Inspection on 06/07/09 for Linwood

This inspection was carried out on 6th July 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Linwood 10/02/09

Linwood 29/08/08

Linwood 31/08/07

Linwood 04/05/06

Linwood 19/04/05

Linwood 01/12/04

Linwood 19/07/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

Key inspection report Care homes for older people Name: Address: Linwood 9 Mercer Close Thames Ditton Surrey KT7 0BS     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kenneth Dunn     Date: 0 6 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Linwood 9 Mercer Close Thames Ditton Surrey KT7 0BS 02083356800 02083393485 lorraine.hillsavery@anchor.org.uk www.anchor.org.uk Anchor Trust The registered provider is responsible for running the service care home 66 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): 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 to be accommodated is 66 The registered person may provide the following categories of service: 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: Old age, not falling within`any other category (OP) Dementia (DE) Physical disabilty (PD) Date of last inspection Brief description of the care home Linwood is a purpose built care home that has been operating since April 2004. Service provision is for personal care for up to sixty-six older people, some of whom may have moderate dementia or mental health needs and/or physical disabilities. Care Homes for Older People Page 4 of 27 Over 65 0 66 0 66 0 66 1 0 0 2 2 0 0 9 Brief description of the care home The home is owned and managed by Anchor Homes who are the registered providers. Linwood is located in a residential area within walking distance of Thames Ditton village where there are a small number of shops and other community amenities. A GP practice is nearby. There are car-parking facilities to the front of the building and further parking spaces and an enclosed garden to the rear. The accommodation is divided into six named living units over three floors. Upper floors are accessible by one passenger lift and stairs. The home is wheelchair accessible throughout, however wheelchair users are restricted to two per unit other than on the ground floor, for health and safety reasons. There are eighteen single bedrooms on the ground floor, all with fully functioning ensuite shower rooms. There are forty-eight single bedrooms over the first and second floors. These are all fitted with en-suite shower rooms for which a single charge applies for showers to be made functional. Communal facilities are arranged on each floor comprising of small kitchens, dining rooms, lounges, toilets and assisted bathing facilities. The weekly fees range from 514 to 781 Pounds Sterling per week these fees do not include personal items. 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: 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: This inspection of the care home was an unannounced Key Inspection. It was a thorough look at how well the home is doing in relation to the delivery of care to the residents at Linwood. This site visit took into account information provided by the home and any information that CQC has received about the service. The manager for the service supplied CQC with an AQAA (Annual Quality Assurance Assessment) and this document was used to assist with the inspection. The inspector also spent time talking with some of the people using the service and staff members. We looked at how well the service was meeting the key national minimum standards and complying with the regulations and have in this report made judgements about the standard of the service. Documents sampled during the inspection included the homes care plans, daily records and risk assessments, staff files, training records, and the Care Homes for Older People Page 6 of 27 homes safeguarding and complaints policies and procedures. From the evidence seen by us and comments received, we consider that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: One requirement and two good practises recommendation was made as a result of this Care Homes for Older People Page 8 of 27 Key Inspection. The service is required to maintain all regulation 26 reports based upon visit on site by a representative of the organisation which owns and operates Linwood. The regulation 26 reports should be available to the residents in order to them with a clear picture of the home and to pass comments if they feel the reports are not reflective of the home. It is recommended that the risk assessment log should contain uniformed information with more details if appropriate. The manager should review the cleaning schedule of the communal areas. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 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 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The pre admission procedures at the home will ensure that the needs of prospective residents and their aspirations are fully assessed prior to admission to make sure that their needs can be effectively met. Evidence: The service placed a voluntary halt to all admission after the previous inspection visit by the commission 03 February 2009. At the time of this site visit the service had 41 residents and 25 vacancies. The service has a robust set of policies and procedures in place to ensure that potential residents of Linwood will be fully assessed prior to being offered a place at the home. The assessment process has been designed to ensure that the service can effectively meet the needs of prospective residents. The manager stated that people who wish to use the service will benefit from a preCare Homes for Older People Page 11 of 27 Evidence: admission assessment from a suitably qualified person. In order to achieve this the staff involved in the in the assessment process have undertaken all relevant and required training to ensure admission into Linwood will be successful. The documentation used by the home for these assessments allow