Inspection on 30/04/09 for Neilston

This inspection was carried out on 30th April 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Neilston 02/04/08

Neilston 11/10/07

Neilston 29/06/07

Neilston 20/06/06

Neilston 17/01/06

Neilston 22/09/04

Neilston 05/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Key inspection report Care homes for older people Name: Address: Neilston 47 Woodway Road Teignmouth Devon TQ14 8QB     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Graham Thomas     Date: 3 0 0 4 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Neilston 47 Woodway Road Teignmouth Devon TQ14 8QB 01626774221 01626879395 joy@neilston.info Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr John Bryant Wescott,Mrs Joy Wescott care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The quality rating for this service is 1 star . This means the people who use the service experience adequate quality outcomes. Neilston is registered to provide care for a maximum of twenty-two older people who may also have dementia. The proprietors and registered providers are Mrs Joy Wescott and Mr John Wescott who live on the premises. Mrs Wescott manages the home on a day-to-day basis and Mr Westcott takes responsibility for the maintenance of the house and garden. Neilston is situated on a hill in a quiet residential area of Teignmouth, and is approximately one mile from the town centre. It is a detached house with a substantial garden. Car parking is available on the road outside. There are 18 bedrooms single Care Homes for Older People Page 4 of 28 Over 65 0 22 22 0 Brief description of the care home rooms and two double bedrooms. All have en-suite facilities. Accommodation is situated on the ground, lower ground and first floors. There are stair lifts to the first and lower ground floors. Communal space comprises a large lounge and a separate dining room with an adjoining sun lounge, which leads to the rear garden. Written information is provided for people considering going to live at Neilston and those who are resident. A copy of the most recent inspection report is available. The Registered Provider stated that fees currently range from 288 pounds to 400 pounds per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Before our visit to the home, Mrs Wescott completed an Annual Quality Assurance Assessment. This provided minimal details about the home. We reviewed our own records including notifications sent to us and whether we had received any complaints. We sent surveys to people and received five from people using the service (most of these had been completed by relatives on their behalf). We also received five completed surveys from staff and two from visiting professionals. During a visit to the home we toured the premises, spoke with two visiting professionals and one relative. We case tracked three people using the service. This means that we looked in detail at their records, spoke with or observed them and discussed their needs with staff. We also spoke with other people using the service and observed a lunchtime meal. Care Homes for Older People Page 6 of 28 Records about staff and the running of the home were examined and we discussed these with Mrs Wescott. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering a move to Neilston can feel confident that the home will make sure it can meet their needs before they move in. Evidence: In the information sent to us before the inspection, Mrs Wescott told us that assessments are made before people move into the home to ensure their needs can be met. We looked at the files of three people living in the home. Each persons file contained assessment information obtained from health and social services. This information had been carried forward into the persons individual plan. For example, one persons assessment stated tthat the person had a high risk of falls. A falls risk assessment had been produced by the home and this had been modified as the persons needs changed. Care Homes for Older People Page 10 of 28 Evidence: Neilston does not provide intermediate care Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Neilston generally receive a good standard of health and personal care. Evidence: Five questionnaires were returned to us that had been completed by relatives on behalf of people living at Neilston. One person told us: Medical care is very good. G.P. is called appropriately District Nurse visits regularly. Physical care: Bathed regularly. Always spotlessly clean. We case tracked three people. This means that we looked in detail at their records and how these reflected all aspects of their care. Each person had a plan of care. These were being transferred to a new format introduced by Mrs Wescott since our last visit. The new plans were much clearer and easier to follow. The plans we examined contained risk assessments about peoples care. For example, these included risk assessments about bathing, moving and handling, hydration, and pressure areas. The staff we spoke with told us that they Care Homes for Older People Page 12 of 28 Evidence: referred to the care notes to find out what people needed. In conversation, they showed that they had a reasonable understanding of the needs of the people they supported. The plans contained a Personal Profile section to give details about the persons background and history. In some plans there was little detail to show the persons individual personality. This detail is particularly important for people with dementia so that staff can understand their personality and preferences. We looked at the homes system for administering medicines. There had been substantial improvements since our last visit. We found that the recording of the use of medicines was up to date and complete. However, we saw medicines being administered. The person administering the medicines completed the record in the office after administering the medicines. This practice