Care Home: 512-514 Stratford Road

What the care home does well This is a new home and people have only lived here for a few months. Staff have worked very hard to ensure people feel happy in their new home.We saw staff support people and they were kind, and respectful.People have their own bedrooms. They are able to put things in there which are important to them.People are helped to stay in touch with their family and friends.Staff help people see doctors and nurses who can help them to stay healthy.Fresh food is provided which people enjoy.The home is bright and clean, and there is plenty of space for people to move about.There is equipment to help people move and bathe safely. What has improved since the last inspection? This is a new service, and the first inspection report for this home. What the care home could do better: Care needs must be written down in a plan, so all staff know what the needs are and how the person would like them to be met.Risk assessments must be written to make sure people can live as independently and safely as possible.Staff need to be better trained and supervised to ensure they are able to support people well.Checks on staff before they start work need to improve to ensure they are suitable to work at this home.People need to be helped to do interesting things each day, and go out if they wish to.Equipment such as hoists and the lift need to be checked to ensure they are safe to use.Medication needs to be better managed to ensure people get the medication they need and this is recorded. Key inspection report Care homes for adults (18-65 years) Name: Address: 512-514 Stratford Road 512-514 Stratford Road Shirley Solihull W Midlands B90 4AY 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: Alison Ridge Date: 2 0 0 1 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 35 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 © (2010) 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 35 Information about the care home Name of care home: Address: 512-514 Stratford Road 512-514 Stratford Road Shirley Solihull W Midlands B90 4AY 01217443222 01217443222 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Select Lifestyles Limited Name of registered manager (if applicable) Mrs Deborah Pinfold Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 6 0 care home 6 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 35 A bit about the care home Six People who have a Learning Disability can live at this home. There is a lounge, dining room, kitchen, laundry, bathrooms and six single bedrooms. There is a garden at the back of the house. Staff are on duty both day and night and help people with their care and to do things they enjoy. Care Homes for Adults (18-65 years) Page 5 of 35 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 35 How we did our inspection: This is what the inspector did when they were at the care home One inspector visited the home and did the inspection in one day. The home did not know we were going to visit. We spoke to people who live at the home, the staff and manager. We looked at the way staff supported people with their care and activities. We looked at records about care and support. Care Homes for Adults (18-65 years) Page 7 of 35 We looked at paperwork the home has to keep. This is about staff and keeping the home safe. We looked around some parts of the home. What the care home does well This is a new home and people have only lived here for a few months. Staff have worked very hard to ensure people feel happy in their new home. We saw staff support people and they were kind, and respectful. Care Homes for Adults (18-65 years) Page 8 of 35 People have their own bedrooms. They are able to put things in there which are important to them. People are helped to stay in touch with their family and friends. Staff help people see doctors and nurses who can help them to stay healthy. Fresh food is provided which people enjoy. Care Homes for Adults (18-65 years) Page 9 of 35 The home is bright and clean, and there is plenty of space for people to move about. There is equipment to help people move and bathe safely. What has got better from the last inspection This is a new service, and the first inspection report for this home. Care Homes for Adults (18-65 years) Page 10 of 35 What the care home could do better Care needs must be written down in a plan, so all staff know what the needs are and how the person would like them to be met. Risk assessments must be written to make sure people can live as independently and safely as possible. Staff need to be better trained and supervised to ensure they are able to support people well. Care Homes for Adults (18-65 years) Page 11 of 35 Checks on staff before they start work need to improve to ensure they are suitable to work at this home. People need to be helped to do interesting things each day, and go out if they wish to. Equipment such as hoists and the lift need to be checked to ensure they are safe to use. Medication needs to be better managed to ensure people get the medication they need and this is recorded. Care Homes for Adults (18-65 years) Page 12 of 35 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 Alison Ridge CQC West Midlands Citygate Gallowgate Newcastle Upon Tyne NE1 4PA 03000 616161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 13 of 35 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 14 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need to ensure they can make a choice about whether or not they want to live at the home. People cannot always be confident the home can meet their needs. Evidence: This is a new service and five people have moved into this home since it opened. We case tracked two people. Case tracking involves following in detail some of the people who live in the home. We found that both people had been assessed by the community nurse and social worker. We could not see that the home had undertaken an assessment or verified the information given to them in the assessments from the social worker and community nurse. This does not ensure that the home has checked it will be able to meet peoples needs or that the new group of people will get on. A Statement of Purpose and Service User Guide has been developed. The Service user guide is provided in picture, easy read format which might help people understand it better. These give people information about the home, and help them decide if it is somewhere they would like to live. Care Homes for Adults (18-65 years) Page 15 of 35 Evidence: Some people or their families had been able to visit the home before it opened. They had a chance to look at the home, and in some cases choose their room. Some staff started work before the home opened and were able to go and visit people in the places they used to live. This means people had a chance to get to know each other, and feel confident that the new staff would know about them and their needs before they moved in. The two people we tracked were having their care paid for by the local authority. No contract from them, or from the home detailing the terms and conditions of living in the home were available. These should be provided so people know what is expected of them, and what they can expect from the home. Care Homes for Adults (18-65 years) Page 16 of 35 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have not been involved in planning their care, or making decisions about their lives. Evidence: We case tracked two people, both had a personal plan, but the contents had been written by their previous care providers. This was of concern to us as they did not reflect peoples current needs or wishes, or the change they had experienced by moving home. The plans did not show any consultation or involvement with the people who they were about. Four of the five people living in the home find it hard to express their preferences and wishes due to their learning disability. This had not been explored with reference made to the Mental Capacity Act. We spoke with three members of staff and a student at the home. They all told us how they had tried to find out what people liked, particularly in the areas of food and activities. We found that staff need some further support and training in this area. Care Homes for Adults (18-65 years) Page 17 of 35 Evidence: Staff told us that people have been involved where possible in the running of the home. This has included for example some light housework. We did not see any of this taking place during the inspection, or read about it in the daily notes. Some new risk assessments had been written, and some were available from peoples last care homes. We found these need to be worked on to ensure peoples risks are known, and the action needed to help people live as independently and as safely as possible taken. We were particularly concerned that risk assessments for bed safety rails and pressure area care had not been developed. We saw staff talk with people in a respectful way. One review took place during our visit, and we didnt see that the staff made sure this was undertaken in private. This meant other people heard this persons business. We found that one person needs a listening device in their room at night, so staff know if they need help. This was still on during the day. Staff need to explore ways to ensure this persons safety while protecting their privacy. Care Homes for Adults (18-65 years) Page 18 of 35 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have some opportunities to undertake meaningful activities. People have opportunity to eat food of their choice. Evidence: During our visit one person was at a day centre and one person was supported by the homes staff to access the local shops. We found the home to be very relaxed and calm, but we did not see that people were being offered interesting things to do. The TV was on all the time of our visit, we did not see anyone particularly watch this. One person looked at a newspaper for a short while. Daily notes and receipts showed us that people have been out of the home, and staff said they hope this will increase now they have transport, and the weather is improving. We asked staff about activities in the home. We asked what could be improved and they said, Activities Some one else said,”Activities- I hope there will be more outings now we have a bus Care Homes for Adults (18-65 years) Page 19 of 35 Evidence: Another person said, “Activities, they arent brilliant “People do go out, we dont know if they like it or not What could be improved? Activities, they arent brilliant We found that staff need some support and training regards meeting the needs of the people, particularly in the areas of leisure and activities. People have moved to this home from the local area, this means they are easily able to continue relationships which are important to them. It was good to see that peoples family had visited the home, and people had been supported to visit their family homes. One person had been supported to develop a collage picture of people important to him. Peoples care notes had details of family members so staff could help people stay in touch. During our visit we saw the lunch time meal. People were supported to eat this in the lounge, sitting on easy chairs. This was very relaxed and unhurried. We found there is no set menu. Staff said they try to cook what people like and fancy. This is good, but has resulted in the same or similar meals being offered repeatedly. We suggest that some structure to the menu be considered to ensure people still get what they like, but also a wide range of nutritious foods. We asked staff for their comments about the food they said, The food and medication is always on time Yes, food is fine, I eat here, there is always fruit and vegetables and staff are developing a good knowledge about peoples diets Food here is good. Some staff need help to learn to cook. The diet is varied, there is some junk food but always plenty of fruit and vegetables Care Homes for Adults (18-65 years) Page 20 of 35 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. The health and personal care needs of people are not well planned for, which does not ensure they will always be met. Evidence: Work has started to develop a personal plan for each person. At the time of our visit records about the care needs people have, and how these should be met were those written by their previous care home. We found that not all of peoples needs had a plan, this could result in a need being unmet, or staff responding differently. This would not be a good outcome for the person. We were concerned as some people had complicated needs, particularly in the areas of epilepsy, eating and drinking, diet, and manual handling. We found different pieces of information about these needs which was confusing, and potentially harmful to the person. Work to ensure that a full plan is available needs to be undertaken quickly. People have all been supported to register with a local GP and it was positive to see that a range of health care