Inspection on 02/06/09 for Tunnicliffe House

This inspection was carried out on 2nd June 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tunnicliffe House 04/04/07

Tunnicliffe House 03/03/06

Tunnicliffe House 05/07/05

Tunnicliffe House 02/02/05

Tunnicliffe House 19/08/04

Tunnicliffe House 25/02/04

Tunnicliffe House 09/12/03

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Clover House

Thornton Lodge

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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: Tunnicliffe House 16 Tunnicliffe Street Macclesfield Cheshire SK10 1DE     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: Val Flannery     Date: 1 1 0 6 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 31 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 31 Information about the care home Name of care home: Address: Tunnicliffe House 16 Tunnicliffe Street Macclesfield Cheshire SK10 1DE 01625617129 F/P01625617129 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Sydney Neville Warrington,Mrs June Mary Warrington,Mrs Giles care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or demantia - Code MD - maximum number of service users - 16, Learning disability - Code LD - maximum number of service users 4. The maximum number of service users who can be accommodated is: 16 Date of last inspection Brief description of the care home Tunnicliffe House is a large detached property in a quiet cul-de-sac close to Macclesfield town centre. Although it is a three storey building, the people who live there are accommodated on the ground and first floors as the second floor is not registered to accommodate residents. The home is registered to provide care for adults with mental health problems and up to four adults with a learning disability. The home does not have a passenger lift or adaptations, as the people who live in the home are Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 0 4 16 Brief description of the care home able to use stairs and move around the home without help. Please contact the manager for information on accommodation fees and other charges, Care Homes for Adults (18-65 years) Page 5 of 31 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: The overall quality rating for the home is no stars. This means that the people who use the service experience poor quality outcomes. This visit took place on the 2 and 11 June 2009. It was carried out by two inspectors and took a total of 9 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Care Quality Commission. During our visit we spoke with the people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. The last key inspection of this home was completed on the 4 April 2007. Care Homes for Adults (18-65 years) Page 6 of 31 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 7 of 31 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 31 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 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The statement of purpose for Tunnicliffe House is not up to date so it does not provide people with correct information to help them make a decision about moving in there. Evidence: There is a process to be used when new residents may wish to move into the home. The manager said she would visit the person and do an assessment of their needs to see whether these could be met at the home. The person could also visit the home to meet other people who live there and staff. This would help them get to know more about the home to see if it would be a suitable place for them to live. During our visit, we saw copies of the assessments that had been done. These did not contain enough detailed information to show that people were consulted about their individual needs and choices or how the home would meet their needs. During our visit to the home, we saw copies of the information about how the home works and who it is for (the statement of purpose). The copies we saw had not been updated to show the details and the qualification of the providers and manager, the numbers, qualifications and experience of the staff or the correct details on how to Care Homes for Adults (18-65 years) Page 10 of 31 Evidence: contact the Care Quality Commission. This means that people being given the statement of purpose would not have up to date information about the home. Care Homes for Adults (18-65 years) Page 11 of 31 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plans of care we saw were not up to date, were not person centred and did not show how the persons needs were to be met, which means that people living in the home may not be receiving the care they need in such a way as to ensure their safety and well being. Evidence: During our visit we looked at the personal files of three of the people who live in the home. The manager and staff understand that the people who live in the home have the right to choose how they live their daily lives. However, they have limited understanding of person centred planning and have not kept up to date with the developments in good care practices. We saw little evidence to show that the people are actively involved in developing their own care plans. Risk assessments were not up to date and did not show how the people who live in the home are enabled to take safe and responsible risks; for example, one just identified that resident cannot go in the kitchen, cannot make drinks. We saw two risk assessments, one dated January 2007 and one dated April 2007, which had conflicting information about a persons Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: capacity to look after their own medication. This means that there was no clear guidance for staff on the risks of this situation and how it should be managed so that it was safe. We saw people who live in the home leaving the home to use local community facilities. However, there were no risk assessments in place to show that potential risks to their safety