Inspection on 28/01/09 for Kingsmount Residential Home

This inspection was carried out on 28th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kingsmount Residential Home 31/01/07

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Kingsmount Residential Home 30 Kingshurst Drive Paignton Devon TQ3 2LT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michelle Finniear     Date: 2 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: Kingsmount Residential Home 30 Kingshurst Drive Paignton Devon TQ3 2LT 01803663460 01803663460 kingsmount@grayareas.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Grayareas Limited Name of registered manager (if applicable) Mrs Naomi Patricia Selley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 32. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP- maximum of 32 places Physical disability aged 50 years and over on admission- Code PD- maximum of 32 places DementiaCode DE- maximum of 32 places Date of last inspection Brief description of the care home Kingsmount provides care for up to thirty-two older people who may also have dementia and/or a physical disability. The care home has been under the ownership of Gray Areas Ltd since September 2006. The company also owns a care home which Care Homes for Older People Page 4 of 27 care home 32 Over 65 0 32 0 32 0 32 Brief description of the care home provides nursing services in Paignton. Kingsmount is a large, detached, older property situated in an elevated position on the outskirts of Paignton. There is a spacious lounge situated at the entrance of the premises and a separate dining room. There are also two small lounges; one is now being converted to a library. Accommodation for residents is on the ground and first floors, with a passenger lift provided to assist access to the first floor. There are twenty-eight single rooms, most of which have en suite facilities; and two double rooms with en suite facilities. There is shower room on the ground floor, and two bathrooms and a separate shower room on the first floor. Aids and adaptations are provided to meet the assessed care needs of the residents A small accessible garden is situated at the side of the premises, with another ready to be converted to a sensory garden to the rear, and there is a parking area at the front. Fees currently range from Three hundred and sixty five pounds to five hundred and forty five pounds per week. Written information regarding the home and the services provided is available in the home, as are copies of the homes Inspection reports. 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: two star good 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: To complete this inspection we received information about the home in an Annual Quality Assurance Document (AQAA) completed by the homes manager telling us about what has changed since the last Inspection and how the home is run; we sent questionnaires to people living and working at the home; we made a visit to the service without letting them know exactly when we were coming; we spoke to people living and working at the home; we had discussions with the homes management, looking at how the home is run; we spoke to visitors who were at the home when we went; we looked at records, policies and procedures the home keeps; we looked round the home; and we spent a period of two hours sitting in the homes lounge looking at the lifestyle people experience and how well they related to staff and their environment. This helps us get a good idea of what it is like to live at the home. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? Since the last inspection the home has: Improved the premises with greater safety to a staircase; Provided a hairdressing room; Prepared an area to be a library; Fitted a high quality impervious carpet in many rooms; Created a bed sitting room on the top floor for relatives visiting people who are life limited; Provided a new head of care to compliment the Registered manager; Increased their staffing levels since taking over the home in 2006; Care Homes for Older People Page 8 of 27 Increased the amount of hoists/handling belts and sliding sheets to help move and transfer people safely; increased the number of communal bathrooms and toilets available with specialist bathing facilities such as a parker bath; Provided an entertainer who specialises in dementia care fortnightly, plus another entertainer once a month; there is also a weekly sherry party before Sunday lunch; The home has been providing cranberry juice to people living at the home which has reduced the rates of urine infection; sheets have been replaced with egyptian cotton sheets which are professionally laundered; and there is new improved access to the enclosed lower garden so that people can have a safe sitting area outside. 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 set out 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 Care Homes for Older People Page 9 of 27 7535. Care Homes for Older People Page 10 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 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available to help people decide if the home is the right place for them. The homes manager ensures that peoples needs can be met before a decision is made about admission. Evidence: Kingsmount has a statement of purpose and a service user guide available. The service user guide gives information about the services and facilities the home provides. This may benefit from containing more information on the admission criteria of the home and the philosophy of Dementia care operated by the home. The service user guide is given to people considering coming to the home or their relatives to help them decide if Kingsmount is the right place for them. It is available in a large print format if needed. One person who completed a questionnaire felt that there was some lack of clarity over where boundaries were drawn between care homes with nursing and care homes with regard to Dementia care, but others felt they had received sufficient Care Homes for Older People Page 12 of 27 Evidence: information about the home before making a decision about admission. Other information about terms and conditions of residency is contained in the homes Contract. This contains information on the agreed fees to be paid, Insurance