Inspection on 02/09/09 for Moorlands Care Home

This inspection was carried out on 2nd September 2009.

CQC has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC judgement.

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

Moorlands Care Home 16/09/08

Moorlands Care Home 11/04/08

Moorlands Care Home 24/10/07

Moorlands Care Home 11/08/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE Moorlands Care Home 104 Church Lane Brinsley Nottinghamshire NG16 5AB Lead Inspector Mary O`Loughlin Key Unannounced Inspection 2nd September 2009 10:18 DS0000065350.V377460.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. Moorlands Care Home DS0000065350.V377460.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 Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorlands Care Home Address 104 Church Lane Brinsley Nottinghamshire NG16 5AB 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) 01773 781381 managermoorlands@regalcarehomes.com www.regalhomes.com Regal Care Homes Ltd Manager post vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40) of places Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Regal Care Homes Limited is registered to provide personal care with nursing for service users of both sexes at Moorlands Care Home whose primary needs fall within the following categories :Old Age, not falling in any other category (OP) 10 2. 3. Dementia, over 65 years DE(E) 10 No one under the age of 65 years may be admitted to Moorlands Care Home The maximum number of service users to be accommodated at Moorlands Care Home is 40 16th September 2008 Date of last inspection Brief Description of the Service: Moorlands is a care home providing personal and nursing care for 40 older people and up to 10 people with Dementia. The home is run by a company called Regal Care based in Kent, who purchased the home in August 2005. The home is located in the village of Brinsley close to shops, pubs, the post office and other amenities. The home was opened in 1986 and consists of an extended domestic dwelling. 32 of the home’s bedrooms are single, and all of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger and stair lift. The home has a large well-laid garden that is well maintained and easily accessible. There is car parking available for 20 cars Fees: £345 - £383 dependent on the individual’s needs assessment and funding arrangements. A copy of the most recent inspection report is made available with the homes statement of purpose. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star which means that people who use this service receive adequate outcomes. This report has been written using accumulated evidence gathered before and during the inspection, this included the following, The Annual Quality Assurance Assessment (AQAA), issued by the Care Quality Commission (CQC) was returned completed by the acting manager. This self-assessment gives providers the opportunity to inform us about their service and how well they are performing. We looked at the Fire Officers report of 29/06/09, the Environmental Health officer’s report of 21/07/09 and Nottingham County Council quality audit report of 10/06/09. We spoke with a service manager from Nottinghamshire County Primary Care Team about any information they had in relation to the health care of people at the home. We looked at the complaints we had received about the service and any safeguarding investigations that have been reported to us since our last inspection. We (CQC) also assessed the outcomes for the people living at the home against the Key Lines of Regulatory Assessment (KLORA). During the inspection we looked at the records of 3 people and used a method we call case tracking that examines the way people are supported with their needs at the home. We spoke to key staff involved in peoples care and spoke to the people receiving the service and their relatives, visiting them in their private rooms and viewing the facilities and services available to them. Only 1 of the 3 people we case tracked was able to comment on their care. Other issues such as the management of the home and health and safety were looked at to form an opinion of how the home is run. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 6 What the service does well: Before people are admitted to the home they are given lots of information about the facilities and services available to help them decide if the home is suitable. They are properly assessed before admission is agreed to make sure that their needs can be met by the skills and competencies of the staff team. They can be assured that there is always a trained Nurse on duty and that their health needs are assessed regularly. There are some activities available that people can participate in and religious services are held within the home for anyone unable to travel to church. People are able to raise concerns and have them addressed in a timely fashion. The staff are properly recruited to make sure they are suitable to work with vulnerable people. The home is clean and warm and people have their own room in which they can keep their personal things and make them homely. There is access for people who need a wheelchair and there are aids and equipment to help people who are not mobile. What has improved since the last inspection? What they could do better: The acting manager must ensure that there are improvements in the way people are consulted, making sure that when care plans are drawn up or reviewed that the resident or their representative agree to the plans and are happy with the way they are working. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 7 The acting manager must make safer arrangements to make sure that the care delivery is more consistent and reliable to maintain the health and safety of people living at the home. The storage of medicines must be improved to make sure that they are kept at the recommended storage temperature to prevent them from degrading and that people who are able to self medicate are properly risk assessed and reviewed. The acting manager must ensure that she uses the information on the training analysis to fully plan and resource the required training updates for the staff team. Where trained staff are providing First Aid their records must show that their competency has been considered so they can undertake this role safely and effectively. 