Bury St Edmunds Suffolk IP33 3NH     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: Jenny Elliott     Date: 2 7 0 5 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: Cornwallis Court Residential And Nursing Home Hospital Road Bury St Edmunds Suffolk IP33 3NH 01284768028 01284700709 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.rmbi.org.uk Royal Masonic Benevolent Institution Name of registered manager (if applicable) Miss Elizabeth MacIntyre Hunter Fleming Type of registration: Number of places registered: care home 74 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: 1 Maximum of twelve people with nursing needs may be accommodated at Cornwallis Court. 2 Maximum of ten people with dememtia may be accommodated at Geoffrey Dicker House. Date of last inspection Brief description of the care home Cornwallis Court is situated in very well maintained grounds and gardens. It was originally part of the West Suffolk Hospital. Cornwallis Court opened in June 1981 and has provided care for freemasons since that time. The home can care for up to 74 residents, with up to 12 of those beds used for nursing care and up to 10 for people with dementia. The accommodation offers residents single bed sitting rooms with enCare Homes for Older People Page 4 of 28 Over 65 10 64 0 0 Brief description of the care home suite facilities. In the main building there were two lounges, one on the ground floor and one on the first floor, and a ground floor dining room. There are also other smaller areas for use by residents who may wish to sit on their own or in a small group. All rooms are comfortably furnished to a good standard, with a continuous program of decoration and upgrading. There is also a well-stocked library. There are bathrooms and WCs, which are well equipped to assist residents and staff. There are a number of kitchenettes for use by residents and their relatives to make hot drinks and snacks. There is also a small shop and hairdressing salon for use by residents. Ramps are provided and pathways maintained to allow residents to access the garden and to enable people wishing to walk around the grounds to do so safely. Geoffrey Dicker House is a self-contained home with lounge, dining room and kitchenette. There is a separate entrance to this part of the home. Fees at the home are dependent on the assessed needs of residents, at the time of this inspection they ranged from £545 to £896 per week. Please contact the home for more details. 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 information for this report was gathered from a visit to the home, from information provided by the home in the Annual Quality Assurance Assessment and information sent to us since their last inspection, and from information provided in the week after the visit to the home. At the visit to the home, which took place on 27th May 2009 and lasted for 7 hours, time was spent talking to people who live at, work in and visit the home. In addition a range of records were inspected, a tour of the premises undertaken and time was spent observing the care provided by staff. Care Homes for Older People Page 6 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 7 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 8 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can expect to receive good information about the home and to visit the home, before moving in. People coming to live at the home can expect to have their needs identified but not necessarily the best way of meeting them. Evidence: The office maintained personal records on behalf of people who live at the home. These were well ordered and it was easy to find information. Within these records was a checklist that included pre-admission assessment, basic care plan, allocate key worker, ensure plant and welcome card in room. These help to demonstrate a planned approach to the process of welcoming a new person into the home. The personal files for permanent residents include contracts, but there are no contracts or agreements in place for people who come to the home for respite care. The assessments however, whilst identifying areas of need did not include information about how a person liked to be helped and only limited information about a persons Care Homes for Older People Page 9 of 28 Evidence: personal history. One of the assessments included statements such as requires assistance of one carer when maintaining personal hygiene and needs assistance to pursue interests within the home environment. The information about a persons personal history was largely limited to their date of birth, work history and any information about a spouse or children. This combination of information is not sufficient information from which to make a decision about the services ability to meet the needs of a person or to develop a person centered plan of care. Care Homes for Older People Page 10 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 who live at the home can expect their care needs to be met by staff in a dignified and respectful manner. People cannot always expect their care plans to include detailed information about how they wish to be cared for. Evidence: The care plans and records belonging to four people who live at the home were looked at in detail. The needs identified at assessment was entered on to identified need sheets. These did not usually provide useful information about how a person should be supported and care for. One form had as the identified need Mobility and the goal To maintain independence. The action related to this stated liaise with physio. Liaise with doctor. Manual requirements to be reviewed regularly. These actions do not help staff on a day to day basis provide the support a person needs in the way the way they prefer. There was one example, where the form had been updated more recently where slightly more information had been entered, for example ensure ... has a glass of drink within [their] grasp and please give