Inspection on 03/03/10 for Oaks Court

This inspection was carried out on 3rd March 2010.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaks Court 15/06/10

Oaks Court 24/11/09

Oaks Court 05/02/08

Oaks Court 24/04/06

Oaks Court 26/07/05

Oaks Court 25/04/05

Oaks Court 29/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for older people Name: Address: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA     The quality rating for this care home is:   zero star poor 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: Alison Ridge     Date: 0 4 0 3 2 0 1 0 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 29 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Oaks Court Oaks Crescent Wolverhampton West Midlands WV3 9SA 01902715266 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Quality Homes (Midlands) Limited Name of registered manager (if applicable) Margaret Mary Sims Type of registration: Number of places registered: care home 41 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 accommodated is 41 The registered person may provider personal care to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 41 Dementia over 55 years of age (DE)(E) 34 Date of last inspection Brief description of the care home Oaks Court is a purpose built residential home for 41 older people that was originally intended, and run for a short time, as a nursing home. It is situated in a quiet residential cul-de-sac close to Wolverhampton city centre. The building is on three floors, which are serviced by a couple of lifts. All the bedrooms have en-suite facilities. The home has an enclosed garden at the side of the building and a large car parking area at the front. Care Homes for Older People Page 4 of 29 Over 65 34 41 0 0 2 4 1 1 2 0 0 9 Brief description of the care home The most recent inspection report is available for people to read at the home if they wish. Current fees can be obtained from the home. Care Homes for Older People Page 5 of 29 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: zero star poor 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 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, standards of practice and focuses on aspects of service provision that need further development. Prior to the visit taking place we looked at all the information that we have received, or asked for since the last key inspection. This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law. The manager had not been requested to complete an Annual Quality Assurance Assessment (AQAA) before this inspection. This is a document that provides information about the home and how they think that it meets the needs of people living there. The home did not know we were going to inspect them. Two inspectors undertook the key inspection and one inspector looked just at the cleanliness of the home to check all required work had been undertaken to meet the Statutory requirement notice we Care Homes for Older People Page 6 of 29 issued in December 2009. Four of the people living in the home were case tracked. This involves establishing individuals experiences of living in the care home by meeting them, observing the care they receive, discussing their care with staff and relatives, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We looked around some areas of the home and at a sample of care, staff and health and safety records. During the course of the inspection we spoke with six of the people living in the home, the manager, four staff and three relatives to get their views on the home. Their comments are included in the report. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? Eleven of the requirements we made at our last visit had been met in full, and the home had complied with a Statutory Notice regards standards of cleanliness and infection control. The standards of cleanliness had greatly improved since our last visit to the home. This means people live in a clean environment and are protected from infection. Staff have received lots of training. This has increased staff morale, and means staff are better able to look after the people living in the home. Staff we spoke with said, We have done lots of training, and realise we need to be more person centered in the way we plan care and, People living here are the most important. There is better communication, better care plans, more staff training. We are more aware of what we are doing, we want to provide a good service to people. All staff have had update training in safeguarding. This means staff are more aware of poor practice, and what to do if they suspect people are being abused. This should mean people are better protected from harm. Care plans have been re designed. This makes them easier for staff to read. Where possible people have been involved in writing the plans, to ensure their preferences are recorded. Care Homes for Older People Page 8 of 29 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 9 of 29 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 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can not be completely sure the home can meet their needs before they make a decision to move in. Evidence: The manager has produced a Statement of Purpose and Service User Guide which are currently under review. We found these need some further development to make clear the policy of using locked doors within the home to keep people safe, and the arrangements for smoking. We case tracked four people. Two people had moved to the home in the past six months and we looked at the way the home had assessed them, before offering them a place. Doing this ensures the home knows what peoples needs are and that they can meet them. This would give the person and their family confidence the home is right for them. We did not find that the assessment had been done well, and we found that some things identified in the assessment had not then been put in the persons care Care Homes for Older People Page 11 of 29 Evidence: plan, to ensure this need was met. Care Homes for Older People Page 12 of 29 