cover provided and any reasons why the person may be asked to leave the home. The contract needed amendment to ensure that the information on the level of care provided was clear. This was attended to following the Inspection site visit. The files for three people recently admitted to the home were seen and discussions held with the manager about the processes followed during their admission. This had included visiting them in their own home or hospital and completing an assessment. This helps to identify whether the home can meet their support needs. The assessment seen had a limited assessment of the persons mental health, but assessments may also be accompanied by information from other services such as Mental Health teams who may have been supporting the person for some time prior to their needing full time residential care. One file contained an assessment of capacity, and the manager said this would be extending to other people admitted. The home has told us they operate an open visiting policy, and people are able to visit the home at any time if they are consideing moving in. A trial period is also undertaken so that all parties can be sure that the home is suitable before a final decision is made about a placement. The home does not cater for Intermediate care, which is a specialist programme of intensive support with a view to returning the person to their home environment. Care Homes for Older People Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans were being reviewed regularly and were accurate, but would benefit from additional personalised information. Protocols should be provided for the use of as required medication. Evidence: Each person living at Kingsmount has an individual file containing a copy of their assessment and a plan of care and support needs developed from the assessment. The care plans were being reviewed regularly. People who completed questionnaires felt that peoples care needs were being met. Five plans were looked at in detail and one was then discussed with member of staff to see how well the plan of care correlated with the actual care delivered. The plan was a good reflection of the care given and the member of staff could give a detailed description of how the persons needs were met. Plans may benefit from information being available on peoples communication needs Care Homes for Older People Page 14 of 27 Evidence: including the ways in which they communicate distress or frustration. These may include some behaviours that challenge. This helps carers understand interactions and behaviour from the perspective of the person receiving the care. The plans seen had a clear assessment of physical care needs but would benefit from additional information being available on the social and personal histories of people living at the home and more personalised information on how they like their care to be given where this is possible. Files did contain some information on the Mental Capacity Act and some capacity assessments. These help to ensure that peoples rights to make decisions are supported. The home has a good level of equipment available for physical care, such as moving and handling equipment, specialist baths and pressure relieving beds where needed. There are good links with local medical support services such as district nurses, General practitioners and community psychiatric nurses, and the home seeks support when needed, for example for dressings, injections or support in managing behaviours that challenge. The homes medication management systems were seen, but not inspected in detail as they were inspected within the last month by the supplying pharmacist. Medication is given out by senior staff who have been trained by the supplying pharmacist and have also completed a distance learning course in medication care. Controlled medication records were seen along with records of administration of medication. Controlled medication is subject to additional precautiions due to its strength or effects, and was being managed appropriately, with the medication held balancing with the stock records. Other medication records were being completed appropriately by staff however files should have some protocols in place for the administration of when required medication which is given to control behaviour. This helps to ensure that staff are clear as to when and why this medication may be given, as well as protecting the person from over use of medication. Protocols should also contain information on other strategies for manageing behaviours than medication before it is used. Out of date dressings were removed from the dressings box during the inspection. A relative wrote Excellent medical staff are always willing/supportive/caring with regard to any medical issues and This home in my opinion is truely exceptional in its caring staff - clearly this comes from the top down. A visiting health professional who completed a questionnaire said A good overall standard of care is being delivered. Care Homes for Older People Page 15 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 at the home are encouraged to take part in activities, which are being further developed. Meals are well balanced and attractive. Evidence: The home told us that there is a monthly programme of activities at the home, and on the day of the site visit staff could be seen engaging with people in games during the morning in the lounge. In the afternoon there was an organised entertainer visitng the home with singing and musical instruments which was enjoyed. Visitors were being welcomed and clearly had a good relationship with the staff on duty. The homes management have told us that an outside professional entertainer who specialises in Dementia care attends fortnightly, plus a general entertainer once a month. A weekly sherry party prior to Sunday lunch is also provided at no extra cost to the residents. Daily activities are run after lunch each day by staff when professional entertainers are not expected. Files did not contain individual activity plans or assessments and activities identified were mostly group based. The home has a visitor in the afternoons for people who do not have their own visitors which is commendable. The home have told us that they Care Homes for Older People Page 16 of 27 Evidence: plan to develop