appointments had been planned and attended. People were being weighed regularly, changes in weight had been picked up on, and action taken to ensure the person was well. Care Homes for Adults (18-65 years) Page 21 of 35 Evidence: Staff have undertaken detailed recordings where needed about people. These need to be evaluated regularly to inform the care plans and practice. We tracked one health care need and could not see that the necessary action had been taken. We later found it had, but this had not been well recorded. People rely on staff to administer their medication. We looked at two peoples medication in detail. We found that all the medication was available, but that staff had not always documented administration correctly. This doesn’t show that people have had the required medication at the right time. We found that some medication is to be given when the person requires it. This needs to have clear guidelines to ensure staff are clear on when and what it is to be administered for. We found the medication cupboard was very full, and suggest a larger one is purchased. This will help staff when preparing medicines. Some medication cannot be packed into blister packs. The manager needs to ensure checks are made of this to ensure it has been given as prescribed. Care Homes for Adults (18-65 years) Page 22 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to listen and act upon peoples concerns. Evidence: The home has developed a policy which details what should be done in event of abuse being suspected or reported, and what to do if someone wants to make a complaint. We found these were informative, and would ensure the concern was reported to the correct person, and acted upon promptly. The manager has undertaken training in safeguarding. This should also ensure any concern is identified and reported. We spoke to three staff and a student. They all knew about the complaints procedure, and how to recognise and report signs of abuse. We have not received any complaints about this service, and none have been logged at the home. The manager had undertaken training in the Mental Capacity Act, and Deprivation of Liberty Safeguarding. Awareness training for all staff needs to be provided. It is important that staff know how to put the Act into every day practice and the procedure to follow when peoples freedom may need to be restricted. Care Homes for Adults (18-65 years) Page 23 of 35 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 live in a well equipped home which can meet their needs. Evidence: We looked at the communal areas of the home, and the bedrooms of the people case tracked. The home was previously a guest house and has been converted into a care home. Each person has their own bedroom with en-suite and these were generous in size. There was room to access with a wheelchair, and to use the mobile hoist. The rooms were all clean and free from odour. Staff said, The home is always clean The environment is good and the equipment is safe Some efforts had been made to help people make their rooms their own. Some sensory items had been put above one persons bed for example, and a photo collage was on display in another room. This work to make rooms feel more homely should continue as people continue to settle into the home. A water leak was evident in the lounge, and on the stair well. A quote had been obtained to get this seen to, but notes from the October staff meeting show this is a long standing issue. A process needs to be established to ensure such faults are quickly actionned. A number of items were broken, including a toilet seat and dish washer, and a problem with low water pressure had been identified in the ensuites. Again action had been taken Care Homes for Adults (18-65 years) Page 24 of 35 Evidence: towards getting these repaired, but this needs to be reviewed to ensure it is as prompt as possible. We found the home was very clean, and free from all offensive odours. We found that liquid soap needed to be provided in the laundry and ensuite bathrooms so staff can follow good infection control procedures and wash their hands. Care Homes for Adults (18-65 years) Page 25 of 35 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. Staff are supported by staff who care about them, but who require further training to understand and meet peoples needs. Evidence: We met the three staff on duty and a student during the inspection. We observed that staff worked with people in a very calm and respectful way. Some of the staff team are new to care, and all staff have recently started work in this new service. We did not find that all staff had received the basic training required to support people safely, or that they had received training in the specific needs of people who live at the home. Examples of this include 5 out of 13 staff had received fire training, 6 out of 13 moving and handling- all others had this booked, 5 out of 13 had health and safety and first aid training, 6 out of 13 had food hygiene and infection control training, 3 out of 13 had safeguarding training. No staff had epilepsy training although all 5 people have epilepsy, and no staff had received training in specific issues such as dementia, diet, eating and drinking, ageing or learning disability. This does not ensure that people are always supported by staff who have the required skills and knowledge to do their job. We looked at the recruitment records for five staff. These contained most of the records Care Homes for Adults (18-65 years) Page 26 of 35 Evidence: required. We were concerned that one person had commenced with only one reference, that not all staff had identification on file, and that gaps in job history had not been explored. Staff had not received any supervision since the home opened. This is important to ensure staff feel supported and that issues regards good practice can be discussed and recorded. The staff rota showed that two staff are on duty each night. The number of staff on each day varies, but thought is given to provide most staff when most people are at home. The number of staff will need to be kept under review as staffing ratios and risk assessments are formulated for people, and greater activity levels are explored. This will ensure people still get the support they need. Care Homes for Adults (18-65 years) Page 27 of 35 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run with peoples best interests in mind, by a manager who requires further support to run the home. Evidence: The manager was present for the