Care Home: 35 Hill Top View

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What the care home does well Care plans are in place and contain a lot of information about each person living at the home, what they do and the support they need.People are encouraged to take part in the daily routines of the home where possible.We found that policies and procedures have been reviewed regularly. What has improved since the last inspection? This is the first inspection of this service since the provider changed the company name. When providers do this we require them to re register their service. What the care home could do better: We asked the service to provide information in a form that people using the service can easily understand.We saw that staff need to receive training.We asked that people using the service are involved in planning their care.Medication needs to be stored properly.We need the acting manager to register with us. Key inspection report Care homes for adults (18-65 years) Name: Address: 35 Hill Top View 35 Hill Top View Rugeley Staffs WS15 4DG 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: Wendy Jones Date: 0 2 0 2 2 0 1 0 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 33 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: 35 Hill Top View 35 Hill Top View Rugeley Staffs WS15 4DG Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Langston Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 4 0 learning disability Additional conditions: The registered person may provide personal care, excluding nursing, and accommodation - Code PC, for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disabilities Code LD (4) The maximum number of service users who may be accommodated is : 4 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Care Homes for Adults (18-65 years) Page 5 of 33 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home This was an unannounced key inspection visit that was carried out over one day by one inspector. We looked at records and information. We looked around the home to be sure it is safe and comfortable. Care Homes for Adults (18-65 years) Page 7 of 33 What the care home does well Care plans are in place and contain a lot of information about each person living at the home, what they do and the support they need. People are encouraged to take part in the daily routines of the home where possible. We found that policies and procedures have been reviewed regularly. Care Homes for Adults (18-65 years) Page 8 of 33 What has got better from the last inspection What the care home could do better We asked the service to provide information in a form that people using the service can easily understand. Care Homes for Adults (18-65 years) Page 9 of 33 We saw that staff need to receive training. We asked that people using the service are involved in planning their care. Medication needs to be stored properly. Care Homes for Adults (18-65 years) Page 10 of 33 We need the acting manager to register with us. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Wendy Jones 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT 01216005300 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 11 of 33 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 12 of 33 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 13 of 33 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 who may us the service can be sure that their needs will be assessed. But cant be confident that they will receive information about the service that is current and that they can easily understand. Evidence: The service told us in the AQAA that, We rarely have beds available for potential residents; we open small homes at the request of parents and social workers. Homes and staffing etc are opened and developed in response to potential residents and their familys needs and preferences. We believe you cant get much better choice of home than that. Essentially our homes are bespoke services. The service has a Statement of Purpose, but this is very out of date and has not been produced in a user friendly format. Each person using the service has a copy of both the Service user Guide and Statement of Purpose in their care records, but there is no evidence that they or their representatives have read and understood it or have signed to say they have. The information in the Service User Guide does not include the fee range or the breakdown of the charges people can expect to pay. Page 14 of 33 Care Homes for Adults (18-65 years) Evidence: There have not been any new admissions to the home, since the last time we visited. The evidence of previous visits is that the service carries out detailed pre admission assessments of prospective users of the service, including the involvement and assessment of any health or social care professional. Families or carers of the individual are also included in this process. Staff said in surveys, This is a fantastic Home. Care Homes for Adults (18-65 years) Page 15 of 33 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. People using the service have care plans in place based upon their assessed needs but need to be confident that they are involved in planning and reviewing these. Evidence: The service has told us in the AQAA that, As the service we provide is very bespoke, we are very confident that our residents needs are fully met; care plans and associated procedures are constantly undergoing review and frequently change. Reviews of all care plans and associated procedures/programmes are carried out 6 monthly. Where residents are able, they are involved with devising and updating their own care plans. We found that each person using the service has detailed support plans and information about there needs and how they should be met. But there is little evidence of how people using the service are involved in care planning or review. The format of the plans is not user friendly and the service has not considered this. We spoke to the acting manager of the service who said, I know that we need to work in a more person centred way and have started to up date the plans to reflect that, but have yet to fully implement PCP. Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: We are told that staff have/havent received PCP training. We spoke to 2 care staff about PCP. They said, the manager and the seniors tend to do those and weve been told we will be asked for our views. We saw that some care plans have not been reviewed on a regular basis as it is recommended that they are, we could not tell if people using the service have been spoken to about the plans. We saw risk assessments have been carried out and reviewed but didnt see evidence of the involvement or people using the service. We saw that staff record in the daily handover sheets for each person, these are individualised. A monthly summary of events is also recorded for the manager to audit. The new manager said, Everyone also has a diary which is used to record events and appointments, this then goes home so that parents can see what they do. When we checked records of people in number 33, we were told that the diaries have not yet been started, but they have in number 35. Care Homes for Adults (18-65 years) Page 17 of 33 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. People using the service are supported to make choices in their daily life and are encouraged to retain as much independence as possible. Evidence: The service has told us in the AQAA that, As the service we provide is highly bespoke, we are very confident that our residents lifestyle preferences are fully met to the best of our ability and within the constraints of residents individual financial restrictions. We introduced a low E number ethos to menu planning and grocery purchases and have since expanded on this to include 5 a day, healthy eating, high fat / protein diets where needed. Residents are helped to buy nice fashionable / serviceable clothes, shoes, sports accessories, DVDs, Cds, booking activities, hobbies and holidays etc. An Aroma therapist visits monthly for massages of tired feet and hands. All our residents expressed personal interests are met including horse riding, shopping, trampoline, swimming, Alton Towers. We found that there have been improvements in the opportunities people have to go into the community and engage in activities out side of the home. New activities include Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: swimming, attending gateway club in the evening. We saw that individuals have a weekly activity planner in their records. But these are not user friendly and not accessible to the individual. Staff told us that they talk to people using the service about the plans for the day. We observed people using the service engaged in activities of their choice during our visit. We have been told that people using the service are supported to be in contact with families and friends. We talked to staff about food choices; the service has menu plans that are completed by staff and based upon the known preferences of individuals rather than offering them real choice of meals. But there is evidence that the service takes seriously its responsibilities in promoting healthy eating and makes great efforts to encourage the government guidelines of 5 a day ie 5 portions of fruit and vegetables per day. We saw innovative ways staff have incorporated fruit and vegetables in the diet, for example staff said, we usually try to have a surprise fruit or vegetable for the week and try to include that in meals, examples given were pineapple, asparagus and this weeks vegetable is green chilli. We saw that people using the service are supported to be involved with kitchen chores and jobs. Including washing dishes preparing food for the meals. Care Homes for Adults (18-65 years) Page 19 of 33 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. People using the service need to be confident that their medication is being stored and managed properly and that staff are assessed as competent to administer it. Evidence: The service has told us in the AQAA that, We respond to all residents health care needs very quickly. We involve the local Community Learning Disability nurse and team to help meet residents needs as soon as problems arise or if we need advice or have concerns. We ensure residents have regular medication reviews. Family members are consulted re medication and care. We are working with the local Health Facilitator to produce resident specific Health Action Plans. We found that Medication storage is not suitable for the purpose. Currently medication is stored in lockable in lockable wooden cupboards this does not meet the new guidance re medication storage. No one at this home is prescribed controlled medication. We saw that Medication Administration Records (MARS) are signed properly from the sample seen. However we also saw that medication charts are often handwritten and that although the record of medication received is recorded, any carried over medication from the previous months supply is not. This means an accurate audit of medication in the home cannot be carried out. Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: We saw that homely remedies such as paracetamol are recorded when administered but there is no record of the amount received in the home so we cannot complete and audit trail. The manager told us that she has reviewed the medication policies and is waiting for them to be approved by the providers, the new policies include homely remedies, receipt and return of medication, also secondary dispensing. We discussed secondary dispensing as at the moment the service does this for home leave medication. We saw in one care file that a, consent to medication form had not been completed. We talked about medication training, the acting manager stated that two staff have just completed the Boots foundation course we saw the certificates as evidence. But other staff have received in house medication training by the previous manager. We could not be sure that this training is sufficient to meet the recommendations we expect. And recommend that all staff responsible for the administration of medicating undertake a recognised medication training course and also have competency assessments so that we can be certain that they understand and can put theory into practise. We saw records of people health appointments that demonstrate that the service supports people to receive regular