activities further this year with more garden based and handicraft activities available. Individual assessments of lifestyle preferences and choices may support more individualised activities for people with memory loss. During the site visit a period of two hours was spent in the homes main lounge looking at how the people there engaged with their environment and how well the staff were interacting with them. During this period visitors also came to the lounge which led to the observation format being altered to a more informal observation. The observation showed that people were contented in their environment and were engaging well with visitors and staff when they were present. There was however little interaction between people living at the home without the support of a staff member or a visitor. This underlines the importance of staff spending time with people encouraging them to participate in activities. During the observation music was playing, but there was little evidence of people listening until a member of staff came in and sang along to the music at which point one person joined in. People were seen to be being offerred choices of tea or coffee and about whether they wanted to eat lunch or not, and communication here was good. But there were some instances seen where staff talked about people living at the home in front of them without including them. This undermines peoples sense of personhood, and can breach confidentiality or cause embarrassment. Meals at the home were being home cooked and showed a good variety of food served. Relatives spoke to confirmed that people had put on weight since being at the home and that meals were of a good quality. The homes management told us that meals were freshly prepared using produce sourced locally, soups are home made and the home offers people cranberry juice daily, which has helped to reduce the reoccurrance of urinary infections. Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes policies and procedures help to protect people from abuse and complaints management systems are in place. Evidence: On the site visit time was spent discussing complaints management systems and the protection of people who may be vulnerable. The home has a complaints policy and procedure, which is available in the home and in the service user guide. The home have told us they have not received any complaints in the last year. Discussion was held on the homes complaints and comments book which the manager said would be changing in format. Staff at the home have received training in the protection of vulneable aduts. This helps staff to identify abuse and abusive practices and know what to do if it is suspected. People who completed questionnaires said they were aware of how to make a complaint if they needed to. Care Homes for Older People Page 18 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. The home is clean warm and well maintained. Evidence: On the site visit a tour was made of the home, looking at all rooms except one which was occupied. Time was also spent looking at records relating to the environment such as risk assessments and servicing contracts for equipment. Kingsmount offers a good standard of accommodation. Rooms vary in size and outlook, but were well decorated and odour free. Service areas were clean and the kitchens were recently inspected by the Environmental Health Officer. The building is large and accommodation is provided over several floors. The lower ground floor provides laundry and storage facilities; The ground floor has two lounges, service areas, office and some personal accommodation for people living at the home; and on the first and mezzanine floors there are bedroom and specialist bathing accomodation with hoists. On the ground floor there is a spacious and sunny lounge area close to the homes entrance where people were mostly accommodated during the day. This room is next to the dining room. Care Homes for Older People Page 19 of 27 Evidence: All areas seen were comfortably furnished, clean and well decorated. The home has appropriate arrangements for the management of clinical waste. The homes management have told us that all sheets have been replaced with Egyptian cotton and are sent out for professional laundering. Window openings above the ground floor are restricted to ensure that people cannot fall from them and the home has water temperature controls where people are bathing or showering according to the manager. Some water temperature regulation is provided to the handbasins in peoples rooms, but further need to be completed. This helps to ensure people are no scalded by hot water. One room tested in particular had very hot water from the tap. The building is not ideal for people with dementia, in that it is not an easy building to be orientated within. The home has made some environmental adaptation for people with dementia and memory loss, however discussions with the manager indicted that the home may consider additional work to help orientate people. Advice was given on resources avaialble. Since the last inspection the home have improved access to the garden on the ground floor and are planning to do this also to a garden to the rear of the building. They have also created an area soon to be a library and continued with redecoration. They have also told us that they have increased the number of bathrooms available with assisted bathing facilities in each. An additional communal toilet has also been provided. Care Homes for Older People Page 20 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. The staffing arrangements are sufficient to support and protect people living at the home. Evidence: Time was spent on the inspection looking at the homes recruitment policies and procedures, staff training and induction and numbers and skills of staff on duty. Files for two members of staff were seen and these showed evidence of the recruitment processes followed, which included the taking up of references and police checks on people employed. This helps to ensure people living at the home are not being cared for by people who may be unsuitable to be caring for potentially vulnerable people. Staff who completed questionnaires said that a full recruitment process had been followed when they were employed by the home. The homes rota showed staffing levels