Inspection on 13/05/09 for Oaklands Care Centre

This inspection was carried out on 13th May 2009.

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

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

Other inspections for this house

Oaklands Care Centre 16/06/08

Oaklands Care Centre 26/07/07

Oaklands Care Centre 20/09/06

Oaklands Care Centre 24/02/06

Oaklands Care Centre 11/11/05

Oaklands Care Centre 10/02/05

Oaklands Care Centre 08/09/04

Oaklands Care Centre 29/10/03

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oaklands Care Centre 4 Oakland Road Moseley Birmingham West Midlands B13 9DN     The quality rating for this care home is:   two star good 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: Lisa Evitts     Date: 1 3 0 5 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: Oaklands Care Centre 4 Oakland Road Moseley Birmingham West Midlands B13 9DN 01214496662 01214493097 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Exceler Healthcare Services Limited care home 46 Number of places (if applicable): Under 65 Over 65 46 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 46 The registered person may provide the following category of service only: Care Home with Nursing (Code N) 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 (OP) 46 Date of last inspection Brief description of the care home Oaklands Care Centre provides 24 hour nursing care for 46 older adults. The home has been adapted and extended from an existing property and is situated on a quiet road not far from Moseley village. There is a range of community facilities nearby, and a number of bus routes are within a short walking distance of the home. There is off road car parking to the front of the property. There are lounges and dining rooms situated on two of the three floors of the home and the third floor has bedrooms only. Bedrooms are a mixture of four shared and 32 Care Homes for Older People Page 4 of 28 Brief description of the care home single rooms, which are spread over three floors. There are no en suite facilities provided by the home. There are assisted bathroom and shower facilities to meet the needs of the people who live there. The home has hoists and pressure relieving equipment for use with people who are assessed as requiring this assistance. There is a passenger lift to all floors, a nurse call system and handrails, which would assist people with limited mobility. The home has a main kitchen, laundry and office space. There is a pleasant garden area to the rear of the home and this is accessible to people who use wheelchairs. Inside the home there are various notice boards, which display information about forthcoming events and other articles, which may be of interest. The last inspection report is available in the reception area, and this enables people to access this information if they choose to read it. The current scale of charges for the home are not included in the service users guide but are available from the home on request. Additional charges include, hairdressing, toiletries, newspapers and chiropody. 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: two star good 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 focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The visit to the home was undertaken by one inspector over one day. One of our Business Services Team accompanied the inspector as part of a learning experience. We, the commission were assisted throughout the day by the Registered Manager and the Operations Manager was also present for feedback at the end of the day. The home did not know that we were visiting that day. There were 38 people living at the home and one person was receiving hospital care. The previous inspection to this home took Care Homes for Older People Page 6 of 28 place on 16th June 2008. Information was gathered from speaking to six people who live at the home and observing them. Five staff and one visitor were also spoken to. Two people were case tracked and two files were partly reviewed. Case tracking involves discovering individual experiences of living at the home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. Random surveys were sent out in order to gain peoples views about the service. We sent twelve surveys to people who live in the home, eight to relatives, five to staff and one to a visiting healthcare professional. We received one survey back from each of these groups. Comments were positive about the home and are included in this report. We were sent an Annual Quality Assurance Assessment (AQAA) by the home. This tells us about what the home think they are doing well and where they need to improve. It also gives us some numerical information about the staff and people who live at the home. We also reviewed any notifications received about the home, these are reports about things that have happened in the home that they must tell us about. What the care home does well: What has improved since the last inspection? The details in care plans have improved so that staff are given guidance about how to meet peoples individualised needs in a way that they prefer. Care Homes for Older People Page 8 of 28 New flooring has been laid in various areas and the lighting has been replaced in the first floor lounge and dining area. The ground floor dining room has been redecorated and some bedrooms. This will enhance the environment for people to live in. A small kitchenette has been installed on the ground floor so that people and their visitors can make drinks as they chose to. 