Random inspection report
Care homes for older people
Name: Address: Yaxley House Residential Home Church Lane Yaxley Eye Suffolk IP23 8BU two star good service 03/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Deborah Kerr Date: 2 7 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Yaxley House Residential Home Church Lane Yaxley Eye Suffolk IP23 8BU 01379783230 01379783743 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Providence Health Care Limited care home 34 Number of places (if applicable): Under 65 Over 65 0 34 dementia old age, not falling within any other category Conditions of registration: 34 0 The maximum number of service users who can be accommodated is 34 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home The current owner, Mr Govinden Vythelingum purchased the home in December 2005. A new manager, Mrs Wilson - Godber was appointed at the same time and was registered by the Commission for Social Care Inspection (CSCI). In August 2008 a major variation to the homes conditions of registration was approved by CSCI to
Care Homes for Older People Page 2 of 16 0 3 0 6 2 0 0 9 Brief description of the care home provide service users whose primary care needs on admission to the home are old age not falling within any other category and dementia. The maximum number of service users who can be accommodated is 34. Providence Health Care have refurbished the home, dividing it into two units, the original part of the house Yaxley and a dementia unit called Peacehaven. The dementia unit provides accommodation for eighteen people, all rooms are on the ground floor, with en suite facilities. Peacehaven is built around a quadrangle garden facility where people can wander freely and safely. Yaxley has fourteen single bedrooms and one shared. Accommodation is on both the ground floor and the first floor. A shaft lift gives easy access to the upper floor for those unable to manage the stairs. The home is set in attractive gardens close to the church in the village of Yaxley. Ramps and handrails are provided at the front entrance. There is parking to the front of the house. Fees for this home range from £425 to £700.00 per week. This was the information provided at the time of this key inspection. People considering using this service may wish to obtain more up to date information from the home. Care Homes for Older People Page 3 of 16 What we found:
Our last key inspection on the 3rd June 2009 judged this service to be providing good outcomes to the people using the service. Since this inspection we, have received a total of eleven safeguarding referrals via Suffolk County Council, Social Services, Customer 1st team, relating to the Elderly and Mentally Infirm (EMI) unit. This random inspection took place on Tuesday 27th October 2009 to follow up on concerns raised relate to poor care, poor hygiene, poor care of laundry and peoples clothing, a lack of cleanliness of the house and a lack of fluids being provided to people in the service, raising concerns of hydration and continence management. During our visit we spoke with four relatives, a visitor and five residents, who shared their views and experiences of the service. We have also referred to the previous inspection completed on the 3rd June and information provided in the Annual Quality Assurance Assessment (AQAA) completed by the manager in April 2009. At the key inspection in June 09 it was identified that, whilst care plans do contain the required information, these are formatted using a generic template and amended to reflect the persons needs. Discussion was held with the manager that more work could be done to make plans more person centered, focusing on life histories, wellbeing and feelings, which is the real meaning of person centered care. The provider has purchased Pabulum Blue books produced by Age Concern, which are designed to obtain information about the individual, so that staff can provide a person centered approach, supporting individuals to maximise their autonomy and enhance feelings of being in control of their daily lives, as far as possible. Additionally, the manager advised us that Social Services have provided them with a care plan template, which they intend to use to revise all residents care plans. The provider and manager have identified eight residents, whose care plans are the highest priority and are in the process of updating these, to ensure these clearly set out the guidelines for staff to follow to ensure the individuals health, personal and social care needs are met. Following urgent referrals, two physiotherapists have visited the home to assess two residents, where concerns had been raised about moving and handling issues. They