a through assessment to take place and care plans can then be generated from this documentation. In the AQAA, to demonstrate what the home does well, the manager stated that: pre admission assessments take place at the home to establish care needs can be met. this enables prospective residents the opportunity to meet others living in the home and to view the environment they may choose to live in. During the site visit the review of the assessment procedures highlighted that if they were fully implemented the service could ascertain a full picture of a potential resident and their care needs. As a result of the home not admitting any new residents since the last inspection visit by the commission February 2009 it was not possible to find any substantive evidence to support the improvements in the assessment procedures will benefit the residents. The home does not offer intermediate care. Care Homes for Older People Page 12 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. The health and personal care that people using the service receive is based upon their individual needs, which is documented in their care plans. The people using the service also have support from health care professionals when it is required. Evidence: Ten randomly selected care plan folders were sampled they all contained detailed information about the person using the service. The care plans sampled should allow care staff to be able to care appropriately for the people using the service as the information contained within this document was detailed and user friendly. There was evidence that the care plans had been reviewed every month and that people using the service had also participated and agreed the plans. Individual care plans contain detailed risk assessments for all identified risks. The manager has developed a risk assessment index, which should allow the reader to access salient information with ease. A review of the index however highlighted areas where the forms were not all used in a uniformed way, which could result in some confusion. A good practises recommendation was made to review the recording Care Homes for Older People Page 13 of 27 Evidence: practises in the quick index. The manager told us that the people using the service are all registered with a local GP. The GPs will visit the home when requested by the staff or person using the service. The manager stated that the service and the GP surgery have held meetings in order to improve dialogue and communications between the two services to improve the experiences of the people who use them. The district nurse also supports the home when requested to do so. The home has its medications delivered every month by a large chain pharmacy and this is dispensed in blister packs. Policies and procedures are in place for staff that administer the medicines and also protocols for those people using the service that wish to self medicate. The home has regular pharmacy audits by the dispensing pharmacy to ensure that they are following safe working practises, the most recent audit was completed on the 15th of June 2009. The resulting report stated that no errors were found. During the day staff were observed to knock on doors prior to entering and were using the preferred names of the people using the service as documented in their care plans. One care plans however provided information of one resident by his full name and made no reference to his preferred name, which is used by staff when assisting the resident, this was highlighted to the manager during the review and was remedied immediately. The AQAA told us that all people using the service are encouraged to live their life as they choose to do. There are en suite bathrooms available for staff to deliver personal care in the privacy of the persons own bedroom and health care professional visits take place in the persons bedroom. The service uses a holistic assessments tools available as part of the service user plan to enable effective identification of individual resident needs. This was supported during the random review of the care plan folders, which were seen to contain a great deal of relevant information about the care requirements of the residents and in discussions with residents who confirmed that their privacy was maintained and that they were given choices to do what they wanted. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to a varied activity programme which aims to meet all peoples needs. Menus are varied and offer choice and the dining arrangements should offer a pleasant mealtime experience. Evidence: The manager stated that the home now employs two activity organisers one full and one part time and that activities are now organised for the residents 7 days a week. The activities coordinators have developed a flexible programme depending on the wishes and needs of the residents. On the day of inspection a notice board in the reception area detailed the activities arranged for that week. The manager stated that all staff working at Linwood have received some form of activities awareness training in addition all new staff spend 2 days with the coordinators during their induction training. The activities training should allow staff to have a better understanding of the needs of residents and the importance of appropriate activities within a care home. The home offers a range of activities including group walks, knitting and sewing, pub afternoons, picnics, film nights, bingo, rummage boxes and tea dances. Trips out in the homes transport are also organised and the manager said that these activities are also very popular. People who use the service told us that there is a variety of Care Homes for Older People Page 15 of 27 Evidence: activities on offer and they can select those that interest them. One person said there is always something to do but I dont have to join in if I dont want to. The manager stated that the service have plans to develop the activities being offered at the