Care Home: 283 Fareham Road

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What the care home does well The home has effective communication tools for informing residents about the services provided and for obtaining their views of how they would like to spend their time. This includes a communication notice board in each person`s room and the use of pictorial diagrams for easier understanding. There are opportunities for residents to participate in decision making in the home, such as staff recruitment. A staff member commented: `The service users are empowered daily to make choices and have a fulfilled life.` Each person has documents with guidance for staff on how to provide care, reflecting the person`s wishes and choices. Residents have access to community facilities and the home has its own mini bus so that residents can get out and about. Each person has a daily activities plan which includes attendance at day services as well as social events and leisure pursuits. Each person has an annual holiday. The health and personal care needs of each person are met, although some improvements are needed to the medication procedures. Staff receive training in care procedures and procedures for safeguarding residents. A health and social care professional made the following comment: `283 Fareham Road is a very well managed person-centred home where service users with complex needs are cared for and encouraged to participate in the community and to lead as full a life as is possible. I believe the staff and management do a great job in achieving this.` Each person has his or her own bedroom with personal possessions and specialist equipment for any care needs. Residents were observed using the home`s communal areas and are able to use the garden. There is a staff training programme and 9 of the 12 staff have completed National Vocational Qualification level 2 or above. Staff receive regular supervision and report that they are supported in their work. Staff recruitment procedures protect residents. The home is well managed and there are systems whereby the home checks on its own performance. What has improved since the last inspection? This does not apply as it is the first inspection of the service. What the care home could do better: Medication procedures need to be reviewed. The home has two written procedures, neither of which specifically apply to residential care. Guidance for staff to follow of the circumstances when occasional medication is needed are not always recorded. The storage and recording of medication that is classed as a controlled drug needs to be improved. Each staff member who took part in the inspection reported that the standard of personal care and the opportunities to attend activities would be improved if staffing levels were increased. Key inspection report Care homes for adults (18-65 years) Name: Address: 283 Fareham Road 283 Fareham Road Gosport Hants PO13 0AB     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: Ian Craig     Date: 1 9 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 30 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for 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 30 Information about the care home Name of care home: Address: 283 Fareham Road 283 Fareham Road Gosport Hants PO13 0AB 01329221138 01329221138 carol.duly@nhs.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Hampshire Partnership NHS Foundation Trust Name of registered manager (if applicable) Mrs Carol Duly Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disabilities (LD) Date of last inspection Brief description of the care home The home is owned and run by The Hampshire Partnership NHS Foundation Trust. It was registered with the Commisision on 05/05/09 and previously operated as a health care facility. Accommodation and care are provided for up to 5 adults with a learning disability. It is located in a residential area of Gosport. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 5 Brief description of the care home Each person has his or her own room. One bedroom does not have a window with a view, only a skylight. There are communal areas and garden, which residents use. Specialist facilities and equipment are provided for those with mobility needs. Residents are supported to access community facilities and to exercise choices in how they spend their time. 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: A site visit was made to the home which lasted approximately 5.5 hours. During this time discussions took place with the manager and three staff were spoken to. Staff were also observed working and interacting with residents. Three residents were met during the visit. Communal areas and bedrooms were seen. Records, documents and policies and procedures were looked at. Surveys were sent to staff, residents and health and social care professionals asking for their views on the service. Residents were given help from an independent advocate to complete the forms. 5 staff, 5 residents and 2 health and social care professionals returned the survey forms. Care Homes for Adults (18-65 years) Page 6 of 30 Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for this report. 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: Medication procedures need to be reviewed. The home has two written procedures, neither of which specifically apply to residential care. Guidance for staff to follow of the circumstances when occasional medication is needed are not always recorded. The storage and recording of medication that is classed as a controlled drug needs to be improved. Each staff member who took part in the inspection reported that the standard of Care Homes for Adults (18-65 years) Page 8 of 30 personal care and the opportunities to attend activities would be improved if staffing levels were increased. 