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. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 8 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 Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 9 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): 1-3-6 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. People who want to live at the home have the information they need to make an informed decision before moving in. They are not admitted unless their needs have been assessed and they have been assured these can be met. Intermediate care is not provided by the home EVIDENCE: The acting manager told us in the AQAA that anyone enquiring about admission to the home can be provided with information on the facilities and services they offer within a statement of purpose and service user guide, this is also available in an easy read format if needed. We obtained copies of these documents and saw that they have been updated to give people a clear idea of Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 10 what the service provides including the services for people suffering with Dementia. We looked at the records of the most recent person admitted to the home and we spoke with the person’s advocate about their experience of the admission process. We found that the acting manager had ensured she obtained information about the person before she agreed that they could provide care for them, she then undertook her own assessment of the person’s needs and spoke with the advocate, who was acting in the best interests of the person, about the personal preferences of the prospective resident. The records showed that all the information received about the prospective resident had been used to develop a care plan that reflected the wishes of the person in how they were to be cared for. The plan provided care staff with information about how to support the person and ensure that health and personal care was delivered safely and in accordance with their wishes. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 11 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): 7-8-9-10 People using the 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 delivery of personal care is not always consistent with the care planned and medication systems do not always follow safe practice. EVIDENCE: We case tracked 3 people living at the home, in each case we found that they had a comprehensive care plan in place that provided the basis on which care was to be delivered. The plans contained reference to the person’s capacity to consent to their care which ensures their rights and choices are protected. In all three care plans we saw good practice in ensuring that people were regularly assessed for any health risks, these included pressure sore risks, nutritional and falls risks and showed that when problems were identified appropriate actions were considered to control or eliminate the risk to the person. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 12 We saw that for 2 of the 3 people we case tracked the delivery of care was not fully consistent with their care plans. One person was given the wrong diet. Relatives of a second person told us that the appropriate hoist was not being used. In both cases the manager took immediate action to ensure that they received the appropriate support to maintain their health and welfare. We saw evidence within one care plan review that the relative felt staff did not communicate changes to her as she would have wished, we spoke to four relatives, two of which who also said communication was poor. When we looked at the homes recent quality assurance survey results these reflected that staff and external professionals involved in the home thought communication needed to improve. The acting manager told us she recognises that communication needs to improve and is developing written daily records for staff and improved procedures to ensure the shortfalls are addressed. The review of care plans did not identify who had been involved, or whether the resident or their advocate had been part of the review, and did not identify if the plans were working well or if anything needed to change. Only one of the three people we case tracked was able to give us their views on the care they were receiving, this person said that she was very happy with how staff looked after her, she found that they were always helpful and kind when delivering her care. The relatives of the two people who could not communicate their views were spoken with. One relative said she was pleased with her relatives progress and found staff were helpful. The other person told us that they were not fully informed of what was happening. We looked at how medicines were being managed and found that medication systems do not always follow good practice or safe practice. There has been a lot of work done to ensure all medicines are properly audited and that people receive their medicines as prescribed but we found that there was evidence of one person administering their own medication without a risk assessment for this. The storage room temperature records showed that it was too hot to ensure medicines did not degrade. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 13 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): 12-13-14-15 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. People using the service can expect to have regular contact with their family and the community and they will receive a well balanced diet and adequate hydration to maintain their wellbeing. EVIDENCE: Since our last inspection the provision of activities for people has become more organised. We found that there are now 2 people responsible for organising activities within the home on a job share basis. The acting manager told us in the AQAA how each person now has a social care plan that is created from an initial assessment when people are admitted to the home. The staff obtain information on the cultural, social and religious needs of each person and ask them about their hobbies and interests, trying to match suitable activities for them. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 14 We spoke to the activities worker who told us how she spends time with people each day doing different activities and also visits people who are unable to leave their own rooms. We saw the records of each person’s activities showing that there are opportunities for people to participate in different activities and enjoy social events such as visiting entertainers and summer fairs. A resident who chooses not to use the communal areas told us that the activities worker visits her and chats to her regularly. She told us how she is able to receive visitors regularly and is able to contact her family by using her private telephone. We looked at the home’s quality survey results of June 2009 and saw how residents and relatives had made suggestions to improve the menu choices which the acting manager had addressed. We saw the report from an inspection undertaken by the Environmental Health Officers in July 2009 which said that ‘In general, things were found to be satisfactory in the kitchen and storage areas’ We saw how staff complete records of meals and drinks for people who are at nutritional risk to make sure they are receiving appropriate nutrition and hydration. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 15 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): 16-18 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. People who use this service have opportunities to raise concerns and these are taken seriously and acted upon. EVIDENCE: People in the home and their visitors have access to a robust complaint procedure that is displayed in the home. When people visit the home they can also make comments within a record book that the acting manager told us she uses to address any required improvements in the services provided at the home. There are quality surveys each year which we saw, and the findings of these surveys are displayed showing the actions taken to address any suggestions for improvement. There is a committee of relatives that meet regularly to inform any required improvements to the homes facilities and services. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 16 The acting manager has worked hard ensuring that all 20 complaints that have been received in the last year have been appropriately addressed and recorded within the required timescale. The staff at the home are trained to recognise and respond to any allegation of abuse and there are suitable policies and procedures available to safeguard people who are vulnerable. The staff training records also show that 10 of 25 staff have so far received training in how to manage challenging behaviour which will ensure they know how to respond appropriately and safeguard people who may be verbally or physically aggressive. The Commission has received one complaint that was referred to the provider to investigate using their complaints procedure. The provider responded within the timescale and the complaint was not upheld. The Nottingham County Social Services investigated a concern they received about the home in regard to people not receiving adequate fluids when they were in their bedrooms. This was investigated under the safeguarding of adults procedures and following a visit to the home on 06/07/09 by a social worker they reported to us that the acting manager was already addressing these concerns and no risks were evident during the visit. The allegation was not upheld. Nottingham County Council undertook a quality audit visit to the home on 10th June 2009, from the information they provided us with and from our findings at this inspection we know that the acting manager is aware of the need to ensure that all staff are up to date with training in how to safeguard adults. We saw evidence that 20 of 25 staff have already completed training in this area and the acting manager reports that further staff training is planned for the shortfalls. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 17 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): 19-26 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. The home is suitable for its stated purpose, is clean and well maintained. EVIDENCE: The acting manager told us in the AQAA that there is a full time person employed to undertake all maintenance work at the home to make sure all minor repairs and decoration are maintained. The acting manager tells us that environmental audits are carried out three times a year and the results of these audits are used to make required improvements. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 18 We looked at the main communal areas and saw that the carpets have now been replaced with laminate flooring making this area easier to keep clean and prevent odour. Individual accommodation viewed showed that they were clean and hygienic. There were plenty of call bells available for people to use if they needed assistance and those tested were in working order. The AQAA also told us that the home has a suitable infection control policy in place to reduce any risks to people from infection. The staff training records showed that 15 of 25 staff have received training in the control of infection. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 19 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): 27-28-29-30 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. There is a robust recruitment procedure in place and a training programme that ensures people are in safe hands. EVIDENCE: When we viewed three staff files we saw that the acting manager is ensuring that a robust recruitment procedure is carried out that includes obtaining criminal record checks to make sure that the person is suitable to work with vulnerable people before they start work. The quality audit undertaken by Nottingham County Council on 10th June 2009 found that the records of induction training did not reflect recognised common induction standards but the acting manager said that these standards were now being adopted by the home, this will ensure that there is a minimum learning outcome which will make sure staff are able to work safely and effectively. The acting manager told us that all new care staff complete a three day induction where they are mentored by a senior staff member. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 20 The records of the numbers of staff trained to a minimum of National Vocational Level 2 were seen and this showed that 10 people out of 25 have completed the training, however a further 6 staff are currently working towards this qualification which will ensure appropriate minimum standards are achieved. The training records also indicated that 15 of 25 staff had been trained in Dementia care which will ensure that the staff have the skills to manage people with this type of illness. We talked to the acting manager about staffing levels and she confirmed that the number of staff is determined by the level of dependency needs of each resident. These calculations are made every week and submitted to the head office of the company where they are used to calculate the exact number of staff needed. Our inspection found that people felt their needs were being met but there were comments such as ‘there needs to be more domestic staff’ ‘there are times when the lounge is unattended’ We discussed the staffing levels and delegation of staff at peak times of activity with the manager, she told us she is looking at ways to improve how busy periods can be managed to ensure that people are safely supported at all times, particularly at mealtimes. She also recognises the importance of having a well trained staff team and is working towards ensuring there are no gaps with staff accessing required refresher training. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 21 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): 31-33-35-38 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. The acting manager is developing the service provided to people to ensure that the home is run and managed safely and in their best interests. EVIDENCE: The present acting manager has been in employment for 3 months. She is not yet registered with the Commission but told us this was being addressed. The acting manager is not a trained nurse. The present deputy manager is the clinical nurse lead for the service and is responsible for the clinical aspects of the care home. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 22 The acting manager completed the AQAA which contained clear and relevant information which gave us a good idea of the improvements that are planned in the coming year. We spoke to relatives, residents and staff about the management arrangements, everyone said that they felt the acting manager was making a difference in the home; they told us ‘she works very hard’ ‘she listens and works with us’ We saw how the acting manager is using the views of people using the service to improve the services at the home. The acting manager talked with us about the shortfalls identified with care delivery and tells us she is committed to improving the service and the experiences of people using it. We saw the report from a recent Fire Inspection undertaken in June 2009 which showed some deficiencies were identified. The area manager for the home told us that all of these deficiencies have been addressed. The staff team receive training in health and safety during their induction. The training matrix showed that all of the care staff have been trained to move and handle people safely although some staff require updates to this training. There has been some good work done on improving the reporting and recording of accidents which now ensures that each person is followed up over a 48hour period for any injuries that may not have been apparent at the time of the accident. This information is also used to enable a faster referral to external falls specialist’s who can assess people and implement measures to reduce any further risk to the individual. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 23 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 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 Requirement Care plans must be drawn up with the involvement of the service user and or their representative and agreed and signed by them wherever possible. To ensure that they are aware of and agree to any care plan and any review of such a plan 2. OP8 13 You must ensure that proper arrangements are in place to ensure people receive the type of support that is planned. To ensure that there are no unnecessary risks to their health and safety. 3. OP9 13 There must be adequate arrangements for the safe handling, safekeeping and safe administration of medicines in the home. To ensure that medicines are stored at the appropriate temperature and that people are Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 25 Timescale for action 30/10/09 30/10/09 30/09/09 assessed for their safety when self medicating. 4. OP30 18 You must ensure that all staff receive the required updates to their training as identified in the home’s own training audit. To ensure that staff have up to date skills and competencies to support people in the home safely. 30/09/09 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. 2. Refer to Standard OP3 OP8 Good Practice Recommendations Each person should be asked about their religious needs at the point of admission and this should be recorded. All residents with a swallowing problem should be referred to the speech and language therapist for assessment and review. Obtain an air conditioning unit for the medicine storage room. You should look at the delegation of staff at peak times of activity to ensure that people are supported safely. Include evidence within the records for trained nurses that their competency with First Aid has been considered to ensure they can undertake this role safely and effectively. 3. 4. OP9 OP28 5. OP38 Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 26 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Moorlands Care Home DS0000065350.V377460.R01.S.doc Version 5.2 Page 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!