which appearred to meet the needs of the people living at the home, along with sufficient support staff such as catering and cleaning staff on duty. The owners tell us that they have increased the staffing levels considerably at the home since they took over in August 2006. There has been considerable staff turnover since the last inspection, and this was discussed with the manager who identified valid reasons for the changes. A stable staff Care Homes for Older People Page 21 of 27 Evidence: group helps to ensure continuity of care for people. The Induction processes at the home were comprehensive and showed that staff recruited are given a clear induction on the ways in which then home expects them to work with people. Staff also recieve core training in areas such as infection control, first aid and moving and handling on a rolling programme. The manager could demonstrate a training matrix which identified which staff had received their full training and that which was still needed. Discussion was held on specific training on Dementia. All care staff attend a basic coure on dementia, and the newly appointed care manager has attended a 6 day course on Dementia care and will be modelling good care practice as cascading training for other staff. People who completed questionnaires felt that the staffing arrangements were excellent. One commented that cleanliness at weekends was sometimes a problem, but the manager confirmed that cleaning staff are still employed at the weekend. People observed interacting with staff were seen to have a friendly relationship with staff being respectful and supportive. The home has suitable arrangements in place for supporting staff with specific needs under the disability discrimination act. This means that they are acting to support people with additional needs in a way that ensures they are not disadvanteged by their disability or condition. This demonstrates a commitment to valuing diversity and equality. Care Homes for Older People Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed. Evidence: Time was spent on this inspection looking at how the home is being managed. The home has a registered manager and a newly appointed Care manager, who will be working with care staff, modelling good practice and following up on care issues to make sure care is delivered consistently and in accordance with best practice. The registered manager is experienced, well qualified and has previously been a successful registered manager in other homes locally. A relative who completed a questionnaire wrote This home in my opinion is truely exceptional in its caring staff - clearly this comes from the top down. It is very humbling to see such caring young people so dedicated and clearly enjoying such a very challenging job. A credit to the management. Staff are supported through a process of supervision. This is a system combining Care Homes for Older People Page 23 of 27 Evidence: performance management and personal development and helps to ensure that staff are working consistently and to their full potential to support people. Training needs are identified as a part of this process, which is being deliverd in accordance with a planned programme six times a year for each person. The home has systems for quality assurance in place including a series of questionnaires which have been sent out to stakeholders. The results fom these need to be incorporated into the business and development planning for the home to ensure peoples feedback is acted upon and that they can influence how the home is run. People living at the home do not complete questionnaires as the homes manager does not feel they would be able to understand them, but are encouraged to make comments upon the service. Health and safety risk assessments were available for the environment and for safe working practices for the examples seen. Servicing contracts are in place for lifts and moving and handling equipment such as hoists. Risk assessments are undertaken for the environment and for safe working practices. Data sheets were seen for chemical products in use such as cleaning materials. These include information on what to do if the products are misused and how to store them safely. Discussion was held on the systems for managing small amounts of peoples money held for day to day expenditure and the system was seen and checked for two people. The system incorporates a float, a running balance of which is held and reciepts available for every purchase on behalf of someone living at the home. The balance was seen for two people and found to be balancing correctly. Care Homes for Older People Page 24 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 25 13(4)a All parts of the home to 01/09/2007 which service users have access are so far as reasonably practicable free from hazards to their safety. Re Hot water provided to hand basins accessible to residents must be regulated to a safe temperature of 43?C. Care Homes for Older People Page 25 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 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 1 The service user guide or brochure may benefit from more information being made available about the style and philosophy of Dementia care the home provides. Care plans would benefit from more personalised information being included. This might be social and personal history, information about how the person communicates distress or frustration and ways in which they like their care to be delivered. Protocols should be delivered for the administration of as required medication. This helps to ensure that people are aware of when the medication is to be used and other strategies that may be employed before it is used. People may benefit from a more person centred approach being taken to individual activitis and lifestyle choices. The home may benefit from environmental adaptation, for people with short term memory loss. This might include use of colours, symbols, photographs etc to help people to orientate themselves better. Staff may benefit from additional information and training being made available to them on Dementia and person centred care Page 26 of 27 2 7 3 9 4 5 12 19 6 30 Care Homes for Older People Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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