inspection. She showed great enthusiasm towards the people living at the home, and towards running a home in their best interests. The manager has a qualification in Learning Disability and is undertaking a training course in managing a care home. We spoke with staff about the manager and the management team of the home. The comments were very positive and included, It is a well run home, I have confidence in the management team The management are helpful, and show me what to do I feel comfortable to go to Debbie and to her managers above if I needed to The care is excellent, everything is well done here. Care Homes for Adults (18-65 years) Page 28 of 35 Evidence: We found that a number of areas in the home needed to improve, and suggest a plan be generated to ensure this is done in a structured way, giving attention to the items of greatest priority first. We were pleased that a new line manager has been recruited for the home manager, and believe this support will help the home further develop. We looked at health and safety records. We found that not all lifting equipment, or the passenger lift had a certificate confirming it was safe to use. Action was taken regards this at the inspection. Certificates for gas, electric, legionella were all available and showed these were safe to use. Hot water delivery temperatures were cool in some of the ensuites. People were unable to comment about how they felt about this, but we asked this be increased. Tests of the fire alarm and emergency lighting had been undertaken. The manager needs to plan fire drills, and record who takes part in it, to ensure all staff are confident on the action to be taken in event of the fire alarm sounding. We observed the laundry room door to be propped open with a chair. This would stop the door closing in the event of a fire. We asked that this be reviewed and a suitable door holding device be fitted if the door needs to be held open. Risks associated with this door being open also need to be considered and risk assessed. We found one regulation 26 visit had been undertaken in November 2009 This is a check the registered provider should make of the home each month. This does not show that the provider has provided a good level of oversight in this new service. The home should operate a Quality Assurance system. This is to ensure that people are happy with the service provided, and it can identify areas needing more development. This is yet to start, but it is planned to undertake monthly audits and write an annual report. We looked at two peoples money. We found the system for recording money spent was robust. We found people had been charged for items that should be provided by the home, and we were informed this will be refunded. One persons money was 22 pence over. This suggests the checking system may not be adequate. Care Homes for Adults (18-65 years) Page 29 of 35 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 35 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 6 14 26/03/2010 People must have an individual plan which details their needs and how they are to be met. To ensure all staff know how to meet each persons needs. 2 9 13 Risk assessments must be completed 26/03/2010 To ensure people can live as safely and independently as possible. 3 18 14 All health care needs must 26/03/2010 be assessed and underpinned with a written plan. To ensure all staff know how to meet peoples health care needs. 4 19 13 As required medicines must have a protocol detailing as 31/03/2010 Care Homes for Adults (18-65 years) Page 31 of 35 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 and when they should be used. To ensure these are used consistently by all staff and as the prescriber intended. 5 19 13 Medication must be administered as prescribed and a record of this maintained. 26/03/2010 To ensure people get the medication they need. 6 24 16 Systems need to be established to ensure all repairs are identified and actioned promptly. 31/03/2010 To ensure people live in a comfortable, safe environment. 7 30 13 Staff must be provided with resources to promote good infection control practice. 26/02/2010 To ensure people are not put at risk of cross infection. 8 33 18 Staff must receive all mandatory and specific training required. 30/04/2010 To ensure people are supported by a competent Care Homes for Adults (18-65 years) Page 32 of 35 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 staff team 9 34 19 Robust recruitment practices 31/03/2010 must be adopted by the home. To ensure people are supported by staff fit to work with them. 10 42 23 Evidence that all services and pieces of equipment are safe to operate must be available at the home. 26/02/2010 To ensure that the home is a safe place in which to live and work. 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 The home should ensure people have a full assessment prior to moving in to the home. To ensure the home can meet their needs. People should have a contract detailing the terms and condition of their placement in the home. Peoples privacy and dignity must be maintained. People should be offered opportunity to undertake interesting activities of their choice each day. A menu should be considered to ensure people are offered meals they like, from all food groups on a regular basis. Medication should be audited to ensure it has been given as Page 33 of 35 2 3 4 5 6 5 10 12 17 19 Care Homes for Adults (18-65 years) 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 prescribed. 7 8 9 19 20 23 Healthcare recordings should be audited and used to inform care planning and practice. A larger Medication cupboard should be obtained to store all medication securely. All staff should have awareness training in the Mental Capacity Act and Deprivation of Liberty. So staff are aware of how this may affect people living in the home. All staff should be supervised to ensure they are fit to undertake their role. Fire drills should be undertaken with all staff to ensure they are familiar with action to be taken in event of a fire. A record of this must be maintained. A device approved by West Midlands Fire service should be obtained to hold open the laundry room door, if this is required. Hot water should be provided at or close to 43 degrees to ensure the comfort of people bathing. 10 11 36 42 12 42 13 42 Care Homes for Adults (18-65 years) Page 34 of 35 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2010) 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. 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