the chance to do as much as [they] can. Can do face .... Care Homes for Older People Page 11 of 28 Evidence: The care plans also contained a range of risk assessments which were mostly, but not always completed. Each of the files inspected contained a completed personal emergency evacuation plan. Other risk assessments relating to nutrition or bathing for example were not always completed. These could be important areas for maintaining wellbeing where risks or needs are identified. In one file it was noted that the person had a history of falls before moving into the home, but there was no information about this in the falls risk assessment. This is important because it could help to minimise the risk of future falls. In conversation, people who live at the home said staff were caring and couldnt do better. People looked well and cared for. In the part of the home that looks after people with dementia, staff were observed supporting people in a way that promoted their dignity and met their personal care and social needs. People were discreetly helped to the bathroom when required. Staff were overheard talking to people whilst they were moving them from one place to another, for example to the dining room or to take part in one of the organised activities. Daily records showed that where people reported feeling unwell appropriate medical advice or consultation had been sought in a timely manner. One of the people living at the home told me that the district nurse visited them daily. There were detailed records in one persons care plan that showed how the home had responded to the development of a pressure sore, including medical intervention. The records relating to the administration of medication were inspected and no unexplained gaps were noted. One person has medication prescribed on an as needed basis (PRN). There was limited guidance in their care plan relating to this, but a clearer description of the circumstances that would lead to administration would ensure a more consistent approach. Care Homes for Older People Page 12 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 who live at this home will benefit from a wide range of organised activities and one to one contact with staff. Evidence: It was clear from observation on the day of the inspection and discussion with people who live and work at the home that the service continues to provide a very good experience in terms of the daily life and social activities for the people who live there. If the care plans were written in a manner that identified how individual needs in this area should be met we would consider this aspect of the care to be excellent. This is important because it ensures that individuals who are less able to articulate their social needs can be sure that they will be met and reviewed as necessary. A new activities worker had been employed to support the existing activities organiser. This person held sonas sessions with groups of people who live at the home. I sat in on parts of two sessions. The sessions include some led signing, poetry and word games (from a pre-recorded tape) and some similar activities led by the group. There was a lot of one to one contact during the session which was clearly enjoyed by all of the people participating. People in the group participated to varying degrees. One person held the song sheet with the coordinator. It would be good to Care Homes for Older People Page 13 of 28 Evidence: have this printed in a more legible format (a better quality copy and larger print). It was also evident from both sessions that the activity encouraged or enabled people to communicate verbally and with facial expressions. In the afternoon a bingo session was taking place in the large lounge. In addition to calling out numbers there was also an electronic display of numbers, although this wasnt visible to everyone. People were clearly enjoying the game, a member of staff was helping one person and other people were being helped by their peers. In another part of the home the activities coordinator had engaged the help of some people living at the home to prepare materials for a craft session planned for later in the afternoon. A schedule of activities was available at the table during lunch. It showed a range of activities taking place each day. In addition to the organised activities some people had newspapers delivered, one person told me there was a good library and that books were regularly changed through the mobile library service. Some time was spent in the area of the home accommodating people with dementia. Staff were observed providing lots of one to one contact with people, lots of reassurance and plenty of cups of tea. There was a general sense of wellbeing and a good level of verbal interaction between people who live and work at the home. It was noted that props were provided that helped people maintain a sense of contentedness, these included wool for one person sitting in a downstairs lounge and a life size voice activated dog in the unit for people with dementia. Most people eat their lunch in the large dining area in residential part of home or one of the two smaller areas in other units. The small rooms were pleasant. The large dining area was a little drab and decoration tired looking but the tables were nicely laid including cloths and napkins. Help was quickly and discreetly provided to those who were known to need it. Some people struggled to cut the yorkshire puddings but no-one was checking in a general way whether or not people needed assistance. Most people had opted for the main choice on the menu but other options were also seen. On each table was a sheet listing the options for the next day, some people completed the sheet for themselves and others at their table and in some cases staff completed the sheet after asking people what they wanted. The meals seen looked appetising and most people said the food was good. Although in a recent survey carried out on behalf of the home a significant number of people were not satisfied with the food. Meetings are held with people who live at the home about food and the manager advised that there was on-going work to try and improve the level of satisfaction. One of the people spoken to during the inspection was currently having all of their meals in their room because they had trouble walking. They said staff pop in regularly and that they encouraged her to have meals downstairs when possible so that they didnt Care Homes for Older People Page 14 of 28 Evidence: get too isolated. 