Inspection on 16/09/09 for The Elizabeth Anne Nursing Home

This inspection was carried out on 16th September 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Elizabeth Anne Nursing Home 22/06/08

The Elizabeth Anne Nursing Home 21/08/06

The Elizabeth Anne Nursing Home 21/02/06

The Elizabeth Anne Nursing Home 14/11/05

The Elizabeth Anne Nursing Home 07/02/05

The Elizabeth Anne Nursing Home 29/10/04

The Elizabeth Anne Nursing Home 30/09/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for older people Name: Address: The Elizabeth Anne Nursing Home 64 Edgar Road Cliftonville Margate Kent CT9 2EQ     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: Gary Bartlett     Date: 1 6 0 9 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 Older People 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 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) 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 Older People Page 3 of 30 Information about the care home Name of care home: Address: The Elizabeth Anne Nursing Home 64 Edgar Road Cliftonville Margate Kent CT9 2EQ 01843221375 01843225054 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Cliftonville Nursing Homes Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 30. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home The Elizabeth Anne Nursing Home is a large detached premises, with 24 single and 3 double bedrooms. It provides 24 hour residential care with nursing for up to 30 older people with dementia or a mental disorder. Accommodation is on three floors and there are two shaft lifts. The homes stated aim is to provide an environment and programme of care to residents which will reinforce normal acceptable behaviour, aiming to diminish Care Homes for Older People Page 4 of 30 30 30 Over 65 0 0 Brief description of the care home confusion and encourage residents to move from dependency to independence through clear guidelines for their care. The home is located close to the seafront, local shops and bus route in Cliftonville. There is an external grassed area to one side of the property. The current fees range from £325 to £2,359 per week. Full details of these and of any additional costs can be obtained from the Manager. Care Homes for Older People 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 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: This key unannounced inspection was conducted by Gary Bartlett and Nicki Dawson, Regulatory Inspectors, who were in The Elizabeth Anne Nursing Home on Wednesday 16th September 2009 from 7.45 a.m. until 3.40 p.m. During that time the Inspectors spoke with some residents, two visitors and some staff. Parts of the home and some records were inspected and care practices observed. The Manager had completed an Annual Quality Assurance Assessment, from which information was used to inform the inspection process. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as service users. People living at The Elizabeth Anne Nursing Home prefer to be referred to as residents. Accordingly this shall be done in the text of this report. Care Homes for Older People Page 6 of 30 The Inspectors would like to thank everyone involved for their contribution to the inspection. Care Homes for Older People 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 Older People 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 Older People Page 9 of 30 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 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident there will be good pre admission assessments to help ensure The Elizabeth Anne Nursing Home is the right place for them and it can meet their needs and preferences. Evidence: The organisation has policies and procedures for their home managers to follow when assessing and admitting a resident to the home. When practical, the Manager prefers to visit the prospective resident in their home or hospital to help ensure the necessary information is obtained and that it is up to date and accurate. A pro forma is used to record this information which is used as a basis for the care plan. Whilst the form seen includes facilities for the assessments of personal support, health care needs and social interests, it does not include prompts to ask prospective residents if they have specific needs in respect of spiritual beliefs, culture or sexuality. The Manager understands this information can be very important in getting a Care Homes for Older People Page 11 of 30 Evidence: complete understanding of prospective residents needs and assessing if the home is able to meet them in the way in which individuals prefer. He agreed to arrange for the pre admission assessment forms to be amended so as to make it clearer that the information is being sought. Residents, their families and advocates, and relevant health care professionals are involved in the assessment process. Residents said they or their families had been able to visit the home before moving in. Some relatives who were visiting confirmed this and said staff are very helpful in assisting new residents to settle in. Discussion with care staff indicated they are sensitive to the potential difficulties for people who are newly admitted in adjusting to the new surroundings. The home does not offer intermediate care. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents personal and health needs are effectively promoted with good liaison with other health care professionals. Improvements to care plans will better show how residents individual care needs are to be met. Evidence: The judgment for this outcome group has taken into account the quality of life for the residents and an assessment of the level of knowledge and understanding displayed by staff when providing both personal and health care. Each resident has a care plan and five were inspected in detail. They show residents have ready access to health care professionals such as GPs, Psychiatrists, dentists, chiropodists etc. The care plans include information about individual preferences regarding personal care, interests and activities. The Manager acknowledges the care plans should be more specific in detail of how needs are to be met and is intending to further develop the plans so important information is more readily accessible to staff. All staff spoken with have a good Care Homes for Older People Page 13 of 30 Evidence: understanding of residents individual needs, welfare and preferences. The home has a small staff group and a lot of information is shared verbally. The standard of daily records is generally good, being detailed and informative. The Manager is encouraging the staff to report residents emotional states, positive activities and things individuals have enjoyed doing to gives a comprehensive picture of the persons lifestyle. This helps staff when it comes to reviewing the care plans. It is evident the care plans are updated when there are changes in residents health and welfare and are regularly reviewed. Two residents relatives we spoke with, said the home is very good at keeping them informed of residents health and welfare. The Manager and staff members spoken with have a good understanding of getting a balance between perceived risks and promoting independence. Risk assessments are written and are reviewed in response to accidents and incidents or changes in residents welfare to help safeguard those concerned. Records show that staff administering medications have been trained and signed off as being competent to do so. Medicines were seen to be given in accordance with good practice guidelines. The Medication Record Administration Record (MAR) sheets inspected had been generally completed appropriately. The Manager undertook to ensure that when there are changes to prescribed medications in mid cycle, these will be signed by two members of staff on the MAR sheets or daily records of care. This will help provide evidence of the accuracy of the changes made. Several pots and tubes of medical creams, some prescribed, were seen to be left in an unsecured cupboard in a communal bathroom on the ground floor. The Manager agreed to ensure that all medical creams are stored appropriately and securely in future and took immediate action in regard to this. This negated the need to issue an Immediate Requirement Notice. Residents and visitors say staff are polite and kind, this was confirmed by observation. Staff members are considerate of the age and dignity of residents and treat them with courtesy. Care Homes for Older People Page 14 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to exercise choice and control over their daily lives as far as is practicable and to maintain links with friends and relatives. Residents enjoy the meals which are of good quality. Evidence: The members of staff spoken with are aware of the rights of residents to have the opportunity to have choice in daily routines and activities. For example, residents say that, within reason, they can get up and go to bed when they choose. The AQAA indicates the home aims to support the residents to participate in the activities of their choice and within their capabilities. In accordance with residents preferences, the home mostly arranges for visiting entertainers in addition to their Activities Coordinator. Many residents like to spend their time in the lounge or smoking room watching the television. There is access to a mini-bus for outings. The Manager is hoping to get funding for the home to have its own minibus. It is recommended this be done to increase opportunities for more spontaneous outside activities. Some residents like to go to Care Homes for Older People Page 15 of 30 Evidence: shows, to the town for shopping or go to the local public house. One resident regularly goes to a local cafe for lunch. Residents wishes in respect of any religious observances are ascertained at time of admission. If residents have strong spiritual beliefs the home supports them in meeting these. One resident attends church with assistance from a staff member. A religious minister visits the home to conduct a service each Sunday. The Manager said he endeavours to provide a homely atmosphere within the home and there are no restricted visiting hours. Visitors say they are made welcome at any time. The visitors book records regular visits by families, friends and others. The design of the home provides seating areas within the communal areas where residents can entertain their visitors, in addition to the privacy of their own room. Residents are encouraged to personalise their rooms with their own possessions if they wish. Some residents have brought items of furniture and personal effects with them. The cook, of whom residents and staff spoke very highly, provides good quality meals that meet the dietary needs of the residents. Mealtimes are relaxed; staff members are patient and helpful and allow residents the time they need to finish their meal comfortably. The meals seen were well presented, looked appetising and the portions were appropriate to individuals preferences. Hot and cold drinks are served through out the day, as well as snacks. Care Homes for Older People Page 16 of 30 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. Residents and their relatives know their complaints are listened to and acted on. There are systems to protect residents from abuse. Evidence: Residents say they feel safe and well supported at the home. The written complaints procedure is readily available to people who use the service. The Manager said he is intending to revise the procedure so it has up to date information and contact details for other agencies. He also intends to provide it in a format that people with cognitive difficulties may understand more easily. It is recommended this is done as soon as possible. Everyone we spoke with said they feel