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 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 9 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 10 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 have the information they need to know so they can make an informed decision about whether they would like to live at the home. Pre admission assessments ensure that people know their needs can be met prior to moving in. Evidence: The organisation has produced a comprehensive service users guide and statement of purpose. Both of these documents were displayed in the reception area, which ensures that the information is available to people if they choose to read it. The documents can be made available on audiocassette so that people with visual impairments can access the information. Fee rates were not included in the service users guide and this is recommended so that people know how much they will need to pay if they decide to live at the home. The certificate of registration and public liability insurance are on display in the Care Homes for Older People Page 11 of 28 Evidence: reception area, so that people can view these when visiting. A copy of the previous inspection report is available for people to read if they choose to. Comprehensive pre admission assessments are undertaken prior to people coming to live at the home and this ensures that people are confident that their individual assessed needs can be met upon admission to the home. People told us: I cannot think of a better home Its a nice and friendly home The home does not offer intermediate care facilities, therefore this standard was not assessed. Care Homes for Older People Page 12 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 personal care and health needs of the people living there are met so ensuring their well being. Evidence: Each person had a written care plan. This is an individualised plan about what the person is able to do independently and states what support is required from staff in order for the person to meet their needs. We looked at two peoples care files in detail and partly reviewed two other files. Care plans were comprehensive and provided staff with good details about how they should assist individual people to meet their needs in a way that they preferred. The plans gave details for staff to follow and told them what to do if there were any changes to someones health. Plans were detailed with type of equipment that people needed to help them move around the home. Plans were written for wounds to skin and these were detailed with what dressings Care Homes for Older People Page 13 of 28 Evidence: staff should use and how often they should be changed. Staff spoken to were able to tell us about the dressings and progress of the wounds. People had plans in place to minimise the risk of developing sore skin, however turn charts did not always show that people had their position changed as often as they should to prevent their skin from becoming sore. Tissue Viability Nurses had shared concerns around equipment such as mattresses and cushions not being fit for purpose. This equipment should be reviewed in order to minimise the potential risk of people developing sore skin. One person had a detailed plan in place for a catheter, but the plan did not state when the catheter should next be changed and this should be recorded to minimise the risk of infection. People had good details in their social profiles and this gives staff something meaningful to talk to people about. One person had been identified as being at risk from weight loss. This person had been weighed so that staff could monitor this. The plan stated that the person loved a jam sandwich and the person was seen to have this during the day, which means that they are receiving foods that they like. People are seen by General Practitioners, Tissue Viability Nurses and Social Workers to ensure all their healthcare needs are met. People were well supported by staff to choose clothing appropriate for the time of year, which reflected individual cultural, gender and personal preferences. People told us: Ive had a wash, Im the boss and staff will do what I want They look after the wife in a very nice way We looked at medication and some people did not have an identity photograph and the manager told us that the camera was not working. The Operations Manager said they would purchase a new one the following day. This is recommended so that people can be identified to minimise the risk of any errors occurring. Photocopies of prescriptions are kept and this enables staff to check that the correct drug has been received into the home as prescribed. Medication Administration Records (MAR) were signed when medication was administered and Controlled Drugs were appropriately stored and recorded. Fridge temperatures are recorded to ensure that medication is stored correctly and in line with its product licence. The medications we audited were correct, but sometimes it was difficult to audit them as the carry forward system was not always correct and this should be reviewed. Staff were seen to respect peoples dignity and wishes. We saw staff use a shawl around peoples knees while they were being hoisted and knock on peoples doors Care Homes for Older People Page 14 of 28 Evidence: before entering the room. One person was still in bed at 10.20 but the person told us that this was the time they liked to get up. There is a payphone available in the home for people to use and people can have their own telephone line installed at an additional cost so that they can make and receive calls in private. Some people use their mobile phones. Care Homes for Older People Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a choice of activities so that they experience a meaningful lifestyle. People are offered a choice of meals, which meet any dietary or cultural needs and preferences. Evidence: The home has a dedicated activities coordinator who works Monday to Friday and an external activity person visits the home on Saturdays to assist people with their interests. The activity coordinator has started to work some afternoons to meet the needs of people who prefer activities in the afternoon. There is a weekly activity programme which includes, flower arranging, arts and crafts, quizzes and games. The home had recently booked an external entertainer who was a singer. People had really enjoyed this singer and the home had booked him to come back once a month. One person said I liked the singer and hes coming back again. There is a Communion service once a month and a Gospel service is held weekly. This means that people can continue to follow their chosen religion. A local chemist and a clothing company visit the home so that people can make their own choices about purchasing any items. Care Homes for Older People Page 16 of 28 Evidence: People are able to have newspapers delivered and this enables them to continue to read articles that are of interest to them. People are encouraged to go out of the home if