increases the risk of errors. Best practice would be for staff to complete the record for each person at the time of administration. A person we spoke with during our visit told us that their relative in the home had never looked so healthy or well settled. In the individual records we saw details of visits by health professionals including, for example, Doctors, Community Nurses and the Chiropodist. The Chiropodist was providing treatment to individuals when we visited the home. He told us that he had found people generally well cared for when he visited. We also spoke with a member of the Community Nursing service who visited during our inspection. She told us that the teams advice regarding individual treatments was usually followed well and noted that pressure sores were unusual. We observed staff talking with and supporting people in the home. We heard peoples preferred names being used and saw that peoples dignity was being preserved in care-giving. For example staff knocked on peoples room doors before entering and closed doors when providing personal care. We saw that people were clean and well dressed and noticed that odours in the home were well controlled. All these things help to preserve the dignity of people living at Neilston. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples relatives and other visitors are made receive a warm welcome at Neilston, However, further improvements could be made to record and meet peoples social and leisure needs and choices. Evidence: We spoke with a relative who told us that they visited regularly and that there were often activities going on in the home. Another relative told us in a survey that Mother has dementia and losing her sight but can still enjoy the music which is often played One person told us that they had seen occasional activities such as quizzes, music and singing and tai chi, but felt that more could be arranged. During our visit we saw staff leading a quiz in which people were participating with interest and obvious enjoyment. This was part of a programme of activities which we saw in the homes records. The activities included, massage, bingo, quizzes, ball games and a recent May Day reminiscence. Certificates showed that some staff had recently attended a course in activities management. Mrs Wescott told us that this was helping staff to develop ideas about activities in the home. Care Homes for Older People Page 14 of 28 Evidence: Some care plans lacked details about peoples individual histories, social leisure and religious needs and preferences. For example, two of the care plans we looked at contained nothing at all about religious activities and very little about social and leisure activities. One persons plan described their religious denomination and that an appropriate member of the clergy would be visiting regularly. This was confirmed in our conversation with the person. A relative with whom we spoke said that they could visit at any time and were always made welcome. In a survey another relative commented on The lovely relaxed atmosphere.. and that ..we enjoy visiting (our relative) there. One person told us about going to church services with friends. Records also showed that people were supported to make occasional trips to local shops and taken out for drives. During our visit we saw that people were able to move around the home freely according to their choice. On the day we visited, the main midday meal consisted of roast pork with fresh vegetables and a coconut sponge to follow. The choice was said to be salad or omelette. However, this choice was not placed on the blackboard in the dining room until fifteen minutes before the meal. One person told us that If I tell them, Im served with the food I like. However, it was not clear how people might make a choice if they had memory loss or difficulty in expressing themselves. Nonetheless, everyone ate their meals and there were several spontaneous expressions of approval such as This is gorgeous and lovely. Similarly positive responses were returned in surveys returned to us. We discussed individual dietary needs with staff in the kitchen. The staff were aware of individual dietary needs and how to cater for them. This included, for example, several people in the home who have diabetes. We observed the midday meal and saw that staff offered discreet help when needed. We found that most peoples financial affairs were handled by relatives or other representatives except for small cash amounts. One persons finances were being handled directly through the homes own business accounts. This matter is dealt with in the Management and Administration section of this report. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Neilston and their relatives can feel confident that their concerns and complaints will be listened to and acted upon. There are sufficiently robust systems in place to protect people from abuse. Evidence: The home has a complaints policy. Five relatives completed surveys on behalf of people living in the home. Four told us that they always knew who to speak to if they were not happy. The other told us that this was usually the case. All those who completed surveys knew how to make a complaint. We looked at the homes complaints record. One complaint had been recorded together with the action taken about it. Since our last key inspection, no complaints about the the home have been received by the Commission. The staff we spoke with told us that they had received training in safeguarding people from abuse. This was confirmed in the records of staff training. When we spoke with staff they were able to tell us what might be considered as abuse and how they would alert relevant people if they witnessed or suspected it. Care Homes for Older People Page 16 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Neilston enjoy an environment that is generally well-maintained, comfortable and homely. When risks are