Inspection on 12/11/09 for White Acres

This inspection was carried out on 12th November 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

White Acres 23/07/08

White Acres 20/03/07

White Acres 28/09/05

White Acres 11/07/05

White Acres 28/10/04

White Acres 22/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 14/03/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: White Acres 15 Leicester Road Shepshed Loughborough Leicestershire LE12 9DF The quality rating for this care home is: one star adequate 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: Ruth Wood Date: 1 2 1 1 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 36 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 36 Information about the care home Name of care home: Address: White Acres 15 Leicester Road Shepshed Loughborough Leicestershire LE12 9DF 01509502845 01509502845 whiteacres@prime-life.co.uk www.prime-life.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Prime Life Ltd Name of registered manager (if applicable) Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 12 0 care home 12 learning disability Additional conditions: To be able to admit the named person of category LD/ MD as identified in correspondence with the previous registration authority dated 10/08/01. To be able to admit the named person of category LD/SI as identified in correspondence with the previous registration authority dated 11/05/00. Date of last inspection 2 5 0 7 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home White Acres is part of the Prime Life Group and is in Shepshed, Leicestershire. It is close to shops and the health centre. White Acres provides care and support for people with learning disabilities. The home has two floors and there are stairs to get to the first floor. Some bedrooms are on the ground floor and some on the first floor. Each person has their own room. Care Homes for Adults (18-65 years) Page 5 of 36 One bedroom has its own bathroom. There are shared bathrooms on the ground and first floor. There is a living room with a dining area, a separate living room and a kitchen on the ground floor. There is also a garden. You can get to White Acres by bus or by car. White Acres has its own mini bus. People living in the home use this to go on trips and to get to appointments. Care Homes for Adults (18-65 years) Page 6 of 36 You can get information about the home called the service users guide. You can also get copies of our reports. People pay different amounts of money to live at White Acres. You should contact the manager to find out how much you would have to pay to live here. Care Homes for Adults (18-65 years) Page 7 of 36 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: one star adequate 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 Care Homes for Adults (18-65 years) Page 8 of 36 How we did our inspection: This is what the inspector did when they were at the care home Before we visited White Acres we looked at information sent to us about what has happened there since we last visited on 25 July 2008 We visited White Acres on 12 November 2009. We arrived at 1 OClock in the afternoon and left at 6 OClock in the evening. Care Homes for Adults (18-65 years) Page 9 of 36 We looked at some of the rooms in the home. We spoke to people who live at White Acres. We watched how staff spoke to the people living at White Acres. We looked at 3 peoples care plans. Care Homes for Adults (18-65 years) Page 10 of 36 We spoke to staff about how they support people. We spoke to staff about the training they did. We looked at staff records. These told us about the checks done to make sure staff have the right skills and are safe to work in the home. We spoke to the acting manager about how she runs the home Care Homes for Adults (18-65 years) Page 11 of 36 What the care home does well Staff support people to stay fit and healthy Staff support people to stay in contact with their families and their friends People enjoy home cooked food Care Homes for Adults (18-65 years) Page 12 of 36 The people who live and work at the home get on well together. What has got better from the last inspection Changes have been made to a rail at the top of the stairs to make it safer for people The bathroom has been decorated and has a new floor. This makes it more pleasant for people to use. Care Homes for Adults (18-65 years) Page 13 of 36 What the care home could do better The information in peoples support plans needs updating so that it says what peoples needs are and how they should be met. There needs to be more staff on duty during the evening and at weekends. This is so people can do more things and there are enough staff to support them. Care Homes for Adults (18-65 years) Page 14 of 36 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ruth Wood CQC East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 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 set out 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 15 of 36 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 16 of 36 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. Peoples needs are assessed before they move into the home to ensure that the service can meet them. Evidence: The service users’ guide gives information about the home to help people make an informed decision about whether the service can meet their needs. The Area Manager for Prime Life said that the document would be updated to reflect the recent changes in management and staffing in the home. Four people have moved into White Acres since the previous key inspection. On the day of the inspection visit, the current acting manager could not locate the assessment or care plan documents for the person who had most recently come to live at White Acres. An immediate requirement was made for the service to obtain these. A copy of the assessment and care plan was sent to the Commission, together with evidence from the commissioning social worker that the service had obtained this information before the person had moved into the home. The acting manager said that neither she nor the staff team had seen these documents but had been informed by the previous manager, about the persons needs. Care Homes for Adults (18-65 years) Page 17 of 36 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are