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 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 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. The home uses an effective system to communicate information about the service to each resident. Evidence: The home has a Statement of Purpose and a Service Users Guide. These are documents which give information about the service provided by the home including details of the environment, the staff and the complaints procedure. In order to aid communication with the people who live at the home the documents have pictorial diagrams for easier understanding. A copy of the Service Users Guide is held in each residents bedroom. The manager explained that time is taken to communicate information about the home and the service available. The home has not admitted any service users for the last 20 years. This meant that it was not possible to fully assess the key standard regarding assessing the needs of those referred for possible admission. Residents individual records show that regular reviews of care needs take place and that this includes reassessments by local authority care managers. Copies of these assessments are held with residents Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: records. The service does not have a written admission procedure. The manager and a member of the services management team state that the home will not be admitting any more residents to any vacant beds as the service provision for the residents is being reviewed. The manager explained that this is being carried out in close liaison with social services. The homes Statement of Purpose says, No admissions will be made. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans reflect the individual needs and choices for each person, although this was not the case for one persons daily care routines. Communication and resident participation is of a good standard allowing residents to make choices and make decisions about their lives and how the home runs. Evidence: Care records were looked at for 3 residents. These are subdivided into the following sections:My Profile, Assessments, Support plans, Service Users Review, Daily Diary Notes and Medical. My Profile is written with the persons needs and preferences as central and includes pictorial diagrams to make it easier for the person to comprehend. Areas covered include communication, education and work, hobbies, daily routines and preferences, emotional needs, health needs, medication, care routines, eating and drinking and a life history. Assessments include multi disciplinary assessments, medical reviews, care Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: managers assessments, identification of risks and how they are managed, moving and handling assessments, occupational therapy assessments and dietary assessments. Support Plan includes details of how staff assist each person with personal care routines and managing medical needs. It was noted that for one person there was no support plan for daily personal care routines, which the manager agreed to address. The home is introducing person centred care plans, which are written from the residents point of view in a format that is easier for residents to understand. A copy of a person centred plan was seen on a reisidents communication notice board. Staff report that they are given up to date information about each residents care needs and that information about residents care needs is shared within the staff team. A staff member was observed completing a document which demonstrates that choice is provided throughout the day, from breakfast food to activities available for the day. The staff member explained the system and that it empowered the residents who have limited communication. Each person has a communication board in his or her bedroom. The aim of this is to inform the person about the service provision with details in pictorial format. Care records show how each person communicates and the manager explained the importance of this in promoting choice and involvement. Residents are given a choice of who provides care. Residents confirmed in surveys that they are able to make choices in how they spend their time. The home uses advocacy services so that residents views can be expressed, such as in completing survey questionnaires for the inspection. Residents are involved in staff selection and this is recorded. A care professional made the following comment: 283 Fareham Road look to include external support teams when considering changes or decisions affecting service users and succeed in providing as far as is possible a service user centred home. Written assessments are carried out for activities and behaviours where there is an element of risk to the person with corresponding guidance for staff follow. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to have a full life with access to a range of community activities that reflect their needs and their wishes. Nutritious meals are provided and there is a choice of food. Evidence: At the time of the visit staff were taking 3 residents out in the homes mini bus for a trip to the shops. The mini bus is adapted to accommodate those with mobility needs and wheelchair users. Staff reported that the home promotes independence and residents learning new skills. Each person has a timetable of daily activities displayed on the communication notice Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: board in their bedroom. These include bowling, swimming, gardening, cooking, day service attendance, shopping trips and holidays. Staff provide support for holidays to Butlins and at outdoor pursuit centres. Staff described the type of activities that residents attend such as social clubs, discos, day care, bingo and open air events such as an aircraft show. One person attends a local church. Surveys from residents state that they are able to do what they want in the day, evening and at weekends. 