Inspection on 04/11/09 for Sandylee House

This inspection was carried out on 4th November 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

Sandylee House 28/05/08

Sandylee House 20/09/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

Key inspection report Care homes for adults (18-65 years) Name: Address: Sandylee House 54 Stafford Road Uttoxeter ST14 8DN     The quality rating for this care home is:   two star good 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: Joy Hoelzel     Date: 0 4 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 30 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 Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Sandylee House 54 Stafford Road Uttoxeter ST14 8DN 01889567360 F/P01889567360 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dunstall Enterprises Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 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: Learning disability (LD) 6 Date of last inspection Brief description of the care home Sandylee is a care home for six people with learning disabilities and complex needs. The home was registered in April 2006 and is a modern detached building on the outskirts of Uttoxeter. The location of the home enables easy access to public transport. The centre of Uttoxeter is within walking distance where there is a range of facilities for leisure and shopping. The home has three floors; on the ground floor, there is the shared living accommodation. There is a lounge, a large kitchen with dining facilities, games room with a full size Pool table and a large conservatory and utility room. The garden area has decking and a range of garden furniture. There is a farm to the rear and neighbours do not overlook the property. There is a driveway to the front and side of Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 6 2 7 1 1 2 0 0 8 Brief description of the care home the property for six cars, and a double garage with plumbing and electrics fitted. There are two large en-suite bedrooms on the first floor, and two rooms have the use of a shared bathroom. On the second floor, there are two large en-suite rooms. Staffing is provided on a 24-hour basis to ensure the total supervision and support of people living in the home. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents are being revised and are avilable directly from the home. Information on the current level of fees for the service can be obtained from the home. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Care Homes for Adults (18-65 years) Page 5 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection for the service was completed 27th November 2008. The home did not know that we would be visiting on this occasion to inspect the service. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Discussions were held with people living, visiting and working at the home. Some people were unable to fully comment about their experience of life at the home. Observations were made of how they spent the day and of the interactions offered by staff in an attempt to obtain an overview of how they may be feeling. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a self-assessment and a dataset that Care Homes for Adults (18-65 years) Page 6 of 30 is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The acting care manager completed this document and returned it to us. Comments from the AQAA are included within this inspection report. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 8 of 30 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 Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Admissions are not made to the home, until a full needs assessment has been undertaken. This tells the home all about the person and the support they need. Evidence: The AQAA informs us that - The service brochure needs to be up-dated. With plans for the next twelve months for the - Development of a pictorial service user guide with service user consultation and hopefully create an audio version of this along with the statement of purpose. The person in charge of the home at the time of our inspection told us that currently the homes information brochures are unavailable due to them being reviewed and updated. We were unable to determine the weekly fees for the service due to the service user guide being unavailable. The AQAA also provided us with an overview of the action they take to ensure the home can be fully prepared and able to meet a persons care needs when someone decides to move in. We looked at the case file of the person who recently moved into the home. The contents in the file confirmed that information had been sought regarding this persons Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: needs prior to them moving in. A phased plan is agreed to slowly introduce the person to the service and to have the opportunity to visit and meet the people living and working at the home. This gathering of information ensures that the service knows about the person, and the person can be confident that care needs can be satisfactorily met. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 this service can be assured that they will be fully involved in making choices and decisions about their lives. Evidence: The AQAA informs us that during the past twelve months they have made improvements in the care documentation by Care and support plans are now in place to provide the staff team with clarification and clearer guidance on the method to support individuals and to meet their assessed needs and to continue to promote their independence and opportunities. We saw that each person living at the home has their care documentation divided into four separate files. These files are kept securely in a lockable cupboard in the main office. We selected two files to look at and found that there are copious amounts of information regarding the care needs of each person. We saw that the files titled my files contained an assortment of information and were very different in content for Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: each person. It was not easy to find the daily care and support needs for a person without wading through lots of papers and files. We saw that an assessment had been completed to record the amount of support a person needs with different daily living activities. These support plans were very descriptive but there was no evidence to suggest that the person requiring the support had been fully involved with the plan. We saw that the plans did not contain any acknowledgment of discussions with the person and/or their representative. Staff told us that the person is always involved with decision making about how they wish to spend their time and the support that they need. Staff told us that they thought the files and documentation systems were complicated but that the new manager is currently reviewing all plans and revising the files and information in them. Throughout our time at the service we observed people being offered choices to help make decisions as to how they were spending their day. Some people had been into the local town to buy groceries for their lunch; one person had been to the local centre for morning coffee. One person had decided not to go shopping but to stay at the home, they told us that they were very happy doing what they were doing. Staff told us of the regular meetings that are held at intervals during the week to assist people with deciding on and choosing their activities. We saw that risk assessments had been completed with the action recorded to reduce the risk to the person. Staff told us of the agreed plan with one person of the way they keep safe when they are away from the home. To maintain this persons independence and to ensure their safety, they have been supplied with a mobile phone so they are able to stay in contact when they are away from the home. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 using the service can be confident that they will be supported to follow their own personal interest and activities. Evidence: One person told that they are able to do voluntary work at a local charity shop, they said how much they enjoy going and had made a lot of friends at the shop. They told us that they recently had been out for a meal with a co worker and that they were able to visit another friend who had recently retired from the shop. Other people told us they go to college and to local centres each week. People told us that they use the local amenities many times during the week. People attend the local churches, they told us they like going to church each week. One person told us that they like to go to the local pub and have a pint of Guinness. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: The main front door is locked for security reasons. One person told us that they hold a key to the front door so that they are able to freely come and go. People have unrestricted access to all communal areas. All people have a key to their bedroom, staff told us that no one actually holds the key but it is always in the lock on their bedroom door. One person told us that they do not hold the key, but they felt this was satisfactory as they all respect each others private bedrooms and do not go into each others rooms unless they are asked to do so. Staff do not go into bedrooms unless they have asked the permission of the person. Staff told us that a meeting is held each week to agree the menu for the coming week; they said that this often changes as people decide to have something different. People use the local supermarkets to do the weekly grocery shopping and said that they enjoy this activity, especially when one supermarket delivers the shopping. People told us that they were satisfied with the meals and that they could have what they want each day. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident that they will receive support and care in the way they prefer. Evidence: We saw that each person has a support plan which details the amount of personal support they require and the way that they wish to have the support provided. Staff told us that people usually only need prompts and can generally manage their own personal hygiene and care. We saw that people were very individual with their dress and appearance. Each person has a nominated key worker to help and support them. We saw that people looked very well at ease with all staff and said that the staff were their friends. Documents in the case files recorded the visits to and from health care professionals, for example contact with the general practitioner, dietician, chiropodist and social workers. We looked at the systems for administering medication to people and found that the areas for storing medication were safe and secure. Staff explained the procedures and Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: we looked at the medication administration records (MAR) for a selection of people. We saw that protocols and instructions for use have been completed for all as required medications. This ensures that staff have the details of when these medications can be given. The team leader told us that they generally dispense a persons medication, give the medications to the support worker who then administers it to the person. We advised that the person dispensing the medication should also administer it and then sign the mar. There is a potential for errors occurring with the current system. We discussed the administration of creams and lotions with the person in charge, they told us that generally the support workers administer these at the time of supporting people with their personal care. The team leader then signs the MAR to confirm that the creams have been administered. We spoke to the manager and suggested that a separate record for support staff to sign could be used in conjunction with the MAR. The support staff would need training in the safe administration of creams and lotions to ensure they have sufficient knowledge and are competent to do so. We saw that some prescribed creams and ointments are kept in the persons own bathroom. The staff could not tell us for how long the preparations had been in use, there was no recording of the date of opening. We spoke with the team leader and advised that the medications procedures should be amended to ensure additional safety aspects are adopted in the working practices. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 using the service are provided with information on how to make their concerns known. Evidence: The AQAA informs us that The complaints procedure is a regular agenda item in service user meetings and an open forum for discussion is encouraged as is the opportunity for confidential discussion. We saw that the complaints procedure has been produced in a pictorial format. The team leader explained that further improvements to the document are planned. People told us that they felt they would be able to speak with their key worker if they had any concerns. Staff explained how they support people with raising concerns. The AQAA further informs us that the service has received two complaints within the last twelve months and that both were responded to within the 28 day timescale. We were unable to have a look at the way the home records any complaints as the managers office was locked and we could not access the records. We saw a training matrix that indicated all staff currently working at the home have had recent training in the protection of vulnerable adults. Staff explained the action they would take if they had any suspicions of abuse or neglect. Information in the AQAA informs us that the service has plans To provide further training on the Mental Capacity Act and the Deprivation of Liberty Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Safe guards and the importance of such in the service provision. We saw that each person has a separate financial file that contains assessments and documents of peoples finances and money. Staff told us of the way that they support and assist people with budgeting and their weekly allowances. Care Homes for Adults (18-65 years) Page 20 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 using the service live in a homely and comfortable environment. Evidence: Sandylee is a three storey spacious detached property providing good accommodation for up to six people. The maintenance and redecoration of the home continues as needed with the communal areas being redecorated within the last twelve months. There are plans for a sensory room to be provided shortly. People told us that they were very happy living at Sandylee. They told us that they were warm and comfortable and liked their own rooms. We looked at two bedrooms each being as individual as the occupant. Staff told us that people are able to choose their own colour scheme for their rooms. We saw that the wardrobes provided by the home were free standing, for added safety