Inspection on 17/04/09 for Glennfield Care Centre

This inspection was carried out on 17th April 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

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Glennfield Care Centre Money Bank Wisbech Cambridgeshire PE13 2JF Lead Inspector Don Traylen Unannounced Inspection 17th April 2009 11:00 DS0000073015.V375233.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. Glennfield Care Centre DS0000073015.V375233.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 Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glennfield Care Centre Address Money Bank Wisbech Cambridgeshire PE13 2JF 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) 01945 581141 olga.parry@excelcareholdings.com Glennfield Healthcare Ltd trading as Glennfield Care Centre Manager post vacant Care Home 84 Category(ies) of Dementia (84), Old age, not falling within any registration, with number other category (84) of places Glennfield Care Centre DS0000073015.V375233.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 Dementia - Code DE The maximum number of service users who can be accommodated is: 84 This is the first inspection since the home became registered on 19th November 2008. 2. Date of last inspection Brief Description of the Service: Glennfield Care Centre is a care home registered to provide for up to 84 people with needs associated with old age, or Dementia, or who have been assessed as needing nursing care. Glennfield Heath Centre is owned by Glennfield Healthcare Ltd, a subsidiary of Excel Care Limited The home is set in a residential area of Wisbech and was purpose built in 2008 as a residential care home. The home is on two floors, is spacious and has an enclosed central garden. All rooms are single and each person’s room is fitted with full en-suite facility with shower. There is ample private car parking within the confines of the home. The fees for care and accommodation range from £347 to £750 per week. Inspection reports are available at the home or from the CQC website. Glennfield Care Centre DS0000073015.V375233.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. We started this inspection at 11 am and finished at 6pm on the 19/04/2009. We assessed the admission process; individual care plans and the administration of medication. Care plans were assessed, as were the overall training arrangements and recruitment procedures. Eight people were spoken to throughout the inspection. They were asked about their experience of living at the home, their care and their safety. Five relatives who were visiting different people were spoken to. Care staff were asked about their induction and their training and their knowledge of safeguarding people. Observations of the quality of interaction between people living at the home and care staff were a continuous part of the inspection. The home completed an Annual Quality Assurance Assessment prior to the inspection. Five people returned completed surveys. The home is registered to provide for up to eighty-four people and there were thirty-four people living there on the day of inspection. What the service does well: The home is a newly built, modern and spacious environment. It is clean and well maintained. Observations showed there were sufficient staff working to meet people’s needs and that care staff communicated respectfully and effectively with people who were dependent upon their attention. The assistant manager set a good example of leadership when she assisted with personal care as part of her as team leader and Care Manager. Several people that we spoke to and five relatives stated they considered the quality of care was good and that people experienced good outcomes. Five surveys completed by relatives showed they were satisfied with the care being provided. These surveys contained the following statements: “It is one of the cleanest homes I have seen” and “there are no major issues at this home”. “Always a lovely atmosphere” and “was shown around and had a meeting with an executive of the home group”. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 6 On the day of inspection there was a ‘Cockney Crooner’ giving a highly interactive musical event in the reception area of the home. This was clearly enjoyed by everybody who took part and it became a significant talking point and meeting place. This arrangement was a successful event that the assistant manager said they hope to repeat in the future. A range of other activities and events had been arranged and planned. What has improved since the last inspection? What they could do better: Two surveys completed by relatives contained the following comments: “Obtaining a wheelchair is proving very difficult…cannot go out”. “I feel that relatives should be given the opportunity to be more involved in Helping and arranging trips out” And “it is not unusual to get one member of staff to listen...but this information is not passed on to others, so one finds oneself repeating the same information again and again”. When asked, ‘Are staff available when you need them?’ the relative wrote, “although they are not always aware of what is going on!”. Communication with people moving into the home should be improved. People should not be left unassisted and uncertain when they arrive at the home, but should be the centre of care and attention. The written Care Plans should reflect all current aspects of care when details of care have changed. All staff must be trained in Safeguarding. Safeguarding should be further promoted by providing explicit and accessible information in the home about the Local Authority’s role and how people are safeguarded and how any person living at the home, a relative or visitor can report a concern to the Local Authority adult Safeguarding team. Similarly, care staff should be trained so they know how to independently report abuse, should they suspect people have been harmed. Appropriate signage on doors and other parts of the home to help people find direction and reduce disorientation and confusion, should be considered. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 7 Care staff should be made aware of and informed of the Skills for Care Council and their role in setting standards of care at induction level and the expectation that they can become registered with this council after completing The Skills for Care Common Induction Standards. The staff roster must be accurately maintained so the hours worked are shown and there is a clear record when staff have moved to work on other units. Management should reconsider the practice of locking people’s private rooms when they are not using them, as this may deprive them of their liberty. Advice from the Fire Safety Officer about locking self-closing doors should be sought in regard to the above practice. The safety of the environment should be risk assessed to include the risks of slipping /falling on smooth and shiny floor tiles. 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. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 8 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 Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 9 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): 1,3,5,6, People using the service experience good quality outcomes in this area. People are given information about the home and assured their needs are assessed prior to moving into the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home had information about their service available in the reception area. The Statement of Purpose and the Service user Guide were available to read. A regular “Glennfield News’ and a ‘Welcome to Glennfield Care Centre’ pamphlet are produced and are available at the home. With these written documents there was information about activities in the home and their complaints and abuse policy. The assistant manager informed us that people are supplied with these documents before they move into the home. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 10 Two people’s assessment details and the process for moving into the home were read. We spoke to one person who was moving into the home on the day of the inspection. Another person who was admitted to the home for respite was cared for in bed had extensive care needs. Her assessment information provided by the PCT did not reflect her needs and the level of risk, although this was realised by the home after she had been admitted and appropriate care was arranged. The person who moving into the home during the inspection was initially met and greeted, but was then left in her room where we spoke to her. She told us she was unsure of what would happen next. Her two relatives who were with her were also unsure of what communications were going to take place with the home. The acting manager was informed of this and she arranged for somebody to speak to her and her family. Intermediate care is not provided and therefore Standard six was not assessed. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 11 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 good quality outcomes in this area. People are assured the home prepares an adequate plan for their care, but would be better assured if their care plan were consistently updated. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Thirty-four people were living at the home on the day of inspection. Two people’s care plans were read. They contained adequate details of care that had been planned. Generally, the documents were clearly written so that staff could follow the directions for providing personal care. When staff were asked how they used the care plans they said that the plans were useful and clear and gave them instructions to follow. The plans showed care was sectioned into aspects of needs. Plans contained a social history, body charts, risks of falling and people handling risks. Food and fluid charts were kept for all people Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 12 and care staff were expected to record the amount and type of every meal people eat. One person’s plan recorded that her blood sugars are monitored, although it was not clear how, or when and who records this. The same person’s weight had shown a loss of 3kg over 4 months. During the inspection the assistant manager asked the Community Nurse for advise regarding this person after we had raised the issue of weight loss with her. The same person’s plan has not been updated about the non-use of protective sides to her bed and the use of a pressure sensitive mat. This was also brought to the attention of the assistant manager during the inspection who knew all the details of the care being given and said the care plans would be updated immediately. A requirement to update the plans for these two aspects of care has not been made because the home had attended to these issues during the inspection. Both plans recorded they had been reviewed monthly. It was recommended to the assistant manager that the care plans should account for any change to any person’s care and in this instance record the plan to monitor blood sugar levels. Medication administration records were checked and found to be accurate and medication management was observed to be safe. Staff were observed to treat people respectfully and demonstrated they were attentive and kind. Their communication was effective and direct. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15, People using the service experience good quality outcomes in this area. People are assured the home welcomes visitors. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: On the day of inspection there was a meaningful and highly interactive musical event in the reception area of the home. A range of activities and events had been arranged. There were photographs of previous events that had taken place in the home and one included a visit to the home by the Ormiston Trust. A hairdresser regularly provides a service at the home in a room dedicated for this purpose. During the inspection a number of relatives and friends were visiting. Each of these relatives were regular visitors and each gave positive statements about the home when we spoke to them. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 14 A lunchtime meal was observed. The meal was a choice of two main courses and contained meat and fresh vegetables. Several people were asked about their meals during the mealtime and they all stated they get plenty of food to eat and had enough to eat at lunchtime and that they were pleased with the food. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 15 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): People using the service experience adequate quality outcomes in this area. People are assured they are safeguarded by the home’s policies and procedures and would be better assured if safeguarding were further promoted within the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has appropriately reported concerns about people’s safety to the Local Authority’s Adult Safeguarding process when this has been necessary. There was information in the Statement of Purpose and Service User Guide about the home’s complaints process and their abuse policy and the guidelines published by Cambridgeshire County Council for protecting vulnerable adults. There was also information about contacting Age Concern about abuse. This information was kept in the reception area. We talked to three care staff and one team leader about safeguarding. The team leader who was a registered nurse did not demonstrate a clear understanding of what safeguarding meant, or what should occur if abuse was disclosed. One care worker answered the question with more knowledge and added that there was no information she knew of within the home of where staff were informed they could independently report an allegation of abuse. One care worker who was asked if this information was available in the home suggested that a notice and information would be useful in the staff room. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 16 Two visiting relatives were asked what they knew of safeguarding and it was clear their knowledge of protecting vulnerable people was limited. They were not aware of the Safeguarding initiative and responsibility that Local Authorities and the Police have. We subsequently showed them the abuse policy that the home had written and the guidelines published by Cambridgeshire County Council. This was discussed with the assistant manager and agreed that further written information in different places throughout the home about the Local Authority’s role to safeguard people would better promote safeguarding and should facilitate staff and visitors to independently report abuse. All of this was provided as feedback to the assistant manager and responsible individual. Training records showed that not all staff had received training in safeguarding, despite the Service User Guide stating that, “all staff have Safeguarding training”. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 17 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): 19,23,25,26 People using the service experience good quality outcomes in this area. People are assured the home is safe, comfortable and well maintained. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is a generously spacious and clean environment. There is a good system for maintaining the home through the maintenance worker who has responsibility to maintain this home over approximately 2-3 days a week. On the day of inspection the maintenance worker was attending to the fire alarm that had been accidentally set-off. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 18 The main door was kept locked throughout the inspection, as were the coded keypads to doors of the three units within the home. Some bedroom doors were kept locked and this was said to ensure that people who had a reduced sense of orientation did not mistakenly enter other people rooms. Whilst it is recognised that the intentions are to ensure people are safe, the home should be aware of the potential of restricting people’s movements. Rooms were individually furnished with people’s possessions. However, not all rooms had names on the doors. The layout and colour scheme of the home is a repetitive design and for people who are confused and disorientated there may be a further disorientation caused by this design. On the ground floor the floor was tiled in a smooth and polished stone that was kept clean. This flooring might present risks to people who are already at risk of falling. The home could seek advice from the Health & Safety Executive Officer regarding this. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 People using the service experience good quality outcomes in this area. People are assured staff are safely recruited. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff rosters showed that some staff had been moved from ‘Poppy’ to Bluebells unit and the assistant manager was covering the duties of the team leader who was sick. All of this had not been accurately recorded on the roster. 21 Staff had achieved NVQ level 2 awards in care. Training is provided in two induction stages: an initial induction and a Common Induction. However, the records of the initial induction were brief and related mostly to internal process and policies. The initial induction was recorded as taking place over one day. Records for the Skills for Care Common Induction Standards were not available for the staff undertaking this. One care assistant said that she was not aware of The Skills for Care Common Induction Standards when we asked her. It is anticipated the home will in the future ensure there are full records of this induction when staff complete this. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 20 Training records showed the home had provided training in safeguarding; moving and handling; health and safety; basic Dementia; First Aid and is planning to train staff in the Mental Capacity Act. The training for Safeguarding has been provided by the organisation’s trainers and the records showed some staff had received this training before they worked at the home. Records showed that care staff who had started employment on 5th January 2009 had not received Safeguarding training and that the nine domestic and administrative staff had not received this training. The Responsible Individual was informed that the home must ensure and arrange for all staff to receive adequate training in this subject and that Cambridgeshire County Council have a dedicated training team to provide this training. Recruitment records for two care assistants were read. They revealed that staff recruitment was safely conducted and all appropriate records were kept. Staff had not commenced work before a satisfactory Criminal Records Bureau Disclosure and POVA First check had been received. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 21 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. The home is run in the best interests of people living there, although management and quality assurance need to be firmly established. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has been without a registered manager after this person resigned on the 16th January 2009. An acting manager was immediately appointed on the 24th January 2009. The home has an assistant manager who has the title of Care Manager and is also a team leader. Administrative support is provided to Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 22 the management team. The assistant manager is responsible for the care management of the home whilst the acting manager is responsible for the general operation of the service. An area manager oversees the service from an operational perspective. Relatives and residents meeting are held and people are given the opportunity to be heard through this forum. The assistant manager demonstrated she can lead by example when she communicated sensitively and effectively with people and organised staff when she took on the role of a team leader providing personal care. The home has a contingency plan for evacuation in case of fire. The home also has other contingency plans that address issues such as flooding and emergency accommodation in case of a disaster. Fire drills and testing are regularly carried out and had been recorded. Care plans showed there were falls risk assessments in place. The Care Homes Regulations 2001, regulation 37 notifications have been sent to the Commission and regulation 26 reports have been completed and retained at the home. The staff rosters did not account for staff when they had been moved to work on another unit on the day of the inspection and they did not record the hours when the care manager was working in the unit. Care plan records have already been referred to in this report and recommended to show all current needs and changes to a person’s care. Training has been referred to in the staffing group of outcomes in this report and the training matrix showed that training for staff at induction level and in Safeguarding could have been developed further and provided to all staff. As the home is a new service that started in November 2008 it is expected that all staff would have been appropriately trained, so that after six months of operating, all staff had received training in Safeguarding and that the Skills for Care Common Induction Standards would have been fully applied and promoted. People’s finances are not managed by the home and Standard 35 was not applicable. Regular supervision had been arranged and recorded for staff and managers. The home has a range of appropriate policies and procedures. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 23 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X 2 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X N/A 3 2 3 Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP30 Regulation 13 Requirement Arrangements must be made for all staff to receive suitable training in Safeguarding vulnerable adults so that people are assured they are as safe as possible. The staff roster must be accurately maintained so that it is clear where all staff are working and the actual hours they are working. Timescale for action 01/07/09 1 OP37 17 01/06/09 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 2 3 Refer to Standard OP7 OP18 OP30 Good Practice Recommendations Care plan should be kept up to date and the reviews recorded whenever care has changed. Safeguarding should be promoted by appropriate and easily accessible information made available throughout the home to inform people, their relatives and staff. The Skills for Care Common Induction Standards should be promoted so that care staff know what this entails and can DS0000073015.V375233.R01.S.doc Version 5.2 Page 25 Glennfield Care Centre 4 OP33 5 OP38 be registered with this Council after they have been assessed as competent. Communications between staff and people moving into the home should be improved so that when people are made welcome to the home they are the centre of care arrangements. The home should assess the risks of slipping and falling on the tiled flooring on the ground floor. Glennfield Care Centre DS0000073015.V375233.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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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