Inspection on 11/03/09 for Le Brun House

This inspection was carried out on 11th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Le Brun House 28/03/08

Le Brun House 15/05/07

Le Brun House 28/06/06

Le Brun House 13/02/06

Le Brun House 10/05/05

Le Brun House 29/10/04

Le Brun House 01/06/04

Le Brun House 07/07/03

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Le Brun House 9 Prideaux Road Eastbourne East Sussex BN21 2NW     The quality rating for this care home is:   one star adequate 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: Judy Gossedge     Date: 1 1 0 3 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 29 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 29 Information about the care home Name of care home: Address: Le Brun House 9 Prideaux Road Eastbourne East Sussex BN21 2NW 01323734447 01323438528 enquirieis@lebrunhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Ilona Austen care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 20 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category: Dementia (DE) Date of last inspection Brief description of the care home Le Brun House is a care home providing care and support to up to twenty people who have dementia. The home changed its registration in 2006 to accommodate people who have dementia prior to this it was a care home for older people. The home is situated approximately one mile from Eastbourne town centre, with a main bus route within easy walking distance. The premises is a detached domestic house that has been extended over the years. Accommodation is provided on three floors with a passenger lift providing access to the first and second floor. Residents accommodation consists of twenty single bedrooms eighteen of which have their own toilet ensuite Care Homes for Older People Page 4 of 29 Over 65 0 20 Brief description of the care home facilities with six ensuites also having shower facilities and two a bath. The communal facilities include a large combined lounge and dining room, separate lounge leading into a conservatory and a small rear secure garden. The home Statement of Purpose states that it aims to provide quality tailored care to meet the needs of elderly service users with dementia. The fees for residential care are currently GPB300.00 to GPB700.00 per week, depending on the services and facilities provided. Extras such as: newspapers, hairdressing, chiropody, transport, dry cleaning toiletries are additional costs. Care Homes for Older People Page 5 of 29 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at Le Brun House will be referred to as residents. The last key inspection was undertaken on 28 March 2009. This unannounced key inspection took place over five and quarter hours on 11 March 2009. The Manager had been asked to complete an Annual Quality Assurance Assessment (AQAA), information from which is detailed in the report. A tour of the premises took place to look at communal areas and a selection of residents bedrooms and care records were inspected. Fifteen people were resident and two were spoken with individually in their bedroom, and a number were spoken with as Care Homes for Older People Page 6 of 29 part of the inspection process. The care that four of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. No residents or staff surveys were sent out on this occasion. A senior care worker, three care workers, the cook, the domestic assistant and the Proprietor were all spoken with. Three relatives visiting the home were spoken with on the day. The Manager was not present during the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get Care Homes for Older People Page 8 of 29 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 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 10 of 29 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. There is information available for residents and their representatives to view, but it should be ensured that all the required information is detailed within these documents. Potential new residents are individually assessed prior to an admission to ensure that their care needs can be met in the home. Intermediate care is not provided in the home. Evidence: The Statement of Purpose and Service Users Guide were read during the inspection. Currently these documents do not detail all the information to be included and as detailed within Schedule 1 of the Care Standards Regulations and are in need of review. Residents are provided with a copy of both documents in their bedroom. The AQAA details a copy of the last inspection report is available to read in the home. The Proprietor stated that an assessment is carried out by herself and the Manager prior to any admission. This is to ensure individual residents care needs can be met in Care Homes for Older People Page 11 of 29 Evidence: the home and to provide staff with information on the care to be provided. A detailed pre-admissions format is in place, and for two new residents admitted to the home since the last inspection there was detailed pre-admission information viewed, which had been completed. For one where the placement was arranged through a local authority there was also a copy of an assessment carried out by a care manager for the authority. Both residents had a copy of a letter confirming their placement in the home, but this should continue to be developed to detail that following the assessment the care home is suitable for the purpose of meeting the residents care and health needs. Intermediate care is not provided in the home. Care Homes for Older People Page 12 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by a detailed individual plan of care being in place, where their personal, social and health care needs are identified at the start of their stay and which informs staff of the care, which needs to be provided. Supporting risk assessments are recorded. Medication policies and procedures are in place, but it should be ensured that these are always followed to protect residents. Evidence: Four of the residents individual care plans were viewed. These were detailed and gave clear guidance to staff of the care to be provided, residents health care requirements, dietary needs, and social and leisure interests. The home maintains daily notes and these provide an effective tool for care plan reviews. Supporting