not always appropriately supported to make decisions and play an active part in everyday life. Evidence: We looked at three peoples needs and how they are met. Two of these people have experienced significant changes in their level of need in recent months and these changes, together with how staff should meet them are not clearly reflected in their current support plans. The acting manager and the two staff on duty were able to explain how peoples needs are being met. The acting manager acknowledged that support plans needed updating and to be written in a more person-centered way, from the perspective of the service user and with their involvement. The acting manager said that she had started this process. The service does not always use opportunities to give people choice in their day to day lives and enable them to develop skills of everyday living. For example each person living at White Acres has a building society account for which the manager of the home is the Care Homes for Adults (18-65 years) Page 18 of 36 Evidence: signatory. When there is a change in manager this can lead to people not being able to directly access their monies, although Prime Life ensures that they have any money that they require until signatory details are changed. The acting manager explained that people do not visit the bank (with the exception of one person) but that the manager goes to the building society and collects money for everybody from their individual accounts and brings it back to the home for distribution. This is a very institutional practice that does not enable people to participate in a fundamental every day life experience. Some people within the home may not require anyone to act as their signatory but be able, with some additional input, to manage their finances more independently. Other people, while needing more support should be given the opportunity to be part of the process of obtaining their money if they choose to do so. Part of encouraging and supporting people to make more decisions about their lives is the effective management of risk. This is particularly important as peoples needs change and they may require more or less staff involvement. Risk assessments in relation to peoples daily activities require review and updating to make sure that staff consistently give the correct level of support to maintain safety without discouraging independence. Care Homes for Adults (18-65 years) Page 19 of 36 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. Current staffing levels make it difficult for the service to provide an individual lifestyle and social opportunities for each person. People enjoy nutritious, home cooked food. Evidence: People who live in at White Acres attend specialist day centres for people with learning disabilities for between one and five days per week. On the days that they do not attend these centres they take part in activities such as drawing, painting and doing puzzles with the support of staff in the home. One person told us that they went to the supermarket to help the staff with the weekly shopping. The acting manager confirmed that their food budget was now in the direct control of the home which gave them much more flexibility about when and where they shopped and the opportunity to involve people living in the home in this activity. Peoples opportunities to go out during the evenings and at weekends are limited by the Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: number of staff on duty, two staff members. Discussion with the acting manager and staff indicated that one person living in the home routinely required one to one input. This leaves one staff member to support the other people living in the home. This level of staffing does not allow much opportunity to support people on an individual basis or in small groups to pursue activities or interests outside of the home. People told us that they had the opportunity to go on a group outing once per month in the homes minibus. They said two of the places they had been to were bowling and a safari park. The minibus is also used to take people on other outings and to personal appointments. Some people living in the home receive regular visits from members of their family and the acting manager told us how one family had been actively involved in the decision to move one person to a downstairs room. Staff also support people to keep in touch with family members by telephone. People are very positive about the food in the home, most of which is home cooked. We spoke to people just as they were finishing their evening meal and the food (home made toad in the hole with fresh vegetables followed by home made bread and butter pudding) looked and smelled very appetising. The acting manager said that the staff used sweetener rather than sugar when making puddings so that the person who has diabetes could also eat them. Care Homes for Adults (18-65 years) Page 21 of 36 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. Peoples personal care, health and medication needs are being met. Evidence: We spoke to the acting manager and the two staff members on duty about the personal care provided for the three people whose care that we looked at in detail. All of them displayed a good understanding of the particular needs of each person and their answers suggested that these peoples personal care needs were being met, even if they were not accurately reflected in their current assessments and care plans. Discussion with staff, and the acting manager, entries in daily records and letters and reports from health care professionals demonstrate that peoples health care needs are met and that appropriate support is obtained from outside professionals. A referral has been made to a dietitian for one person and staff are actively monitoring the persons food intake and weight. There is evidence that another person receives regular diabetic screening and that other people have routine access to such services as breast screening and well man clinics. Appointments with dentists, opticians and chiropody are recorded for each person. Records indicate that peoples medication is regularly reviewed and that blood tests are Care Homes for Adults (18-65 years) Page 22 of 36 Evidence: taken where appropriate to