Inspection on 09/10/09 for Forest Edge Rest Home

This inspection was carried out on 9th October 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Forest Edge Rest Home 11/01/10

Forest Edge Rest Home 16/12/09

Forest Edge Rest Home 01/09/09

Forest Edge Rest Home 17/04/09

Forest Edge Rest Home 17/04/07

Forest Edge Rest Home 16/02/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton 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 16/02/2010.

Key inspection report Care homes for older people Name: Address: Forest Edge Rest Home Southampton Road Cadnam Hampshire SO40 2NF     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: Michelle Presdee     Date: 0 9 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 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 27 Information about the care home Name of care home: Address: Forest Edge Rest Home Southampton Road Cadnam Hampshire SO40 2NF 02380813334 02380814963 forest.edge@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: John Henry Hughes,Mrs Linda Susan Hughes care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 22 The registered person may provide the following category 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 category : Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Forest Edge is a twenty-two bedded residential care home, opposite a garden centre, situated on the outskirts of the New Forest at Cadnam. The home is just less than four miles from the centre of Totton and close to the New Forest. The home is registered to accommodate twenty-two older people, including people with dementia or mental Care Homes for Older People Page 4 of 27 Over 65 0 0 22 22 22 0 1 7 0 4 2 0 0 9 Brief description of the care home health problems. Forest Edge has twenty-two single bedrooms, all provided with an en suite toilet. Care Homes for Older People Page 5 of 27 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: The unannounced inspection took place on 9th October 2009 between 9:40AM and 6:40PM. The Commission (we) were assisted by the providers, who were both in the home at separate times during the inspection. The home is currently without a registered manager, but the home has appointed a manager, who has not yet registered with the commission. In this report they will be referred to as the manager. All staff on duty were part of the inspection. Fourteen people are currently living in the home the majority, were involved with the inspection, some in more depths than others. Two visitors to the home have also contributed to this inspection. Surveys prior to the inspection were sent to some people living in the home, health and social care professionals and staff members. At the time of writing this report five surveys had been received from people living in the home and nine staff members and three social/health care professionals had returned surveys. In parts of the surveys people are asked to tick boxes with judgements ranging form always, usually, Care Homes for Older People Page 6 of 27 sometimes and never. These are referred to in this report. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, which detailed information on the home. The home has sent us notifications appropriately regarding the welfare of people. Paperwork including assessments, care plans, menus, staffing records and safety checks were seen. A tour of the home including all communal areas, the kitchen and all occupied bedrooms was taken on the day. A pharmacy inspection was undertaken in September 2009. This reports makes reference to some of the findings at this time. All this information has helped form judgements in this report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 27 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. A process is in place to ensure the home can meet the needs of people before they move into the home. People have access to information on the home before they move in and when they move into the home. Evidence: Copies of the service user guide/statement of purpose were seen around the home and in bedrooms. We were advised the home is currently updating these documents and orgainising a new 360 web site. The manager explained no service user had been admitted since the last inspection. It was therefore not possible to establish if assessments before some one moves into the home would detail all their needs, meeting a requirement from the last key inspection. The manager explained in detail the process she would follow if an inquiry was made to the home. This involved visiting the potential service user in their own home and talking to those already involved in caring for the person. Care Homes for Older People Page 10 of 27 Evidence: The home does not provide intermediate care. Care Homes for Older People Page 11 of 27 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 lack of detailed information in care plans does not ensure peoples needs will be known or met . People have access to health professionals and people are treated in manner which respects their privacy. Medication procedures are not followed and put people at risk. Evidence: In the AQAA we were advised we have introduced a clear and easy to follow care plan file system, the care plans are accurate and reflect the care needs of the resident. We ask for the residents advocate to approve the care plans and sign to that effect. The care plans are evaluated every month. Residents are encouraged to make their own daily decisions. The care plans of two people were viewed at length and discussed with the manager. It was noted care plans were now in place, but the improvement in care plans is not sufficient to ensure enforcement action will not be taken. Both care plans had photographs of the person and detailed all key contacts for the person. Individual preference plans had been developed and were at the front of each care plan. The care plans were split into twelve sections which detailed the care needed and the care action to be taken. One care plan had been signed by a family member Care Homes for Older People Page 12 of 27 Evidence: and the senior carer. Care plans had been reviewed on a monthly basis, but it was