they are able and people are assisted to go the bank or go shopping. A hairdresser visits the home once a fortnight and one person told us Im having highlights today. This means that people have their hair styled in a way that they prefer. The home has an open visiting policy. One person had said that they wanted to visit their relatives who lived in Cardiff. Two staff had accompanied this person to Cardiff for the day and the person told us that they had really enjoyed this. A relative told us that her mom had a friend who visited her and brought her fish and chips once a week. Staff were arranged to accompany one person and their relative to see a faith healer. This means that people are supported to maintain relationships and interests that are important to them. There is a four-week menu in place and this offers two hot choices at lunchtime and a choice of sandwiches or hot snack in the evening. The home has a number of residents who are Afro Caribbean and a Caribbean menu is also in place should people wish to choose from this menu. There are alternative choices such as salads and jacket potatoes if people prefer. Menus are available in large print on the dining tables so that people know what choices they can have. We observed lunch and staff were seen to assist people as required. People were given cutlery and plate guards that assisted them to maintain their independence. Tables were nicely presented and cold drinks were available. The atmosphere was calm and unhurried. The home can cater for special dietary requirements if required. People told us: Ive had my breakfast; its all nice to me The meals are good I had toast for breakfast, sometimes scrambled eggs, theres always a choice Care Homes for Older People Page 17 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. There are systems in place to listen to and respond to complaints about the service. Arrangements are in place so that people should be safe from harm. Evidence: The complaints procedure is displayed in the home and is included in the statement of purpose and service user guide so that people know how to make a complaint if they need to. The home had received three complaints since our last visit. These were documented clearly with details of the nature of the complaint, who had dealt with it, the date resolved and the outcomes and action taken. We had not received any complaints about this home. In the reception area there is a comments book where people can record any concerns that they have about the home, however no one had recorded any comments in here at the time of our visit. People were confident that any concerns would be listened to and acted upon and told us: Care Homes for Older People Page 18 of 28 Evidence: I would tell the manager if I had a problem and she would sort it out Any complaints I would tell the manager I would talk to the staff Most things get sorted out The manager had arranged for people to be assisted to vote in the forthcoming European elections and two people had chosen to use a postal vote. This means that people can continue to participate in political processes and make their choices known. The home had an adult protection policy in place and had the local multi agency guidelines to follow. This ensures that staff have guidelines to follow in the event of an allegation being made. There have been two allegations of an adult protection nature made by the home since our last visit. One of these has been closed and the second allegation is still being investigated. Staff spoken to demonstrated a good understanding of their duty to safeguard people and how to report concerns to the appropriate people, so that people are safe. The training matrix showed that all staff had received training in safeguarding adults, with five staff identified as needing refresher training. This should ensure that staff follow the correct procedures to safeguard people in the event of an allegation being made. Care Homes for Older People Page 19 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 are provided with a homely, clean and comfortable environment in which to live where their privacy is maintained. Equipment may not meet the needs of all of the people who live in the home. Evidence: The home has lounges and dining rooms situated on two of the three floors of the home and the third floor has bedrooms only. The lounge on the first had been decorated since our last visit. A quiet room is located on the first floor. The reception area is pleasantly decorated and has sofas, which were frequently used by people throughout the visit. Some people chose to stay in their rooms and this means that people have the choice about where they want to spend their day. The atmosphere was calm, relaxed and friendly. Staff and people who live at the home were seen to interact well with each other and with visitors. Tissue Viability Nurses had completed an audit at the home in 2008 and recommended that a number of mattresses and cushions were replaced. It was disappointing that a further audit in 2009 showed that the equipment had not been replaced and was no longer fit for purpose. This was discussed with the manager and Operations Manager at the time of our visit and we were told that senior managers would be liaising with the Tissue Viability Nurses to discuss new equipment purchases. Care Homes for Older People Page 20 of 28 Evidence: The manager told us that the home had two hoists and one of these was rented as other hoisting equipment had been condemned. Staff told us that they needed more hoists and slings as people had to wait while the hoist was used by someone else. A new hoist was ordered on the day of our visit. The home should review the equipment that is required and devise an action plan as to how this will be implemented so that people have the equipment they require and that is fit for purpose. The home had made a number of improvements including some new flooring, new lighting, and some redecoration. This will ensure that people live in a homely environment. A new call system had been installed so that people can call for help when they need it. A small kitchenette had been installed on the ground floor so that people and their relatives can make drinks as they want to. We looked at the bedrooms of the people we case