confident they are listened to and any necessary action is taken. A visiting relative made the comment I have never had to complain and I am confident that any concerns I might have would be listened to and dealt with quickly. The AQAA indicates there have been no complaints in the last twelve months. The Commission has not directly received any information regarding complaints about the home since the last inspection. Care Homes for Older People Page 17 of 30 Evidence: There are procedures for responding to suspicion or evidence of abuse or neglect. The Manager stated there is ongoing training for staff to ensure the safety and protection of residents. Staff members spoken with have a sound understanding of what constitutes abuse and the need to report suspected abuse without delay. There has been one safeguarding alert since the last inspection. This was raised by the home, investigated and could not be substantiated. The Manager understands the need to promote the residents ability to exercise their legal rights should they so choose and described how all residents are placed on the electoral roll. Some use postal votes and others use a local polling station. Care Homes for Older People Page 18 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, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples quality of life and safety would be enhanced by improvements to the environment in which they live. Evidence: Residents tell us they like living at The Elizabeth Anne Nursing Home and find it comfortable. The home is a large detached premises located close to the seafront and to the local shopping area with all its amenities. It is an older building and, despite ongoing redecoration, some parts look shabby. Some ceilings are stained from water leaks and some rooms have worn or damaged surfaces, wallpaper and paintwork. In high infection risk areas such as sluices, bathrooms and toilets, this compromises the health of people at the home. These areas must be improved to better promote infection control. This includes equipping them with foot pedal operated waste bins. Infection control is further compromised by using sluice rooms as storage areas for equipment such as vacuum cleaners and carpet shampoo machines. The Manager agreed to have such items stored in more appropriate places and ensure that staff store chemical cleaners in compliance with COSHH requirements. Consequently, we did not issue Immediate Requirement Notices. Care Homes for Older People Page 19 of 30 Evidence: The standard of cleanliness around the home is variable. The Manager explained that the home has been short of cleaners recently due to annual leave and illness. He also said he is recruiting an additional 6 hours cleaning to be done three afternoons per week. Accommodation is on three floors and there are two shaft lifts. The upper floors are on split levels accessed by small flights of stairs. Consequently people with mobility difficulties are dependant on both lifts being serviceable at all times, to be able to have access to all parts of the home. Records show the lifts are sometimes inoperative and, despite the staffs best efforts, this causes inconvenience to the people at the home. It is recommended that the lifts be upgraded to be more reliable or, if that is not possible, a new lift system be installed. The design of the house is rambling with many dead end corridors. This is not always conducive for people with cognitive difficulties and can add to their confusion and uncertainty. The Manager described how the home had tried various signage to help with orientation but this had had very limited success. The Manager was able to show us that he has been requesting some replacement easy chairs. The Manager has since informed us that he has removed those that are potentially dangerous. It is strongly recommended replacements be obtained at the soonest possible moment. Other damaged furniture should likewise be replaced. Commodes with rusted frames must be made good or replaced to better promote infection control. The laundry is readily accessible and the door can not be locked. An assessment should be done as to whether this places some people at risk. When the home is full, three of the bedrooms can be used for shared occupancy. The Manager undertook to ensure there is adequate provision of privacy screening in all of these rooms so all aspects of the occupants personal care can be given in private. He also agreed to arrange for the door to a communal toilet on the third floor to made lockable. The use of shared bedrooms should be reviewed in view of the mental and physical frailty of the residents and their associated behaviours and care needs. Those who share bedrooms are not able to make a positive choice to share with full understanding of the implications. These deficits, with others we observed and notified to the Manager, should be picked up by the environmental checks that the AQAA states are done regularly. It is recommended the checks be more robust and improvements initiated more quickly to Care Homes for Older People Page 20 of 30 Evidence: better ensure peoples safety and comfort. There is a small, well maintained garden area that residents like to use in clement weather. Care Homes for Older People Page 21 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 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are caring, but the home must be more able to readily show they have the necessary skills to meet residents care needs. Evidence: Residents and their relatives speak very highly of the staff and of the care given. The relationship between staff and residents was seen to be friendly and respectful. People applying to work at the home have to complete an application form, attend an interview, provide references and satisfactory POVA and Criminal Record Bureau (CRB) checks. The files of the most recently recruited staff show that appropriate checks