Inspection on 11/03/09 for Nicholson House

This inspection was carried out on 11th March 2009.

CSCI found this care home to be providing an Excellent 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

Nicholson House 05/02/07

Nicholson House 07/03/06

Nicholson House 19/07/05

Nicholson House 07/12/04

Nicholson House 24/06/04

Nicholson House 03/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Nicholson House 97 Mirfield Grove Sutton Way Kingston upon Hull East Yorkshire HU9 4QR     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Angela Tew     Date: 1 1 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: Nicholson House 97 Mirfield Grove Sutton Way Kingston upon Hull East Yorkshire HU9 4QR 01482709443 01482708883 elaine.start@hullcitycouncil.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Kingston upon Hull City Council care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 29 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - Dementia - Code DE Date of last inspection Brief description of the care home Nicholson House is a care home offering accommodation and personal care to 29 persons who are subject to a wide range of primary conditions and are experiencing difficulties associated with the aging process. The accommodation is purpose built 29 0 Over 65 0 29 Care Homes for Older People Page 4 of 28 Brief description of the care home over two floors that are joined by a passenger lift. The home offers support on a long term and respite basis. All of the bedrooms are single and there is a good range of communal facilities available for people. The home is situated in a residential area in the East of Hull and is near to some local facilities. There is reasonable access to local shops and public transport is available nearby. The home has two outside patio areas and a small garden with good car parking facilities. The Local Authority own and run the home with some assistance from the Primary Care Trust. People are given a service user guide explaining what the home will provide. The weekly fees range between £81.06 and £703.00, this information was provided by the registered manager during the inspection visit. Additional charges are made for hairdressing, toiletries, chiropody, papers and magazines. 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: three star excellent 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: The quality rating for this service is 3*. This means that the people who use this service experience excellent quality outcomes. This site visit took place over one day and took a total of 9.45 hours. A regulation inspector visited the home as part of the process. Prior to the visit surveys were posted out to people living in the home and staff members, information was gained from these and has formed part of the evidence. The Annual Quality Assurance Assessment (AQAA) was returned to CSCI prior to the visit. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The recording of medication is not always accurate and people may be at risk of not receiving the correct amount. Care Homes for Older People Page 7 of 28 Supervision is offered to staff, however, this is not as regular as it should be and people may receive support from staff who have received supervision with regard to care practices. The quality assurance system should be further developed to incorporate the results of surveys undertaken and any corrective action that the home may need to take, in order to raise standards. All relevant stakeholders should be included within the quality monitoring process. 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. 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 who use the service have their needs fully assessed and have the opportunity to visit the home before they decide to move in, this means choice is promoted. However, the statement of purpose and service user guide do not reflect the range of needs people may have and how these would be met by the home. Evidence: Prior to the inspection visit taking place information was gained from the home and people living there confirming that people have their needs assessed prior to and following admission. Surveys were received from people who live in Nicholson House and one person commented, I stayed at Nicholson House on respite care prior to becoming a full time resident and all five surveys stated that they had received sufficient information about the home before they decided to move in. The home completed the Annual Quality Assurance Assessment (AQAA), which details how the home can meet peoples individual needs. Care Homes for Older People Page 10 of 28 Evidence: During the site visit three care files were looked at confirming that an assessment of need is undertaken prior to admission and in addition the home further develops this with the use of the daily living assessment. The manager said, staff continue to work with the person following admission in order to gain as much information as possible and our care plans are person centred giving a holistic view of needs, likes, dislikes and choice. Evidence was seen confirming that the daily living assessment contains information about all aspects of daily life including choice and inclusion. The manager gave an update with regard to the statement of purpose and service user guide and said that they had both been further developed, but recognised that there wasnt information in about how diverse needs would be met. She also stated, I will be commencing the update tomorrow and will ensure that staff training, skills and knowledge are included. Since the last inspection visit training has been offered to staff in relation to more diverse need such as learning disability and dementia. From speaking to some of the staff it was evident that they had enjoyed this training and felt that they had developed their skills in new areas. They could describe how a persons needs would be looked at in a holistic and person centred way and state how needs would be met. Staff also displayed knowledge about the Mental Capacity Act and were clear about how this may affect their actions in the future. The manager and staff have already arranged two deprivation of liberty assessments for people living in the home and are clear about the process that needs to be followed. 