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 who live at the home can expect their concerns to be listened to and acted upon. Evidence: The complaints records were reviewed as part of this inspection. These were clear, giving details of the complaint, with copies of letters acknowledging the complaint, details of any investigation and action taken and a copy of the letter to the complainant describing the outcome. A letter relating to the most recent complaint was very well written, it demonstrated an openness to hearing about concerns, that concerns were taken seriously and that the home wanted to improve the service. The person who made the complaint was visiting the home on the day of the inspection, they said they were very happy with the way their complaint had been handled and the action that had been taken in response to the complaint. During the inspection I overheard someone who lives at the home raise a concern that they could not find their handbag. They were very anxious about this. The carer they spoke to offered to go with the person immediately to look for the bag, providing a significant level of reassurance for the person. This supports the view that people who live at the home can expect their concerns to be listened to. One of the people who lives at the home told me they had experienced difficulties in the past with a couple of staff, but that when they raised this with the manager it was dealt with quickly and in a good way so that now they get on very well with the members of staff. Care Homes for Older People Page 16 of 28 Evidence: The training records maintained by the home showed that 12 of the 78 staff listed as currently working at the home had not had an annual update in respect of training to protect vulnerable adults. Not all of these staff were involved in the provision of care, but all would have some contact with people who live at the home. It is important that all staff have an up to date understanding of what constitutes abuse and what action to take if they suspect abuse is taking place, the service should assess the appropriate amount of training for staff involved in different roles. The Commission does not have a record of receiving all the information relating to safeguarding issues at the home. The AQAA completed by the homes states that 3 safeguarding issues had been raised in the twelve months prior to 18th March 2009. This was raised with the manager who was confident that this information had been sent and provided me with a summary of the incidents and the action taken. The manager confirmed that the Safeguarding team at the Local Authority, and where appropriate the police, had been involved in the issues raised. On arrival for this inspection the front door was released from inside the home without anyone asking who I was. No-one came to see me once inside the home to check my identity until I introduced myself at the office. It is important that the home does not allow people inside without first checking their identity. 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 who live at the home benefit from a relaxed homely, environment. People who live at the home cannot always be sure that care practice will promote best practice in terms of infection control and fire safety. Evidence: The home was originally a local hospital, and although this is evident from the outside, internally it is decorated and furnished in a homely style and not at all reminiscent of a hospital. On the day of the inspection I walked around all areas and visited three people in their own rooms. Apart from the main dining room, where the decoration was a little tired, most areas had a relaxed comfortable feel. There were no unpleasant odours noted. The person in charge of maintenance at the home showed me records relating to the maintenance, servicing and safety of equipment. Records were easily accessible and kept in good order. They included monthly checks of the temperature of hot water at all outlets. The maintenance person also confirmed that all thermostatic valves had been replaced since the last visit to the home. The service has appointed a domestic supervisor since the last inspection to ensure that standards of hygiene are maintained. Care Homes for Older People Page 18 of 28 Evidence: The homes training plan includes an annual update in respect of infection control. The training audit shows that 17 of the care staff currently working at the home had not had an annual update. Fourteen of these were only missed by one or two months, but one person had not had an update since 2006 and two since 2007. Some of the people the home cares for are frail and some have nursing needs. It is very important that staff have up to date information about how to prevent the spread of infection. 