identified, these are dealt with promptly. There are high standards of cleanliness and odour control. Evidence: Neilston is situated close to the seaside town of Teignmouth and all its amenities. There is ample free car parking space on the public road outside the premises and some limited parking in the homes driveway. Internally the home has a complex layout. Individual accommodation is spread over ground and first floors and a lower ground floor. There are mezzanine levels between the floors. In addition there is a basement level which houses the laundry, food store and staff accommodation. We spoke with Mrs Wescott about signs in the home to help people find their way around. We saw some signs but Mrs Wescott said there had been a problem with people removing them. We talked about other ways people could be helped such as by the use of colours. During our visit we looked at all parts of the home except the staff accommodation. The home is decorated in a homely style and has light and airy communal areas. These include a lounge and dining room with adjoining sun lounge which leads to the garden. Substantial gardens are situated at the rear of the property. Safety in the garden has recently been improved by the creation of a safe area for people living in the home. During our visit this was not in use due to heavy Care Homes for Older People Page 17 of 28 Evidence: rain. Mr Wescott is responsible for the maintenance and decoration of the premises, assisted by a maintenance worker. A generally good standard of maintenance was evident during our tour. We saw a record of ongoing maintenance with tasks planned and completed. During our tour of the premises we saw evidence of ongoing maintenance and decoration. For example, a recent wiring test had highlighted a number of areas for attention. These were being dealt with during our visit. We noted that doors to steep stairways leading to the basement and from a doorway near room 8 were without locks and potentially hazardous for people with impaired balance and mobility. We made an immediate requirement for this risk to be assessed and appropriate action to be taken. Since our visit, Mrs Wescott has provided us with a copy of the risk assessment and told us that locks have been fitted to the doors so that people living in the home do not have access. One toilet frame in an individual room was beginning to rust and we drew this to Mrs Wescotts attention. In a survey returned to us, one person commented I am very impressed with the cleanliness of Neilston. There is never a smell and the bedrooms are always clean and tidy. We noted that all areas were clean and that there was particularly effective control of offensive odours. A visiting Nurse and a Chiropodist confirmed that this standard was consistently maintained. We saw that the home was well decorated, comfortable and personalised to accommodate individual taste. The laundry is situated in the basement, well away from all other living and food preparation areas. We saw staff using aprons and gloves when handling laundry. A new commercial washer has been installed since our last visit. This includes a sluicing facility. Care Homes for Older People Page 18 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by sufficient numbers of skilled and experienced staff. However, people living at Neilston are not well enough protected by the homes recruitment practices. Evidence: We received many positive comments about the staff at Neilston. In surveys, comments included The staff are excellent. They are always smiling and treat my father with respect. He can be difficult at times and they are patient with him. and, My father wanders at night and there is someone available to cope with him At the time of our visit there were four carers on duty and a cleaner. In addition, Mrs Wescott was present as well as Mr Wescott and another person who were undertaking maintenance tasks. The staffing rota indicated a sufficient number of staff to meet the needs of people in the home. The cook was on leave and a member of staff was sick. One person living in the home told us that staff always had time to listen. All five surveys returned on behalf of people living in the home said that staff were always available when needed. Records of an in-house induction programme for new staff were seen. This induction was confirmed in our discussion with individual staff who told us about shadowing experienced staff when first employed. Care Homes for Older People Page 19 of 28 Evidence: Of the 13 carers working in the home, eight have a National Vocational Qualification in care at level 2 or 3. Evidence was seen of other relevant staff training such as moving and handling and activities management. However, There was no overall training plan. This is important so that individual and collective training needs can be clearly identified and met. For example, The behaviour of a number of people living in the home is challenging towards the service. The need for staff training in this area had not been clearly identified. We talked with staff about their recruitment and looked at their records. The recruitment system included a formal application for which two references were required. We saw copies of these documents in the files. We saw that two staff had started working in the home before a criminal records check had been received. Under these circumstances, it is permissible for staff to work in the home under supervision as long as a POVA 1st check has been completed and a criminal records check has been applied for. In both cases, criminal records checks had been applied for and experienced staff had been identified who would supervise the new staff members. However, in neither case had a POVA 1st check been applied for. This is poor practice because it does not offer the best available protection for people living in the home from potentially unsuitable staff. Care Homes for Older People Page 