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. The health, social and personal care needs of people are detailed in the excellent person centred plans and within a risk management framework. Privacy and dignity is promoted and maintained. However, the recording of medication is not always accurate and people may be at risk of not receiving the correct amount. Evidence: Prior to the inspection the AQAA was received stating that the home assesses and monitors the health care needs and this is done in consultation with the person and others involved in their care. It also stated that on site eye tests, audiology and dental care take place. A reflexologist visits the home on a weekly basis to offer alternative therapy and the chiropody service is accessed on demand. Staff are trained in podiatry care. Medical attention is sought when required and the home requests medication reviews in order to improve the persons qualilty of life. During the visit it was confirmed by speaking to people using the service, relatives and staff that care plans meet individual need and that these are developed in consultation with the person and their family/representative. Two relatives were spoken to and Care Homes for Older People Page 12 of 28 Evidence: stated, the standard of care is excellent, we are fully involved and have regular meetings, I am happy with the care my wife receives and the staff are very good. Three care files were looked at confirming that the care plans and risk assessments have been improved since the last inspection. Each file contains personal information and a photograph of the person and detail about specific need such as diet, mobility, continence, sleeping patterns, medication, mental health issues and a personal profile including likes, dislikes, choice and preference. The home has developed plans of care for each person and these clearly describe the holistic needs of the individual and what action is required by staff in order to meet these. The home operates a key worker system and staff have developed positive relationships with people living in the home. There is a risk management system that reduces or minimises risk to the person and others living in the home. The risk assessments looked at cover both environmental and individual risk, these are now detailed and give clear direction to staff. From looking at written evidence and speaking to relatives it was clear that the home meets the health care needs of people living in the home. Each file contained a health care check list and covered sight, hearing, dental check ups, other appointments were recorded with the psychiatrist, GP, CPN, District nurse etc. Nutritional screening is underaken with people and there were records of fluid and food intake, the manager stated that this is undertaken at the point of admission and people are weighed on a monthly basis. Records also showed us that advice is sought when necessary from other professionals. From speaking to some of the staff it was confirmed that staff have undertaken training in podiatry care and can offer assistance with toe nail cutting and filing. The chiropodist attends the home on a regular basis and written evidence was seen to confirm this. The home has a medication policy and procedure and there is a medication room, which is kept locked at all times. All staff who administer medication have undertaken the training offered by the Local Authority and the Primary Care Trust, which involves the completion of a workbook, which is assessed at the end of the training. There is a controlled drugs cabinet and register, three records were checked and found to be in good order having two signatures for each administration. There is a medication refrigderator and temperatures are taken on a daily basis. Each person has a fullers risk assessment undertaken with them to ascertain whether they would be able to self-administer their medication. Currently none of the people living in the home are able to self-administer due to their memory impairment. The medication administration records (MAR) were looked at for several people and on the whole the recording was of a good standard with no gaps. However, the stock of medication did Care Homes for Older People Page 13 of 28 Evidence: not always match what was stated on the MAR, making it difficult to undertake an audit of what medication was received, given and remained. The manager stated that she would commence a full audit of the system and will be monitoring this herself, she also said that the pharmacist would be contacted for guidance and advice. The privacy and dignity of people is maintained and promoted within the home and this was confirmed by speaking to people, relatives and staff. Some comments included, my mum is well cared for and staff speak to her in a caring way, I am happy here and the staff are fantastic, staff always talk to me. One survey from a relative commented, my mum is very happy and the staff are very caring and do their best to make sure my mum is happy and well looked after. Staff were also observed throughout the day interacting with people and this was done in a sensitive, respectful, caring and professional manner. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to take part in appropriate activities, daily routines promote independence and peoples preferences are accommodated, choice is promoted and encouraged. The menu offered is varied and nutritious. Evidence: During the visit some people living there were spoken to and commented about staff and the care received; yes I am happy here, its lovely, all the staff are fantastic. Two visiting relatives told us that they were extremely happy with the care offered within the home and commented, I am happy with the care my wife receives and the staff are very good, if she needs anything I tell the staff and they sort it, I come everyday at different times and I am always made welcome. From looking at care plans and observing throughout the day it was evident that people are offered individual care. Written evidence detailed the likes, dislikes and preferences of people, therefore promoting choice and self-determination. Activities were observed taking place and these included dominoes, memory games and dancing. There was also lots of evidence recorded that other activities take place on a regular basis, for example trips out in the warmer months to the seaside. One staff member said, every morning and afternoon