monitor medication levels. The guidance given to staff about when to give as required medication to one person needs to be a little more detailed to ensure that the medication is always given consistently. A copy of this guidance should also be placed in the medication record (in addition to their support plan) so it is readily accessible to staff administering medication. Medication Records examined were completed accurately with only two gaps, which the acting manager was able to explain. The home now has appropriate storage for controlled medication. Care Homes for Adults (18-65 years) Page 23 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given the opportunity to raise their concerns Evidence: People living at White Acres have regular meetings with the staff and the manager at which they can raise any concerns they may have about living in the home. These meetings are recorded. The acting manager (who had only been in post for ten days at the time of the inspection) was unable to find the complaints record book or the current copy of the complaints procedure but was reminded of the requirement to formally record any concern or complaint raised. We looked at the services response to one person who is currently presenting some behaviour that is challenging. A referral has been made to the service that gives outreach support to assess peoples behaviour. The outreach service has provided some interim guidance and the home is continuing to work closely with outside professionals to best meet the needs of this person. Before recent guidance was implemented, some staff and two people living in the home received minor injuries as a result of this persons behaviour. These incidents were not reported to the Care Quality Commission as they should have been, to comply with Care Homes Regulations. The incidents should also have been reported to social services as part of safeguarding adults protocol. The responsible individual has informed the Commission that the current acting manager has received further training in this area and is now fully conversant with requirements in this area. Care Homes for Adults (18-65 years) Page 24 of 36 Evidence: Some staff have received training in None Abusive Psychological and Physical Intervention (NAPPI) and one staff member on duty was able to explain how this informed their work. Staff have also received training in safeguarding and were able to explain their responsibilities under the services whistleblowing policy. It is recommended that the acting manager access training arranged by the local authority on safeguarding to ensure that she is kept up to date with current inter-agency practice in this area. Care Homes for Adults (18-65 years) Page 25 of 36 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. Some improvements were needed to ensure that all areas of the home provide a warm and welcoming environment for people living in the home. Evidence: A requirement was made at the previous inspection for the floor covering in the upstairs bathroom to be replaced. This has been done and the bathroom as a whole refurbished to make bathing a more relaxing and pleasurable experience for people living in the home. The guardrail on the landing has been replaced; this was identified as posing a potential risk to people living in the home as it was set at a relatively low height. The new guardrail has been set higher and also looks attractive and blends in well with the surrounding decor. We noted that a bedroom recently vacated by a service user smelt of urine. The acting manager said that the rooms carpet is going to be professionally cleaned as is the carpet on the stairs and landing. The persons continence issue has been addressed appropriately. (The responsible individual in their response to the report informed us that all the carpets have now been cleaned). The bottom lounge was cold and poorly lit. The radiator in this room did not appear to be working and a freestanding, oil filled electric heater was in place. This is turned on Care Homes for Adults (18-65 years) Page 26 of 36 Evidence: when the room is occupied but becomes extremely hot to touch without giving out a lot of heat. This room is currently used by staff as a breakout room for one person, to give them one to one attention. Because it is cold and poorly lit the room is not comfortable or inviting and we made a requirement for this to be addressed. The responsible individual informed us in their response to the draft report that the requirement had been met. Other communal areas of the home were clean and tidy, including the kitchen and all bathrooms. Care Homes for Adults (18-65 years) Page 27 of 36 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. Current staffing levels do not enable all of peoples individual needs to be met. Evidence: The service receives additional payments for three people living in the home to provide them with one-to-one support at certain periods throughout the week. Another person living in the home is currently providing some challenges to staff and requires one to one support when this occurs. One person, who until this year has been very independent in terms of personal support now requires a greater level of support because of their changing and increased level of need. Current staffing levels, particularly at evenings(after 5pm) and at weekends, when only two staff members are on duty would appear insufficient to ensure that peoples current level of need is being met effectively and that people receive individulised care. The acting manager is on unpaid on-call duty each weekend and goes into the home if staff require additional support with the person whose behaviour is challenging. This has happened on several consecutive weekends. Initial deployment of more staff at the weekend may prevent the person exhibiting such challenges and would also reduce the risk of staff or service users sustaining further injuries. We looked at three peoples recruitment records. Evidence that two people had a criminal records check and that their names had been checked against the vulnerable adults Care Homes for Adults (18-65 years) Page 28 of 36 Evidence: register was not available in the home at the time of the inspection but we were assured by the registered person that this