Inspection on 04/11/09 for Seahorses

This inspection was carried out on 4th November 2009.

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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seahorses 09/09/09

Seahorses 03/03/09

Seahorses 22/02/08

Seahorses 30/04/07

Seahorses 17/10/06

Seahorses 13/01/06

Seahorses 16/08/05

Seahorses 19/01/05

Seahorses 03/08/04

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: Seahorses 8 Park Road Gorleston Gt Yarmouth Norfolk NR31 6EJ     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: Debby Ames     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 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 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 29 Information about the care home Name of care home: Address: Seahorses 8 Park Road Gorleston Gt Yarmouth Norfolk NR31 6EJ 01493655731 F/P01493655731 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr John Hallam,Mrs Gillian Rose Hallam care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Huntingtons Disease and other Neurological Disorders Date of last inspection Brief description of the care home Seahorses is an older style, chalet bungalow that is run as a residential care home providing twenty-four hour nursing care to eight adults with Huntingtons Disease or other neurological disorders. All bedrooms are single, on the ground floor and contain a washbasin - two are en-suite. People living at Seahorses have communal use of a bathroom, toilet, lounge and conservatory that contains the dining area. There is a well-kept garden to the rear of the property and roadside parking to the front. Qualified nurses are part of the staff team and the manager is also a qualified nurse. Seahorses is within walking distance of the sea front, close to healthcare facilities, local shops, hotels and pubs and has its own mini-bus. The current fees for living at the home are calculated according to individual care and support needs. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 8 0 3 0 3 2 0 0 9 Brief description of the care home Care Homes for Adults (18-65 years) 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 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: Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. The fieldwork of this inspection was carried out over a period of five hours, during which time a number of people living at Seahorses were observed and a tour of the premises was undertaken, which included seeing peoples personal rooms. Discussions were also held with the manager and some of the staff on duty. Various records were looked at in detail, which included a care/support plan, staff files and other records relating to health and safety. Care Homes for Adults (18-65 years) Page 6 of 29 A Random Inspection was carried out in September 2009, during which it was established that some of the previous requirements had been met. Four requirements have been made as a result of this inspection, which includes two that have been repeated. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 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, 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. Prospective service users have their needs assessed prior to admission and the information is used as part of the care planning process, which helps to ensure peoples needs are met. Evidence: One care plan was looked at in detail during the inspection, which was seen to contain a detailed pre-admission needs assessment. This also included comprehensive risk assessments and a personal profile. The manager confirmed that other than the above, there have been no new admissions since the last inspection. Care Homes for Adults (18-65 years) Page 10 of 29 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. The people living at Seahorses have their changing needs and personal goals reflected in an individual plan of care, they are supported to make decisions about their lives as much as possible and take risks as part of an independent lifestyle. Evidence: The care plan that was looked at in detail was for a new service user, who has been having regular respite stays for a number of months. This persons plan was seen to contain comprehensive information, which helped to confirm that they are receiving consistent care, receive the level of support they require and are treated and respected as an individual. The contents of the care plan were seen to include the following: 1) Key Worker Duties Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: 2) Inventory 3) Daily Notes - these included information regarding diet, fluids and cigarettes. These also included regular reviews, with the latest one being dated 14th October 2009. 4) Cigarette Chart 5) MAR (Medication Administration Record) Sheet 6) Lifting Assessment - this section included a Local Authority Standard Assessment, details of funding and an assessment by the manager of Seahorses. 7) Information sheets in respect of next of kin, information regarding death, progress and evaluation, missing person procedure and collaborative care. 8) Nursing Care Plan - this included risk assessments (in particular choking and smoking). 9) Admission Information from the Local Authority (Pre Seahorses). 10) Further Risk Assessments and Care Plans - covering areas such as: * Maintaining a Safe Environment * Communication * Breathing * Eating and Drinking * Elimination and Continence * Personal Hygiene and Dressing * Controlling Body Temperature * Mobilising * Social Care Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: * Expressing Sexuality * Sleeping * Fears for the Future / Dying * Family Involvement * Moving and Handling Requirements (All of the above risk assessments and care plans were seen to have been completed appropriately and were signed and dated by the manager of Seahorses.) 11) General Assessment completed by the service user and their relative, which included detailed medication information. This section also included a completed Personal Information page, which contained details of next of kin, GP, date of birth, diet options, daily/evening routines and further general, personal information. Meanwhile, a discussion with the manager confirmed that people continue to be supported to make decisions about their lives as much as possible and, as mentioned in the last key inspection report, one person continues to look after their own finances entirely, uses a computer for on-line banking and has their own private telephone in their bedroom. Care Homes for Adults (18-65 years) Page 13 of 29 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 living at Seahorses continue to be supported to make choices about their lifestyle as much as possible and participate in various activities, which suit their individual needs and choices. Evidence: The care plan that was looked at and observations during the inspection provided evidence of individualised support and people being able to spend their time as they wish, as much as possible. On the day of inspection, three people were supported on a trip to Kings Lynn for the day while, of the remaining service users; one was seen sitting on the sofa in the dining room with one of the house cats, another appeared content coming and going as they pleased and a third person was observed watching the television in their bedroom. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: It was confirmed that organised activities continue to be carried out one day per week (usually on a Wednesday) and these include pub visits, walks along the seafront, picnics, cinemas, local tourist attractions and trips to other towns and cities. General observations during the inspection confirmed that the care staff spoke to people in a caring and professional manner and people were treated with respect and dignity. Observations, information in the care plan that was looked at and discussions with the manager and a staff member confirmed that people continue to be supported to maintain links with family and friends and can have visitors whenever they wish. The care plan looked at confirmed that individual dietary requirements are taken into consideration and catered for. As with the previous inspection, a number of people require their food to be pureed and the content to be of a high calorie/fat nature and, as before, this was observed to be provided in a respectful manner by the staff and the meals were noted to be wholesome and nutritious. One person was observed eating their meal without support, in the dining room, during the inspection. One area of concern was noted however, in that when a resident needs support to smoke, the procedure for staff in the care plan is that the person should be supported to smoke in the dining area only. As raised in a previous key inspection report, this is not acceptable practice, as it infringes on other peoples rights in the communal area. Care Homes for Adults (18-65 years) Page 15 of 29 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. The people living at Seahorses receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes medication policies and procedures. Evidence: The information in the care plan that was looked at, together with general observations and discussions with the manager, confirmed that peoples individual wishes continue to be considered and acknowledged in respect of the way they are supported. As described in the previous key inspection report, some people require more support than others in respect of health matters and these are clearly described in their individual care plans - i.e. mobility, eating, drinking and personal hygiene. Numerous individual risk assessments were also seen to have been completed and regularly reviewed in respect of peoples physical and mental wellbeing, including mobility, eating, drinking and personal hygiene. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Seahorses was noted to have good and safe practices with regard to the storage, handling, administration and recording of medication, including controlled drugs and the manager confirmed that she continues to undertake a medication audit on a weekly basis. No errors or omissions were noted in the MAR (Medication Administration Record) sheet that was seen during this inspection. Other records and discussions confirmed that people are continually supported to have regular and ongoing involvement with various care professionals such as doctor, community nurse, speech and language therapist, dentist, optician, dietician and chiropodist. Care Homes for Adults (18-65 years) Page 17 of 29 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Seahorses feel their views are listened to and acted upon but it is difficult to evidence that staff are well trained in areas such as adult protection and inadequate recruitment procedures continue to leave service users vulnerable. Evidence: There have been no formal complaints received by the Commission since the last inspection and a discussion with the manager confirmed that none have been received by the Home either. The recent Quality Assurance questionnaires that sent out by the Home were seen contain mostly positive responses and it was confirmed that, as the manager is available virtually every day, most issues are able to be dealt with and resolved as they arise. Although the manager confirmed that all staff have received training in adult protection and understanding abuse, the staff files and records are very disorganised and it has not been possible to evidence this fact. Additionally, as with the previous inspection, there is a distinct lack of evidence to confirm appropriate recruitment/pre-employment checks are being carried out before people start working at Seahorses, which means the service users are not totally protected. This is covered more fully in the Staffing and Management sections. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Care Homes for Adults (18-65 years) Page 19 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, 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. Seahorses is a homely, comfortable and safe environment for people to live in, which is clean and hygienic. Peoples bedrooms are individual and personalised. Evidence: As with the previous inspections, a tour of the premises was carried out, which showed Seahorses to be clean, hygienic and generally pleasantly decorated throughout most areas. It also had a comfortable and homely atmosphere. Some peoples individual rooms were also seen and these were noted to be very individual and people have the opportunity to personalise them as they wish. One persons room was due to have a new carpet fitted during this inspection and had recently been redecorated. Meanwhile, specialist equipment continues to be available and in use, as required, such as hoists, adjustable chairs and beds. Care Homes for Adults (18-65 years) 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, 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although nursing staff appear to be well trained, competent and qualified, the Homes recruitment policies and practices are still disorganised and not robust, which means the people living there are still not fully protected. Staff are receiving one-to-one supervision and appraisals. Evidence: Ten staff files were looked at in detail, the majority of which were for people who have started working at Seahorses since the last inspection, and issues were raised with each of these. As with the previous inspection, there is a distinct lack of evidence to confirm appropriate recruitment/pre-employment checks are