risk assessments were also viewed. All these documents had been reviewed. The home maintains and promotes residents health and helps them access health care services to meet their needs. The AQAA details that residents have access to health care professionals and the sample of records viewed evidenced residents are registered with a local General Practitioner (GP) and detailed where residents have Care Homes for Older People Page 13 of 29 Evidence: had access to other health care professionals, including district nurses, via the surgeries. The AQAA details the home has a policy for the handling of medication. None of the residents self medicated at the time of the inspection. Medication is stored in a locked trolley, and a sample of the recording of medication administered was viewed. Staff evidenced that guidance is in place to reference when PRN medication is prescribed and recording where there have been changes to prescribed medication. A Requirement has been made following changes in the requirements for the storage of control drugs. Recording viewed evidenced an error in medication administration, which had not been reported to the CSCI. A Requirement had been made under Standard 38 to ensure that the CSCI is notified as required. The CSCI has subsequently been informed of a further medication error which has occurred in the home. The four care workers spoken with confirmed they had received medication training. Training records evidenced staff that had received medication training. The two residents spoken with individually felt that their medical care needs were met in the home. The staff was observed to deliver care, which maintained the residents privacy, dignity and respect. The two residents spoken with individually felt the care provided respected their privacy and dignity and that they were enabled flexibility in their daily routine, for example when they get up in the morning and go to bed. . Care Homes for Older People Page 14 of 29 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. Where possible residents are enabled to exercise choice in their lives whist resident in the home, there are opportunities to participate in social and recreational activities provided, residents are encouraged to maintain contact with family and friends as they wish and a varied diet is provided. Evidence: The AQAA details that activities are offered every day of the week, that once a week external entertainers come to the home and there are trips out to the seafront or town for shopping or tea/ice cream. A daily programme of activities was available to view in the dining room, which includes activities facilitated by the staff and visiting entertainers. Staff spoke of making glitter pictures with the residents, some of which were on show on the notice board in the dining room and of plans to use salt dough as an activity with the residents. Residents social interests are recorded on their individual care plans and a sample of records were viewed as to activities that residents have participated in. On the day of the inspection one resident went out with their family for lunch and during the afternoon, residents congregated in the lounge for a party to celebrate two residents birthday and were entertained by a visiting musician followed by a buffet tea. Care Homes for Older People Page 15 of 29 Evidence: Feedback received confirmed there was flexible visiting, that staff are very welcoming and observation on the day was that residents could see their visitors in private if they wished. The care and support provided was observed to enable residents where possible to exercise choice whilst at Le Brun House. The four residents files viewed, feedback received and observations on the day confirmed this. The cook was spoken with, who along with a second cook each work seven days every other week, and stated she holds a basic food hygiene certificate. A supper cook is also employed to cover seven days a week. There is a three weekly menu in place which was viewed, but this did not detail that there are choices available at every mealtime. Staff and residents all confirmed if residents do not like what is on the menu there are always a range of alternatives, and alternatives were observed being provided on the day. Lunch on the day was roast pork, or meat pie, roast and mashed potatoes, roast parsnips, and cabbage, followed by bananas or apple upside down cake with custard. A homemade birthday cake was being made for a resident, whose birthday it was on the day. Special diets are catered for. The majority of residents were observed eating their lunch in the dining room and one had lunch in their bedroom. Another resident had chosen to have their lunch later. It was a relaxed environment taking into account the different length of time that individual residents would need to finish their meal. Staff were available to support residents where required. Records are kept of food consumed individually by each resident, but would benefit from further development to also include breakfast to fully evidence residents are receiving an adequate diet. Care Homes for Older People Page 16 of 29 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. Policies and procedures are in place to enable residents or their representatives to raise any concerns about the care being provided and to ensure that residents are protected from abuse. Evidence: There is a complaints policy and procedure in place. The AQAA detailed that no complaints had been received at the home during the last year. The CSCI have not received any concerns in relation to the care provided at Le Brun House. Residents and visitors feedback was that they knew who to speak to if they had any concerns. The AQAA detailed that there are policies and procedures in place in relation to the safeguarding of vulnerable adults. The Proprietor was not able to evidence that a copy of the new East and West Sussex County Council, Brighton and Hove safeguarding adults procedures is available to reference in the home. But agreed to ensure that a copy is available to reference if required. The CSCI were notified of two incidents which were investigated under safeguarding adults procedures. The AQAA did not detail these incidents as required. Training records viewed evidenced staff had received safeguarding adults training. The four