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People cannot be certain their health or medication will be well managed, which could have a negative impact on their well being. Evidence: We case tracked four people who live at Oaks Court. We found that each person had a plan of care and that staff had been working on these recently to update them. The plans were easy to use, and peoples main needs were identified clearly and the reader sign posted to further information. It was positive that where possible people had been involved in writing their care plans, and had been informed about what was in them. All the plans we read had been written in Janaury 2010, and had been identified as needing monthly review. In all cases this was overdue. We noticed that the daily notes were very limited in content and largely focussed on diet, medication and sleep, and so could not see how the information to review these plans was being collected. Some peoples needs had changed very significantly in the time since they were written, yet Care Homes for Older People Page 13 of 29 Evidence: still no review of care had been undertaken. An example of this was one of the people we case tracked had been placed on an end of life plan by the district nurse. They had also had a plaster cast removed from their leg following a fracture. These changes would result in a substantial change to their care needs yet it had not prompted a review of their care plan. We found that staff had identified in the daily notes some changes in people, and we tracked what action had been taken. In most cases we could not see that the person had been reffered to the appropriate professional, or that the required test had been undertaken and the result obtained and recorded. In some instances this was of particular concern. An example we read was that staff had noticed a change in the appearance of one persons stomach. This could indicate they had become constipated. No advice was sought from the GP or district nurse, and the staff did not monitor or record what happened to ensure this person went to the toilet and the problem resolved. We read that people needed urine samples collecting and sending for analysis. We could not find evidence that this had been undertaken and so could not be certain this was not still a problem for the person. Some people living at Oaks Court are particularly frail and need special care to ensure they do not get sore skin. We did not find the special risk assessments or plans regards this in peoples files. Some people find eating diificult, and we did not find that specialist advice had been sought from the Speech and Language therapist, or that clear guidelines were in place regards how to prepare and present each persons food. In one case we found different advice held on the same person in two different areas of the home. This does not ensure people consistently get the care they need, and could jeopardise their well being. We met people who had a very low body weight. Staff had been weighing the person, and recording this, but there was no plan in place detailing the weight to be achieved or maintained or any evidence this had been discussed with the GP or a dietician. This means that nutritional risks may not be identified and people get the treatment they need. Some people receive nursing care from the District nurses. We were pleased to hear that the relationship between the nurses and the home had improved, and this in turn had led to better health care for people. Care Homes for Older People Page 14 of 29 Evidence: We looked at medication management for six people who live at Oaks Court. We were pleased to find that staff had recently been on refresher training, and that some staff were undertaking distance learning medication training. Despite this the management of medication was very poor and the records and stock of medication for each person failed to show that all medicines had been given as prescribed. We found that not all staff had signed to say that medicines had been given. We found that the number of tablets in some cases was higher than records said they should be. This suggests that not all doses have been given as prescribed. We found two medicines had not been given as frequently as the Doctor had prescribed. This included some antibiotics being given three times a day instead of four times, and a laxative being given once a day instead of twice a day. We were concerned that one controlled drug, requiring the signature of two staff to administer had been wrongly recorded. Staff had not identified that the number of drugs and records were different, and so had not sought advice. We were concerned that the management of the home does not operate an audit of medication to ensure that errors such as these are picked up, and action taken promptly to sort them out. We spent time watching the way staff support people to move around the home, eat their meals, and receive their care. We found that people were supported and spoken to in a way which was friendly and respectful. Care Homes for Older People Page 15 of 29 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. People are offered tasty nutritious food and opportunity to stay in touch with people who are important to them. Interesting and stimulating activities are not provided for everyone each day. Evidence: We spoke with people and looked at records about the activities available to people at Oaks Court. We found that a range of activities were provided and these varied from in house games such as cards and jigsaws, to visiting entertainers including musicians and a physiotherapist. Larger activities including a visit to a local pantomime and annual open day of the home are also occasionally provided. We sat in the lounge during the morning of our visit, and observed one staff playing cards with a person, they seemed to enjoy this. We also observed staff offer to file a persons nails. The home has a trolley of refreshments for sale which is brought round each day. We saw that people enjoyed having the opportunity to choose a soft drink or chocolate bar, and to