provided the home with recommendations and guidelines for staff to follow, to ensure the safety of the residents and staff when moving and handling people. One of the recommendations was for the home to purchase an adjustable bed. Information seen in the residents care plan reflects the provider has sent a fax to a company on the 12/10/09 for a brochure and price list, to purchase the bed. Discussion with the activities co-ordinator, recently recruited to this post, explained that due to staff shortages they have been on shift providing care, however in the last two weeks they have been able to focus more on activities. They have introduced an activity mornings and afternoons, such as card and board games and bingo. This morning they had hosted a game of bowls, for residents from both units. They have also encouraged residents to take part in ordinary daily tasks, such as folding up washing, and setting the dining tables and has drawn up a rota, of which day residents take their turn. Time was spent with the activities co-ordinator discussing their role. They work five days
Care Homes for Older People Page 4 of 16 a week, with some flexibility to do weekends, but mostly Monday to Friday. Their activity plan shows that in the last week they have concentrated on providing a lot of nail care, to ensure peoples finger nails are clean and manicured. We discussed this activity, which could be further developed by incorporating aromatherapy hand massages, using sensual oils, which would stimulate peoples circulation, help relaxation and provide positive one to one engagement. Time was also spent discussing how they could improve the provision of activities, they told us, that training would help them to develop the skills and knowledge they need to provide activities for the residents, in both units. The home has had a problem with flies, they contacted Environmental Health for advice, and have put up fly traps around the home. Measures have been taken and there is a reduction in the number of files seen in the home, however this is an area the provider and manager will need to continue to monitor closely. What the care home does well:
The provider of Yaxley House has taken prompt action to address the issues raised in a strategy meeting held on the 15th October 2009. They held a meeting with the manager and staff on the 22nd October 2009, to express their concerns about the serious issues raised relating to poor quality of care of people living at the home and the action and commitment required from staff to make the significant improvements required to improve the service. Discussion with two people using the service told us, they are happy living in the home, comments included, the staff are very good, cant do enough for you. The manager raised £815 pounds at summer fete, which they are putting towards providing us, with a good Christmas dinner with all the trimmings and It is very good living here, I am hoping to move in permanently, I am here as temporary resident on respite, originally it was for a fortnight, but they agreed to extended for a month, as I need to give notice to my previous residence. It is sad, as all my friends are there, but I know I need 24 hour care and I have already made friends with another resident, in the room next door, they are very nice, they pop in every day for a chat and the staff are very good and friendly and look after us well and the food is very good, we have a choice everyday, there is always something different. This was confirmed through observation of a discussion between two residents, discussing lunch, comments included, very good wasnt it and it was delicious, especially the bread and butter pudding. Time was spent talking with a resident and their relative. The relative commented that their parent had moved to Yaxley House, last March. The resident told us, they were well looked after by the staff. This was confirmed by their relative, who commented, every thing is good, can not fault the staff, the girls are lovely, they keep my parent clean and make sure they are well cared for. The relatives of a resident living in the dementia unit also spoke to us and told us, we are very happy with the service, our relative came to Yaxley House for respite in April 09 and we felt that they settled so well, we did not feel we could move them. They acknowledged their had been some issues with staffing recently, but had no concerns about the care of their relative. They told us, if we do raise concerns, these are dealt with. They commented, we cant fault Peacehaven unit, cant fault the staff, our relative has their hair cut and feet attended to regularly, they have also recently had new glasses, the care is very good.