to people these should be securely fixed. We saw that communal toilets and bathrooms are not been supplied with paper towels for the effective control of the spread of infections. Staff told us that they provide support with personal care to people in their private bedrooms, no paper towels or liquid soap are provided for staff use. We discussed this with the team leader at the time of this inspection. Staff explained the way that they deal with everyday laundry and the occasional soiled Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: laundry. The washing machine does not have a dedicated sluice cycle, staff told us that they hand sluice any soiled linen prior to putting it into the washing machine. This practice has a potential risk of contamination and splash accidents for staff. The laundry is sited at the side of the kitchen with access to the area through the kitchen and dining area. We discussed the potential for the spread of infections and intrusion to people of carrying laundry through the kitchen and dining area to get to the laundry. Consideration should be given to relocating the laundry area; a revision is required for the current procedures for dealing with soiled and everyday laundry. Care Homes for Adults (18-65 years) Page 22 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 can be assured that the staff have the skills and knowledge to meet their needs. Evidence: People told us that they feel the staff are their friends. People who did not wish to comment appeared very much at ease with staff and other people. We observed people living and working at the home interacting extremely well with each other. We saw staff carrying out their work in a competent and knowledgeable way. They reacted extremely well when one person became very distressed, the situation was diffused quickly and calmly. The AQAA informs us that of the twelve permanent care staff, six have been awarded National Vocational Qualification levels 2 or above. The training matrix indicates that the other six care staff have been enrolled on a National Vocational Qualification course. We were unable to look at staff personnel files and the recruitment procedures to see if the required checks had been completed before a person starts working at the home. This being due to the manager not being on the premises and the office locked. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: The team leader told us that only the manager has access to the personnel files. We discussed with the team leader that arrangements should be made to allow access to the personnel files and any records that we wish to look at during the inspection process. We will visit again to check that the home has introduced procedures to give access to personnel files. Staff told us that they feel they receive sufficient and appropriate training to enable them to do their job well. A training matrix is available and identifies the training that staff have completed and when. It shows us that staff receive training in the mandatory topics, for example, moving and handling, first aid, etc, and also specialist topic areas such as epilepsy awareness and protection of vulnerable adults. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 management team work continuously to improve services. There is a strong focus on person centred thinking, with people living at the home shaping service delivery. Evidence: Since the last inspection there has been a change in the management of the home. A new acting manager has been recruited and has been at the home since September 2009. The formal application to be registered as the homes manager will need to be submitted to us in due course. The acting manager was not at the service during our inspection. A team leader was in charge of the premises and offered their cooperation with this inspection. People told us that they feel the new manager has made a good start and has plans to improve the service. People living at the home told us of the changes the new acting manager has made already and said that they like her. The AQAA was completed by the new acting manager, returned to us within the timescales and contains some excellent information of how the service is running and what improvements need to be made. Observations during this inspection confirm and support the information provided. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The AQAA tells us that there are plans to improve the quality assurance systems and monitoring of the service by - Providing a family satisfaction survey and professionals to complete also to obtain views from all involved. We saw that a satisfaction survey for people living at the home has been reviewed and is now in a pictorial format. Staff told us they will be soon be distributed to people to get their view on how they experience life at the home. Regular unannounced monthly visits are being completed by an outside agency; reports are produced of these visits. We saw the records, documents and certificates for the weekly, monthly and annual health and safety checks are being maintained. This ensures that the equipment in use and the environment remain safe. Care Homes for Adults (18-65 years) Page 26 of 30 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 Adults (18-65 years) Page 27 of 30 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 20 13 The medication 04/12/2009 administration recording charts should be signed by the member of staff administering medications to people. This will ensure that an accurate record is made of the administration of medications and will reduce the risk of errors occurring 2 34 17 You must make sure access for authorised personnel is available for inspection of staff files upon request. This will ensure that at all times records are available for inspection by authorised persons, to confirm that robust recruitment procedures are in place. 04/12/2009 Care Homes for Adults (18-65 years) Page 28 of 30 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 service information documents, (statement of purpose and service user guide) should be readily available. This will ensure people have the information they need to make an informed choice of whether to move into the home or not. The service user guide should contain full details of the weekly fees payable. The care plans should be developed, agreed and reviewed with the individual person and/or representative. For the extra protection of people staff should date the external products/preparations/creams/ointments upon opening and to discard tubs after one month of opening and tubes after three months of opening. Liquid soap and paper towels should be available in all communal toilets and bathrooms and in private rooms where personal care is provided. This is for good hygiene purposes and will reduce the risk of the spread of any infections. To reduce the risk of the spread of infections and for the possible intrusion to people, consideration should be given to relocating the laundry area. Interim measures and a review of procedures is needed for dealing with soiled laundry. The application for the position of registered manager should be submitted to the commission for consideration. The quality assurance and monitoring of the service should be further developed to ensure the home operates as it states it does. 2 3 4 1 6 20 5 30 6 30 7 8 37 39 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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