20 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Neilston receive an adequately managed service. However, further improvements are needed to ensure that people remain safe. Evidence: Mr and Mrs Wescott have owned and managed Neilston for 18 years. Mrs Wescott is a nurse who was trained and qualified in the Philippines and she takes responsibility for the day-to-day running of the home. She holds the Registered Managers Award and is a qualified National Vocational Qualification training assessor. We saw some evidence that the quality of the service provided was monitored. For example there were clear records showing how maintenance issues were monitored and how the medication system had been monitored since the last inspection to bring about improvement. However, other areas of the service were not monitored regularly in a structured way. There was some evidence that the views of people living in the home had been sought but much of this was not recent. Monitoring is important so that the home can independently identify shortfalls and areas for continuous Care Homes for Older People Page 21 of 28 Evidence: improvement. For example, such monitoring might have identified weaknesses in the system of recruitment checks. The finances of people living in the home are generally managed by their relatives or other advocates. However, in one instance Mrs Wescott told us that payments were being made directly into the homes business account. This included payments to the person. We saw records for the receipt of this money on behalf of the person and details of payments to them. However, this is not good practice as it places peoples money at risk in the event, for example, of a bankruptcy. Five staff returned surveys to us in which they said that they met regularly with the manager to talk about their work. This was confirmed by the two staff we interviewed during our visit and records of staff supervision. We looked at how safe working practices were promoted in the home. We saw in staff files that they had received training in health and safety topics such as moving and handling. One member of staff also told us about an infection control course they were attending. Mrs Wescott was in the process of seeking training updates in first aid at the time of our visit. A system of risk assessments was in place for the homes environment. This had been conducted on a room by room basis. However communal areas such as passageways and stairways were not included. Risks associated with stairways were noted in this inspection (see the Environment section of this report). Some of the risk assessments need to be reviewed and updated. Mrs Wescott told us that a fire risk assessment had been produced together with an evacuation and contingency plan. We noted some improvements in safety in the home. This included the fitting of devices to main doorways which allow automatic closure if a fire alarm is activated. We also saw that a new safe area had been created in the garden for people living in the home. Staff were seen using gloves and aprons for laundry and personal care. We also saw that hazardous substances were locked away when not in use. Maintenance was well organised. A recent wiring check had identified shortfalls which were being dealt with at the time of our visit. Accidents and incidents had been recorded and where appropriate, had been reported to us in accordance with the requirements of regulation. Care Homes for Older People Page 22 of 28 Evidence: Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 19 13 The Registered Person must produce a risk assessment for the stairway to the basement and the stairway adjacent to room 8. Action must be taken to reduce the risk of people using the service of falling down the stairs. A copy of the risk assessment must be sent to the Care Quality Commission. This is to reduce the risk of injury to people posed by falls down the identified stairways. 02/05/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 13 Risk assessments must be produced which include communal areas such as stairways and passages. This is to reduce the risk of injury to people living and working in the home 15/06/2009 2 29 19 A POVA 1st check must be completed for any member of staff who starts work in the home before a CRB check is completed. 08/06/2009 Care Homes for Older People Page 25 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This is to provide people living in the home with the best available protection from abuse. 3 35 20 Monies paid to people living in the home must not be paid into the homes business account This is to protect the financial interests of people living in the home 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 25/06/2009 1 7 Care plans should provide more detail about peoples individual histories and their social, leisure and religious needs. All medication should be signed for at the time of administration The Registered person should ensure that people living in the home are aware of the menu choices available and supported to make a choice. The registered person should identify ways in which people who are confused can be helped to find their way around the home. Staff training records should include an overall training plan (or matrix) so that individual and common training needs can be clearly identified. Staff induction training should follow the national framework produced by Skills for Care A more structured approach to quality assurance should be followed which includes the views of stakeholders. This is to Page 26 of 28 2 3 9 15 4 19 5 30 6 7 30 33 Care Homes for Older People 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 help the registered person identify shortfalls independently and promote continuous improvement of the service. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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. 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