Inspection on 11/05/09 for Cowlersley Court

This inspection was carried out on 11th May 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Cowlersley Court 156 Cowlersley Lane Cowlersley Huddersfield West Yorkshire HD4 5UX Lead Inspector Karen Summers Unannounced Inspection 11th May 2009 08:45 DS0000072606.V375325.R01.S.do c Version 5.2 Page 1 This report is a review of the 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. 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. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 2 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 Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cowlersley Court Address 156 Cowlersley Lane Cowlersley Huddersfield West Yorkshire HD4 5UX 01484 538989 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eldercare (Halifax) Ltd Sharon Wilson (Not yet registered) Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, 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 - Code OP maximum number of places, 38 The maximum number of service users who can be accommodated is: 38 New Service Date of Registration: 24th November 2008 2. Date of last inspection Brief Description of the Service: Cowlersley Court provides twenty-four hour nursing and personal care for up to thirty seven older people. Accommodation is provided on two floors, the upper floor being accessed by either a passenger lift, or a stair lift. Although the single rooms do not have en-suite facilities, they are situated close to bathrooms and toilets. There are three seating areas within the home; a large dining room, a smaller dining area and a spacious lounge. There are patio areas to the front and rear of the property where people can sit out when the weather permits. There is wheelchair access to the main building and there is a car park to the front of the property. Cowlersley Court is situated approximately three miles from Huddersfield centre and there are community facilities nearby including local shops and a church. The provider informed the Care Quality Commission on 11/05/09 that fees range from £385 to £403.06 per week. Additional charges include hairdressing, private chiropody, and newspapers. Information about the home and the services provided are available from the home in the statement of purpose and service users guide. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. This report refers to an inspection, part of which included an unannounced visit by two inspectors on the 11th May 2009, commencing at 8.45am, and the length of the inspection was 7 hours. On the 24th November 2008, the business was taken over by Eldercare (Halifax) Ltd., and a new manager was appointed. There were 30 people living at the home on the day of the visit. As part of the inspection in order to provide information to help us form judgments about the quality of the service, the manager was asked to complete an annual quality assessment (AQAA) document. This she did, and the document provided the Care Quality Commission (CQC) with a lot of information about the way the home is run, and what they hope to achieve in the future. To enable people who use the service to comment on the care it provides, we sent surveys to twenty people living at the home, nineteen of which were returned, (and the majority of these people said that they had completed the surveys with the assistance of someone,) fifteen to staff, all were returned, and five to local doctors and health care workers (social workers, community nurses), none of which were returned at the time of writing this report. (Surveys were returned following the visit to the home.) We would like to thank all people who gave feedback about the home, and would like to thank the manager and staff for their co-operation throughout the inspection process. What the service does well: People wishing to live at Cowlersley Court are assessed by the manager prior to them moving in to the home to ensure that their needs can be met. People are offered a choice of meals with each person being asked individually what they would prefer and the menu is displayed in the dining room each day. People living at the home said that they enjoy the meals provided. As a tribute to the standard of food provided the home has received a four star, Very Good award in association with Kirklees Councils Health Choice Award, Scores on the doors. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 6 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. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. Standard 6 - The home does not provide intermediate care. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed prior to them moving into the home to ensure that their needs can be met. EVIDENCE: The information received from the home said that prior to admission everyone has an assessment of their needs, and that this is carried out by the manager to ensure that the home is able to meet their needs. This was also confirmed by staff and the manager at the time of the visit. Five out of eight people living in the home said that they had received enough information about the home before they moved in so they could decide if it was the right place for them. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the 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’ personal needs are not always being met, and their dignity is not always maintained. EVIDENCE: Surveys sent to people living at the home asked if they receive the care and support they need. Fourteen people replied, “Always” one person said, “Usually” two people said, “Sometimes, and two people did not know. A sample of care records were looked at, and the quality of the documentation and recording varied depending on who had completed it. We discussed with the manager that the records should be written in enough detail to show how the needs of people are to be met, and the daily record also should show the care given to a person in order to meet their needs. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 10 There was evidence in peoples’ care records that they are able to access health care services, such as the dentist, chiropodist, optician, and people confirmed that they receive the medical care that they need. The manager, who has recently joined the home, said that she had started to carryout a review of all the care records, and there was evidence of this in one of the files examined. The information received prior to inspection in relation to how the company plan to improve in the next twelve months states, “To involve the care staff on a daily basis and ensure they are understanding the importance of the individualised care plan of the residents’ decisions and actions.” The manager also said that within the next few months the company has plans to introduced new care documentation and recording, and this was confirmed by the company director at the time of the visit. It was observed that a number of the gentlemen living at the home were unshaven and several people were wearing stained or soiled clothing. This was discussed with the managers and the need to ensure that the dignity of people living at the home is maintained. Support was given to people to go to the dining tables at lunch time; however the manner in which some staff were helping people was not in line with good practice guidance. People were ‘led’ in an undignified manner, often with little or no explanation or conversation from the member of staff. Following the inspection we were informed by the Regional Manager that safeguarding (protection of vulnerable adults) referrals had been made and staff had been suspended, pending investigation following the allegations that people were not being cared for in an appropriate manner. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People using the 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’s social and recreational needs are usually met. People are encouraged to maintain contact with their family and friends. Meals offer a variety and choice. EVIDENCE: An activities coordinator/hairdresser is employed for thirty five hours per week, Monday to Friday. She said that her time is split so that mornings are usually spent hairdressing and afternoons supporting people to do activities, and this was confirmed by people living at the home and the manager. Photographs of recent events held at the home are displayed in communal areas, and it was reported that there has been a recent increase in activities involving the local community. People living at the home are said to have enjoyed these events. A timetable of activities is displayed in the dining room, however it was noted that there were few activities planned for the week ahead. The co-ordinator explained that as she was due to be absent from work for several weeks, she was prioritising hairdressing to ensure that all people living at the home had Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 12 received this service before she went off. The Regional Manager explained that a temporary hairdresser would be brought in during her absence and that external entertainers would be brought in on a monthly basis. On the day of the visit, there was little evidence of leisure activities or things to keep people occupied apart from the television, and a number of people were seen to be sat staring into space. Further opportunities to keep people occupied and stimulated when the activities coordinator is not available need to be considered, and this was discussed with the managers at the time of the visit. Thirteen people said that there were “Always” or “Usually” activities that they could take part in. Three people said, “Sometimes,” and three people were not sure. When asked, “What does the home do well?” One person said, “Cooking, singing and dancing.” Another person said, “Activities are good, I enjoy when singers come, I enjoy singing along.” Whilst another person said, “I really enjoy the entertainment which is put on for us. Also having my hair done twice a week.” Two people were spoken with who were on their way to visit the hairdresser, and they spoke enthusiastically about how they would be having a chat and a drink, and that they really enjoyed themselves. During the inspection, visitors were observed to come into the home, and people who live at the home confirmed that they are in touch with their family and friends. It was mentioned by an individual living at the home, that she would like the opportunity to go and visit her sister and asked that the home helped her to arrange this. There is evidence that people are offered a choice of meals with each person being asked individually what they would prefer and the menu is displayed in the dining room each day. People living at the home said that they enjoy the meals provided. As a tribute to the standard of food provided the home has received a four star, Very Good award in association with Kirklees Councils Health Choice Award, Scores on the doors. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 People using the 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 can be confident that their complaints will be listened to and acted upon. Staff understand the adult protection policies and procedures, which makes sure that the people they support are safe. EVIDENCE: With the exception of one person who completed the surveys, everyone living at Cowlersley Court said that there was someone that they could speak to if they were not happy and that they knew how to make a formal complaint. There has been one complaint in the last year relating to staffing level, and the documentation showed that appropriate action had been taken, and the complaint had been responded to within the given timescales of 28 days. The training records showed that not everyone had received safeguarding (protection of vulnerable adults) training however; there was evidence to suggest that two training events had been arranged for later this month, and the manager confirmed that the staff who had not already had training were booked to go on this course. Those staff spoken with during this visit knew how to report poor care practice and abuse. The members of staff who returned the survey said that they knew what to do if someone had concerns about the home. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the 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 company is continuing to improve the decorative condition of the home. EVIDENCE: As part of the inspection a tour of the home was conducted this included the communal areas, a number of peoples’ bedrooms, and the laundry. Bedrooms had been personalised, and as they become vacant the manager said that they would be redecorated. Four bedrooms and two bathrooms had been redecorated and upgraded since the company took over the home in November 2008. Some of the commodes had also been replaced, and the Regional Manager said that this would continue, together with the replacement of worn bed linen and worn chairs. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 15 The first floor corridor walls were showing signs of wear, and the downstairs hall floor covering was heavily stained. The Regional Manager confirmed that the company would be redecorating the home and a refurbishment/ redecoration programme was seen. There were also workmen in the home decorating one of the rooms on the day of the visit. Staff commented positively in their surveys that the home was currently undergoing refurbishment and that this would improve the environment for both people living in the home and the staff. Some of the ceiling tiles on one of the corridors had been removed whilst work was being done. This was discussed with the manager and the fire officer. The fire officer agreed to visit the home to ensure that fire detection and prevention was not compromised. One of the people who live at the home made the comment in the survey, “The home does everything well, it gives me a peaceful surrounding and that is what old people want…..” Generally the home was clean however, the hall staircase and landing skirting boards were dirty, and needed cleaning. This was discussed with the Managing Director and she said that she would ensure that this was addressed. Without exception people said in the surveys that the home was always clean. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have had all the necessary checks before working with people so that they are kept safe. Not all staff demonstrate that they have the knowledge to equip them to meet the assessed needs of people in their care. EVIDENCE: On the day of inspection there were thirty people in residence. The staff duty rota and staff time sheets were looked at and staff were spoken with. There was evidence to suggest that staffing levels were sufficient to meet the number and needs of people living there and staff confirmed this. However, where it had been identified that extra staff were needed to cover a shift, the person who made the arrangement had not always updated the rota. There was evidence on the staff time sheets that the shifts had been covered, and this was confirmed by the member of staff who was responsible for the duty rota. This was also discussed with the Manager and Regional Manager, who confirmed that the rotas in future would be kept up-to-date. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 17 Eight members of staff who responded to the surveys said that there were usually enough staff to meet the individual needs of all the people who use the service and two people said that there sometimes were. Evidence was seen to suggest that care staff are encouraged to have an NVQ level 2 in care, and the manager confirmed that thirty seven percent of care staff have the qualification, and further staff have started their training. Evidence showed that twenty seven out of thirty seven staff have had training in dementia care. Through observation of care practice, it is clear that some staff need further training / guidance in the areas of general care principles to ensure the safety and well being of people receiving a service. Poor care practice was observed in how some staff communicated with people, supported them to mobilise around the home, and preserved peoples’ health and well-being. Staff said in the surveys that they feel that they have enough support, experience and knowledge to meet the different needs of people who live at the home. Staff recruitment files of three members of staff were looked at in detail and they contained the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 People using the 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 management approach of the home has brought about some positive changes although further improvements are still necessary to ensure that that the health, safety and welfare of people and staff are protected and the home is run in the best interest of people who live there. EVIDENCE: The manager who is a registered nurse, is relatively new in post, and has also registered to take a National Vocational Qualification, level 4 in management. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 19 The manager is soon to go on maternity leave and in her absence the home will be managed by the Regional Director, and Barbara Holgate who is an experienced manager within the company. A member of staff who returned a survey, made the comment, “New Manager Mrs Sharon Wilson has made a great change to the home since being the Manager.” Staff also said that they felt that they received enough support to enable them to look after people in their care. Training records showed that twenty two staff out of thirty seven had movement and handling training in March 2009, and the rest of the staff were booked to have the training the day following this inspection, and staff at the home confirmed this. Poor infection control practice was observed on a number of occasions during the inspection. Staff were observed to go from areas where personal care had been provided to the dining room wearing the same gloves. This practice is unhygienic, and was discussed with the Manager and Regional Manager. Following the visit the Regional Manager confirmed that all staff would have update training in infection control. Records were seen and suggest that the supervision of staff had commenced, and that some staff had attended three supervisions since September 2008. The manager said that she would ensure that all care staff receive a minimum of six supervision each year. Fire alarm testing had been recorded as taking place between three and eighteen days apart, and the fire drills which staff said take place weekly, had not been recorded. This was discussed with the Manager and Regional Manager and they were reminded that a record must be kept of weekly fire alarm tests, monthly emergency lighting tests and staff training that has been attended (including participation in fire drills). All staff should take part in fire lectures and drills twice a year. Records showed that fire lectures had been booked to take place on three occasions in May 2009, and the manager confirmed that this would ensure that all staff had received the training. The Fire Safety Officer was informed of these issues and he agreed to visit the home. Following the visit the Regional Manager confirmed that the Fire Officer had visited and given them guidance. The Regional Manager said that she has been visiting the home on a regular basis, and there was evidence that she has been completing monthly reports on the conduct of the home which is required under Regulation 26 of The Care Homes Regulations 2001. The Regional Manager agreed to send copies of these report for the next few months to show what changes are taking place, and how issues identified at this inspection are being addressed. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 20 A meeting between the owners, relatives, and people living at the home took place when the company took over the running of the home, and the Manager said that she plans to arrange more meetings which will keep people informed and ensure that the changes and running of the home is what people would like. A sample of satisfaction surveys were sent out in March 2009 and we discussed how the results of these surveys might be published, and in a format that is easily understood. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 1 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 16 Requirement Make arrangements for staff to have basic infection control training to ensure they are aware of, and maintain satisfactory standards of hygiene in the home. Timescale for action 30/07/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Staff should ensure that care records are up to date, consistent, and give an accurate account of the care and treatment people have received. To ensure the dignity of people living at the home is maintained; people should be supported to wear clean clothes and helped with shaving. The areas that are showing signs of wear should be redecorated, and the warn carpets should be replaced. A minimum ratio of 50 of staff should have a minimum of NVQ level 2 qualifications or equivalent, as qualified DS0000072606.V375325.R01.S.doc Version 5.2 Page 23 2. OP10 3. 4. OP19 OP28 & OP30 Cowlersley Court staff have a better understanding of the needs of people in their care. All staff should have training/ guidance in the basic principles of care to ensure that they are able to meet the assessed needs of people, and ensure safe practices. 5. OP38 As recommended by the fire safety officer, fire alarms should be tested weekly and recorded, and all staff should have a minimum of two fire lectures and drills a year. These should also be recorded. Cowlersley Court DS0000072606.V375325.R01.S.doc Version 5.2 Page 24 Care Quality Commission London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: 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. 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