home and have plans to develop a work shop to encourage the male residents to participate more fully. The service ensure that the religious and cultural needs of the residents are explored. The manager stated that the service will always assist the residents to attend what ever service the wish and will endeavour to met any cultural requirements of the residents. Family and friends are welcome at the home at any time. Visiting is not restricted and people using the service can return to their bedrooms if they wish to see their visitors in private. One person using the service told us that her son in law and her grandson were regular visitors. It was observed during the inspection that people who use the service are offered choices on a variety of different topics. The manager told us that staff ask when people would like to go to bed and get up in the morning and the time they would like breakfast. Staff were observed to knock on the bedroom doors prior to entering. The service have appointed a new chef manager to ensure that the kitchens and the meals provided to the residents are of a suitable quality. The AQAA stated that in order to improve the food delivery of the home a survey of residents preferences for catering choices was undertaken and from this a new menu was developed. In addition the AQAA provides further information that the residents are encouraged to participate in catering activities, these include smoothy making, fruit salads and bread making. During a discussion with one resident the food was described as being very nice and things have changed for the better Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service should be confidant that their complaints are listened to and that they should be protected from abuse as the staff team have received training in safeguarding adults. Evidence: The manager stated that the service has received 19 complaints since the previous key inspection by the commission. The manager logs all complaints in a book. The complaints log provided evidence of the complaints and the outcome of the investigations. All issues and complaints are logged no matter who small they may appear to allow the service to monitor the service being provided by Linwood. The manager stated that the service has implemented new procedures as a result of complaints and further stated that she felt that complaints were a valuable tool in improving the service. The complaints procedure is available at the home and is also made available to all people who use the service and their representatives. During this inspection people using the service were asked if they knew how to complain and who to complain to and all said yes. The manager told us that the home follows the local authoritys procedures for the safeguarding of adults. Staff have access to these procedures and the homes own internal policy. This policy complies with local authoritys procedures for safeguarding adults. . Care Homes for Older People Page 17 of 27 Evidence: Staff spoken to on the day confirmed that they had received training in safeguarding adults and the records also confirmed this. The home has a whistle blowing policy that staff also have access to. During discussion with staff there was a feeling that they would be happy to intervene if they came across any form of safeguarding issues and would be able to contact the relevant groups to make a safeguarding referral. In the AQAA, to demonstrate what the home does well a robust complaints procedure is in place. All complaints are listened to and taken seriously, acted upon promptly, maintaining good records of all complaints with outcomes and that complaints and feedback is actively welcomed to improve service provision. 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. People using the service live in a, comfortable and well maintained home and have access to a suitable gardens. Evidence: A part tour was undertaken during this site visit, concentrating on all communal areas and a random sample of residents bedrooms where we were invited by the individual occupying the room. The bedrooms seen had been personalised by the residents and were well decorated and maintained. All bedroom doors have locks and the keys are available to the residents. The manager stated that only one person retained their own key and kept there door locked. The manager told us that there is a planned programme of refurbishment in place to be completed over the next few months. The communal areas were clean and bright and the communal bathrooms large and welcoming. On the day of the site visit however the communal areas on the ground, first and third floor had a residual mal odour which was still evident after cleaning. This was discussed with the manager and it was agreed that floor covering and cleaning in theses areas would be reviewed. The gardens are accessible and are well maintained. On the day of inspection a few residents were seen to be sitting in the gardens in the shade enjoying the good weather. Care Homes for Older People Page 19 of 27 Evidence: Paper towels and soap dispensers were available for staff for hand washing and aprons for use during personal care. The home has a laundry room and documentation confirmed that infection control training had taken place. In the AQAA, to demonstrate what the home does well the home is set in its own well maintained grounds with a secure garden and seating areas for residents to enjoy and the home has a maintenance programme for the redecoration/furniture replacement of the home. 