noted very little changes were recorded. When discussing these residents with staff and the manager it was clear the care plans did not reflect the current behaviour and needs of these people. In discussion it emerged one person spent a lot of time asleep in the day and awake most of the night. On one occasion they had left the home without staff knowing. Staff felt this person would try and leave again if not supervised. Details were recored in the daily notes how this person could become agitated and verbally aggressive. However none of this information was recorded in the care plan and gave no detail how carers should react at these times. Risk assessments had been completed in some areas but not in the areas we identified most at risk. Alarms have been fitted outside of each bedroom door and we were advised these were turned on at night where staff felt the person may wander. However there was no assessment or detail of this in the care plan. There was no evidence this had been discussed with the resident or their representative. In the second care plan it was noted the person was diagnosed as suffering from depression and paranoia. However no specific details were recorded in the psychological/ mental health section of the care plan and there was no associated risk assessment. Some details of behaviour relating to this diagnosis were again recorded in daily notes but this had not been identified in the care plan. In a survey received from a professional, when asked, What the home could do better? They stated more personalised care plans instead of generalisations. Ensure all risk assessments are linked to individual care plans. In the AQAA we were advised residents have access to the doctor of their choice, district and surgery nurses, chiropodist, hairdresser, incontinence nurse, community psychiatric nurse. Access to dental care, yearly sight tests and hearing test and aids can be arranged. Daily notes detailed all visits by health and social care professionals. It was noted there was there was no special place to record health appointments and visits, which meant the daily note book had to be looked at in detail for information relating to this. People spoken to stated they could always see their doctor if they requested this and the visit would always be carried out in private. In surveys from people living in the home three had stated they always get the medical care they needed, two had stated, usually. To the question, Did the care service respond appropriately if you, a person using the service, or another person have raised concerns? In surveys received from health and social care professional; two had stated usually and one person had written not always no. In response to the question, Does the care service respect peoples privacy and dignity, two professionals had ticked usually and one professional had written not always. In the AQAA we were advised the home operates a blister packed medication system, Care Homes for Older People Page 13 of 27 Evidence: only staff who have received formal training will be allowed to give medication. A pharmacy inspection took place in September. This found medication handling had improved but deficiencies were still identified including some prescribed medicines not having full instructions on, the controlled drugs cupboard not meeting the required standard and the home not having details of two prescribed medicines. The home has two medication trolleys one on the ground floor and one on the first floor. There is also a new controlled drugs cupboard. Medication was checked in all three drugs storage areas. It was found controlled drugs were being stored and recorded appropriately and the medication held matched the records held. In the other two trolleys errors were found in the recording and the medication held. For one person it was difficult to establish what medication they had received and information relating to this was stored in three separate places. The care plan for this person relating to medication gave no information on the process to be followed relating to this medication. Errors were seen for another person. Once where one medication had been signed as administered but the medication was still in the blister pack. Policies and procedures relating to medication were available and staff reported it was currently only the senior staff who were involved with the medication and they confirmed they had received relevant training. However it was clear from the errors all staff were not following the procedure in the home. After a recent pharmacy inspection it was noted staff had written on prescribed creams the instructions as staff reported they were having difficulty ensuring the doctor and pharmacist put these instructions on creams. On the day it was noticed staff always respected the privacy of people and treated people in a dignified manner. Interactions between staff and residents was always calm and staff had a banter with certain residents. People spoken to stated the staff are lovely, very helpful and caring staff. In response to the question, Does the care service respect peoples privacy and dignity? Two professionals had ticked usually and one professional had written not always. Care Homes for Older People Page 14 of 27 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 experience a range of social activities and home cooked meals where a choice is always available. Evidence: From observations on the day it was clear people were supported to make decisions and the routines of daily life were flexible. People stated they were supported to make decisions and had choices. One person explained how she wanted her own towels, so the home had been out and bought her, her own towels. People chose to stay in their rooms, others wandered between the two lounges. Some people had lunch in their rooms, whilst others ate in the dining room. The home has an activities co coordinator who arranges a range of activities and outside entertainers call to the home twice weekly. The mobile library calls to the home and there was a selection of books including large print books. One person had musical tapes, from the