we ask service users what they want to Care Homes for Older People Page 15 of 28 Evidence: to, this might be dominoes, DVD, games, jigsaws, memory cards, foot care or reminiscense. The staff were observed interacting with people and this was undertaken in a sensitive manner, ensuring that the person was fully involved with what was going on. One staff member informed us that a focus group has been developed and involves people living there and the staff. She said, we discuss how to involve service users in community events, we also talk about diverse needs and we are going to have an old time music hall night where people can dress up for the evening. The manager informed us that other areas that are currently being developed include a newsletter for service users and families and a Sunday brunch, these are ideas that have come from the focus group. This shows that the home is looking for new ways to include people in everyday events and is meeting need in a holistic way. The home continues to offer a varied, healthy and nutritious menu. People told us the following; yes the food is lovely, food is very good. One visiting relative said, its excellent, I often have a meal with my wife. The home has achieved the Heartbeat award and a score of A from the environmental health department. The manager told us, we have a picture menu and for those people who cannot tell us we show a choice of two pictures. Care Homes for Older People Page 16 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are informed about the complaints procedure and are able to express their concerns in an open cultre, they are protected from abuse. Evidence: The home continues to have a very good complaints procedure and there have been none made since the last inspection. People told us that they are aware of how to make a complaint and that this is listened to. They also said that any problems or issues are dealt with quickly and effectively. A relative said; we have no concerns whatsoever and feel confident when we leave that my wife is well cared for. The manager told us that the home seeks the views of people via the focus group, residents meetings and from surveys. The home has numerous thankyou cards and letters from relatives and friends of people all of which are extremely positive about the care, accommodation, staff, food and management. Some comments included; care received is second to none, caring and professional approach, the food is excellent and the staff are courteous and most helpful. The home has a multi-agency policy and procedure for the prevention of abuse and evidence showed us that staff have undertaken training. There have been three safeguarding referrals to the Local Authority since the previous inspection, all of which have been dealt with in accordance with the procedure and involved the person and their relatives in any decision making. The manager told us that other agencies are consulted and recommendations made in the investigations have been put in place. Care Homes for Older People Page 17 of 28 Evidence: The manager told us that when a person requires assistance, but this may involve a restriction placed upon them then this is always done in consultation with the person, their family and others such as the consultant psychiartrist, community psychiatric nurse or social worker. Evidence was seen confirming that best interest meetings take place and decisions about restriction have been made in a multi-disciplinary setting, risk managment plans were clear about when and how staff would need to use the restrictive practice. The home has procedures in place that ensures peoples finances are handled in safe way. Care Homes for Older People Page 18 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 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 maintained to a good standard and the environment is clean, hygienic, comfortable and homely and it meets the general needs of people living there. Evidence: A tour of the building was undertaken and overall the standard of accommodation is good. The home is clean, homely and welcoming. People are able to bring their personal possessions with them. The manager told us that a refurbishment programme is to begin over the next few weeks and that this should improve the standard of accommodation further. The health and safety of people living in Nicholson House is maintained and promoted. Individual bedrooms are nicely decorated and had the personal belongings and possessions of the people living there and included pictures, photographs, ornaments, football posters. The communal areas are well presented, spacious with comfortable seating. People told us that the home is clean and hygienic and some comments included; my room is lovely and I have a TV, I like my room, it is always clean. The home provides a range of aids and adaptations that assists independence and Care Homes for Older People Page 19 of 28 Evidence: these included, grab rails, assisted baths/shower, ceiling track hoist and mobile hoists. The home has a range of commodes and some of these although clean, stood out from the rest of the furniture. The home has a central heating system in place, however, people cannot control the temperature as this is done centrally and therefore choice is limited. The home is clean and there were no offensive smells present during the visit. The manager told us that staff receive infection control training on a regular basis. Surveys received from people confirmed that the environment is of a good standard and that the home is kept clean. Care Homes for Older People Page 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home recruits and trains staff in a safe way and staffing levels are sufficient to meet need. Supervision is offered to staff, however, this is not as regular as it should be and people may receive support from staff who have not received supervision with regard to care practices. Evidence: People told us that the staffing levels in the home were good and during the visit the staff rotas were looked at, currently the home provides 964 care hours per week which exceeds the minimum recommended amount. Visiting relatives told us that staff were always available and that there are enough of them on duty. The manager told us that all of the staff have either achieved or are undertaking NVQ level 2 in care and that any new starters