Inspection on 15/06/09 for Iceni House

This inspection was carried out on 15th June 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

Iceni House 08/04/10

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Iceni House Jack Boddy Way Swaffham Norfolk PE37 7HJ Lead Inspector Ruth Hannent Key Unannounced Inspection 15th June 2009 09:00 DS0000073075.V375983.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. Iceni House DS0000073075.V375983.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 Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Iceni House Address Jack Boddy Way Swaffham Norfolk PE37 7HJ 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) TBC TBC Southern Cross OPCO Ltd Rachael Claxton Care Home 74 Category(ies) of Dementia (74), Old age, not falling within any registration, with number other category (74), Physical disability (74) of places Iceni House DS0000073075.V375983.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: Both 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 Physical Disability - Code PD The maximum number of service users who can be accommodated is: 74 New Service – First Key Inspection 2. Date of last inspection Brief Description of the Service: Iceni House is a new, purpose built care home on the outskirts of Swaffham in Norfolk. It is part of a group of homes owned by Southern Cross, a large corporate provider of care homes nationwide. The building is a large 74 bedded home on two floors that has been divided into three areas to accommodate older people with physical disabilities, people with dementia and people who have nursing needs. The home is spacious and offers individual bedrooms with en-suite facilities. The home has garden areas for people to sit in, an activities room and various lounges and dining rooms. There is a large supermarket directly opposite the home and a G.P. surgery next door. The town centre is a short walk away with a number of shops and churches. The fees to date range from £388 to £700 per week according to need. Iceni House DS0000073075.V375983.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 1 star adequate service. This Key Inspection is the first inspection for this home that was registered with the Commission and began to admit residents in December 2008. The AQAA (Annual Quality Assurance Assessment) had been completed by the Acting Manager and has been used as part of the findings for this report. 3 surveys from residents and 2 surveys from staff have been returned and the comments have been used in this report along with relatives and staff comments, who were spoken to on the day of this visit. A tour of the building took place and records were looked at that included care plans, medication administration records, personnel files for staff, training, supervision, maintenance and fire records, accident forms and the financial management of residents personal money. What the service does well: The home is purpose built and has everything new and fresh looking. It is an inviting environment with homely touches such as nice fireplaces in the main lounges. According to the relatives and residents the staff are very friendly and supportive. The relatives are made welcome and the staff are ‘always helpful, thoughtful and very pleasant’, ‘Staff are all helpful, kind and cheerful’, were just two of many good comments made. The Chef takes time to know the residents and has details posted in the main kitchen of their likes and dislikes to ensure the meals presented are what each individual resident would like. The home is clean and fresh with nice new linen and towels placed in the well furnished, bright bedrooms. What has improved since the last inspection? This is the first inspection Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 6 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. Iceni House DS0000073075.V375983.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 Iceni House DS0000073075.V375983.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): 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. EVIDENCE: The home has up to date information that is shared with potential residents about the type of service than can be offered at the home. One relative spoken to said that due to the complex needs of her husband she needed to be sure the home could care appropriately for him and read all the information she could about the company and the home. The AQAA tells us that brochures, statement of purpose and flyers with photographs are given to any potential customer that explain the service available, with pictures to aid the decisions for people who may find reading difficult. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 9 The person who has been managing the home over the past few months gave a detailed picture of the process used for carrying out assessments, who is involved, and how a placement is not offered until all relevant information is received and a team decision is made. A Manager and a senior staff member will visit the potential resident and complete a Southern Cross assessment form. The person will be invited to visit the home and see the rooms on offer A visit to the person’s own home can be made or all information can be gained by a personal telephone call. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 10 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): 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. EVIDENCE: The home has started to develop the care plans as the home has slowly started to accept residents. A number of care plans were looked at on this occasion. The 11 residents downstairs had a lot of comprehensive detail in the care needs, with tasks that were required, broken down into person centred information. For example a comment stated ‘I can manage to brush my own teeth but I would like help to put the toothpaste on the toothbrush’. This type of comment was noted in a few care plans showing encouragement for independence and the fact that carers were using ‘I need’ rather than ‘Mr X needs’. Each part of the care plan has a risk assessment that was noted to be up to date and appropriately recorded. The health care needs are met by a number of G.P. practises. The home will register a person with a doctor as soon as they move into the home to ensure Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 11 medical cover is available. Notes were found in numerous care plans of the visits from the G.P.s, continence advisors and a dietician. These notes also showed follow up visits and the outcomes in clear detail. Charts for recording residents weights were seen, body mapping charts were in place, moving and handling assessments, continence management and pressure area care. One relative spoken to has had contact with the G.P. and is kept informed at all times about the medical needs of her loved one. Although the health and personal care of residents are addressed the social care needs are not clearly written. The care plans were noted as being reviewed monthly, signed by the family and comments from the family recorded. The medication in the home is held in two areas, one medication store room on each floor. The ground floor has a large medication room where supplies of drugs will be/are stored and where the controlled drugs and register are locked. The medication administration sheets were looked at and the process of administration appeared correct for that day. The home has been having a number of problems with the pharmacist provider and extra vigilance is being carried out while these problems are occurring. The Acting manager gave an example of some of the problems and what the home has done to overcome the problem. An independent pharmacy inspection was also carried out on the 8/05/09by a clinical pharmacist from the NHS. The only concern from this inspection was the installation of the controlled drugs cabinet had been fixed to a studded wall and not a solid or reinforced wall. It was also noted on the day of this inspection that the medication store room temperature recordings were for the past month 26 to 29 degrees. The home has not had air conditioning placed in the medication store cupboard and the temperature is higher than the recommended level. Throughout the day the staff were noted to be interacting in a appropriate manner with all the residents. Questions with choice were being asked such as, ‘Would you like to sit here or move to the dining room’. ‘Would you like a cold drink or a cup of tea’, ‘Would you like to stay in your room or come to the lounge’, were just some of the comments overheard. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 12 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): 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. EVIDENCE: The home did have an activities co-ordinator who no longer works in the home and the post is about to be filled in the next few weeks. The staff on the day of this visit did little or nothing to promote meaningful or enjoyable activities. The designated activities room is not inviting and although some form of activities have taken place, as evidence is displayed on the walls, nothing was happening on the day of this visit. On the upper floor one resident had a full, detailed life story book that held many photos of past and present yet nothing of his social needs had been written in his care plan. This was reflected throughout all the care plans with little or no information about what support the person may need with recreational/purposeful activity on a daily basis. The relatives spoken to during this visit had come to the home to take part in a strawberry tea that had been laid on to welcome the new Manager. The majority of them could not find fault with the home and the welcome they Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 13 receive when they visit. ‘We are always welcomed’. ‘The staff are so kind and friendly’. We are always offered a drink’, were just some of the comments. The visitors book was full of signatures and the day before the inspection it was noted that 10 visitors had arrived and stayed for a good period of time. It was noted on our arrival at breakfast time, that the dining room had clear plastic containers to place the different choices of cereal in, for people to point at which cereal they would like that day. The meal on the day of this visit was meatballs with vegetables and mashed potato followed by lemon sponge and custard. The main meal of the day is not offered with choice at present. The Chef spoken to told us that he knows the residents and writes down all their likes and dislikes.(This information was seen) The home is in the process of taking photographs of all meals and as the home grows the menus will be available and pictures of choice will be in place. The meal time session was a little unsettling with people wandering, or not sat to the table fully and food was dropping on to clothes and on to the floor. One person had chosen to eat their meal in the corridor but with just a small coffee table to the side of the chair this was proving difficult and food was dropping into the lap. The staff were trying to help these people but appeared a little inexperienced in the care needs of people with dementia. The food was enjoyed and no one appeared distressed. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has received one complaint from a family member when the home had been short of staff. The acting manager followed the complaint through using the correct procedures as stated by the Southern Cross policies. The home was found to be short of staff on this particular day. The number of staff on duty on the day of this concern was low. The acting manager said an attempt to employ an agency staff member had not been successful and this left a staff member down on this particular day. The home has clear details in brochures and service users guide on how anyone can complain and these were seen on the day of the inspection. The relatives spoken to had not had to make a complaint but the few comment surveys received by the Commission prior to this inspection all said that they know how and who to complain to. During this visit we noted that staff have all received a CRB clearance before commencing employment. A total of 14 staff to date have attended a training on the Protection of Vulnerable Adults. With a staff team to date of 27 there is still a number of staff who need this training to fully ensure that residents are cared for by safe hands. The company does have a whistle blowing policy and Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 15 staff do sign a document that is kept and was seen by us in their personnel file to say they have read the policy. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 16 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): 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. EVIDENCE: This is a new home that has been purpose built. It was registered with the Commission and began admitting residents in December 2008. The rooms are spacious and comfortable. Each person has a well furnished room with an ensuite facility. There are a number of small lounges with feature fireplaces that need some homely items placed around to make them cosy and inviting. The dining rooms are light and bright with well laid tables. The bathrooms/shower rooms are suitable and house baths that will enable all residents to bathe if they wish. Some of them are so big they are institutionalised in appearance and some thought needs to go into making them more inviting and homely. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 17 The gardens are yet to be completed and are bare of any plants and flowers. The inner courtyard is split into four areas and will house a water feature but to date nothing is landscaped. The home did employ a Maintenance Officer who was not correctly checking the building as stated in the Southern Cross maintenance manuals. The home is recruiting a new employee and in the interim an Officer from another home is visiting to bring the manuals up to date. This is urgently required as snagging and faults throughout the building are being noted and need referring back to the builders as part of the snagging to be completed. There are certain parts of the building that are cause for safety worries such as fire doors that are ill fitted and thresholds that are raised. The home does not have a master key and this caused a problem when a need to enter a room was urgent and the door had to be forced. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 18 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): 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. EVIDENCE: The home has had quite a quick change around in personnel. The manager who was registered with the commission has moved on and a number of staff originally employed have left. The home have recruited some new staff who are about to begin employment and some of the existing staff have been acting up in their roles to ensure the service is still functioning. On the day of this visit the home had 2 carers and 1 senior in the area for people with dementia and 1 carer and 1 nurse in the upper floor nursing area. The home only cares for 15 residents at present so this number of staff appeared suitable. It was noted that time and attention for the residents who are in the dementia suite was of a high demand and staff levels need to be of a higher ratio in this area. On talking with the Acting Manager and Operations Manager through the number of staff who have already achieved an NVQ qualification or who are in the process of achieving the award is high with no carer without or not being in the process of achieving. There was some discussion about the suitability of Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 19 other types of training but generally the home has a high level of staff who are NVQ trained. Some new staff who are about to be employed already have the award and some staff are progressing to NVQ 3. In total we looked at 5 personnel files to ensure the correct documents were in place on employing new staff. The files showed an application, 2 references, 2 forms of identification, a contract, a POVA check, a health check form and an ID photo. There were no details regarding a CRB check. On discussing the missing CRB clearance details, the administrator was able to produce a list of all the staff who had been or not been CRB cleared and the reference numbers for each person. Some records were out of date and details were discussed on the missing data. The CRB’s had been returned but not recorded. Records must be accurate to ensure residents are protected. Until recently the home had recruited inappropriate staff who were unsuitable and a big change in personnel had to take place. The staff members most recently recruited appear to be suitable, qualified and experienced. The home has a training matrix which dates all the training each staff member has completed. The statutory training is noted to show approximately half the staff as trained in some of the compulsory topics. As this home is a new service the training for all staff should be up to date. Moving and handling has not taken place since January with the matrix showing only 9 staff trained. This needs to be improved and staff need to be up to date with the essential training. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 20 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): 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. EVIDENCE: The manager registered with the Commission is no longer in post and on the day of this inspection the new manager was starting her first day in home. This new manager has many years experience and was registered with the Commission at another home within Norfolk. While awaiting the start of the new manager the home has been overseen by the acting manager who had completed the AQAA thoroughly and has given good detail on how the home plans to develop the service as more people move into the home. The loss of a Manager and the movement of some senior staff into higher acting roles while awaiting the new manager has, according to the acting manager been a big Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 21 learning curve and as the staff were just getting use to their own job descriptions the role was changed. Now the new Manager is on board the staff should be able to get back to their original roles and settle more into the job they originally were recruited for. On talking to staff on the day of the inspection and on reading some of the comments on the surveys the support and openness of the management could be better. Relatives state that they can talk to any Manager/Senior staff and feel they are listened to. This new manager is yet to establish how her leadership and ethos will benefit all residents and staff. As the home has only been open a few months a full quality assurance monitoring system is not in place. The measuring of success and development plans for the home are ongoing as the service continues to grow. On talking to the Acting Manager and staff team it is clear that monitoring and improving is taking place as adjustments and developments progress. The teething problems with a new service are slowly being ironed out. These were discussed with management and aims for monitoring quality are planned for the near future. Time was spent with the Administrator talking about and looking at the procedures for managing resident’s personal money. The receipt book used shows the money received in, the logging of all transactions on a finance sheet and the auditing and supervision given by the company’s Administration Manager. The home has 2 safes. 1 is used by the Administrator for the petty cash and any money received in. The 2nd safe holds a receipt book and is used by staff for any money received from relatives during the evenings or weekends. To date the residents do not have access to their money, should they wish any, out of office hours. This was discussed and needs to be rectified, giving residents access to their own money at any time. The staff are beginning to have supervision and notes were seen on the individuals personnel file. It was also noted that incidents that had caused concerns had been logged in a one to one counselling session and followed up with extra training or further observation/supervision. The staff spoken to and the written AQAA tells us that staff are supported and supervised regularly. Some health and safety concerns are caused by the building faults and need to be addressed by the builders. The list of problems has been written and the builders are aware. The home has also addressed the poor record keeping on maintenance and fire with a new staff member about to be employed and who appears very competent and capable. As mentioned in the staffing section, training of staff in safe working practises could be improved by more staff receiving the training. Staff told us of the induction they had been assisted with. The home uses the ‘Skills for Care’ induction programme and one staff member spoken to, on the Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 22 day of the inspection, was in the middle of her induction and talked of the process and support she was receiving. Iceni House DS0000073075.V375983.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 3 3 3 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 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 1 3 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 2 3 x 2 Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? First Inspection 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 OP9 Regulation 13 Requirement The home must store medication in a room that is temperature controlled to ensure all medicines are held at a recommended temperature. The home must record the social needs planned and offered to residents to ensure they receive stimulation through leisure and recreational activities that are meaningful to them. All staff must receive mandatory training for health and safety to ensure safe working practices are taking place. The maintenance and fire records must be kept up to date to ensure all areas of the home are in safe working order. Timescale for action 01/09/09 2 OP12 16 01/08/09 3 OP30 18 01/09/09 4 OP19 23 01/08/09 Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 25 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 Refer to Standard OP16 OP29 Good Practice Recommendations The home should develop a procedure that enables residents to access their own money, which has been held in safe keeping, at any time. The home must ensure that all details on personnel records are kept up to date and that staff recruited are suitable to care for vulnerable people. Iceni House DS0000073075.V375983.R01.S.doc Version 5.2 Page 26 Care Quality Commission Eastern Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA 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. 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