3 people said in the surveys that they would like to have more opportunities for attending social events, taking part in activities involving risk and more one to one support from staff. Staff commented that they would be able to provide more activities for the residents if more staff were available as some of the residents need to have 2 staff when out and about in the community. The homes AQAA commented in the What the home could do better section, Service users need extra support to access community facilities and to ensure they can follow their chosen faiths/beliefs. Staffing levels are mentioned in greater detail in the staff section of this report. The home has a six week menu plan. Fresh fruit is available in the home. Each person has a nutritional assessment and support plans give staff guidance on the eating and drinking needs of individuals. Choice is available and this is recorded. Residents also have opportunities for meals out and for take away meals. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health and personal care needs are met although shortfalls in the medication procedures have the potential that health care needs may not be met. Evidence: Support plans show staff are to provide help with personal care and for health care needs. Records show that each person has appointments with various health care professionals such a the consultant psychiatrist, general practitioner, optician, dentist, community nurse, occupational therapist and speech and language therapist. The manager said that each person has regular health checks with a community nurse. Residents say that the staff at the home always treat them well and provide support with personal care and complex needs. Staff say that the home meets the care needs of the individual residents. Health and social care professionals say that the home monitors, reviews and meets health and social care needs. The staff and manager are said to have the right skills and experience to meet residents needs. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: The medication procedures were looked at. The home has 2 written procedures for the handling, storage and administration of medication: one for domiciliary care and the other for a hospital ward. These 2 documents cover the procedures used by the home with the exception that the correct storage of controlled medication is not included, nor reference to recording incoming quantities of both controlled and non controlled medication. The manager agreed to follow this up. Records and medication stocks show that medication is administered as prescribed. There was a lack of clarity regarding 2 medications to be administered on an occassional basis. For both of these there was no guidance for staff to follow in administering and the home did not have a stock of one of these drugs although it was included on the medication administration records sheet provided by the pharmacist. The pharmacists order form said print. no supply. The manager said that this would be immediately reviewed by the general practitioner to see if it is still needed. For the second medication, the home had a stock of medication, but no guidance for staff to follow in administering. For other occassional medication guidelines were recorded for the circumstances that staff should administer. Medication that is classed as a controlled drug for storage purposes only is not held in a controlled medication cupboard. The recommended procedures for recording when this medication is administered are not followed. Staff receive training in the handling and recording of medication and complete an initial assessment of competency as well as annual assessments of competency. This was evidenced from training records, the staff and the manager. 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. The home has an effective complaints procedure and takes steps to minimise the potential for harm to residents. Evidence: The home has a complaints procedure in pictorial format for easier understanding by residents. A copy of this is held in each residents bedroom. The manager said that the procedure is also explained to each person. Residents say in surveys that there is someone available to speak to on an informal basis if they are not happy. 4 people said that they do not know how to make a complaint, indicating that the home may need to look at other methods of communicating this. The AQAA states that there have been no complaints in the previous 12 months. Staff have received training in safeguarding adults from possible harm and in child protection. This was evidenced from training records as well as discussions with the staff and the manager. Procedures are recorded for circumstances when residents may exhibit challenging behaviour. Each staff member attends a 3 day training course in techniques for dealing with these circumstances. This training is then renewed on an annual basis. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Staff and the manager have received training in the Mental Capacity Act 2005 and training is to be provided regarding the use of recent legislation where there may be restrictions on someones freedom of movement in their best interests. The home supports residents to manages their finances. Any monies that are held, are held in an interest bearing bank account. Records are maintained of any cash held in the home on behalf of residents, including any amounts withdrawn or deposited. Receipts are also available for any purchases that residents make with the support of staff. 