handle their own money. Staff brought in a trolley of hot drinks. People were asked what drink they would like. Some people also provided their own tea bags, as they liked a certain brand. We Care Homes for Older People Page 16 of 29 Evidence: thought that this was a positive way for people to make choices. During our visit we observed and saw records that people can be involved in the day to day running of the home. This included assisting with folding clean laundry and making cakes. Some of the care plans we looked at had identified that people should be offered specific activities to benefit their physical or mental health. We could not see that these activities had been made available or undertaken. The home has an open visiting policy,which means people can see their visitors as they chose and can maintain relationships that are important to them. We saw people having visitors throughout our visit. We spoke with some relatives who said that their family members were frail and benefited from staff sitting beside them, and just talking. They felt staff were usually too busy to do this. A meeting is held each month between senior staff and people who live at the home. This provides an opportunity for people to raise concerns or ideas about the way Oaks Court runs. We saw minutes of these meetings and noted a broad range of topics is discussed, but that most months comments about the food and laundry are made. We could not see from the meeting minutes that concerns raised are reviewed at each meeting to ensure they are resolved. We saw the lunch time meal being served. The food provided looked and smelt tasty. Staff offer people a choice of two meals, and we saw that plates leaving the kitchen were made up to each persons preference regards the portion size, expressed choice and presentation. Some people eat in their rooms or lounge chairs,and we saw food being taken to them on a tray. We observed that the pudding was served in plastic bowls and the drinks in plastic beakers. Unless people need this due to assessed risks the home should obtain crockery and glasses which offer people more dignity. We also observed that some of the cutlery was too large for the person to comfortably use. This should be reviewed and new cutlery obtained if required. We saw staff support people with eating and drinking, and this was done sensitively. Care Homes for Older People Page 17 of 29 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. Procedures are in place to ensure concerns are dealt with efficiently, to safeguard people in the home. Evidence: Neither the home or the Commission have received any complaints since the last inspection. We looked at the way complaints are recorded, and the process used to investigate them. This was robust. We spoke to people living at the home and some relatives. Everyone we spoke with said they felt able to raise concerns with the manager if they needed to. The management team and all staff had undertaken refresher training regards Safeguarding. The staff we spoke to all knew what abuse was, and who they should report it to. We saw the policy the home uses in the event of abuse being suspected or reported and this would ensure concerns are responded to quickly and the right people informed. Care Homes for Older People Page 18 of 29 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. People live in a comfortable clean home. Evidence: We looked at the parts of the home used by the people we case tracked. We also looked in detail at the arrangements made to keep the home clean, and to promote good infection control practice. In December 2009 we were very concerned about the cleanliness of the home, and took enforcement action. We were pleased to see that this had resulted in the home being thoroughly cleaned, and actions taken to ensure this is maintained. We found that light pull chords in bathrooms needed to be cleaned, or replaced. These can cause infections to pass from one person to another and so must be attended to. The local Primary Care Trust undertook an audit of infection control practice and the home scored 94 . This ensures people live in a home that is clean. We looked in the bedrooms of the people we case tracked. It was good to see that people had been supported to bring items of importance to them into the home,and each room was slightly different because of this. We saw that people had the furniture and equipment they need in their bedroom, as well as a selection of personal and comfort items. Staff and relatives informed us that some new bedding has been purchased which has increased peoples comfort. Care Homes for Older People Page 19 of 29 Evidence: We noticed in the lounge that people had no table beside their chair on which to put personal items, or hot drinks. We suggest this be considered to increase peoples comfort and reduce the possibility of hot drinks being spilt. Care Homes for Older People Page 20 of 29 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 staff they know and trust, who are trained to do their job. People are not protected by robust recruitment practices. Evidence: Four weeks worth of staff rota was looked at. This showed that six staff were on each morning, six each afternoon and four at night. At the moment the home has eight resident vacancies and staff mainly reported the number of staff on duty is adequate to meet peoples needs. This will need to be kept under review as new admissions move into the home, and peoples needs and dependency changes. A lot of staff training has been undertaken in recent months, and staff reported this has increased their knowledge and improved morale within the staff team at the home. We found that staff had received refresher training in the common induction standards, safeguarding, first aid, care planning, pressure area care, medication, and infection control. Senior staff had also received training in basic leadership and management. This should ensure staff are better able to support people. We could not determine how many of the staff had completed their National Vocational Qualifications (NVQ), from the records provided to us. We spoke with four of the staff on duty. We found them all to be motivated and knowledgeable about the people they support. Care Homes for Older People Page 21 of 29 Evidence: Staff files showed that supervision occurs regularly. This ensures staff feel supported to undertake their role. We looked at the recruitment records for four staff. The files for two staff who had been in post for some years had all the neccessary recruitment checks on file. Two more recent starters did not have the necessary identification, references, CRB checks or photo on their file. Gaps in employment and training history had not been explored at interview. This does not ensure that people are supported by staff suitable to work in care. The home manager informed us after the inspection that CRB Information is available. We cannot confirm this. Care Homes for Older People Page 22 of 29 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is not effectively managed. Evidence: The registered manager Margaret Sims was present for the duration of our inspection, and we were also assisted by the deputy managers, general manager and owner for some parts of our visit. We found that significant improvement had been made in improving the cleanliness and infection control in the home and towards meeting most of the requirements we made at our last inspection. We did not find the day to day management of the home to be effective and were concerned at the number of shortfalls we found during our visit. This shows that the management team are not auditing and checking the running of the home in an effective way. This does not ensure people get the care or service that they need, or in the way they prefer. The owner visits the home on a regular basis and has completed and recorded regulation 26, owner visits each month. These show that he does look at most aspects of the homes operation, but it was of concern that shortfalls Care Homes for Older People Page 23 of 29 Evidence: we identified both at this and the last inspection of the home failed to be identified by him in these audits. These suggest they are not as effective as they should be, to ensure the owner is aware of the way the home is operating. We looked at records and spoke with three staff who tolds us they receive supervision, and feel supported in their role. Health and Safety records for electrical fittings, appliances, the fire alarm and equipment, gas and water were all viewed and found to be up to date. Certificates to show that the lifting equipment has been serviced and load tested at the required intervals were not currently up to date, and must be undertaken. It is recommended that the record of fire drills show which staff have taken part, and the time of day/night they were conducted to show all staff have received this training. We looked at the systems in place to manage peoples money where the home takes responsibility for this. We found the records were detailed and accurate and storage was secure ensuring peoples money was safe. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans should reflect all 02/02/2010 the specific needs of the individual with comprehensive actions listed to enable staff to meet peoples needs safely. This will enable staff to meet all the needs of the individuals living at the home safely. Care Homes for Older People Page 25 of 29 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 1 8 12 Changes in health needs must be identified and the required follow up taken. To ensure people receive the care they require. 04/03/2010 2 9 12 You must ensure that refferals are made as appropriate to relevant healthcare proffessionals to meet the needs of service users. To ensure people get the healthcare they need. 04/03/2010 3 9 13 Systems must be put in place to ensure that medication is administered to service users as prescribed. To ensure people get the medication they need at the time required. 04/03/2010 Care Homes for Older People Page 26 of 29 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 4 29 19 Full checks must be made on each staff member prior to them commencing work in the home. To ensure people are supported by staff suitable to undertake a caring role. 23/04/2010 5 31 9 The home must be effectively managed. To ensure it is operated in the best interests of the people accommodated. 23/04/2010 6 38 23 All load bearing equipment must be serviced and load tested at the required intervals. To ensure the equipment is safe to operate. 23/04/2010 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 to reflect the current service offered at the home. This will provide people with the information they need to make a choice about the home. Each person should be fully assessed by the home prior to be offered a place. This will help them be confident the home can meet their needs. Plans of care must be kept under review and updated as peoples needs change. To ensure needs are known and met 2 3 3 8 Care Homes for Older People Page 27 of 29 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 in the way people prefer. 4 5 6 7 8 9 10 12 14 15 15 19 26 33 Activities needed as indicated by care plans and clinical need should be provided. People should be made aware of action taken in response to their comments made at consultation meetings. Meals and drinks should be served in a way which promotes people dignity. Cutlery should be reviewed and additional pieces provided to meet peoples needs. Provision should be made for people to place cups, snacks and personal items safely by their chair in the lounges. Light pull chords should be cleaned or replaced to promote good infection control practice. It is recommended that provider visits are undertaken and recorded in greater detail to ensure the provider is fully appraised of the homes operation. It is recommended that fire drills be recorded in greater detail to evidence who took part in the drill. 11 38 Care Homes for Older People Page 28 of 29 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. 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