healthcare. We saw evidence of dental, chiropody, GP and consultant appointments. Care Homes for Adults (18-65 years) Page 21 of 33 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 using the service can be sure that their complaints will be listened to and the service acts promptly to deal with any concerns about potential abuse. Evidence: The service has told us in the AQAA that, We have a detailed Complaints Procedure available to residents, staff, outside agencies etc. We listen, we cooperate, and we act where necessary. We understand the need for self criticism and are willing to learn and adapt. We understand the need for change and development and always take on board suggestions or concerns. In the case of adult protection we act fast, responsibly and with the best interests of our residents. We follow our own detailed policies and procedures, notify all external bodies and aim to clarify the situation with speed and discretion. Families are kept informed, reassured and updated. We work well with multi disciplinary teams and cooperate with all outside agencies as required. We maintain extremely high levels of professionalism and confidentiality. We found that a complaints procedure is in place but recommend that it is in a format that people using the service can easily understand. We have received one complaint about this service the service last had a key inspection visit. We undertook an unannounced visit to the home at that time to look at the concerns raised in complaint, met with the provider and made recommendations for him to act upon. This included recommendations to complete the building works in the laundry and improve the environment in the kitchen. But as described in the Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: environmental section of this report this has not been actioned. We looked at staff recruitment records and note that the service does ensure that prospective employees are checked through the Criminal Records Bureau process. Two written references are also sought, any gas in work history are explored. We are concerned that where disclosures have been made, the provider has not been involved with the risk assessment and decision making process. Staff have received training in how to recognise and report suspected abuse. Since our visit we have been informed that a safeguarding referral has been made, the provider has co-operated actively with the enquiries into the allegations. Care Homes for Adults (18-65 years) Page 23 of 33 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service need to be sure that the service that they live is safe, well maintained and decorated to a good standard throughout. Evidence: We have been told in the AQAA that, We have a full time maintenance man that looks after many aspects of the home environment, inside and out. Serious maintenance issues are dealt with straight away as he is also on call for emergencies and we have a list of other specialist companies for more specialised jobs such as plumbing or electrical work. We have a rolling maintenance programme and a record is kept to show what jobs the maintenance man has been working on and when. Therefore we consider that the homes are easily accessible, safe and well maintained. Residents own rooms are designed and decorated with their own preferences and needs in mind. We redecorate, refresh and update decor and furnishings when needed. We found that the home is actually two adjoining houses, numbers 33 and 35, both accommodate up to two people, each has its own kitchen, lounge/dining room and first floor bathroom, both have single bedrooms for people using the service and have sleep in facilities for staff. In number 33 an additional smaller lounge is available and in 35 a conservatory provides additional communal space. We found that in general the service is well maintained, but we are concerned that the Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: development of a ground floor laundry area in 33 has not progressed since our last visit to the service. This means the laundry area remains unheated, and the access/door way has not been finished off properly leaving brick work and insulation material exposed creating a potential risk to people using the service. The kitchen has peeling wallpaper and would benefit from re decoration. We have been told that improvements have been made which include the development of a large car park to the rear of the properties and the development of the gardens. We saw in the AQAA that the service has infection control policies and procedures in place and staff have receive training. Care Homes for Adults (18-65 years) Page 25 of 33 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a staff team that has received a good level of training, but needs to confident that they are also supported by regular supervision and staff meetings to ensure their practise is current. Evidence: We have been told in the AQAA that, We have intensive policies and procedures in place; tracking an employee from the day they join our employment to the day they leave. We have a clearly defined recruitment procedure in place, this procedure has many sub processes within it including a new employee process which covers in significant detail the required actions needed to ensure pre employment checks, references, shadowing, and supervision levels during the first few months of employment are in line with current guidance. Furthermore we have a thorough induction programme based on our own 12 Stages of Competence. Staff training is a continual process. Staff have the opportunity to have 1:1s with their line manager as and when required or needed at their request or at a managers request. We consider management to be approachable at all times. We found that staffing levels appear to be sufficient for the needs of people using the service. We saw that staffing is provided on a one to one basis, throughout the waking day additional senior and administration hours are provided. One waking and one sleep in staff are provided in each of the houses. Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: The acting manager has told us that there are no staff vacancies at the moment and the service has not used agency staff. We saw records that show staff have not received one to one supervision sessions as regularly as we recommend they do and have had infrequent meetings to discuss practise. The acting manager stated that she has now acted on this and provided evidence that she has chaired a meeting for each of the homes, to discuss changes and intends that everyone will have a supervision session soon. We looked at records of recruitment and found that the service has good procedures in place. But needs to ensure where issues arise that there is clear evidence of risk assessment and decision making, to demonstrate that people using the service are not being placed at risk. Information in the AQAA indicates that the number of staff trained to NVQ levels is good. But there are gaps in other training and some updates are overdue. The acting manager showed that she has a programme for staff training to address this deficit. Care Homes for Adults (18-65 years) Page 27 of 33 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service need to be sure that the management of the service is robust. Evidence: We received an AQAA from the service, but we had to remind the service to return it within the timescale we had stipulated. We found that we cannot support some of the statements made in the AQAA because of the evidence we found during this visit, areas of concern include, a lack of regular staff supervision, infrequent staff meetings, gaps in training or overdue updates. The service told us in the AQAA that; The Acting Home Manager is directly mentored the company founder and director. The Senior Staff Team consists of the Acting Home Manager, Head of Houses and Home Leaders followed by a Senior Support Worker and Staff Mentors. All senior staff have supernumerary time, supported by the Manager and Administration Officer. We have an excellent working relationship with many members of multi disciplinary teams. Quality assurance surveys are sent out annually. Policies and procedures are regularly updated to reflect any changes needed. We have been told that the registered manager no longer works at the service, a new Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: manager has been appointed, but has yet to apply to be registered with us. She was present throughout the inspection site visit and demonstrated that she had an understanding of the standards expected. We have been told that she was previously the deputy manager of the home and before that was a teacher. We do have some concerns with how the service has been managed since the last key inspection. We noted that the acting manager has carried out her own audit of the service and knows what she needs to be doing to address the areas identified that are in need of improvement. We also spoke to the provider about this. We saw that the service doesnt routinely involve people using the service in care planning and has not provided relevant information in formats that they can more easily understand. We found that staff have not received training in PCP so cant be sure that they know how to implement it properly. We are concerned that building work in the home hasnt been completed and potentially puts people using the service at risk. Staff need to receive training updates and training in relation to the Mental Capacity Act and Deprivation of Liberty. We saw that the provider visits the home regularly to monitor how the service is being managed and produces reports and action plans based upon these visits. We saw that policies and procedures have been reviewed and that health and safety risk assessments are carried out. Care Homes for Adults (18-65 years) Page 29 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 33 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 Medication must be stored in 05/05/2010 suitable facilities. So that it is safely managed. 2 20 13 Staff must receive medication training. 05/05/2010 To ensure that they have the knowledge to administer and manage medication safely. 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 2 3 1 1 6 The service user guide should be in a user friendly format and specify the fees and costs of the service. The Statement of Purpose should be up to date and reflect the current service. Staff should receive PCP training, so that people using the Care Homes for Adults (18-65 years) Page 31 of 33 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 service can be sure they are supported by staff to understand the principles. 4 6 People using the service should be routinely involved in care planning and review. So that they are confident that the plans are reflecting their needs. The service should ensure that a review of medication record keeping procedures is initiated to be certain that accurate audits of medication stock can be carried out. Complaints procedures should be produced in formats that people using the service can more easily understand. The provider should ensure that where there are CRB disclosures, that the systems they have in place are robust to ensure the safety and well being of people using the service. The provider should ensure that the work in the laundry is completed to a satisfactory standard. So that people using the service can access it safely. The provider should ensure that the kitchen is well maintained and decorated for the benefit of people using the service. The provider should ensure that staff receive the training and updates they need to ensure that they have the knowledge to deliver appropriate support. The provider should ensure that staff have access to regular staff meetings. The provider should ensure that all staff have access to regular one to one supervision. The provider needs to ensure that an application to register the manager is submitted to us. So that people using the service can be confident that the person in day to day running of the home has been approved by us. The provider should ensure that staff have received training in relation to Mental Capacity Act and deprivation of liberty. 5 20 6 7 22 23 8 24 9 24 10 32 11 12 13 36 36 39 14 42 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 33 of 33 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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