Care Homes for Older People Page 5 of 16 What they could do better:
Time was spent talking with the provider and manager to ascertain what has occurred in the home, that has led to a decline in the standard of service. The manager informed us that there has been some staffing issues, which has had a significant impact on the home. Two key members of staff have been absent from the home due to a serious illness. Both are senior staff, and although staff rallied round to cover shifts, standards have been allowed to slip. Another member of staff has also had an accident, which has resulted in long term sick leave. Additionally, overseas staff have had to return to their country of origin as their visas have expired. The manager stated that they have now recruited new staff to take their place. However, the AQAA completed in April 2009 stated that the home had 22 care staff, further discussion with the provider confirmed they are currently operating with 19 care staff. Discussion with residents and relatives confirmed there has been a shortage of staff, this was also raised at the previous inspection. Staff told us in the Have Your Say surveys the home is understaffed, and that staff are overworked and at times there are not enough staff on duty. The home accommodates up to thirty four people, eighteen in the dementia unit and sixteen in the EMI unit. The staffing ratio is five staff, including a senior during the waking hours and three staff including a senior at night. Two staff are allocated to the EMI unit, which reflects a ratio of 1:8 staff to clients. A senior and two staff are allocated to the dementia unit, providing a ratio of 1:6 staff to residents. A staff member told us they were working a long day, which started at 7am and will finish at 8pm. They confirmed they do four long days and have three days off, it is unclear who benefits from these long hours, the staff or the residents. Support staff consist of a handyman, two cooks, a kitchen assistant and two part time housekeepers. The housekeepers both work 5 hours a day, providing a total of 50 hours per week. The manager advised there is a domestic vacancy, for full time or two part time hours. Care staff confirmed they are expected to take care of the laundry and night staff does the ironing. These figures reflect there is insufficient staff available in the home to meet the needs of the people living there and to ensure the home is kept clean and hygienic. Both the manager and provider have been working shifts to support the staff and to promote good practice. The manager commented that the staff are definitely not lacking knowledge as they perform their duties correctly when they are on duty. This was further discussed as to why staff should not do this all the time, the manager felt staff did not follow procedures, as it is quicker. The manager and provider were reminded that staffing levels were discussed at the last inspection, the fact staff are rushing to get tasks done reflects a lack of staffing, training and an institutionalised way of working, focusing on getting tasks done, following set times for meals, medication, mid morning and afternoon drinks, rather than focusing on the needs of the people in their care. The was confirmed through observation of people sitting in the lounge in the EMI unit. Peoples rights and dignity are not always being respected, although a resident was observed wearing their own clothes, we knew this as their name was visible though the jumper. Their name had been written inside their jumper in large letters with a black marker pen. During the day the same five people were observed sitting in the lounge with
Care Homes for Older People Page 6 of 16 limited staff interaction, other than to complete tasks, there was no activity or stimulation. One individual had a crossword in front of them, which they were doing from time to time. A resident told us, I am fed up, do same old thing every day, another resident was observed to have fallen asleep, leaning forward with their head on the table, with no cushions provided or to rest their head in the chair. One very frail resident was observed sitting in the same chair all day, they were sitting on an air cushion to relive pressure and covered with an old hospital blanket. They were frequently asking for drinks and appeared to be very thirsty. They were observed calling out for a drink, somebody help me, help me. We asked a member of staff to assist the resident to have a drink, as they were unable to reach the beaker on the table, also when given the beaker, which had a lid and spout they were unable to use this satisfactorily. After the staff had supported the individual, they left the lounge. The resident again called out wanting a drink, a carer who entered lounge was informed the resident wanted a drink. We observed the carer assist them with a drink, they were very caring and kind to the resident, however the first carer returned and commented, I did give them some. We asked the manager to provide us with information of all staff training that has taken place, within the last two years. The records for fourteen out of the nineteen were provided and showed that out of fourteen staff, eleven staff had completed fire safety training, ten, health and safety, eight, food hygiene, thirteen, Protection of Vulnerable Adults POVA, (however two of these had not had refresher training since January 2007), eleven, infection control, five, in dementia care and only one member of staff recorded as having completed medication in October 20087. These figures reflect that staff are not adequately trained to do their jobs. The records show that most of the staff training is in house, provided by the manager, other key personnel in the company and an external training provider. Training sessions for health and safety, moving and handling, infection control, protection of vulnerable adults, food hygiene and fire safety all took place over half days sessions. The training records did