were made prior to them commencing duties. New staff are required to undertake an induction program and the AQAA indicates NVQ training is encouraged. Staff members speak of regular training and there are some certificates on their files. However, the training matrix is not up to date and it is consequently difficult for the home to readily show that all members of staff have had the necessary training for them to have the necessary skills to meet residents needs and to comply with current legislation and good practice guidelines. The organisation now has a five day block programme for mandatory training. The Manager expressed the view that it would be useful for newly appointed staff to attend Care Homes for Older People Page 22 of 30 Evidence: this during the time they are waiting for their CRB checks to arrive. Thereby, they would have the necessary basic knowledge needed when they commence duties at the home. Specialist training has to be sourced from outside agencies. Residents say there are enough staff available when needed. The staff rosters seen indicate staffing levels are geared to peak times of activity. Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The day to day management of the home is based on promoting the best interests of the residents. There is an open and friendly atmosphere. Evidence: Mr John Moffatt was registered as Manager of Elizabeth Anne Nursing Home in June 2008, having worked there since 2002. He has worked as a mental health nurse since 1971 and is a moving and handling trainer and NVQ D32/D33 Assessor. The Manager is currently undertaking the Registered Managers Award. Residents, their relatives and staff find the Manager approachable and supporting. Feedback from residents and their relatives indicate there is a good atmosphere at the home. One visitor described it as Always very welcoming and friendly. Another visitor said Its like a big family. The Manager gave clear examples of how the diverse needs of the residents are identified and met. He explained that their views are sought in various ways to check Care Homes for Older People Page 24 of 30 Evidence: their experience of living in the home is a positive one and to help improve the service they receive. The Manager said it is intended to include health care professionals and Care Managers in future surveys. It is a legal requirement for the provider to arrange for the home to be visited at least once a month to evaluate the quality of service and for a report to be written. We had sight of the most recent report dated August 2009. The report did not include the deficits in environment that we saw. It is apparent they have not suddenly come about in a short period of time and there is evidence that the Manager has notified some of them to others in the organisation. The provider should ensure the visits done on his behalf are more accurately reported. There is a sound system of holding and recording residents cash. An Environmental Health Officer inspected the kitchen on the 24th February 2009 and the report stated the kitchen is maintained to a good standard. There are records of fire systems checks and fire drills and training. Staff members spoken with have a good understanding of emergency procedures. The Manager stated that records of maintenance and safety checks are in order. These were not inspected on this occasion. Care Homes for Older People Page 25 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 Older People Page 26 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 26 13 The registered person shall 27/11/2009 make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person has a legal responsibility to prevent infection, toxic conditions and the spread of infection at the care home. High infection risk areas such as sluices, the laundry, bathrooms and toilets must be equipped with foot pedal operated waste bins. To be completed by the given timescale and maintained thereafter. 2 26 13 The registered person shall 27/11/2009 make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person has a legal responsibility to Care Homes for Older People Page 27 of 30 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 prevent infection, toxic conditions and the spread of infection at the care home. All equipment, aids and adaptations that have damaged or rusted surfaces must be made good or replaced. To be completed by the given timescale and maintained thereafter. 3 26 13 The registered person shall 18/12/2009 make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. The registered person has a legal responsibility to prevent infection, toxic conditions and the spread of infection at the care home. The sluice rooms must be made good to promote infection control and maintain adequate hygiene standards. To be completed by the given timescale and maintained thereafter. 4 30 18 The registered person shall, having regard to the size of the care home, the statement of purpose and numbers and needs of service users ensure that the persons employed by the registered person to work at the care home 30/10/2009 Care Homes for Older People Page 28 of 30 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 receive training appropriate to the work they are to perform including structured induction training. It is a legal responsibility to ensure the staff group has the knowledge and skills to meet service users needs. A detailed training analysis must be made for every staff member. A copy of the analysis and details of training courses attended and booked, including details of the training providers and any accreditation they may have, must be received by the Commission by the given timescale. 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 Older People 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. Care Homes for Older People Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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