must commence the training as soon as possible. During the inspection visit three staff files were looked at confirming that the recruitment procedure was followed and staff had the relevant checks in place before commencing work in the home. The majority of the personnel records are held at headquarters, but the home gets confirmation when a criminal record bureau (CRB) check is received. The manager told us that since the last inspection in-house training has been provided in relation to learning disability and she said, the training covered social inclusion and Care Homes for Older People Page 21 of 28 Evidence: more specific areas, it also covered person centre planning. The manager also stated that other diverse needs were looked at and staff have undertaken courses in the following, understanding and working with people who have dementia, feeding and swallowing, ageing ageism, diabetes, difference and diversity, mental capacity and deprivation of liberty. From speaking to several staff members about the training it was clear that they had developed a good understanding of individual needs people may have. A staff member that co-ordinates the training for staff told us that an audit has been done for every staff member and it was identified what mandatory training needed updating. Evidence was seen confirming that staff have either undertaken or are booked onto courses in relation to maintaining the health and safety of the people in the home. Care Homes for Older People Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is managed well, their views are sought and their health and safety is maintained. Evidence: Prior to the inspection visit the AQAA was received giving information about the way the home is run. Surveys were received from 5 people living in the home and 8 from staff. One person said, the person in charge is a very nice lady who always has time to talk to me and listens to what I want to say. Comments from staff included, I meet with my line manager on a monthly basis for supervision and feel very supported, the manager of the home is very approachable and I know I could talk to her if I had any concerns, our manager has an open door policy. The registered manager is qualified and experienced to run the home and maintains her knowledge by attending relevant training courses. The manager told us, I receive supervision on a regular basis and I keep my skills up to date by attending relevant training courses. Care Homes for Older People Page 23 of 28 Evidence: Two relatives told us that, the manager is always available, we can go into the office at any time, weve had a few meetings to discuss whats best for my mum, the standard of care is excellent and we are fully involved and have regular meetings. The home has a quality assurance system and seeks the views of people in various ways. Surveys are given to people living in the home and staff, but currently they are not given to professionals ie, GP, social workers or nurses who may visit or come into contact with the home. The manager said that the results of surveys are looked at and corrective action is identified, however the surveys for residents did not show what corrective action was required. Residents and relatives meetings are held on a regular basis. A focus group has been developed and this involves some people living in the home and looks at ways of included them in community events. The home has developed a newsletter that aims to keep people informed about events and activities going on in the home. The manager and staff told us that supervision is offered, but sometimes it is not as regular as it should be, written documentation confirmed this. Health and safety is ensured by having all of the appropriate maintenance certificates in place. Evidence was seen confirming that staff undertake training in relation to health and safety within their first six months of employment ensuring that staff are knowledgeable and have the necessary skills to deal with emergencies. The home notifies CSCI when incidents occur that affect people and internal monitoring visits take place to ensure that peoples welfare and safety are promoted. Equality and diversity is promoted by staff and from what people told us it was clear that staff treat them with respect and dignity. People are fully supported to undertake either activities or events that promote choice and meet diverse needs. The manager told us that people are supported to attend church services and for those who cannot get out, a minister visits the home on a regular basis. She also said that all staff have to undertake training in relation to safeguarding adults and the mental capacity act. Care Homes for Older People Page 24 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 25 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 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 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 1 The statement of purpose and service user guide should be updated and included information about diverse needs and how these will be met by the home. The system for booking in medication and control of stock should be looked at as this would ensure that people receive there medication correctly. Some of the commodes should be replaced, to ensure that they blend in with the furnishings and are homely in style. The central heating system should enable people to control the temperature of their bedroom as this would enable them to choose how warm their room is. The quality assurance system should include other professionals involved in the care of people living in the home and the results of all surveys to be collated into a report that identifies corrective action and this will be achieved. This would ensure that all people involved have their views sought and listened to. Supervision should be offered to staff a minimum of six times a year, as this would ensure that they receive the support and guidance to carry out their responsibilities and Page 26 of 28 2 9 3 4 22 25 5 33 6 36 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 good practice is promoted. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: 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 © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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. 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