reflect the continence adviser had provided a one day training session at the home on urinary catheter care and prevention of infection in September 2009. Ten staff had also attended an osteoporosis and falls training day, in February 2009. There was no record of training in the basics of providing personal care, other than the induction training, which again is undertaken in house. The manager told us, they have tried to book training, on a number of occasions at a local Suffolk County Council training facility, but have been advised there were no places. This is being looked into by Social Services, Quality Monitoring and Outcomes team. We looked at the care plans of two people during the inspection to ascertain if they accurately reflected the individuals needs. Whilst the provider and manager have recognised that the care plans are inadequate and have begun to make improvements, attention needs to be given to the quality of the pre-admission assessment process. It was clear that looking at the information obtained, these did not go far enough to provide an accurate assessment of the individuals needs. Both residents had been admitted to the home with in the last three months and were two of the people identified in the safeguarding alerts, for lack of care and attention to their health, welfare and safety. For one individual, issues were raised about their sleeping habits, the pre-admission assessment contained no information about the night time support, the individual required. Additionally the assessment stated they were prone to falls, but had no other
Care Homes for Older People Page 7 of 16 information about their mobility, nor did it reflect the individuals social interests and hobbies. Care plans contained general assessments, which are completed after the individual has been admitted to the service. The assessments for both individuals tracked, again had some sections that had not been completed. One section related to the individuals thinking and feelings, no information had been obtained, and no had been recorded. The individuals care plan for dementia stated staff to administer anti psychotic drugs, as prescribed by General Practitioner (GP) as the first action point. This reflects the homes institutionalised approach, where medication should be seen as a last resort to residents care and support. The plan does go on to reflect good practice, of not isolating people and encouraging them to have self worth and well being and to validate feelings around emotive topics. However, with out establishing how the individual feels and thinks as part of the assessment, this will be difficult for staff to do. Supporting health assessments seen for both individuals, although completed, provided some conflicting information. One persons falls assessment was rated as medium, however information in the pre-admission assessment reflected they were prone to falls, which would reflect they were at high risk. An individuals nutritional assessment, reflected they are not eating and drinking well and needs prompting and observing, although the assessment contained information about the individual likes and dislikes there was no reference made to monitoring intake of food and fluids, additionally there was no evidence of a fluid chart being completed. Discussion with a relative identified some concerns about their relatives care, with regards to continuous bed rest, support to eat their meal and medication. Their relative is no longer able to feed themselves and needs help but does take a long time. They were concerned that staff do not have time to sit with their relative. They told us, I visit most days to ensure that my relative has a good meal. They also discussed that their relative is permanently in bed, due to their physical disability and concerns about their level of pain. This issue was raised with the manager at our previous inspection, that a referral to an Occupational Therapist or Physiotherapist, who may be able to suggest alternative seating should be made. There was no evidence to demonstrate this referral has been made. The relative was concerned about the level of medication their parent is taking for pain control. They stated, that they used to have codeine as a PRN (as required) medication, but they appear to be having this on a regular basis, as well as their morphine patches. The Medication Administration Record (MAR) charts examined reflect, the individuals medication is being administered as prescribed by the GP. Other discussions with residents told us, although they are happy in the home, there were issues they had accepted, but felt could be better. Comments included, I am quite happy here, however it is a pity that I have to have the commode in my room, we all have commodes, staff are all busy in the morning emptying commodes. I am unable to walk far without my frame, and use a wheelchair, so I have to use the commode in room. They also told us, I am padded up night and day. They told us, I did not use pads before moving into the home, we have to wear them, we all do. I dont like it, but you get used to it. Another individual told us, I have my meals in my room, as I am embarrassed to go down to dining room. I have limited feeling in my fingers, and cant manage cutlery very well, I end up using my fingers and I am embarrassed about this. This resident also told us staff are very busy, they have been short staffed, worse recently, so when staff come to help me in my wheelchair, I am taking them away from