being carried out before people start working at Seahorses. Some of the issues and concerns are as follows: * Three files seen contained only one written reference. * Two Staff members who started working at Seahorses in May and August 2009, commenced their shifts prior to either a POVA First (ISA Adult First) check or CRB Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Disclosure being obtained. * One member of staff, although permanent now - with appropriate checks in place, commenced work at Seahorses as a volunteer without any recruitment checks being completed. * Although the manager confirmed a POVA First check and CRB Disclosure had been obtained for another member of staff, who has been working on and off since 2008, evidence of these were not in the staff file and confirmed as mislaid by the manager. * The staff file for the proprietors relative contained only two certificates and a letter. No other records were available for inspection. * Although four staff files contained two written references, these were noted to be character references from colleagues. In particular, two nursing staff working at Seahorses were noted to have written references for each other and two character references were seen to be written in a way that reads as though the referee was the applicants line manager or employer, which is misleading. * Although PINs (Personal Identification Number) were seen to be recorded on the files of the registered nurses, there was no evidence of these being up to date and valid. Some expiry dates were noted to have already passed. * None of the staff files looked at contained copies of Contracts or Terms and Conditions. * With the exception of a few staff who had provided copies of passports or driving licences for identification purposes, no photographs were seen on the staff files that were looked at. * There was no evidence of a CRB Disclosure having been received for one of the registered nurses who commenced employment in September 2009. This gives cause for serious concern due to the fact that this staff member is currently regularly on the rota as the nurse in charge and therefore is not working under supervision, as is required prior to receipt of the CRB Disclosure. Meanwhile, training records and certificates were seen at the last key inspection, which indicated staff had received appropriate training. However, during this inspection, although the manager confirmed that all staff have received training in adult protection and understanding abuse, the ten staff files and records that were Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: looked at were very disorganised and it was not possible to evidence this fact. It appears that only limited training has been provided for the staff who have started working at the Home since the last key inspection. Staff spoken to during the Random Inspection in September 2009 confirmed that they were in the process of having appraisals carried out and copies of one-to-one supervision and appraisal records were seen during this inspection, which confirmed this. Care Homes for Adults (18-65 years) Page 23 of 29 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In view of the ongoing recruitment issues, Seahorses cannot be regarded as a well run home as service users safety and welfare is not fully protected. Evidence: As more fully described in the Staffing section, in view of the ongoing recruitment issues, Seahorses cannot be regarded as a well run home as service users safety and welfare is not fully protected. Staff files were seen to be very disorganised, with a vast amount of essential information either not obtained or not available for inspection. However, since the last Key Inspection, a Quality Assurance process has been implemented and copies of questionnaires and feedback from staff, relatives and relevant external professional were seen. All of these were noted to contain mostly positive and constructive comments and the manager confirmed that she is in the process of auditing the feedback and compiling an action plan accordingly. A discussion with the manager confirmed that she was scheduled to re-commence her Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: Registered Managers training on 5th November. General health and safety is promoted well at Seahorses. Records seen and discussions held, confirmed that fire alarm and safety tests are carried out on a regular basis and various staff members were noted to have specific areas of responsibility in respect of fire safety, health and safety, kitchen / food temperatures and cleaning. All cleaning materials/hazardous chemicals were seen to be stored appropriately during this inspection. Care Homes for Adults (18-65 years) Page 25 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 34 19 Staff must not commence work at Seahorses prior to receipt of a clear POVA 1st check and they must be supervised at all times until receipt of a clear Criminal Records Bureau Disclosure. To ensure the people living at the Home are more fully protected. 17/06/2009 2 34 19 Two satisfactory written 17/06/2009 references must be obtained before people start working at Seahorses and these need to be able to be proven to be authentic. To ensure the people living at the Home are more fully protected. Care Homes for Adults (18-65 years) Page 26 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 16 13 People must refrain from 31/12/2009 smoking in communal areas and should be supported to smoke in their own bedrooms or, alternatively, a completely separate room should be allocated for people to smoke in. To ensure other peoples rights are not infringed upon. 2 34 19 Two satisfactory written 31/12/2009 references must be obtained before people start working at Seahorses and these need to be able to be proven to be authentic. To ensure the people living at the Home are more fully protected. 3 34 19 Staff must not commence work at Seahorses prior to receipt of a clear POVA 1st check and they must be supervised at all times until 31/12/2009 Care Homes for Adults (18-65 years) Page 27 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 receipt of a clear Criminal Records Bureau Disclosure. To ensure the people living at the Home are more fully protected. 4 37 17 Records as specified in 31/12/2009 Schedule 4 of the regulations must at all times be kept up to date and be available for inspection by any person authorised by the Commission to enter and inspect the care home. To ensure the Home is operating in accordance with the regulations. 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 Care Homes for Adults (18-65 years) 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. 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. 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