library, which they stated they were enjoying and were going to try the talking books. The home has a visiting clergy who visits to give a service in the home and we were advised two people attend church. People spoken to were happy with the the activities offered and pleased they had a choice as to whether to join in or not. Three surveys received from service users stated the home always Care Homes for Older People Page 15 of 27 Evidence: arranged activities they could join in with, one person put usually and one person put sometimes. Care plans seen gave little detail of each persons social activities and suggested each person joined in the homes activities. It was agreed these could give a bit more detail on individual likes and preferences. Visitors on the day informed us they could visit when they wanted and were always made welcome. The manager stated she had started taking people to the local garden centre, which people were really enjoying. People spoken to stated they really enjoyed going out with their family. People spoken to stated they looked forward to their meals. People confirmed there was always a choice and they could eat their meals where they wanted. One person stated the vegetables were not cooked for long enough but had not reported this to the cook. The cook told us she spends one to one time with people to try and establish their likes and dislikes. Jugs of juice were noted around the communal areas of the home and each person had their own glass, which were topped up. Fresh fruit was available in the communal areas of the home. Comments in surveys from service users included, the catering is superb, lovely meals with some choice and extra if required. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident if they make a complaint it will be dealt with appropriately. Staff have received training in the area of abuse, and were aware about the procedures to ensure people are always protected. Evidence: Copies of the complaints procedure were seen displayed around the home and in peoples bedroom in the service user guide. The complaints procedure included the necessary names addresses, telephone numbers, stages and timescales. The home informed us it has received twelve complaints in the last year and informed us three had been upheld. The home currently has safeguarding referrals which are on going in relation to care planning which Hampshire County Council are monitoring. A further safe guarding referral has been made regarding medication. We were informed staff have been advised on the homes whistle blowing procedure and staff have received training in the protection of vulnerable adults. Staff spoken to had knowledge of the steps to be taken if abuse was suspected in the home. Care Homes for Older People Page 17 of 27 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 have a clean, newly decorated, safe and homely environment. Evidence: The environment in the home has much improved. A tour of all communal rooms, the kitchen, the laundry and all bedrooms currently in use was undertaken. All areas are now clean and well decorated, no unpleasant odours were detected. The home has two lounges, which have been decorated in differing colours. All communal rooms have new furnishings of chairs, tables curtains and carpets. The carpets are very patterned. One lounge has the dining room on one side of the room, which also has new furniture and the decor matches the lounge. At lunchtime the tables were set with with linen napkins and condiments. Each lounge had a whiteboorad with information on the next two weeks social activities. This was a small print out, it was agreed this could be presented in a more easy to read manner. Both lounges had information on the day, date, month, year and the weather. The home had two new furnished bathrooms and had nearly finished a wet room with a shower facility to give people more choice. The back lounge has patio doors going onto the back garden, which is well maintained and provides seating for people. It was noted this door was locked and we were advised it is usually kept open, one resident confirmed they often went for a walk around the garden. Another resident had planted rose bushes outside of her room and had bird feeders, which she kept topped up. The home has a small fish pond in the garden, which has been made safe. It was advised a risk assessment should be Care Homes for Older People Page 18 of 27 Evidence: completed for this. All bedrooms seen were clean and decorated to a good standard. People had personalsied their own rooms. Storage has been provided for people who wish to manage their own medication and prescribed creams are now kept in these lockable storage cupboard. Some bedrooms had new carpets and we were advised some people did not want new carpets fitted. New vanity units had placed in some bedrooms. Photographs of the person had been put on the door of their room and the home had ordered signs to go on all other doors to visually assist residents. People spoken to were pleased with the home and the decor. People felt their rooms and their laundry was kept clean. In surveys received from people living in the home, all but one had stated the home is always kept fresh and clean; the other had stated, usually. One person wrote, the home provides a good family atmosphere. Another person stated, the environment is now settling down after a period of building work. Care Homes for Older People Page 19 of 27 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 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 there needs will be met by staff who have been through a stringent recruitment procedure and who have received regular training to equip them to meet individual needs. Evidence: On the day there was adequate staff on duty to meet peoples needs. The home had three carers, one cook, one cleaner and one housekeeper on duty. The manager was also working in the home. We were advised this is the usual pattern through out the week with two carers working a night shift, one working a waking duty and the other working a sleep in duty. Staff spoken to all felt there was adequate staff on duty to meet peoples