Care Homes for Older People Page 8 of 16 others, so I dont ask. These issues were discussed with the manager and provider, to ensure that the home provide people with appropriate aids and equipment to maintain their independence, self esteem and dignity. The manager told us, the resident who is concerned about wearing continence products was as a result of them being unwell, due to a Urinary Tract Infection (UIT) they had been assessed by continence adviser who recommended the continence pads. However, now the individual is better, their continence needs to be reassessed. One of the concerns raised in the safeguarding alerts was inappropriate moving and handling. The training records were looked at, which reflects out of the nineteen staff employed, six people have had training in 2008, one in 2009 and four in 2007. Although, training records for all staff were requested, the records for the remaining five staff were not provided. The training is provided in house, for half day by an independent training organisation. The home does not have a trained moving and handling risk assessor in the home, however the manager has completed a one day training course enabling them to cascade training in the home. This was discussed with the provider and manager that a designated member of staff could ensure that training, risk assessments and staff practice is kept up to date and monitored. The provider arranged for a trained manual handling assessor from another home in the company to review all of the residents manual handling assessments. Although these have been updated, they do not reflect the type of hoist to be used, the size of the sling and which loops have been assessed, as the most appropriate and comfortable for the resident, the assessment did however reflect the number of staff required. The manager advised all new and temporary staff are shown where the hoists are situated, which are located around the home, where required. They also advised they were shown how to use the handling aids available, however there was no paperwork provided at the inspection to reflect this. Companion sets, of chair seat and bed pressure pads have been supplied where needed, which are linked to an alarm to alert staff, if people prone to falls move about in their rooms. A member of staff provided a demonstration to show that these were working. Record keeping in the home is inadequate and does not show an accurate picture of the care and support being provided. Health charts are not being completed properly or being monitored to ensure people are receiving adequate intake of fluid and to ensure they are being repositioned to prevent pressure areas occurring. Additionally, not all incident and accident records had a record of the time the incident occurred or what follow up action was taken to prevent further incidents and to deal with any injuries. The fluid chart for one individual on permanent bed rest showed that for the period between 12/10/09 and 27/10/09 their average daily fluid intake was 750mls a day, which is insufficient to keep a person, hydrated and is well below the recommended 2 litres of fluid per day. Additionally, the same individuals turn chart only had records completed on the 13th, 14th, 15th, 16th and 26th October. Out of these only one had been fully completed to reflect the individuals plan of care, which was four hourly turns, and a note made that their pad was checked and changed where required, each time the individual was turned. Discussion with a relative commented, I am sorry to say, the home has deteriorated, my
Care Homes for Older People Page 9 of 16 relative and other residents are not being cared for, I often find my relative dirty and unshaven. I do not want to cause a fuss or bother, but people should except better in the last years of their life. They confirmed they had discussed these issues with the manager, but did not feel, they dealt with the issues properly, as on the day of the Summer fete, I was appalled at the state of my relative, who was always a well dressed and presented individual. Additionally, they told us, the smell in the home is often unbearable, and I often come in and find food around on the floor around the dining tables, however they did acknowledge in the last week they had noticed a significant improvement. They told us, in my opinion the staff are very kind and caring, but lack training and guidance and I do not find the manager an easy person to raise concerns with, as they do not always listen. They also commented, the care and comments they here from other relatives about the dementia unit is totally different to the experiences of people in the EMI unit. Since the provider purchased Yaxley House in 2005, they have refurbished the home dividing it into two units, Yaxley (EMI) and a dementia unit called Peacehaven. A considerable amount of decoration and refurbishment of bathrooms, toilets and shared rooms has taken place in the older part of the building to improve facilities for the people living there. New carpets were laid throughout the home and new furniture and equipment provided, where required. However, further improvements need to be made in the EMI unit, to ensure people are living in a safe, clean, hygienic and comfortable environment. The radiator in the lounge, situated on the wall behind an armchair is uncovered, there is a potential risk of people falling against this and sustaining burns. The armchairs in the lounge are upright armchairs, with cushioned seats and backs, but the arms are wooden or partly padded, which do not provide comfort for people using them. Additionally, on closer inspection the chairs are not very clean and some of the headrests are stained. The call point in the lounge is situated half way up the wall, at the entrance from the dining area and can not be reached by people sitting in this room, if they required assistance from staff. Additionally, when talking with an individual in their room it was noted that their call bell had been put on top of a chest of draws out of their reach. General cleanliness of the home needs to be improved, carpets in the EMI unit had not been hovered, a resident commented, the cleaner has been off sick with a chest infection, and they told me they would do my carpet tomorrow. The stairwell by room 9 had a lot of rubbish on floor. Commode chairs and wheelchairs seen in peoples rooms were dusty and dirty, one commode had a stained bowl and faeces smeared on the rim of the commode seat. Bathrooms had no paper hand towels in the dispensers, a screwed up tissue and part of a torn pad was found in one dispenser, additionally there were no toilet rolls, liquid soap or protective equipment, such as disposable gloves and aprons available for staff use. There is still an underlying odour in the home, even with all the bedroom windows open. Care and attention to detail is lacking, beds are not well made, bottom sheets are crumpled and look like people have just got out of the bed, also the bottom sheets in rooms 3 and 27 were found to be dirty and bedding appears to be sparse, duvets and blankets are thin. More attention is needed to maintenance of peoples rooms, paint is peeling off the wall in room 15 and the chest of draws has a handle missing on the second draw. Several
