Care Home: 2 3 and 4 Nightingale Close

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What the care home does well The homes support plans are very detailed and are written jointly with people using the service and describe the help that people want and need. Risk Assessments have been carried out for all areas of identified risk and there are clear plans on how to reduce them. The home offers people using the service a good range of educational and occupational opportunities and staff supports people using the service to access the local and wider community. Daily routines are built around the people living in the home and mealtimes are a pleasant experience. The home has health action plans and hospital cards in pictorial format and encourages people using the service to be as independent as possible including self-medicating with support. What has improved since the last inspection? The home has improved the way it recruits staff and now carries out all of the checks needed. People are involved in a multi-media pilot group that uses computers to help them to communicate their choices and wishes more effectively. This project uses pictures, symbols, objects, digital cameras, computers and other tools to help people to have their voice heard and they can make their own multimedia person centred plan. The home has bought a new garden table, garden chairs and a parasol. 2 of the bedrooms have been redecorated and there is new flooring in four of the toilets. The home now has a professional carpet cleaner come to clean the carpets every three months if they need it. East Living awarded 2 to 3 Nightingale Close a silver plus award for its cleanliness. What the care home could do better: All of the medication that is brought into the home must be recorded on the right medication sheets to make sure that people are kept safe from any possible medication errors. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 2 to 3 Nightingale Close 2 to 3 Nightingale Close Witham Essex CM8 1AP     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline Marshall     Date: 1 5 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 30 Information about the care home Name of care home: Address: 2 to 3 Nightingale Close 2 to 3 Nightingale Close Witham Essex CM8 1AP 01376511057 01376503705 isobel.norton@east-living.co.uk 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) : East Living Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 12 The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category 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: Learning Disability - Code LD Date of last inspection Brief description of the care home The service consists of two separate purpose built bungalows that each provides a home for six people with learning disabilities. The bungalows are next door to each other and situated in a cul de sac; there is parking for several cars. Each bungalow has its own good sized garden with a patio area, tables and chairs and plants. The service is close to Witham town centre. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with up to date information on the home. Weekly fees range from £1,391.00 to £1,539 and people pay a contribution of between £69.90 and £108.10 each week. There are additional charges for hairdressing, toiletries, clothing, newspapers and magazines, and any personal activities undertaken including holidays, the home provides a small sum each year to assist residents with their annual holidays. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home 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: We visited the home and looked at some of the files. These included some of the staff files and some of the files belonging to the people that live in the home. We also looked at the policies that explain how the home does things. We looked around the home and spoke to the staff. We read the information (AQAA) sent to us by the manager. We sent surveys to people living at 2 to 3 Nightingale Close and to the staff to see what they think about the home. Care Homes for Adults (18-65 years) Page 6 of 30 Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, 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. People receive good information and they know that their needs will be met at 2/3 Nightingale Close. Evidence: The manager has recently updated her Statement of Purpose and Service User Guide and it now includes the new contact details of the Commission and recent changes to the homes staffing structure. Both documents are informative and the Service User Guide is in an easy read format and people that live in the home said when spoken with that it was clear and easy to understand. We looked at two care files belonging to the people that were most recently admitted to the home and we found that both had social service assessments and the homes own pre admission assessment. Each of the pre admission assessments that we looked at contained detailed information about the individuals personal, social and emotional needs and it looked at their likes and dislikes, there preferences and their healthcare requirements. One of the pre admission assessments was signed by the person using Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: the service; the other was not, but the manager explained that the individual was not able to sign for themselves and that they were waiting for a relative to sign on the persons behalf. Each person has a license to occupy and are notified annually of their weekly contribution that they have to make. The information documentation clearly described any additional costs such as hairdressing, toiletries, clothing and annual holidays. The manager said that East Living provides a budget of £200 per person per year towards the cost of peoples clothing and annual holidays. Care Homes for Adults (18-65 years) Page 12 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive excellent individualised person centred care based on their identified needs. Evidence: We looked at three care files and each of them contained detailed support plans for all areas of identified need such as healthcare, physical, social and emotional; support plans included pictures of people and events that are important to the person living in the home. The support plans that we looked at were written in a person centred way; they described what was important to the individual and included a profile entitled my story, which provided good background information on each persons life. The manager said in her AQAA four service users take part in writing their support plans. People using the service had signed their support plans where possible and when spoken with confirmed that they were involved in writing them. The home keeps pictorial and written notes of the monthly meetings that are held for Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: people living in the home and the subjects discussed included, celebration of birthdays, complaints, customer panel meeting minutes, activities, wishes and requests, any changes needed and meals. People spoken with confirmed that they meet with staff often and that they are given the opportunity to make choices, with help from the staff if necessary. Each of the care files that we looked at contained the notes of one to one meetings with key workers; these notes showed that the key worker together with the person using the service looked at the support plans, risk assessments and any health issues that had arisen since the last meeting. There were risk assessments together with plans on how the identified risks were to be managed on all of the care files that we looked at and they were clear and concise, giving staff