Inspection on 24/06/09 for Littlecoates House Care Home

This inspection was carried out on 24th June 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Littlecoates House Care Home 26/06/07

Littlecoates House Care Home 05/06/06

Littlecoates House Care Home 10/03/06

Littlecoates House Care Home 02/12/05

Littlecoates House Care Home 07/01/05

Littlecoates House Care Home 08/07/04

Littlecoates House Care Home 23/02/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

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Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

Key inspection report CARE HOMES FOR OLDER PEOPLE Littlecoates House Care Home Littlecoates Road Grimsby North East Lincs DN34 4NN Lead Inspector Rob Padwick Key Unannounced Inspection 24th June 2009 13:00 DS0000002792.V376201.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Littlecoates House Care Home Address Littlecoates Road Grimsby North East Lincs DN34 4NN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01472 343833 01472 354743 Littlecoates House Care Home Ltd Mrs Cherry Sykes Care Home 46 Category(ies) of Dementia (16), Old age, not falling within any registration, with number other category (46) of places Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories Old age, not falling within any other category - Code OP maximum number of places 46 2. Dementia - Code DE, maximum number of places 16 The maximum number of service users who can be accommodated is: 46 26th June 2007 Date of last inspection Brief Description of the Service: Littlecoates House is situated on the outskirts of Grimsby. It is close to local amenities including shops, post-office, doctor’s surgeries, chemist, golf club, public houses and Grimsby college. The accommodation for the people living in the home is provided over one storey. All entrances, fire exits, and inner doors are wide enough for wheelchair users and all of the bedrooms have en-suite facilities. Car parking is provided to the rear of the building, and there is a risk assessment covering the building and the grounds. The gardens are well kept and there is an enclosed patio area in the centre of the home. This has recently been developed to include an enclosed garden. Littlecoates House is registered for the care of Older People. This includes up to 16 placements for elderly service users with dementia related needs. The current fees for service range from £405 - £420. The management have also recently included a £5 a week top up fee for all residents except respite individuals. Records show this had been discussed previously in service user and carer meetings. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. The latest inspection report for the home is available Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 5 from the manager on request. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection report is based on information received by us since its last key inspection, which took place on 26th June 2007 and includes information gathered during a site visit to the home. As part of the inspection process, we send out a self assessment document that the Registered Person must complete and return to us. This helps us know how well the home is meeting regulations and National Minimum Standards and what has been done to improve it and what still needs to be done. The self assessment was completed by the manager and information from this used as part of the inspection process. Other information used included feedback from people living in the home and their relatives, Professional people who know the service well and official notifications sent to us by the home. This information helps us to reach judgments about the service provided. The site visit took place on 24th June 2009 and lasted for 7 hours. The provider was not told in advance when it would take place. The manager was available throughout the period of our site visit and as well as speaking to her, we talked staff who were on duty and people living in the home. We looked round the building, including the bedrooms and shared areas of the home and we inspected the records of peoples care, staff files, health and safety documents and other records kept by the service. What the service does well: Up to date information is available to help people make a decision about the service and assessments of their needs are carried out to ensure the home is able to meet them appropriately. The health and personal care of people living in the home is generally well met and a variety of activities are provided to enable people to make meaningful choices about their lives. The concerns of people living in the home are taken seriously by staff who trained to ensure they know how to safeguard them from potential harm and appropriate management systems are in place to support the running of the service. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 7 Feedback from people living in the home and their relatives was generally very positive and comments included that staff are Helpful and supportive and that Littlecoates is a lovely, friendly place welcoming all and that Nothing is too much trouble. What has improved since the last inspection? What they could do better: People living in the home must receive their medication as prescribed and accurate records of these must be kept to ensure they are safeguarded from potential harm. A record of all complaints made about the service must be kept to ensure the concerns of people living in the home can be properly followed up. Assessments about people living in the home should be accurately dated so that it is possible to tell when they were carried out and the competency of staff giving medication to them should be regularly checked to ensure they know how to do this safely. More activities should be developed to enable people using the service to experience a lifestyle that better meets their individual needs and wishes and people using the service should be further consulted about their meals to ensure their wishes and choices about these are met and that meal times are developed into more of a social occasion. Staff should be given further training to know how to operate laundry facilities and new staff should only be allowed to start working in the home with only a preliminary Protection of Vulnerable Adults (POVA) check in exceptional circumstances. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 8 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. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Up to date information is available to help people thinking about moving in to the home to make a decision about it and appropriate assessments of their needs takes place to ensure the service can meet them appropriately. EVIDENCE: Up to date information about the home was available to help people thinking about using the service to make an informed decision about it. The manager told us she visited people referred to the service to make sure the home would be able to meet their needs and the case files we inspected of people using the service contained assessments about them from both the Local Authority and manager of the service. An assessment for one of the people living in the home was not dated which made it difficult to check when Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 11 this was carried out and a recommendation is made about this, however feedback from relatives of people that had recently moved in was very positive and one told us I have found all the staff very helpful and supportive during difficult times for my husband and self. I was recommended the home by a friend.. She was always happy with the care and this is proving so for myself. They do seem to go that extra mile. The manager indicated the home does not admit people for intermediate care. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst the health and personal care needs of people living in the home are generally well met, better recording of medication given is needed to safeguard them from potential harm. EVIDENCE: People living in the home indicated they were generally happy with the way their health and personal care needs were met and this was confirmed in comments received from their relatives. One told us the service Takes great care of (my) mother and assists her with personal hygiene and monitors her throughout the day, making sure she eats well and is kept warm Whist another told us The service is excellent …she has got so much better since she has been in the home and is very comfortable and relaxed there. The case files belonging to people living in the home contained details about the management of known risks together with individual plans of support developed for a range of their assessed needs and information on how staff Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 13 should assist them with these to ensure individual wishes and feelings are respected. Whilst some of the support plans were developed to a better standard than others, we saw evidence they were being regularly reviewed and that a senior manager checked them to ensure they are accurate and kept up to date. People living in the home indicated they were involved in decisions about their support and this was confirmed by relatives who stated Staff are very friendly and nothing is too much trouble. They contact the GP when needed and contact the family. They all do a fantastic job. We observed staff interacting positively with people using the service to ensure personal wishes for privacy could be maintained and their dignity was respected. Information about the health conditions of people using the service were contained in their case files inspected, together with regular monitoring and liaison about these with professionals in the community and there was evidence staff had received training on a range of medical conditions to ensure they had skills needed to do their jobs. Policies and procedures are available to help staff in giving medication safely to people living in the home and we made a requirement about this the last time we visited. We saw evidence of training for those responsible for this but despite regular management checks more action was still needed. We saw evidence that although medication records were being generally well maintained, an antibiotic had not been recorded and given as prescribed and a subsequent check showed a capsule was left when the course should have been completed. Some ointments and creams had also not been properly recorded. A requirement and recommendation is made about this as this places people using the service at risk from potential harm. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst people using the service are provided with a variety of activities to ensure they can make choices about their lives, further development of the meals provided would enable their personal wishes and preferences about these to be better met. EVIDENCE: Information provided in the self assessment indicated two activity organisers are employed and we saw evidence people using the service are provided with a range of opportunities to ensure they can experience a lifestyle that meets their wishes and feelings. We observed staff interacting well with people living in the home and an activity worker told us she was doing a course on dementia to enable her to learn more about this and provide specialist activities for those with memory impairments and who are confused. We saw evidence of regular arts and crafts, exercise, entertainments, trips out and gardening sessions and were told about a fete recently held that had raised funds for the home. On the day of our visit, one person not able to get out much had been supported Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 15 to go into town, however activity records showed there was still room for further development as some people had experienced limited opportunities for this. A recommendation is made about this. The home has its own transport to help people get out in the community and we saw evidence they are encouraged to maintain friendship links and observed a number of relatives visiting throughout the period of our visit. The last time we visited we made requirements and recommendations about food served to people living in the home and we saw evidence of action taken to implement these. The people running the home had recently introduced new menus to improve the standard of nutrition available, with fresh items and individually prepared items, however there was evidence these were taking some time to settle in with difficulties concerning their preparation and ordering of food. The case files belonging to people living in the home contained evidence that aspects of nutrition were being appropriately monitored although feedback from people using the service and their relatives was somewhat mixed. The Local Authority had recently given a two star food hygiene rating for the home and we saw evidence of action taken to carry out the recommendations made by them. A recommendation is made that people living in the home are consulted about meals provided to them in order to ensure their wishes and choices about these are met and that meal times are developed into more of a social event. . Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The concerns of people living in the home are taken seriously and training provided to ensure staff know how to safeguard them from harm. EVIDENCE: Comments form people living in the home and their relatives were generally very positive. The people running the home had developed the complaints policy and procedure since the last time we visited, with improved timescales to ensure any concerns made about the home are appropriately dealt with. The self assessment for the service showed one complaint had been made and followed up, although we were unable to find the complaints log, as a senior manager had taken this away to deal with another one recently made. A requirement is made about this. We saw evidence staff had received training about the protection of vulnerable adults to ensure they know how to safeguard them from potential harm and those we spoke to indicated they would take appropriate action about this. Their was evidence the manager had taken appropriate action to dismiss a member of staff following a safeguarding allegation and the records of finances belonging to people living in the home were being appropriately maintained and checks made to ensure staff are safe to work in the home. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 17 Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Whilst the environment provided for people living in the home is generally of an acceptable standard, some further improvements to its general upkeep would enhance the opportunities for their wellbeing to be further enhanced. EVIDENCE: The building is built on one level and was purpose built and provides good access throughout for those with limited mobility. There is a separate unit for people with dementia and difficulties concerning the management of their behaviour. On the day of our visit the home was clean and tidy and although parts of the building were showing some signs of wear and tear and in need of a general upgrade, we saw evidence of a programme of maintenance and regular checks to ensure people living in the home are kept safe from potential Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 19 harm. Appropriate aids and adaptations are available to maximise independence and the bedrooms we inspected had been personalised to reflect individual tastes. Disinfectant hand washing facilities have been installed to reduce risk of contamination and we saw evidence of training on infection control to ensure staff have the right skills. People using the service told us they liked living in the home and a relative commented her mother was Very comfortable and relaxed there with another stating the home Provides a comfortable and safe home for my father. We received some negative comments concerning the management of the laundry facilities and although this was neat and organised on the day of our visit one relative told us clothes sometimes get ruined or disappear. We saw evidence of this on the day of our visit. A recommendation is made about this. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by staff who are trained to meet their needs and whilst recruitment procedures are generally satisfactory, further strengthening of these would they are ensure they are better protected from potential harm. EVIDENCE: Comments received from people using the service and their relatives continue to show generally high levels of satisfaction with the home. Some people told us Littlecoates is a lovely, friendly place, welcoming to all whilst others told us The service is very good and the carers are very nice and friendly and others stated Staff are very friendly, nothing is too much trouble. From the management to the carers they show true dedication and truly care about the residents. We observed staffing levels appropriate for meeting the needs of people living in the home, although as previously noted (see Daily Life and Social Activities) there was still room for further improvement to ensure people receive one to one activities where these are needed. Staff we spoke to were confident and committed to their work and confirmed they received a variety of training to help them to do their jobs. Staff files contained evidence of a range of mandatory and specialist training, together with individual training plans, skills appraisals and regular supervisions to enable their career Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 21 development. On the day of our visit a well attended training was taking place on infection control we observed staff taking a close interest in this with sensitive and friendly interactions between them and people living in the home. The service has recruitment policies in place to ensure staff are safe to work with people living in the home and we saw evidence these were being generally followed. However, the files of two newly recruited staff we inspected, whilst containing evidence of Protection of Vulnerable Adult checks, showed evidence they had started working before full Criminal Records Bureau checks had been received. The manager was reminded that whist these staff had been closely supervised, this situation should only be allowed to take place in exceptional circumstances. A recommendation is made about this. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate management systems are in place to support the running of the service, however further development of these would enable the manager to better support the health, safety and welfare of people using the service. EVIDENCE: Since the last time we visited the service the manager had been registered to manage the home and the service taken over by a new owner. The manager is appropriately qualified and supported by a deputy and administrator, who both have qualifications to manage a care home. Staff told us they liked working for the service and that the manager took an open and listening approach and there was evidence of ongoing training and supervision of them to ensure they Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 23 can do there jobs. Comments received as part of the inspection process were generally very positive and praised the caring nature of the staff and management. One relative told us It is very well run with very nice caring staff whilst another stated Both the manager and her deputy do more than expected to provide dad with all his needs. There was evidence of regular management checks to ensure the service can monitor its progress in meeting its aims and objectives, together with consultation with people using the service and their relatives to ensure they can contribute their views. Some actions from recent surveys however, still needed to be further developed and there was some evidence the manager would benefit from further support to provide clear leadership and direction and some information was at times hard to find. Whilst the self assessment for the service was completed and appropriately returned, there were some areas where more supporting evidence would have been useful to illustrate how it is planning to improve. We saw evidence of regular checks of the building and equipment to ensure the health and safety of people using the service can be promoted and protected and the records of monies belonging to people using the service were being appropriately maintained. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9OP9 Regulation 13(2) Requirement The responsible person must make sure accurate records of medication are kept and that people living in the home receive these as prescribed. This is to ensure they are safeguarded from potential harm. The Registered Person must ensure a record of all complaints made about the service is available to ensure the concerns of people living in the home can be followed up and their interests are safeguarded. Timescale for action 25/06/09 2. OP16OP16 17 (2) 11 25/08/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP3OP3 Good Practice Recommendations The Registered Person should ensure that assessments of people living in the home are accurately dated to ensure it DS0000002792.V376201.R01.S.doc Version 5.2 Page 26 Littlecoates House Care Home 2 OP9OP9 3 OP12OP12 4 OP15OP15 5 6 OP26OP26 OP29OP29 is possible to tell when they are carried out. The Registered Person should ensure the competency of staff administering medication is regularly checked to ensure people using the service are safeguarded from potential harm. The Registered Person should continue to develop appropriate activities to ensure people using the service can experience a lifestyle that meets their individual needs and wishes. The Registered Person should further develop and consult with people living in the home about food provided. This is to ensure their wishes and choices about meals provided are met and that meal times are developed into more of a social event. The Registered Person should take further action to ensure staff know how to operate the laundry facilities. The Registered Person should ensure new staff are only allowed to start working in the home with only a preliminary Protection of Vulnerable Adults (POVA) check in exceptional circumstances and that the Care Quality Commission is formally notified of such occasions. Littlecoates House Care Home DS0000002792.V376201.R01.S.doc Version 5.2 Page 27 Care Quality Commission North Eastern Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.northeastern@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). 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