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 staff in the home are trained and skilled and in sufficient numbers to support the people using the service. Recruitment practises are robust which should protect the individuals living at the home. Evidence: The home had a relaxed atmosphere and staff were observed to undertake their tasks in a quiet and orderly manner. During the site visit it was observed that the staff interactions with people using the service was professional and supportive. On the day of the site visit the staffing numbers appeared sufficient to meet the assessed needs of the people using the service. Comments received on the day were positive about the staff in the home. One person said staff are nice, kind and helpful. Another told us the staff answer the bell when we need them they cant do enough for us. The service has engaged 19 new staff members through out all departments in the home since the previous site visit by the commission (03/02/2009). The manager stated that wherever possible the staff that were engaged had a history of employment in the care profession. The manager said that most staff have now achieved the National Vocational Care Homes for Older People Page 21 of 27 Evidence: Qualification (NVQ) at level 2. Records sampled confirmed this and confirmed that this training is on going. All new members of staff have a full induction programme and this is also linked to a national organisations common induction skills. Six employment folders for the staff were randomly sampled during the site visit. The staff folders confirmed that the home had in place all the necessary documentation to allow them to safely employ new members of staff. However four of the files sampled evidenced gaps in the employment histories of the staff members. One member of staff rectified the gaps during the visit. The manager stated that the gaps had been highlighted during an internal audit recently undertaken by the organisation and the process had been put in place to ensure that the gaps would be completed. The training records for the home were observed and confirmed that mandatory training takes place. Staff confirmed that they receive regular training and this included safeguarding adults, health and safety, manual handling and fire awareness. Specialist training is also available which included Dementia. A discussion with staff provided evidence that they were happy with the training they receive and felt that any training would benefit the residents ad their practises. In the AQAA, to demonstrate what the home does well the manager stated that the service has robust recruitment policies and procedures following legislative checks around CRBs and POVA firsts staff are undertaking Skills for Care /E. Learning which is monitored by the deputy manager. This was supported by the random review of staff files, which highlighted the robustness of the procedures in operation at Linwood. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The improvements to the management arrangements at the home should now ensure the staff team is now adequately supported and there are clear lines of managerial accountability. An effective quality assurance system has been developed. Evidence: The service has had two consecutive site visits by the commission, which resulted in Linwood being risked as a level of 1, implying the residents receive a poor quality service. This site visit has highlighted areas where improvements have been made since the previous visit by the commission on the February 2009, however these improvements must be consistent, measurable and sustainable and will be reviewed by the commission in the inspection year 2010/2011. The manager was in charge on the day of the inspection. The manager has not fully completed the process of registration with the commission but stated that this will be resolved by the end of August 2009. The manager has achieved her registered managers award NVQ level 4 is an internal verifier and an assessor for the NVQ, in Care Homes for Older People Page 23 of 27 Evidence: addition the manager hold investors in people and has a diploma in performance coaching. The manager has the support deputy managers in the home and regular visits from her line manager. The manager told us that she has an open door policy so that people using the service and relatives or representatives can speak to her at any time The manager stated that the home has a quality assurance system in place where the views of the people using the service and their representatives are sought every year. All responses are kept by the home and negative comments can then be acted upon. The results of the most recent survey carried during April 2009 was available at the home. A random sampled of four surveys was undertaken and the comments in them were all very positive with people very complimentary about the service provided at Linwood. The manager has developed a dialogue with the local GP surgery in a series of meetings to improve the relationship with the health professional and the service and to develop the health care of the residents. The operations manager for the home visits every month and these visits are called Regulation 26 visits. Records of these visits should be kept at the home, however only one completed record was available for inspection during this visit. A requirement has been made to ensure that all regulation 26 records are kept on site. The manager stated that the home does not manager the finances for any people using the service. Documents sampled demonstrated that the home has the necessary health and safety certificates in place. Fire alarms are tested regularly and fire awareness training takes place for all staff. Care Homes for Older People Page 24 of 27 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 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 33 24 The registered person must 10/08/2009 ensure that details of all regulation 26 visit are maintained and kept on site. To ensure that the home is effectively run in the interests of the residents and accurate records are always available. 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 2 7 26 The risk assessment log should contain uniformed information with more details if appropriate. It is recommended that the manager should review the cleaning schedule of the communal areas. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!