needs. In surveys received from people living in the home three had stated staff were always available when they needed them. Two people had stated usually. One person stated we have good staff who pay attention to individual needs. Another person said, The home always provides a good standard of care and the staff are very friendly. In surveys received from staff all stated there was always enough staff to meet the individual needs of people who use the service. We were advised the home encourages all staff to undertake a National Vocational Qualification Level 2 in care. We were advised over 50 of staff have achieved a NVQ Level 2. Three members of staff have achieved NVQ Level 3 and three members of staff are currently studying for this qualification. Care Homes for Older People Page 20 of 27 Evidence: In the AQAA the home advised us we operate a strict recruitment procedure, all staff have criminal reference bureau checks (CRB), and two references are obtained. The staffing records of two members of staff were checked. It was found all the relevant information and checks had been obtained. In surveys received all staff stated the home had carried out checks before they started working in the home. We were advised the home has arranged a lot of training for staff in recent months. From records seen in was clear training had been provided in a wide range or areas including infection control, dementia, emergency aid, fire safety, health and safety, medication, moving and handling and nutrition. Training had been provided by a company coming into the home to give the training. Staff spoken to felt the training had been very beneficial and they had learnt a lot. In surveys all staff had stated they are given training which is relevant and helps them keep up to date. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are receiving a service where their health and safety is considered. The finances of people are not being dealt with in way which ensures they are protected. Evidence: The manager has achieved a National Vocational Qualification Level 4 Registered Managers Award. At the current time she is not registered with the Commission but reported she had submitted her application form to the Commission. However at the time the manager reported she had not been for a CRB check with the Commission, which will delay the process. The manager stated she was enjoying her role and was receiving support from the providers on a daily basis. Both staff and residents spoke positively about the manager, one staff member saying things were much improved. We were advised the home has started seeking the views of those who live in the home and those who visit the home. Questionnaires that had been received were looked at briefly and it was noted most responses were positive. Some comments included, decor excellent and a good response to phone calls. The manager stated Care Homes for Older People Page 22 of 27 Evidence: there were plans to do quality monitoring on a regular basis and analyse the results regularly. We were advised the home manages the personal allowance for people living in the home. The accounts of two people were randomly chosen to be viewed. For both people it was not possible to establish the records matched the receipts which were held. In some cases the receipts were not available for transactions recorded in the running record. It was clear from staff records seen staff were receiving regular supervision sessions. Staff reported they had regular meetings with the manager and found her supportive. In surveys staff stated they regularly receive support and meet with the manager. The manager is aware of health and safety issues in the home. Training has been provided in infection control, basic food hygiene, fire training and moving and handling. The cook was aware of basic food hygiene issues, food was appropriately stored and temperatures of fridge and freezers were recorded daily. Gloves and aprons were available around the home. It was noted one member of staff answered the door whilst wearing gloves and carried on with their duties once the door was open. This was brought to the managers attention who spoke to the member of staff. The laundry was well organised and had new flooring laid. It was noted cleaning products were stored in this area and it was agreed these should be kept in a locked cupboard. The fire log book was up to date and we were advised a fire risk assessment had recently been undertaken by professionals. The AQAA advised us equipment in the home is regularly serviced. Care Homes for Older People Page 23 of 27 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 7 15 Service user plans need to clearly state all a persons needs and state how these should be met. Clear support plans will ensure that a persons needs and choices will be met. 30/07/2009 2 9 13 The medication procedure 30/06/2009 regarding the storage, administration and recording of medication needs to be followed to ensure the safety of people. Following the medication procedure will ensure the safety of people in the home. Ths will ensure each person takes the medication they are prescribed, when it has been prescribed. Care Homes for Older People Page 24 of 27 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 35 17 Accurate records must be maintained to reflect all monies going in and out for each person. Records must match the receipts held. Receipts must be kept on file. It is vital that it is possible to establish when a persons money came into the home and who it was from. Records should then be maintained on all monies going in and out for that person. Receipts need to be maintained to evidence the money has come into the home and to demonstrate where the money has been spent. 20/11/2009 Care Homes for Older People Page 25 of 27 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 9 Anticoagulant books should be kept at the home as a record of the dose to be given and also to ensure residents safety when away from the home. Care Homes for Older People Page 26 of 27 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). 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