tracked and these were found to be personalised and reflected individual tastes, gender and cultural preferences. People are encouraged to bring in their own possessions in order to have familiar items around them to make their rooms as homely as possible. One person said My room is lovely, I have everything I need. The garden area is accessible via a ramp for anyone who needs to use a wheelchair. There are seating areas and a range of raised flowerbeds so that people can join in the gardening if they chose to. Care Homes for Older People Page 21 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. People are supported by staff who receive training to ensure they have the knowledge to meet peoples needs. There is a robust recruitment procedure which should ensure people are safe. Evidence: The home has two registered nurses and six care staff on duty throughout the morning, two registered nurses and five care staff throughout the afternoon/evening and one registered nurse and three care staff during the night. In addition to care staff the home has domestic, laundry, kitchen, maintenance and administrative staff to meet all the needs of the people living at the home. There are currently no vacancies at the home and the home maintains a core group of staff so that people know who will be assisting them to meet their needs. 80 of staff have completed a National Vocational Qualification (NVQ) Level 2 in care and others are working towards achieving this. This meets the minimum standards and should ensure that the staff have the knowledge and skills to care for people individually and collectively. People told us: Care Homes for Older People Page 22 of 28 Evidence: Staff are ok, they do their job The staff are good Staff are very helpful Three staff files were reviewed and these were found to contain most of the required information to ensure that people employed were deemed safe to work with vulnerable adults. The missing information was obtained from head office by the manager. It is recommended that systems are reviewed to ensure that all of the information needed is available in the home. The home has a training matrix and this showed ongoing training in customer care, challenging behaviour, safeguarding adults, dementia awareness, bed rail safety, food hygiene, health and safety, infection control and nutrition. The matrix clearly identified where staff required updates. Posters were seen in the home to advise staff of training dates planned for fire safety, food hygiene and pressure area care. Staff receive an induction into the home and one member of staff told us my induction covered everything I need to know, I worked with someone for a few weeks. This should mean that staff have information so that they perform well in their role. Care Homes for Older People Page 23 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 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 run in the best interests of the people who live there. Evidence: The registered manager has numerous years experience of caring for older people and in management roles. She has achieved the Registered Managers Award and completes training courses to keep her knowledge up to date. This should ensure that she has the knowledge to support staff and ensure the home is run in the best interests of the people who live there. One person said I have nothing but praise for the Oaklands. Staff and resident/relative meetings are held and minutes of these were available for us to look at. The minutes showed that peoples opinions and choices about the home were sought and that ideas were acted upon. An example of this is that people living at the home had said they would like the lounge decorated in blue. This request was acted upon. The minutes of the meetings are produced in large print and are available Care Homes for Older People Page 24 of 28 Evidence: to people in the home so that they know what has been discussed. Senior managers visit the home and complete Regulation 26 visit reports which tell us about the quality of service being offered at the home. The organisation has a number of audits in place to monitor the service provided and had recently sent out customer satisfaction questionnaires. The responses from these will be collated into a report and shared with people who live at the home. The Registered Manager returned the AQAA to us in the required timescale and this was detailed with information about the home. Information recorded was consistent with our findings. We looked at how the home holds peoples personal money. Individual records are kept on the computer system. We could not access these records to check peoples money as the server was not working. We saw receipts for debits for hairdressing and chiropody so that people know what has been taken from their account. The balance of cash kept in the home was correct according to the last paper record in the home. It is recommended that systems are reviewed so that people are able to access their own statements when they chose to. Health and safety and maintenance checks had been undertaken in the home to ensure that the equipment was in safe and full working order. Staff attend fire drills and training to ensure that they know how to keep people safe in the event of a fire. Care Homes for Older People Page 25 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 26 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 2 3 4 5 6 1 8 9 9 22 31 Fee rates should be available so that poeple know how much they will have to pay to live at the home. Documentation should evidence when care has been delivered so that peoples needs are met. A clear audit trail should be in place so that staff know people have received their medication as prescribed. Systems should be in place so that people can be identified to minimise the risk of drug errors. Systems should be in place to ensure that equipment is available to meet peoples needs and is fit for purpose. Systems should be in place so that all recruitment information is available in the home, so that people are safe. Systems should be in place so that people can access their personal money statements when they choose to. 7 35 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. 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!