Inspection on 09/12/09 for Magnolia Lodge

This inspection was carried out on 9th December 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

Magnolia Lodge 25/02/09

Magnolia Lodge 28/04/08

Magnolia Lodge 25/04/07

Magnolia Lodge 05/10/06

Magnolia Lodge 30/11/05

Magnolia Lodge 15/12/04

Magnolia Lodge 16/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Magnolia Lodge Herbert Road Chelston Torquay Devon TQ2 6RP The quality rating for this care home is: two star good 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: Stella Lindsay Date: 1 1 1 2 2 0 0 9 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 © (2010) 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 Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Magnolia Lodge Herbert Road Chelston Torquay Devon TQ2 6RP 01803605348 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : magnolia@hotmail.co.uk Rotel Ltd care home 11 Number of places (if applicable): Under 65 Over 65 11 11 learning disability Additional conditions: Date of last inspection 0 3 0 3 2 0 0 9 A bit about the care home Magnolia Lodge is a care home for up to eleven adults with Learning Disabilities. This large detached house is in a residential area of Torquay, close to the railway station, bus routes, and the Riviera Centre. There is car parking space at the front of the house, and gardens to the back. There is level access to the house, through a sun lounge. The lounge, dining room, kitchen office and laundry are on the ground floor, as well as bedrooms, each with an Care Homes for Adults (18-65 years) Page 4 of 30 en suite toilet and shower or bath. There is an accessible shower, for communal use. Stairs lead down to a flat on the lower ground floor, occupied by one resident. There is a staff bedroom on a mezzanine floor, and six further bedrooms and a bathroom on the first floor. Current fees range from 425 to 998 pounds per week, and transport is provided in the homes minibus at 40 pence per mile, divided by the number of passengers. Taxis are paid for by the resident if the minibus is not available, but Rotel pay for transport to essential appointments. Information about the service is available in the lounge. The previous inspection report may be obtained from the office on request. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We visited Magnolia Lodge on Wednesday 9th December. Because most residents were out, we visited again on Friday 11th December. We met all the residents, the manager, and three other people who work at Magnolia Lodge. What the care home does well What has got better from the last inspection The house is looking lovely with new carpets and curtains, some new table and chairs. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stella Lindsay Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Magnolia Lodge has shown good practice in consulting with clients, representatives, and health and social care professionals when considering whether the home can meet the needs of prospective service users, but had not remained within the limits of its registration with the Care Quality Commission. Evidence: Magnolia Lodge has produced a statement of purpose that is up to date and accurate, including staffing arrangements and training. Rotel has a website with information and photos of its services. Magnolia Lodge has a thorough procedure for assessing the needs of prospective service users, and arranges a programme of visits to suit the individual. One resident had been admitted since the previous inspection. Risk assessments were carried out, and staffing provided accordingly. Current residents were consulted individually, as the person was unable to visit. Environmental adjustments were made in preparation. Social workers have told us that they appreciate Rotels preparedness to accept clients who may pose challenges. However, this had led to this home accepting a client for Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: whom they were not registered. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning was thorough, but had not always been done in consultation with the resident. Residents were being well supported to make decisions and act independently, within a risk assessment framework. Evidence: Each resident had a care plan. We examined a sample of three, and found that they were comprehensive and had been checked monthly by staff in the home. The Manager told us of their plans to consult with the residents and produce care plans in a person centred way, using pictures to help people understand and engage in the process. Residents each had a key worker, who spent time with them regularly, and recorded their key worker chats. This was to give each an opportunity to consider their care needs, activities, and and concerns they might have. Monthly meetings had been instigated, which included planning for each resident and agreement on who would take any necessary action. An Independent Mental Capacity Advisor (IMCA) had been obtained to help a resident make a decision about medical treatment. We saw that staff were enabling residents to Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: act independently where they wished to, and were respecting their privacy. Residents had been supported to manage their own money with as much independence as was safe, according to individual assessment. One was accompanied to the bank to draw their money weekly, which they then could manage independently. Another could draw their own money but were supported to pay their bills. People had been taken to essential appointments in the homes vehicle, or Rotel paid for taxis if this was not available. We checked the personal cash accounts that were held in the office for safekeeping, and found that residents, and found that the records were accurate, up to date, and that people were paying only for their own personal requisites. Risk assessments had been written in respect of each resident, to advise staff on how to support them, to recognise triggers for disturbed behaviour, and advise on good practice in working with the residents. The risk assessments were discussed monthly by staff in their meetings, so that ideas were shared. One shift worker had an accredited qualification in risk assessment. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 were enjoying a good range of activities. Staff supported residents relationships with family and friends. Residents were well fed, but could be more involved in planning, shopping and cooking their meals. Evidence: When we arrived at the start of this unannounced inspection, only one resident was at home, and they went out later that morning, with their individual carer. Two residents were on holiday in Paris Disneyland, with a staff member, one was at the day care centre that they attend five days per week, and three were at Rotels day facility, Focus 2000. Staff and residents were pleased with the new direction taken by their day care provision, and were taking a lead from it. Personal programmes for their activities had been drawn up in pictorial form, and the staff were planning activities in line with residents individual interests. One resident had previously said they were retired, but now quite often said they would be going to work today. We saw that residents had enjoyed making jewellery and Christmas cards at Focus 2000, and two other residents told us they had been Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: working in the second hand shop there. In the home, Pampering sessions had been introduced and were proving very popular. A qualified masseuse has been visiting regularly. One resident smiled broadly as they told me about their foot massage, while others choose shoulder massage. The pampering session also included manicures. Residents had also enjoyed bingo at home, some arts and crafts, karaoke, and a Wii game machine was used for sports and fitness. A staff member had recently attended training for Activity Organisers, and had plans to develop the range of activities enjoyed at home. Residents had expressed interest in baking, and some would like to be more involved in shopping and cooking the regular meals. One resident had a vegetable patch in the garden, and also brought home produce from their workplace. Residents had attended discos and local pubs, sometime together, when they would join to share the cost of a taxi. Some residents were able to use buses independently. The home had a vehicle available for residents use, but not always a driver. One resident was due to visit their family during the course of this inspection, and was supported to phone them regularly. One had a relative who visited from a distance, and was able to stay at Magnolia Lodge. If any resident is home at lunch time a snack will be prepared for them. The main meal is served around 5.30pm, prepared by staff in the afternoon. Food shopping has been done on-line. Menus were being produced using photos to encourage discussion. One resident needed a low sugar diet to maintain good health and had not yet found dishes that made them happy. Residents had helped in the kitchen. A perching stool had been provided to enable one to use the worktop. This involvement could be further developed, as residents were expressing interest in the type of food provided, and in shopping and preparing meals. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Residents health was promoted by the staffs good practice in supporting them to access health care, and careful monitoring of their medication. Evidence: Residents were supported to maintain their personal hygiene, and their appearance according to their own preference. We examined the record of one of the more dependent residents, and found that details of personal care were clearly recorded, so that staff would know how the person liked to be supported. Each resident had a health plan. We examined two, and saw records of recent consultations with consultants, nurses and other health care professionals including chiropodists and dentists. One resident had been supported through recent health care procedures. They had met with the Liaison Nurse at the hospital before the procedure, and been supported in their decision making, and to keep to liquids only when necessary. The health care plans included information about any medication being taken by the resident, including what they were for, and any side effects. This was to enable staff to understand, and explain to the resident when appropriate, the reason for taking them, Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: and to understand the effects. One residents record showed that they had refused some medication regularly. They had been for a consultation with their GP, and their social worker had been advised, as this might have had an effect on their placement as well as their health and well being. Medicines were stored in secure cabinets. The wall fixtures had been upgraded in accordance with advice from the CQC pharmacist. The Manager had improved the recording of medication, so that she could account for all medication in the home. The stock was audited monthly, with the drugs received, those returned to the pharmacy, and the balance, all checked and recorded. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Residents are protected by sound policies and procedures, and by the staffs understanding of their issues. Evidence: Magnolia Lodge had a Residents Guide which included clear and concise information about what to if they wanted to complain about something. The complaints procedure had been produced for each resident with a photo of who they should speak to, and residents told us they knew who they would speak to if they were unhappy. They each had a member of staff allocated to be their key worker, and spend time individually with them. During these sessions they would the opportunity to discuss any concern or anxiety. Some residents had regular and frequent discussions with their care manager. The Manager told us they had not received a formal complaint since the last inspection. One had recently been received by the CQC, which had been passed to the Manager to investigate and report on. Staff had all attended training on the Protection of Vulnerable Adults, and since the last inspection training had been provided on Conflict Resolution, and Breakaway techniques, to help them be prepared for incidents. They had discussed risk assessments as a staff team, to share ideas and understanding of residents triggers to disturbed behaviour, and effective ways to respond. Information about the Independent Mental Capacity Advocacy service was displayed on the office wall, along with contact details for staff to use if it was thought that a resident Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: might need this service, which had been invoked for one resident, when decisions about medical treatment had been needed. Care Homes for Adults (18-65 years) Page 20 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. Magnolia Lodge offers a clean, comfortable, well presented home for the residents. Evidence: The house was looking bright and comfortable. There had been recent redecoration and new carpet laid through the hallway, stairs and corridor, the lounge, and some bedrooms. New curtains were being provided to the long windows in the lounge and dining room. The Manager said that residents had been consulted about the colour scheme. New dining tables and chairs had been provided, and residents told us they liked them. Staff told us that they inform Rotel directors of any maintenance problem or necessary repair, and action is taken in good time. The driveway had been resurfaced, and a volunteer from a different care home was helping keep the garden neat. Each resident had their own bedroom with their en suite facilities. A new accessible shower had been built since the last inspection, as there had been residents who had unable to get into their en suite shower. Now, everyone was able to bathe. We saw that bedrooms were decorated and arranged to suit the resident, and people had equipment to aid mobility as appropriate. There is a bath in the upstairs bathroom, so residents have choice of bath or shower. However, this bath has damaged enamel, which is potentially hazardous, and residents personal toiletries had been left on the side of the bath, which also pose a potential risk Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: to residents. The Manager told us of the refurbishment work that they have planned. The priority was two residents private bathing facilities. Bedrooms had suitable locks, with keys provided. People could leave through the front door without a key, and residents had keys to return according to assessed ability. Call bells were not generally needed, as residents would call for help, but one resident was living in a flat from where they could not call for assistance. Consideration should be given to a way for them to summon help in an emergency. The house was warm and bright throughout this winter visit. The Manager told us that heating is available through the night, if required. The laundry was in reasonable order. A new boiler had been installed, and the wall still needed to be repaired and decorated. Some residents were supported to do their own laundry. The house was clean and sweet smelling, apart from one private toilet, which was brought to the attention of the Manager who told us that the occupant had a particular health problem. No cleaner is currently employed. Due to current low occupancy, care staff have time during the day to deal with this work. Care Homes for Adults (18-65 years) Page 22 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 were supported by a consistent team of staff who knew them well. The recruitment process was sound, and residents were involved. Management support was in place to enable the staff to fulfill their roles. Evidence: We saw that there were enough staff available for the people currently living at Magnolia Lodge. Staff had been appointed to provide 1;1 care for one resident, who was due to move to their own independent home shortly after this inspection. Other staffing had been reduced - there was no cleaner or extra staff member at weekends to enable residents to go on outings. There were two care staff on duty at any time, plus the Manager, and between them they were able to meet residents needs within the home, and generally enable them to get to places they needed or wanted to go. Staff confirmed that they had time to give residents individual attention. The Manager who is also a director of the company told us she would monitor the provision of staffing, and make different arrangements on the admission of further service users. We looked at the records of the staff member who had been recruited since the last inspection. We found that all the checks needed to protect residents from potential harm had been carried out, and the documents required to be kept in the home were available for inspection. One of the residents had joined in the recruitment and asked questions at interview. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Staff confirmed that they had come to Magnolia Lodge before starting their employment to go through some of the policies, and learn about the residents and their individual needs. Induction and foundation training was provided. Other staff had received training in particular needs of residents, including epilepsy and autism. A Manager from another Rotel service was providing sessions on Communication skills. One shift worker had achieved a qualification in risk assessment. Training in the safe administration of medication, and in safeguarding vulnerable adults had been provided, as well as breakaway training and conflict resolution, already referred to in an earlier section. Knowledge based training had been provided in Moving and Handling, which should be completed with practical training. Some staff had expressed interest in receiving training in mental health, and the Manager told us she was in consultation with the local Mental health team to source suitable training. The Manager had started provision of individual staff supervision and appraisal, with records kept. Staff confirmed that the combination of attention from the directors, individual supervision, and the new monthly meetings all contributed to good morale and positive team working. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 Manager is providing good support for the staff team and is working to improve the service and promote the residents good quality of life. Safe working practices are in place, and systems are audited regularly. Evidence: The Responsible Individual for the company has been Iona Fusco, one of the directors of Rotel. She has recently taken on full time management of the service, and is in the process of applying to register with the CQC. She has been involved with this family-run service for many years. She has a diploma in Advanced Management from Plymouth University and a Nursery Nurses diploma. She has been working towards NVQ 4 in Care, and told us that she proposes to achieve the Leadership and Management qualification as a priority. The Operations Manager for the company had agreed to carry out the monthly inspections on behalf of the company, in accordance with regulation 26. These are to interview people who work and people who live at the home to check the quality of care provided, as well as checking systems in place and environmental requirements. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: A Monthly Core meeting had been introduced to improve communication between the staff and the Manager and to help them work effectively as a team. Staff told us they felt this was an important step forward, although only one meeting had so far taken place. The home has ways of gathering feedback from residents and other interested parties, and has regular audits of care plans, medication, and the environment. Policies and procedures had been reviewed, and staff kept informed. Management had yet to produce a development plan, based on a cycle of feedback, planning, action and review, reflecting aims and outcomes for residents. Various plans were mentioned to us. It would be good practice for management to produce their plan for the service, so that it could be shared with residents and other interested people, and achievements recognised. We looked at the fire records, and found that training in fire safety had been provided, and fire drills held monthly, with residents responses recorded. The extinguishers and the fire precaution system had been serviced professionally. Staff had received training in First Aid, but some were found to be needing updates. The Manager should ensure that there is a qualified first aider on duty at all times. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 6 17 The plans to develop person centred plans should be implemented fully in consultation with the residents. The home should enable residents to be more involved in menu planning, shopping for food, and preparing their meals. This is to promote their understanding of choices and feeling of control over their own life, and because some residents have expressed an interest. Good standards of safety and hygiene should be maintained in the upstairs bathroom. A method of communication should be provided for the occupant of the flat so that they can call for help in an emergency. Practical training in Moving and handling should be provided. A development plan should be produced for Magnolia 3 4 27 29 5 6 35 39 Care Homes for Adults (18-65 years) Page 28 of 30 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 Lodge, to inform residents and other interested people, and show when action has been taken, to improve outcomes for service users. 7 42 The Manager should monitor the staffs first aid training, to ensure that they are kept up to date, in order that they will respond appropriately and protect residents in an emergency. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 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 © (2010) 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 Adults (18-65 years) Page 30 of 30 - 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!