care workers spoken with confirmed they had attended this training and demonstrated an awareness of the policies and procedures. Care Homes for Older People Page 17 of 29 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. Residents live in a clean and homely environment, decorated and furnished to a good standard. Evidence: The home is situated in a residential area near to Eastbourne town centre. The building is a large extended Victorian building. The Proprietor stated there is an ongoing maintenance programme, which includes the redecorating and replacing of carpets where required. A tour of the building was made. The home is spacious and decorated and furnished in a homely style. There are twenty single bedrooms on all floors in the home. A number of bedrooms were viewed and displayed residents individual styles and interests and with their own pieces of furniture and personal effects such as books, paintings, and photographs. One bedroom had a badly stained carpet and two curtain rails were in need of repair. This was discussed with the Proprietor who stated this would be addressed. All bedrooms have an emergency call bell system, and the Proprietor stated that extension leads and pendants are available for residents use where indicated through the care planning and risk assessment process. All but two of the bedrooms has ensuite facilities of a toilet and wash-hand-basin. Six bedrooms also have a shower facility and two bedrooms a bath. Communal bathroom facilities are provided in the home, one with a bath hoist. The two residents spoken with confirmed there is Care Homes for Older People Page 18 of 29 Evidence: adequate heating and hot water in the home. A passenger lift is available from the ground floor to the top floor and stairs to the first and second floor. There is a lounge with access to a conservatory and a combined dining room and lounge on the ground floor. Residents have access to a private garden at the rear of the home. The AQAA details that the use of the garden is to be developed over the next twelve months with plans to have garden parties and invite residents friends and family to attend. The AQAA details that there is a policy in place for managing infection control and that Department of Health Guidance has been used to assess current infection control management. Also that all staff have received infection control training. The home was clean and free from offensive odours at the time of the inspection. The domestic assistant was spoken with and stated she had received training-guidance in the control of substances hazardous to health (COSHH), dementia care, and moving and handling, but had not recently received infection control training. This was discussed with the Proprietor who stated that further infection control training is due to be provided in the home and evidenced that the Manager has been reviewing and collating staff training needs. The AQAA detailed that it is planned to employ a further cleaner to also work in the home. A laundry assistant works one morning a week to do ironing. An issue was raised at the time of the last inspection that alleged that staff had walked through the kitchen with dirty laundry rather than walking around the outside of the building. Feedback was varied as to the ceasing of this practice and was discussed with the Proprietor, who agreed to ensure that the homes policies and procedures in relation to moving of dirty laundry in the home are always followed. All staff confirmed that there was good access to protective clothing, liquid soap and paper towels. Recording was viewed of routine fire checks that had been carried out in the home. Care Homes for Older People Page 19 of 29 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. A robust recruitment procedure is in place to ensure residents are in safe hands at all times. Staff is provided with the required training or updates to ensure they have the skills to meet all the residents care needs, but care workers would benefit from more regular supervision. Evidence: Staff rotas were viewed and detailed that three care workers are deployed in the home during the morning and two care workers during the afternoon with the Proprietor also on duty during the day. Staffing levels during the afternoon was discussed with the Proprietor, who stated that staffing levels are kept under review to ensure residents care needs are met and will be adjusted as the occupancy increases. At night the home deploys two waking night members of staff. Ancillary staff are also employed to cover catering in the home and domestic tasks. One comment received was, the staff are wonderful, always helpful and pleasant. An issue raised at the last inspection was that staff did not seem to have a clear understanding of how to care for residents with a dementia type condition. Feedback received and records viewed evidenced told us that most staff had attended further dementia training. The AQAA detailed that nine of the twelve care workers holds an NVQ Level 2 in care Care Homes for Older People Page 20 of 29 Evidence: and three further care workers are working towards this qualification. The AQAA detailed that new staff working in the home had satisfactory preemployment checks. The documentation was viewed for the three new members of staff, who had been recruited since the last inspection. All demonstrated the completion of an application form, had two written references in place, all had completed a Criminal Records Bureau check (CRB)/and a Pova First check. The Proprietor stated that all checks are completed prior to staff commencing work in the home, but this was not clear in all cases from the recording viewed. This was discussed the Proprietor who has agreed to ensure that improvements will be made to the recording of the recruitment process to ensure this is clearly evidenced. The AQAA details that induction training for new members of staff in place, and the induction meets the requirements of the General Skills for Care induction standards. The Proprietor stated that further guidance had been sought to ensure the required induction standards are met and that any new care workers will complete this induction. Three new care workers spoken with and records viewed detailed that an induction had been completed. Care Homes for Older People Page 21 