had been identified. We were told that the routines of the home are flexible, for example, the people who live in the home can have their meals and morning/ afternoon drinks when and where they wish. A buzzer is sounded in the home to tell people living there that meals and drinks are ready to be served. We spoke with one of the people who lives in the home and they told us that they were going out to lunch and then were going to a club run by a local advocacy service. Care Homes for Adults (18-65 years) Page 13 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is only a basic understanding within the service on how the dignity of the people who live at Tunnicliffe House should be maintained which means that the daily routines do not encourage the personal development of the people in the home. Evidence: On the day of the inspection we saw people who live in the home going out to visit shops, cafes, a club run by a local advocacy service, a training group run by the PCT and one person was going fishing for the day. We spoke with one person who said they were going to visit their daughter and do some gardening. We also saw people been supported by staff to go for a walk outside the home. We saw one person doing their ironing and one person laying the tables for lunch. We spoke with people who live in the home and they told us that they do not help with meal preparation as staff have told them it is a health and safety hazard. One person told us that their daughter had been to visit them the previous evening and that she visits regularly. We Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: spoke with the manager who said she supports one of the people who lives in the home when they wish to purchase items for personal use. One person living at Tunnicliffe House told us they help staff with the cleaning and other domestic chores in the home for which they receive payment. We saw staff talk with the people who live in the home and spend time sitting with them. However, this was fitted in between the cleaning and meal preparation. The people we spoke with told us they were given keys to their bedrooms but they said they hardly ever use them. We spoke with people who share bedrooms who said it can be difficult to be alone or find a quiet corner. The midday meal was prepared by staff; people we spoke with said they are offered choices at meal times. We saw records that showed peoples preferences are recorded and when alternatives are offered these are also recorded. The records showed that people with specialist diets, for example people with diabetes, are catered for. There is a daily routine within the home with meal times, morning and afternoon drinks served at apparently fixed times. We were told that people can choose to have their meals at other times and to eat where they choose. During our visit we saw that the people who live in the home are made aware that meals and drinks are available by the use of a buzzer which sounds around the home. We considered the use of this buzzer to be institutionalised and means that people living at the home may feel that they do not have any choice about when and where they can eat their meals. Care Homes for Adults (18-65 years) Page 15 of 31 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care plans of the people living in the home are not up to date and do not show how they wished to be cared for so the way they are supported by staff may not always respect their privacy and dignity. Evidence: During our visit to Tunnicliffe House we saw records that showed that the people who live there are registered with a general practitioner and are also receiving support from other healthcare professionals such as psychiatrists and specialist nurses. We saw letters from the NHS and copies of reviews carried out by healthcare professionals. However, the records we saw were not up to date and did not show the current situation regarding peoples healthcare needs and how these are to be met. We saw the senior care assistant give out medication to the people who live in the home. We saw the people queue up outside the room where the medication is stored and wait to be called into the room by staff so they could be given their medication. We spoke with one of the people who lives in the home who said she would like to manage her own medication. The manager told us they had tried to support the person manage her medication but she had asked staff look after it for her. We saw Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: that the people who live in the home were able to move about the home by themselves, eat their meals unaided and required minimal help from staff with personal care. We spoke with four of the people who live in the home and they told us they are able to use local services such as hairdressers. They also said that a member of staff will sometimes cut their hair if they ask. One of the people living at the home uses a walking frame and his bedroom is on the ground floor for easier access. Staff we spoke with during our visit told us that the people living at Tunnicliffe House only required prompting and were generally able to look after themselves. However, the plans of care we saw during the inspection were not up to date, did not show the current care needs of the people living in the home and did not show how these needs were to be met. This meant that staff did not have the guidance they needed to provide support for people in the way they would prefer and in ways that would protect each persons privacy and dignity. Care Homes for Adults (18-65 years) Page 17 of 31 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. Staff have not received training on safeguarding adults so they may not know what action they must take to make sure the people living in the home are protected from abuse. Evidence: During our visit to Tunnicliffe House we saw a copy of the complaints procedure for the home on display in the