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. The home is well maintained, comfortable and adapted for the residents individual needs. Evidence: The communal areas and residents bedrooms were seen. There is a ground floor lounge and dining room with patio doors opening onto the garden terrace where there are seats and tables. The AQAA states that residents have been involved in gardening projects such as growing their own vegetables. Residents were observed using the lounge and dining areas to play games. At the time of the visit the kitchen was being refurbished. Each person has his or her own bedroom. These are personalised with items such televisions, hi fi and games. Each bedroom is decorated in a different colour. The home has a bathroom on the ground floor plus a separate toilet. On the first floor there is a one bathroom with a toilet. Specialist bathing facilities are provided to help those with mobility needs. Adaptations have been made to the building to help those with mobility needs. A healthcare professional commented that the layout of the building could be better. Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: The home was found to be clean. Staff receive training in infection control. 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. Residents benefit from a well trained staff team supplied in sufficient numbers to meet their needs although there is scope to improve staffing levels so that care and social needs are better addressed. Staff recruitment procedures protect residents. Evidence: The home aims to provide at least 3 care staff at any given time from 7am to 9pm each day. Observation and the staff rotas show that these hours are being maintained. The home uses staff from its own pool of bank staff to cover any vacancies. Additional staff are deployed so that residents are supported to have a holiday. Staff gave their views on the staffing levels in interview and in surveys. Comment was made that staffing levels are sufficient to meet residents needs with the following exceptions: increased staffing levels at weekends would enable residents to access the community more, and, the provision of one night staff member should be increased as some of the residents need 2 staff in circumstances where personal care may be required. This was discussed with the manager who said that the issue of additional night staff had been raised with the organisations management, but that funding is Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: not available to provide this. Newly appointed staff have an induction course to prepare them for the job. This consists of a 1 day corporate induction followed by a 4 day social care induction and then a 4 week period where the staff member works in a supernumerary capacity with a mentor from the established staff team. A Social Skills for Care booklet is completed as part of the induction. Staff report that the induction they received prepared them for the job. Staff have regular monthly supervision with the their manager. This was evidenced from records, staff surveys and discussions with the staff and manager. Staff also said that they are supported in their work and that they work as a team. A record of training is maintained for each staff member and the homes management has a training matrix to monitor that staff training is up to date. Staff report that they are able to attend a variety of training courses relevant to their work, including communication with residents, computer and IT skills, health and and safety, person centred planning and safeguarding procedures. Staff recruitment procedures show that staff only start work after the required checks are obtained. Records of job application interviews are held with staff records as well as a record of the involvement of residents in the process. 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. The home is well managed and run in the best interests of the people who live there. The health and safety of residents and staff are promoted. Evidence: The manager has the National Vocational Qualification (NVQ) level 4 in Health and Social Care and is studying for the NVQ level 4 in management. In addition to this, she has completed a number of other training courses, such as in the Mental Capacity Act 2005. Staff describe the manager as approachable and supportive and that this has promoted good staff morale. A member of the organisations management team completes a monthly visit and an audit report on the way the home is running. Copies of these reports were seen for 2009 and include a check of the homes finances and medication. The organisations management team send satisfaction questionnaires to health and social care Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: professionals. The results of these are compiled in a summary and are provided to the manager to see what areas may need improvement, as well as those aspects of the homes performance considered to be good. Staff receive training in the following health and safety: moving and handling procedures, first aid, infection control, and food hygiene. The AQAA and records held in the home confirm that the appliances and equipment are serviced and tested by suitably qualified persons. 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 Where medication is 27/11/2009 prescribed to be taken on an occassional basis, there must be written guidance for staff to follow of the symptoms and circumstances that the medication must be administered. So that residents health care needs are met. 2 20 13 Medication classed as a controlled drug for storage purposes must be stored in a controlled medication cupboard as required by the Misuse of Drugs(Safe Custody) Regulations 1973. So that medication is safely stored. 27/11/2009 Care Homes for Adults (18-65 years) Page 28 of 30 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 Where the home administers medication that is classed as a controlled drug for storage purposes, two staff must administer, count and record the remaining balance and both record their signature. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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