information had been obtained and have asked that evidence of this be sent to the Commission. Only one written reference had been obtained for one person and a further reference must be obtained. We looked at three peoples training records and spoke to staff members on duty about their experiences of training. One person, who has worked for the parent organisation for some time has received a range of training, including, NAPPI, understanding epilepsy, understanding mental health and holds a National Vocational Qualification at level 3. Another staff member who had only recently started work in the home had completed an induction programme, which includes training in fire safety and food hygiene and had also received training in epilepsy awareness and NAPPI. Because of the changing needs of some of the people living in the home it is recommended that all staff are giving access to dementia care training. The acting manager said that she had already spoken to the parent companys training coordinator about this. Care Homes for Adults (18-65 years) Page 29 of 36 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. The way that the home is run does not always ensure that people are supported in a person centred way and that their individual needs are met. Evidence: The service has experienced two changes in management since the previous key inspection. The registered manager resigned during the summer and the acting manager subsequently in post has been moved to another home. The current acting manager has been in post since 04/11/09 and has worked at the home for eighteen months. She is completing her National Vocational Training in care and support at level 2. She is currently being supported in her management role by a registered manager from another Prime Life home and by the companys area manager; both of these people were present during this key inspection. The way that people are supported in the home and the staffing levels required to enable this requires review to ensure that practice is less institutional and more person centred. The Area Manager acknowledged that things in the home are not as they should be but said that support would be given to the new acting manager to ensure requirements are met and outcomes for people are improved. Care Homes for Adults (18-65 years) Page 30 of 36 Evidence: There has been no formal review of the quality of the service for over 12 months, but Prime Life has a system in place to enable this. Resident and staff meetings are held and these are recorded. Under the previous acting manger, the Care Quality Commission was not notified of all incidents taking place within the home that affect the well being of service users. The Care Home Regulations require the home to notify us of such incidents. The responsible individual for the service has ensured that the current acting manager is aware of their responsibilities in this area. Since coming into post, the new acting manager has ensured that the Commission is informed of such incidents. Staff receive training in statutory areas, such as fire safety, food hygiene and health and safety as part of their induction programme. Care Homes for Adults (18-65 years) Page 31 of 36 Are there any outstanding requirements from the last inspection? Yes  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 23 37 Incidents that adversely affect the well being or safety of people living in the home should be notified to the Commission for Social Care Inspection 24/07/2008 Care Homes for Adults (18-65 years) Page 32 of 36 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 Description 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 Description Timescale for action 1 6 15 Peoples current needs and how they are to be met should be accurately recorded in their support plans. 28/02/2010 This is to ensure that peoples current, assessed needs are met consistently 2 7 12 The registered person must 28/02/2010 review the current system of managing peoples finances and ensure that it is appropriate for each individual service user. The person themselves and the commissioning authority should be consulted as part of this process. This is to ensure that people have control over their own finances and are enabled to make decisions in this area Care Homes for Adults (18-65 years) Page 33 of 36 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 Description Timescale for action to the level that their capacity allows. 3 9 13 Risk assessments in relation to all aspects of peoples daily living should be reviewed and updated 28/02/2010 This is to ensure that people are protected from harm but receive appropriate support to take reasonable risks. 4 33 18 The registered person must 15/01/2010 review staffing levels and ensure that at all times there are sufficient, suitably qualified staff on duty to meet the individual needs of the people living in the home. This is to ensure that peoples individual needs are met. 5 34 19 The registered person must ensure that two written references are obtained for all staff before they start work in the home. 31/12/2009 This is to ensure that all necessary measures are taken to ensure that only suitable people work at White Acres and that people living in the home are not Care Homes for Adults (18-65 years) Page 34 of 36 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 Description Timescale for action placed at unnecessary risk. 7 38 37 Incidents that adversely 15/12/2009 affect the well being or safety of people living in the home should be notified to the Care Quality Commission This is to ensure that the Commission can monitor the nature and frequency of these incidents as part of their inspection process 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 20 More detail is required in the protocol for one persons as required medication. It should also reflect the guidance given from the specialist outside agency. The acting manager should access training on safeguarding vulnerable adults, which is provided by the local authority. Because of the changing needs of some of the people living in the home it is recommended that all staff are given access to dementia care training. 2 3 23 35 Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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