entrance hall. The book for recording complaints was also on display in the entrance hall. There were no complaints recorded in it. The complaints procedure we saw did not show how complaints would be investigated, the timescale for investigating them and how the person making the complaint would be kept informed. We noticed that our contact details had not been updated in the complaints procedure so people may not be able to contact us. We were told that there is a complaints procedure in place that sets out how complaints would be investigated, the timescale for for investigating them and how the person making the complaint would be kept informed. However, this document was not made available to us at the time of our inspection. We spoke with a number of the people who live in the home; they said they knew who to complain to and were confident their complaints would be listened to. We spoke with the staff on duty who said the the people who live in the home have raised issues with them; they also said they take the concerns raised seriously and do act upon them. We were told that the management of the home have not made any referrals under Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: the local safeguarding adults procedures. We saw a copy of No Secrets, the guidance on making sure that adults are protected from abuse, in the managers office. We spoke with the staff about safeguarding procedures. Although they told us they knew about adult protection their understanding of what they would have to do if they had any concerns about the well being and safety of the people living in the home was limited. We asked the owner to provide us with a record to show that staff had received training on safeguarding adults and when, as this information was not available during our visit. At the time of this report, this information was still not available. Care Homes for Adults (18-65 years) Page 19 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and tidy so the people at Tunnicliffe House are living in a comfortable and safe environment Evidence: During our visit, we walked around the home and saw that it was clean, tidy and free from bad odours. We spoke with the care assistants on duty who told that they are responsible for keeping the home clean and tidy. We spoke with the people who live in the home and they told us they help with the cleaning and also keep their own rooms tidy. The accommodation consists of five shared bedrooms and six single bedrooms. A number of bedrooms do not meet the National Minimum Standards for Care Homes for Younger Adults. However, the home was registered and operating before the national minimum standards came into force and is therefore not required to meet that standard. We spoke with people who shared bedrooms. They told us that its not too bad sharing but that they would like to have their own bedrooms. One person said it can be difficult to be by yourself or find a quiet corner. Care Homes for Adults (18-65 years) Page 20 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although over half the staff have achieved a nationally recognised qualification in care they have not received up to date training on health and safety matters so may not be able to provide the safe and appropriate support that people who live in the home need. Evidence: We received the completed annual quality assurance assessment for Tunnicliffe House in March 2009. This showed us that four of the six support staff have achieved an National Vocational Qualification (NVQ) Level 2 or above in care. These are nationally recognised qualifications for staff working in social care and show they are competent to provide support and care. We were also told that staff had received a range of training including on safeguarding vulnerable adults and fire safety. However, on the day of the inspection there were no records available to show that staff had achieved NVQ or which staff had received other statutory training. Names of staff who had taken part in fire safety training had not been recorded. We requested information detailing training received by staff and more detailed information about their NVQ training. This information was not provided as requested. We saw the staffing rota for June 2009. This showed that there are normally two care staff on duty during the day and one staff on waking night duty. We were told that the Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: care staff are responsible for carrying out domestic tasks and preparing the meals for the people who live in the home. During our visit we looked at the personnel files of two of the staff who work in the home. These included two references, criminal record bureau checks and protection of vulnerable adults checks. These checks help to make sure that staff are suitable to work with vulnerable people. Care Homes for Adults (18-65 years) Page 22 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the intention is to run the home in the best interests of the people who live there, there is a lack of knowledge and training on changes to care practices so the home may not always be run in the best interest of the people who live there. Evidence: We spoke with the manager for Tunnicliffe House who is also a joint proprietor with two others. We were told that she has been the manager since the home opened twenty two years ago. We were told that because the home does not have access to the internet or other sources that may provide information about care they had not kept up to date with developments such as person centred planning or developments in regulation. We were also told by the manager that she has not obtained any management qualifications or attended periodic training to up date her knowledge and skills in managing a care home. Some of the problems we found during this visit to Tunnicliffe House were that care plans were not person centred, were not up to date, had not been regularly reviewed and did not show how the persons needs were to be met. Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: We were told that one of the proprietors collects the allowances for the majority of the people who live in the home from the bank. We saw a record that showed the people then are then given their money after they have signed the record. A number of the people who live in the home collect their own money and have bank cards and separate accounts. We spoke with one of the people who said he has a bank card and is able to collect his money from the hole in the wall. We saw copies of satisfaction surveys carried out by the home where people who live in the home expressed an overall satisfaction with living in the home. However, there was no evidence to show what action is taken by the home when issues/concerns/suggestions are raised by the people who live there. We saw records to show checks are carried out on, for example, fire systems and other equipment in the home to make sure they are working safely. Care Homes for Adults (18-65 years) Page 24 of 31 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 25 of 31 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 1 6 The statement of purpose 30/07/2009 must be reviewed and kept up to date so that the details about owners/ manager and the staff of the home are correct. Up to date information about contacting the Commission for Social Care Inspection should also be included. This is to make sure that people who live at the home, their families, representatives and others have up to date information about the home. 2 6 15 The plans of care for the people who live at the home must be drawn up with their involvement to show that their wishes are included in the plans This is to make sure that people receive safe and appropriate care that meets 31/07/2009 Care Homes for Adults (18-65 years) Page 26 of 31 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 their needs in the way they prefer. 3 6 15 The plans of care drawn up for people who live at the home must be kept up to date, in consultation with them, to show how their changing care needs are to be met. This is to make sure that people receive safe and appropriate care that meets their needs in the way they prefer. 4 9 13 Risks associated with 31/07/2009 activities being done by people living at Tunnicliffe House must be assessed and risk assessments used as a tool to enable people to achieve their goals. Risk assessments must be updated as required, when changes occur or new information becomes available. This is to make sure that people who live in the home can do things safely without unreasonable restrictions being placed upon them. 5 16 12 The daily routines within the 31/07/2009 home must be flexible and meet the individual needs of the people who live there. 31/07/2009 Care Homes for Adults (18-65 years) Page 27 of 31 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 This is to ensure that the people who live in the home have choices on how they wish to live their lives. 6 18 12 The privacy and dignity of the people living in the home must be respected when staff are giving medication to them. This is to make sure the peoples right to be treated with dignity is respected. 7 19 12 Plans of care must show 31/07/2009 clearly what each persons personal and healthcare needs are and what staff must do to make sure these needs are met. These need to be reviewed regularly and kept up to date. This is to make sure the people who live in the home receive safe and appropriate care to meet their needs and choices. 8 22 22 The complaints procedure must show how complaints will be addressed within the home. This is to make sure the concerns of the people living in the home are listened to and acted upon. 31/07/2009 31/07/2009 Care Homes for Adults (18-65 years) Page 28 of 31 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 9 23 13 Staff must receive up to date training on safeguarding adults from abuse. This is to make sure staff have up to date knowledge on how to recognise signs of abuse and what action they should take to make sure the people living in the home are protected from abuse. 31/07/2009 10 35 13 Staff must receive up to date moving and handling training This is to make sure they know up to date techniques so they can help who live in the home move around safely without risk of injury. 31/07/2009 11 35 23 Staff must receive up to date fire safety training. This is to make sure they know what to do to protect people who live in the home and themselves if a fire were to break out. 31/07/2009 12 35 18 Staff must receive training on basic food hygiene. This is to make sure they can prepare food for people who live in the home with up to date safety guidance. 31/07/2009 Care Homes for Adults (18-65 years) Page 29 of 31 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 13 37 12 Procedures must be put in 31/07/2009 place to ensure staff have the knowledge and guidance to care for the people living in the home. This is to ensure the home is run in the best interests of the people who live there and that their needs are met safely in a way they prefer. 14 37 12 The manager must have the 31/07/2009 training and knowledge of current good care practice in managing a care home. This is to ensure the home is run in the best interest of the people who live there. 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 16 The use of a buzzer in the home to inform people living there that their meals and drinks are available should stop. This to ensure the dignity of the people who live in the home is respected at all times. People sharing bedrooms should be consulted about whether they wish to continue to sharing bedrooms if a vacancy arises in the home. 2 24 Care Homes for Adults (18-65 years) Page 30 of 31 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 Adults (18-65 years) Page 31 of 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!