good instructions on how risks were to be minimised. Care Homes for Adults (18-65 years) Page 14 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well supported to live a lifestyle that meets their identified needs and preferences. Evidence: We spoke to people living in the home throughout the visit and they confirmed that they make the decisions about what they want to do, where they want to go and what they wish to eat. People living in the home have a varied range of activities both in the home and out in the local community. One person works in a local shop, uses taxis and attends church on a regular basis. Everyone living at 2/3 Nightingale Close has the opportunity for an annual holiday and people spoken with shared their experiences of past holidays to the Isle of Wight and to Butlins holiday camp. Two people are involved in a new multi-media pilot group that uses computers to help Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: them to communicate their choices and wishes more effectively. This project uses pictures, symbols, objects, digital cameras, computers and other tools to help people to have their voice heard; they can produce their own multimedia person centred plan. People attend dance and music sessions at the local community centre and regularly go to local discos organised by the church and Mencap. The support plans showed that people regularly went to the cinema, had pub lunches and attended various courses at the local college. People talked about quiz nights, barbecues and craft nights. The support plans showed that people are encouraged to maintain regular contact with their family and friends; there was a list of their contact details and their birthdays to remind people to send their greetings to their family and friends. One person living in the home is supported by staff to make regular trips to Germany to spend time with their family. The support plans identified the rights and responsibilities of people living in the home and people said when spoken with that they knew what they could and could not do. Staff were observed interacting with people throughout the visit and were seen to treat them with dignity and respect, and they always offered people a choice of various options when asking them to participate in any activities. The manager said that the meat is purchased from a local butcher and that people buy the rest of the shopping from a local supermarket. People living in the home said that they participated in choosing the weekly menu and that this was usually done on a Sunday, where they choose what they want for the following week before going shopping to Morrisons to buy the weekly shop. Care Homes for Adults (18-65 years) Page 16 of 30 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. People receive personal care in a way that suits them and their health care needs will be fully met, but they may not receive medication safely. Evidence: People spoken with said that their personal support suited them and that they decided on things like when to go to bed and when to get up, if they wanted to go out or stay in and that they chose the food that they want to eat. Staff were observed throughout our visit working with people living in the home and they were seen to show respect by knocking on doors before entering a room and asking if it was OK to enter before doing so. Staff was also observed communicating well with people and explaining in a caring manner any assistance they were offering. The manager said in her AQAA service users have a key worker that they are able to choose and they have monthly one to one sessions with them. People living in the home confirmed that they knew who their key worker was and one person confirmed that they had chosen them. The care files included notes of monthly one to one key worker meetings with the people using the service. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: The three care files that we looked at all had clear information about peoples health care and they included charts and records to show that regular health monitoring is carried out and where necessary medical appointments together with their outcomes and any follow up actions were recorded. There are pictorial hospital cards for use when a person attends hospital; the cards use pictures and symbols to help with communication difficulties in the hospital environment. The home has clear policies and procedures for the administration of medication and staff encourage self-administration wherever possible. All staff that administers medication have received medication training; three newly employed staff are in the process of completing their medication workbook and are supervised when administering until they are assessed as competent. One resident administers their own medication in the presence of staff that signs the administration record to confirm that the medication has been taken. The medication and its administration sheet (MARS) are kept in locked cabinets in each individuals bedroom and trained support workers are responsible for ordering and checking in new medication. We looked at the medication and its corresponding records belonging to three of the people living in the home and we found that a monitored dosage system was used for two peoples medication; the third was supplied in the original packets. A check of the monitored dosage system showed that the medication left in the packs agreed with the amount written on the administration sheet. Staff had written up an administration sheet for the medication that was stored in its original packets; there was no details of the amount of medication issued or if any tablets had been carried forward from the previous administration sheet. The boxes were labeled and showed the original amount in them but it was not possible to check that the medication was correct. One of the medication cupboards that we looked in contained creams and paracetamol tablets that the support worker said were brought into the home by the persons mother. These were not recorded on the administration sheet and there was no information or protocol for their use as a homely remedy. Staff completing handwritten administration records must make sure that all of the required information is recorded to enable an audit to be carried out and all medications must be recorded on the medication administration sheet to ensure that it is safely administered. Care Homes for Adults (18-65 years) Page 18 of 30 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 know that their concerns will be dealt with and that they will be protected from harm and abuse. Evidence: East Living have a complaints procedure and the manager has devised her own procedure that works within it. The manager has recently updated the complaints procedure to include the role of the Commission and its new contact details. The last recorded complaint was in 2006 and the records showed that it had been dealt with appropriately and that the outcome had been recorded. The managers quality assurance survey showed that people knew how to complain and that they were comfortable to do so and one person said any concerns are dealt with straight away before they become a problem. The manager has been working to the Essex Vulnerable Adults procedure but said that she is now aware of the Southend, Essex and Thurrock guidelines, which will be used in future. All three new workers are completing safeguarding adults training through their E learning schedule and have been given a copy of the Guidelines for Staff (Essex Vulnerable Adults Protection Committee) during their induction. The manager has provided them with a copy of the Essex County Council safeguarding DVD to watch. We examined a random sample of the cash and cash transaction records belonging to people living in the home and we found them to be accurate and up to Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: date. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, 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. People live in a homely, comfortable and clean environment. Evidence: 2/3 Nightingale Close consists of two separate self-contained bungalows and each one houses six people. The bedrooms are very individual and contain many personal items such as pictures, photos, TVs, radios, soft toys and furnishings. One person living in the home showed us round and said how happy they were and how nice and clean the home always was. The maintenance records showed that all repairs are carried out in a timely manner and the manager said that the home has a cleaning and refurbishing programme. Both gardens are well laid out and there are raised areas in each of them; one has flowers and plants and the other has a water feature with coloured stones around it. There is new garden furniture, which includes a table, six chairs and a parasol and there is additional seating available if it is required. Flooring has been replaced in all of the toilets and two bedrooms have been redecorated when people have vacated them. The manager said in her AQAA we hire a professional carpet cleaner every three months and the carpets in the communal areas together with any bedroom carpets that need cleaning are professionally cleaned. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: The records showed that fire drills regularly take place and that all fire equipment is regularly checked, the home has an up to date fire risk assessment and an evacuation plan. The home was clean, tidy and hygienic and staff was working together with the people living in the home to maintain this. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a competent, well-trained staff team, who are safely recruited. Evidence: The staff duty roster showed that there are three care staff on duty in each house in the mornings and dependent upon the activities being undertaken it showed that there were either two or three staff working in each of the houses in the afternoons. The duty roster was very clear and included the full names of all staff working in the home including agency and bank staff. One person works at night in each of the two bungalows and the duty roster showed that there are three staff members that are on call in case of emergencies. The manager said that all three staff that were on call lived within a three mile radius and could get to the home in a minimum amount of time. The manager said in her AQAA we have now employed variable hours support assistants and generally do not have to use so many agency staff, and staff spoken with confirmed this. The manager said in her AQAA all except the three newest members of staff are NVQ 2 trained and some have an NVQ3. The staff files contained copies of certificates and staff said when spoken with that they were in the process of doing their NVQ 3 qualification. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: We looked at the three staff files belonging to the most recently employed staff members and they contained evidence that induction had been, and was taking place. The manager carries out her own in house induction that covers such things as the homes policies and procedures, where things are located and health and safety issues in addition to the Skills for Care twelve week induction. Staff spoken with confirmed that a full induction period is undertaken and one staff member said that they are on a probationary period throughout the induction period and that they are constantly monitored. The manager provides all staff with supervision and has said that it has not been as regular as it normally is due to the pressure of her workload but that she will be recruiting to the posts of team co-ordinators and they will provide supervision for support workers and support assistants. The supervision notes and staff spoken with confirmed that supervision does take place but not as regularly as required in teh National Minimum Standards. Care Homes for Adults (18-65 years) Page 24 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will live in a well run home that is run in their best interests, however, the unsafe storage of cleaning materials could potentially put people at risk. Evidence: The manager has worked at the home since 1993 and has an NVQ4 qualification in Care and has achieved the Registered Managers Award; she is also an NVQ assessor. The manager regularly updates her knowledge and skills and has recently undertaken training in first aid, medication, food hygiene, epilepsy, health and safety, infection control, safeguarding, diversity and equality, recruitment and selection and delivering customer excellence. The manager said that she will be applying to be registered as the manager of 4 Nightingale Close, which is a twelve bedded home that has applied for a dementia registration. The issues around managing three separate units was discussed and the manager said that when the new team co-ordinators are recruited and in place they will undertake some of the management duties such as staff supervision in each individual house. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The homes quality assurance system is continually being improved upon and the manager said that at present a new questionnaire was being devised. We looked at a sample of completed questionnaires from people using the service, their relatives and a health and social care professional. All of the responses were positive about the service and relatives said I always feel welcome and have attended reviews and been well treated and when I phone the home all staff are keen to help me. Our comments are always taken into account when they compile the report and ideas for improvement are more of the same, I am impressed by the continuity of care and there is nothing that I would change about the home. The questionnaire that was used for people using the service was in an easy read format and it had appropriate pictures that supported the questions. Regular visits by the provider take place and there was copies of their reports kept on file. The manager returned her AQAA by the required date and it was clear and contained all of the information that we had asked for. We found cleaning materials, such as kitchen cleaner, dishwasher tablets and dishwasher rinse aid stored in an unlocked cabinet under the kitchen sink in 3 Nightingale Close. All cleaning materials must be stored in a locked cabinet to ensure the safety of the people using the service. We checked a random sample of safety certificates and we found them to be up to date and in place. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The manager must ensure that all medication is appropriately recorded in the administration records and that any homely remedies have appropriate information available for their use. To ensure that people are protected against potential medication errors. 28/08/2009 2 42 13 The manager must make sure that cleaning materials are stored safely To ensure that people are protected from harm. 28/08/2009 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 36 It is recommended that staff receives supervision at least 6 times a year, to ensure that they are fully supported to carry out their work. Page 28 of 30 Care Homes for Adults (18-65 years) Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: 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. 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