Care Homes for Older People Page 10 of 16 peoples rooms have holes in the walls, where wall furniture has been removed. Concerns were raised about the laundry of peoples clothing. A check of wardrobes and draws in peoples rooms, identified there has been some improvement, clothes had been neatly folded and were hanging up properly in wardrobes, however in room 15, underwear, cardigans and jumpers and two dresses were seen screwed up in the chest of draws, the individuals wardrobe contained only a dressing gown and one jumper, no other clothes. This was discussed with the manager, who confirmed the individual was a recent admission to the home, who arrived with minimal clothing. This was discussed with the individuals relative who agreed to provide money to purchase new clothes for them, however this was seven weeks ago and there has been no purchase of the new clothes. The laundry has had new shelving installed to help tidy up the area, however it was noted that there was two baskets of wet washing waiting to go into the tumble dryer, which already had clothes in, and both washing machines had finished a wash cycle. Staff are expected to attend to the laundry as part of their duties. The policies and procedures file, contains a job description for a laundry person, as already discussed with the manger and provider, designated key staff would benefit the home, a laundry person would keep on top of washing and ironing and look after residents personal clothing. A number of procedures were provided at inspection these set out the procedures for staff to follow to ensure they comply with the homes policies. The cleaning schedule supplement reflects the daily tasks to be completed, which includes moving beds and vacuuming, opening all windows for 2 hours only, renew toilet rolls, towels and soaps and clean and disinfect toilets and seats. From our inspection it is clear that these procedures are not being adhered to. 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 2. Care Homes for Older People Page 11 of 16 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 12 of 16 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, 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 3 14 No person should be admitted to the home until they have had their needs fully assessed, by a suitably qualified person. This will ensure sufficient information is obtained about people to ensure the home are able to provide a service, which fully meets that persons needs. 20/11/2009 2 12 16 People living in the home 30/11/2009 must be consulted to establish their interests and arrangements made for them to engage in meaningful activities. This will ensure they receive a service, which treats them as individuals, respecting their rights and dignity and which helps them to maintain a positive self esteem. 3 26 23 All parts of the home must be kept clean, hygienic, and free from offensive odours. 20/11/2009 Care Homes for Older People Page 13 of 16 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 will ensure people living in the home live in a clean environment, without the risk of infection. 4 27 18 A review of staffing levels needs to be undertaken and ensure that are suitable and sufficient staff at all times in relation to the size of the home and the number and needs of the people living in the home. This will ensure there are sufficient staff available to meet peoples health personal and social care needs and to ensure the home is kept clean and hygienic. 5 30 18 Staff working in the home 30/11/2009 must receive training appropriate to the work they are to perform. This will enable them to work safely and to ensure they are able to meet peoples needs. 6 31 10 The registered provider and registered manager must manage the home with sufficient care, competence and skill. This will ensure people living in the home receive a service, which meets their needs, and expectations and which meets the aims and objectives as set out in the
Care Homes for Older People Page 14 of 16 20/11/2009 20/11/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 statement of purpose. 7 37 17 Record keeping in the home must improve to ensure accurate records in respect of each service user are being maintained. This will ensure incident and accident reports are completed accurately and that health charts clearly reflect people are receiving proper health care, which promotes their well being. 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 20/11/2009 1 8 Where the manual handling risk assessments have been updated these need to include details to reflect the type of hoist to be used, the size of the sling and which loops have been assessed as the most appropriate and comfortable for the resident. Guidance should also be provided to inform staff of how they should support the resident to transfer from object to object. People using this service should be provided with appropriate aids and equipment, including especially adapted cutlery to maintain their independence self esteem and dignity. 2 22 Care Homes for Older People Page 15 of 16 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 16 of 16 - 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!