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality assurance systems in the home to enable ongoing feedback about the care provided in the home should continue to be developed and the outcome collated and available to view. Systems in place to ensure a safe environment for staff and residents should be fully available to view. Evidence: There is a Registered Manager in place in the home who the Proprietor stated has completed the Registered Managers Award and NVQ Level 4 in Care. Following the last inspection feedback was received about low morale within the staff group, which did not promote a positive environment for residents to live in. Feedback received on this occasion was varied, but in the main did not identify any further issues and all staff spoke of a supportive staff team. The AQAA was provided after a reminder was sent to the service. The content was discussed with the Proprietor as the AQAA would benefit from further development to fully describe and evidence how the required Standards are being met in the home. Care Homes for Older People Page 22 of 29 Evidence: The proprietor has agreed to relook at the detail submitted in any future AQAAs requested. A system needs to be in place to ensure that the CSCI is informed without delay of the occurrence of events in the home of illness and other events, to meet the requirements of Regulation 37. A quality assurance system is in place. The AQAA detailed that there are regular meetings with residents and their families, one to one meetings and that there are quality assurance questionnaires to circulate. It was not possible to fully evidence the quality assurance process and feedback from the outcome of the quality assurance process undertaken in the home has not been collated to reference and should be and available to read in the home. There were some records to review of visits made by the Proprietor to review the quality of the care being provided. To fully meet the requirements of Regulation 26 these need to occur at least once a month. The AQAA detailed that policies and procedures are in place and that these had been reviewed. Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then this responsibility is taken on by a relative or another responsible person external to the home. When items are purchased on behalf of residents the cost is added to a three monthly invoice. The AQAA detailed that regular one to one meetings are now held between the staff and the Manager. Feedback and records viewed evidenced that some supervision for care staff has taken place, but did not evidence that it is provided at a frequency to fully meet the requirements of Standard 36. Training records were viewed, and staff spoken with confirmed that all had received training/updates in moving and handling, three had completed basic food hygiene and first aid training and one had undertaken infection control within the required timescales. Where staff had not completed this training this was discussed with the Proprietor who stated that further training is due to be provided in the home and evidenced that the Manager has been reviewing and collating staff training needs. It was not possible to evidence if a detailed check of the environment had been completed. The AQAA detailed that the maintenance of equipment and services has been carried out. The Proprietor agreed to seek further clarification about the environmental checks in the home and for the gas appliances which were recorded as last being serviced in August 2007 and ensure all checks were in place as required. So Requirements have not been made on this occasion. There were records of testing of Care Homes for Older People Page 23 of 29 Evidence: the hot water temperatures at outlets accessed by residents to ensure these are being maintained at close to the recommended safe temperature of 43 C. A fire risk assessment is in place, which had been drawn up in June 2008 by an external company. Records were viewed of regular checks of the fire procedures in the home. Records viewed and staff feedback evidenced staff had been provided with fire drill training, but not all had received further fire training. The Proprietor stated that an external company had provided fire training the previous year. That this training was overdue, but was aware that it was due to be booked again and would ensure that this is completed. So a Requirement has not been made on this occasion. Recording was viewed of incidents and accidents. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 25 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 4 That the Statement of Purpose is updated and contains the required information To ensure residents and their Representatives have all the information to make an informed choice where to live. 30/04/2009 2 1 5 That the Service Users Guide is updated and contains the required information. To ensure residents and their representatives have all the information to make an informed choice where to live. 30/04/2009 3 3 14 That the letter sent to 31/03/2009 prospective residents is further developed to detail that following the assessment the care home is suitable for the purpose of Care Homes for Older People Page 26 of 29 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 meeting the residents care and health needs. To protect residents. 4 9 13 That suitable storage and recording is in place for control drugs to meet new requirements. To protect residents and staff. 5 33 26 That the visits to meet the requirements of Regulation 26 occur at least once a month. To protect residents and staff. 6 33 24 That the outcome from the quality assurance is collated and available to view. To ensure residents and their representatives have all the required information to view 7 36 18 That staff receive supervision at the required frequency. To protect residents and staff. 8 38 37 That the CSCI is notified of illness and other events which adversely affects the well being and safety of any resident. 31/03/2009 30/04/2009 31/05/2009 31/03/2009 30/06/2009 Care Homes for Older People Page 27 of 29 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 To protect residents. 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 Care Homes for Older People Page 28 of 29 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. 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