Care Home: Abbeycroft Residential Care Home

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What the care home does well The service completes good pre-admission assessments and has a clear care planning system to identify and respond to the changing needs of people living in the home. The health and personal care needs of people living in the home are met well. Activities in the home are interesting and stimulating and the home also ensures that people attend activities outside of the home, particularly in addressing their own religious needs. What has improved since the last inspection? The home had addressed requirements made at the previous inspection which related to improving care planning, protocols for administering medication, pre-employment checks for staff working in the home, having a professional check of the wiring system in the home and ensuring fire drills are carried out on a regular basis. What the care home could do better: We have identified three requirements during this inspection. The Provider needs to ensure the cleanliness of the home by implementing and monitoring more effective cleaning schedules. This will ensure that people have a clean home to live in help prevent the spread of infection. The Provider also needs to implement a thorough system to identify and respond to any health and safety issues in the home so that service users are kept safe. The Provider needs toAbbeycroft Residential Care HomeDS0000041730.V375632.R01.S.doc Version 5.2 ensure that he takes steps to satisfy himself about the quality of the service by making regular visits and recording those visits thoroughly so that it can be demonstrated that the home is providing a good service and meeting the needs of people who live there. Key inspection report CARE HOMES FOR OLDER PEOPLE Abbeycroft Residential Care Home 147 Swift Road Woolston Southampton Hampshire SO19 9ES Lead Inspector Nick Morrison Key Unannounced Inspection 28th May 2009 10:00 DS0000041730.V375632.R01.S.do c Version 5.2 Page 1 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. 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 older people 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. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 2 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 Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeycroft Residential Care Home Address 147 Swift Road Woolston Southampton Hampshire SO19 9ES 023 8042 0820 023 8057 94444 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Abbeycroft Care Ltd Post Vacant Care Home 20 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: Old age, not falling within any other category (OP) Dementia (DE). The maximum number of service users to be accommodated is 20. 2. Date of last inspection 28/05/08 Brief Description of the Service: Abbeycroft is a home providing care and accommodation for up to 20 older people with age related mental health problems and illness associated with dementia. It is one of a number of homes in the Abbeycroft Care Ltd group. The home is situated in Swift Road Woolston about a ¾ mile from the local shops and about the same distance from Weston Shore. All but one of the rooms are for single occupancy and arranged over two floors. Access to the first floor is via a stair lift. Communal areas consist of a lounge, separate dining room and a conservatory. There is a toilet and shower facility on the first floor, and two bathrooms and several toilets on the ground floor. There is a driveway and car park to the front, from which there is level access into the home via the front door. The home is surrounded by gardens with seating areas, accessible to residents via ramps. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This report represents a review of all the evidence and information gathered about the service since it was registered. This included a site visit that occurred on 28th May 2009 and lasted six hours. During this time we looked at the files of six people who use the service. We also met with the Manager and two members of staff. All records and relevant documentation referred to in the report were seen on the day of the inspection visit. We looked at the Care Plans and records of six service users. We also referred to the service’s own self-assessment of the home (AQAA). We spoke with four service users and two relatives. We also received written feedback from one relative and from one Care Manager. What the service does well: The service completes good pre-admission assessments and has a clear care planning system to identify and respond to the changing needs of people living in the home. The health and personal care needs of people living in the home are met well. Activities in the home are interesting and stimulating and the home also ensures that people attend activities outside of the home, particularly in addressing their own religious needs. What has improved since the last inspection? What they could do better: We have identified three requirements during this inspection. The Provider needs to ensure the cleanliness of the home by implementing and monitoring more effective cleaning schedules. This will ensure that people have a clean home to live in help prevent the spread of infection. The Provider also needs to implement a thorough system to identify and respond to any health and safety issues in the home so that service users are kept safe. The Provider needs to Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 6 ensure that he takes steps to satisfy himself about the quality of the service by making regular visits and recording those visits thoroughly so that it can be demonstrated that the home is providing a good service and meeting the needs of people who live there. 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. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs assessed prior to moving into the home. EVIDENCE: The home requires full assessment for all service users prior to deciding whether or not they can meet the person’s needs in the home. Service users’ files showed that these assessments were in place and had been completed prior to the person moving in. The six assessments we looked at were comprehensive and contained details of all needs. Clear information about the service was available to all people moving into the home and each person had a copy of the Service User Guide in their room so that they and their relatives could refer to it at any time. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs identified in a care plan and from having their healthcare needs met. They are protected by the home’s medication policies and procedures and are treated with dignity and respect. EVIDENCE: There had been a requirement from the previous inspection to ensure that the care needs of residents are met care plans must provide clear information so staff have all the details they require to ensure that each individual service users needs in respect of his/her care and welfare can be met. During the inspection we looked at the care plans of six people living in the home and found that the care planning system had been developed and that now the care plans contained clear information and instructions for staff and that this requirement is now met. This means that people living in the home Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 10 are more likely to have their needs met appropriately and consistently as staff have clear instructions. Care plans contained risk assessments where potential risks had been identified and these were reviewed on a monthly basis, along with the care plans. The health needs of people living in the home were monitored well. Records were kept on service users’ files about their current health needs and records also showed that needs were responded to in a timely manner and that people were supported to access the healthcare services they needed. Observation throughout the day of our inspection visit showed that people living in the home were well presented and had support to maintain their own appearance where necessary. Feedback from all service users, relatives and staff confirmed that people living in the home were treated with respect and dignity at all times. There had been a requirement from the previous inspection that the registered person must ensure that staff have a clear protocol with regard to the administration of insulin injections and they must receive appropriate training in order for them to carry out this task. From examining the medication files and the care plans of relevant people we found that this requirement has now been met which means that people who live in the home are more likely to receive their medication correctly. The home uses a monitored dosage system and keeps good, accurate records of all medication coming into and going out of the home as well as good, clear records of all medication administered to people living in the home. Staff who administer medication had received training and the medication in the home was stored safely in a locked cabinet. . Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families and a good, balanced diet. EVIDENCE: We observed staff spending a lot of time interacting with service users and promoting socialisation among all the people living in the home. There was a programme of activities in the home and this had been designed to reflect the needs and wishes of people living there. The activities programme was presented in a pictorial format so that people could easily see and understand what activities were planned. People living in the home were supported to maintain contact with their families and friends. Records showed there were regular visits and that staff Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 12 kept in touch with families to ensure they were kept up-to-date with what was happening with their relative. Service users were supported to attend religious ceremonies of their choice. Families were encouraged to visit the home at any time that was convenient to them and their relative. Feedback from relatives confirmed this and that the staff in the home always made them feel welcome. Observation during the inspection visit showed that staff were aware of the need to interact with people living in the home throughout the day. They were skilled in communicating with people and service users told us that staff are always available and friendly. From observation on the day of inspection and from discussion with people who live in the home it was clear that service users are able to choose whether or not they join in with each activity and are able to determine how they spend their day. They also have good choice about the food they eat and can choose where they eat it. The food storage area showed that good quality food was purchased for the home and menus showed that a range of nutritious meals were available. People living in the home told us the food was good and that they received sufficient portions in order to meet their dietary needs. On entering the home, service users nutritional needs were assessed and, where necessary, care plans reflected people’s individual nutritional needs. The kitchen area was well managed and kept very clean. The cook understood the different preferences and needs of people living in the home and all diets were catered for. The mealtime was a relaxed and enjoyable occasion for people living in the home and staff support was available for those who needed it. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a clear and effective complaints procedure and are protected by the home’s adult protection procedures and practices EVIDENCE: The home has a Complaints Policy in place and this has been made available to all service users and their families. A copy of the policy was also kept in the Service User Guide in each service user’s room. People we spoke with told us they were aware of how to complain if they thought they needed to. There was a system in place to ensure that all complaints were recorded and responded to in line with the Complaints Policy. There had been no complaints. Systems were in place through policies and staff training to ensure that people were protected from abuse. Staff had signed the procedures to say they were aware of their role within this and the Manager was aware of the local reporting procedures for any suspected incidents of abuse of any kind. The home had begun to complete Mental Capacity assessments for service users and this was being done in conjunction with other professionals. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the 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 cleaning schedules and the monitoring of them are inadequate in ensuring that the home is kept clean, and the service is therefore not currently providing a satisfactorily clean and hygienic environment for people living at the home. There have been some improvements to the building which have contributed to a more pleasant environment for people who live there. EVIDENCE: The building has benefited from improvements over the last year including new carpets and redecoration. New furniture has been purchased for the dining room and the lounge has been rearranged to provide a less institutional atmosphere. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 15 Service users’ rooms were well equipped and they were also able to bring their own furniture and belongings with them when they moved into the home. During the inspection, one service user told us the window in her room was not opening properly and she could not ventilate her room. We told this to the Manager and she rectified it on the day. The Manager told us that the Cleaner had been off work sick for the past two days and that this had contributed to the home not being as clean as it usually is. While this was the case, we also noted some areas of the home that appeared not to have been cleaned for some significant time. We had also received written feedback from relatives that identified that the home was not always kept very clean. During the inspection we found that one of the downstairs toilets had a handrail that was dirty. The sink, the toilet and the floor were also dirty. The pull cord for the light in the toilet also needed replacing as it was so dirty. In a second downstairs toilet the sink, toilet and floor needed cleaning. In the main bathroom downstairs the floor, toilet, sink and bath needed cleaning, as did the taps and shower hose on the bath. The bath is an assisted bath and the chair people have to sit on to get into the bath needed cleaning. A third downstairs toilet and the upstairs toilet also needed cleaning. The laundry area was not as clean as it should be and there were also used, discarded protective gloves on the floor. All the above showed signs of dirt and presented a potential health hazard for service users, as well as them having the indignity of living in an unclean home. The carpets throughout the home were in need of cleaning, particularly those in the front entrance area. We saw that the home had cleaning schedules in place and that the Cleaner recorded what she had done each day. The schedules were ineffective in ensuring that the home was kept clean and, in discussion, the Manager agreed that revised schedules need to be put in place and that she needed to pay closer attention to ensuring that the schedules were monitored. We have made a requirement respect of this. During the inspection we also pointed out to the Manager that the designated smoking area for staff was just outside the laundry area. During the summer months the laundry window is often left open and this may result in the clothes of service users beginning to smell of cigarette smoke. The Manager told us she would identify a more suitable smoking area for staff. We found some health and safety concerns about the home and these are described in the Management Section of this report. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being supported by adequate numbers of trained staff and are protected by the home’s recruitment policies and practices EVIDENCE: There had been a requirement from the previous inspection that so as to fully protect residents, the recruitment checks for new staff must ensure that all relevant documentation is obtained and kept at the home as laid down in Schedule 2 of the Care Home Regulations. We examined the recruitment files of four members of staff, including the two mot recently appointed people. These showed that the home had undertaken all necessary pre-employment checks prior to people working in the home and that this requirement was now met. This means that people living in the home are now more likely to be adequately protected. The home employs eight full-time staff, all of whom have a National Vocational Qualification (NVQ) at level two or above. Rotas showed that sufficient staff were deployed throughout the week and the staffing on the day of the inspection visit reflected the rota. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 17 Service users spoken with said that staff were friendly and supportive and said there always seemed to be enough staff available. From looking at staff training files, the training plan from the home and from discussion with the Manager it was clear that the home had identified outstanding training needs for staff and had plans in place to ensure that these needs would be addressed. The Manager confirmed to us that the outstanding staff training was a priority for the service. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the 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 management of health and safety within the home needs to be improved in order to protect people living in and working in the home. The Provider’s monthly visits to the service are irregular and are not thorough. EVIDENCE: There had been a requirement from the previous inspection that to ensure that residents and staff are protected the home must obtain an in date certificate for the homes fixed electrical wiring. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 19 The Manager was unable to find the electrical wiring certificate on the day of the inspection visit, but the day after the inspection visit she was able to confirm with us that the testing had taken place and there was a certificate to demonstrate this. This requirement was met and means that people living in the home are now more likely to be safe from electrical hazards. There had been a requirement from the previous inspection that to provide protection for staff and residents the home must ensure that fire drills are carried out within the specified timescales. From examination of the fire training records we found that regular fire drills had been taking place and that this requirement was now met and people living in the home are now more likely to be safe in the event of a fire in the home. The Manager of the home is not registered, despite being in post for nearly a year. We have however received an application from her now. The Manager informed us that the home does not look after the money of anyone who lives in the home. During the inspection we noticed a number of health and safety hazards at the home. In the garden there was some rubbish, old tins of paint, an old walking frame, some roof tiles and a used incontinence pad. There was also a shed in the garden which was not locked and which contained an old rusty saw, tins of varnish and paint and tubes of silicone. There was also a broken window in the shed with large pieces of glass loose on the inside. These presented potential hazards for people living in the home, particularly people who have dementia. We have made a requirement regarding the managing of health and safety issues. The Manager contacted us the day after our inspection visit to confirm that the maintenance man had cleared all the hazards. The carpet in the hallway in the home was beginning to be worn and one patch had lifted and presented a tripping hazard. The Manager was aware of this and had taken steps for it to be repaired. As identified in the Environment section of this report, there is a need to implement adequate cleaning schedules and to monitor them in order to ensure that people living in the home have a more pleasant and hygienic environment to live in. The home has a quality assurance process in place based on seeking the views of service users and their families and using feedback to contribute to the development of the service. Service users and family members spoken with on Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 20 the day of the inspection visit confirmed that their views were sought and felt that they were generally responded to by the home. We checked the records of the monthly visits to the service by the Registered Provider and found these to be lacking in thoroughness and that these visits were not being recorded on a regular basis. This means there is a lack of evidence that the Provider is continually assessing the service to ensure that it meets the needs of the people living there and provides a safe environment. We have made a requirement in respect of this. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 13 (3) Requirement The Provider must ensure that adequate cleaning schedules are put in place and that these are regularly monitored in order to ensure that the home remains clean at all times. The Provider must ensure that he makes regular monthly visits to the home and that these are thorough enough for him satisfy himself about the quality of the service and must keep records of all such visits. The Provider must implement a system for identifying and rectifying potential health and safety hazards in the home to ensure that service users are safe. Timescale for action 15/07/09 2. OP33 24 15/07/09 3. OP38 23 15/07/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000041730.V375632.R01.S.doc Version 5.2 Page 23 Abbeycroft Residential Care Home Standard Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 24 Care Quality Commission South East Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Abbeycroft Residential Care Home DS0000041730.V375632.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!