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. People who live at the home can generally expect to have care provided by people who are trained and supported. Evidence: On the day of the inspection care and activity staff were observed spending one to one time with people who live at the home. One member of staff said they felt there were sufficient numbers of staff employed to to cater for the needs of the people living in the unit they worked in. In addition office and domestic staff were available to answer queries. When people called for help using call bells in their rooms, they were generally responded to quickly, although there were occasions when bells rang for over three minutes. Lunch time in the large dining room appeared to be the most challenging for care staff, in respect of meeting needs. Staff were helping people known to need help with their food, and/or helping people to make choices from the menu for the following day. Staff did not appear to have time to check in a general way whether anyone else needed help, or whether they were happy with their food. One of the people living at the home said it was a perfect place to live, staff were very good, kind and would do anything for you. Care Homes for Older People Page 20 of 28 Evidence: A comprehensive training audit was supplied following the visit to the home. This showed a commitment to ongoing training and regular updates. It also showed that some key areas of training were not up to date for all staff. The home advised us in their Annual Quality Assurance Assessment that significantly more than 50 of all care staff had achieved a level 2 (or above) in the national vocational qualification in care. Staff said they were happy with the training on offer, and with the support they received from seniors and managers in the home. One member of staff described the supervision they had received at the home as positive learning experiences. Recruitment records relating to two new members of staff were inspected. They were well ordered and demonstrated that all of the checks required to assess a persons suitability to work with vulnerable people had been carried out. Staff files did not, though, include photographs. 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. People who live at the home can expect it to be run and managed in their interests. People who live at the home cannot always be sure that staff will have up to date training in respect of how to keep them safe. Evidence: The manager of the home had recently been approved as fit to be registered by the Care Quality Commission. In the last few months the home had recruited to the assistant and deputy manager posts. The manager and the new management team members demonstrated a good knowledge of the people who live at the home and a commitment to continued improvement. Staff said they found the management team to be approachable and supportive. The home assesses quality by using monthly reports of visits carried out by a manager of the owning association and the outcome of satisfaction surveys carried out by an external body. The results of surveys sent to people who live at the home and relatives of people who live at the home were forwarded after the visit to the home. Care Homes for Older People Page 22 of 28 Evidence: They highlighted how satisfied people were with various aspects of the service compared with other homes, and previous years responses. Neither the monthly visits nor the surveys provided information about how well the service was provided in relation to its stated aims and objectives. The manager advised that she would be drawing up an action plan using the results of the surveys to improve the service provided. Full records relating to money held on behalf of people who live at the home are computerised. Unfortunately, the computer system was not operable on the day of the inspection. There were though, some manual back-up records which demonstrated a clear audit trail was in place for all deposits and expenditure. A sample of records relating to the safety of equipment were inspected. These included checks relating to the operation and maintenance of the fire alarm system. All of the checks required by the external contractor were available and valid. The internal checks were almost all up to date. The weekly visual check of the system had not been carried out whilst the maintenance officer was off. There appeared to be conflicting demands on the time of the person who assists with these tasks. Other records checked, which were also complete were those for the lifts, and hoists. As has been mentioned previously, there were some gaps in the training of staff. This included infection control and fire safety. 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 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 3 14 The home must ensure that assessments identify what care is required to meet the needs of potential service users. This is to ensure that the home has sufficient information upon which to base a decision about its ability to meet the identified needs, and from which to develop a plan of care. 31/07/2009 2 7 15 The home must ensure that all plans of care describe how the needs of people who live at the home are to be met. This is to ensure that the staff are aware of the best way to care for each individual. 31/08/2009 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 3 29 19 The home must ensure that it has all of the information required to confirm the identity of staff, including a recent photograph. This is to ensure that all reasonable steps have been taken to ensure people employed are fit to care for vulnerable people. 31/08/2009 4 30 18 The home must ensure that 31/08/2009 where training is identifed as needed, or required by legislation it is provided for staff. This is to ensure staff have up to date information to inform the way the provide care for people who live at the home. 5 38 18 The home must ensure that staff have the training and information they need to carry out their roles. This relates specifically to fire safety and infection control. This is important because it helps to ensure that care practice will be carried out in a way the promotes the safety of the people who live at the home. 31/07/2009 Care Homes for Older People Page 26 of 28 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 18 The service should assess the appropriate amount of training and updates for all staff working at the home. 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. 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!