Care Home: Acorn Nursing Home

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What the care home does well People living at the home told us they liked living there, and felt they had their needs met by the staff team. Comments included, "the staff are so helpful they are always around when you need them". Whilst looking at things going on around the home we saw staff helping people with sensitivity and respect. The comments we received told us that relatives think the home provides a generally good personal service to their relatives. Comments included, "the staff do all they can, my relative has lived here for a while and likes it". The way the home is maintained is good. We looked at all areas of the home and found it to be clean and hygienic. People who live in the home have individual rooms which are personalised. Comments included, "I like using my room whenever I like, I`ve got what I need here". "I have everything I need, and Ive brought some things from home". What has improved since the last inspection? The way the home manages its medication practices has improved so that people are receiving it in a way which meets the requirements of regulation. Most of the windows which required changing due to broken seals in the double glazing have been completed, however there remains one more window which has since developed a broken seal but was being addressed by the home. What the care home could do better: Whilst there have been improvements in how the home manages peoples care plans there were seen to be instances where information in risk management had been identified but there was lack of information as to how it was being managed. In instances where people refuse medication it should be managed in a way which takes into account the risk to the person and there must be evidence to show how it is being managed so that it is not detrimental to the person. We saw seven of the twenty-eight staff have attended training in the area of safeguarding people. The home should continue to encourage staff to attend safeguarding training so that they have the necessary knowledge and skills to recognise situations where potential abuse may occur and what action to take in such instances. Staff induction records we saw were limited and should show more information about a persons ability in their role as it develops during the induction period. We found there were instances where written and verbal instructions were not always being carried out, having the potential to put people at risk. The managers responsibility is to ensure all instruction is being carried out so peoples needs are being met and they are protected by the systems in place. We were told the manager on occasions spends time working with the staff team. We found this has the potential to have a negative impact on her management responsibilities and having limitations on her carrying out the operational day to day management requirements. Key inspection report Care homes for older people Name: Address: Acorn Nursing Home 125 Newton Drive Blackpool Lancashire FY3 8LZ     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: Jacqueline Riley     Date: 0 7 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 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. 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 Older People Page 3 of 29 Information about the care home Name of care home: Address: Acorn Nursing Home 125 Newton Drive Blackpool Lancashire FY3 8LZ 01253392440 01253305705 matron@acornnursinghome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Axelbond Ltd Name of registered manager (if applicable) Mrs Diane Maureen Buckley Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N. To people 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 - Code OP, Physical disability - Code PD. The maximum number of service users who can be accommodated is: 40. Date of last inspection Brief description of the care home Acorn Nursing Home is a large home situated in a residential part of Blackpool. The home is close to Stanley Park and Victoria Hospital. The town centre is approximately two miles away and can be reached by a bus service, which stops near by. There are some small shops in the local vicinity. There are several parking spaces to the side of the house. The building has three floors and a lift is available for the residents to use. Care Homes for Older People Page 4 of 29 Over 65 37 0 0 3 2 9 0 9 2 0 0 9 Brief description of the care home Most of the rooms are on the ground floor and the first floor. There are two dining areas and three lounge areas. The main lounge is at the rear of the house overlooking an extensive garden. There is plenty of space for the residents to sit out when the weather is warm. Information about the home is available in a welcome pack that is given to prospective residents and their families. A copy of this information is also placed in the bedrooms at the home, so that everyone has good, current information about the services that are provided. At the time of this visit the information given to the Commission showed that the fees for care at the home are from £303.52 to £478.73 per week, with additional expenses for hairdressing and chiropody. Care Homes for Older People Page 5 of 29 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: There have been a number of regulatory activities undertaken since the previous key inspection of the service on 6th July 2009. They include, an Enforcement notice served to the owner and registered manager in November 2009 for non compliance of regulations. A random inspection of the service on 29th December 2009 to look at how the home is meeting specified regulations. A meeting with the owner and registered manager in March 2010 to give them the opportunity to inform the Commission of the progress in meeting the outstanding requirements. This key inspection of the service included an unannounced visit to the home over a five hour period on 7th April 2010. During the inspection of the service we spoke to the registered manager, five staff members, a number of residents, and four visitors. Care Homes for Older People Page 6 of 29 As part of the inspection process we asked staff about peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. We also invite others using the service to pass on their opinions if they wish. We had a good response from questionnaires sent to people who use the service for their views on how they experience the service. Comments were generally positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of the service. We use this information, in part, to focus upon our inspection activity. We looked at recruitment and training records of two staff members. We walked around the building and watched people living and working in the home to see how everyone supported and talked to each other. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Whilst there have been improvements in how the home manages peoples care plans there were seen to be instances where information in risk management had been identified but there was lack of information as to how it was being managed. In instances where people refuse medication it should be managed in a way which takes into account the risk to the person and there must be evidence to show how it is being managed so that it is not detrimental to the person. We saw seven of the twenty-eight staff have attended training in the area of safeguarding people. The home should continue to encourage staff to attend safeguarding training so that they have the necessary knowledge and skills to recognise situations where potential abuse may occur and what action to take in such instances. Staff induction records we saw were limited and should show more information about a persons ability in their role as it develops during the induction period. We found there were instances where written and verbal instructions were not always being carried out, having the potential to put people at risk. The managers responsibility is to ensure all instruction is being carried out so peoples needs are being met and they are protected by the systems in place. We were told the manager on occasions spends time working with the staff team. We found this has the potential to have a negative impact on her management Care Homes for Older People Page 8 of 29 responsibilities and having limitations on her carrying out the operational day to day management requirements. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Assessments are carried out so peoples needs are identified before admission. Limited assessment information in one instance means the persons needs may not be identified and met. Evidence: We looked at the records of five people. In general they were seen to be complete with evidence of assessment by the home, Social Workers and other professionals prior to being admitted to the home. In one instance we saw an assessment by the home had not been carried out and the person had been admitted with limited information from the placement team. Staff spoken to said they use the information from the assessment to base the level of need for the person and to design the care planning records around their assessed need. By not having this information at the point of admission has the potential to have a negative outcome for the person, as their individual needs may not be met. Care Homes for Older People Page 11 of 29 Evidence: Staff spoken to said they find the assessment information important to determine the level of care people need. Care Homes for Older People Page 12 of 29 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Peoples health and personal needs are generally met, however monitoring peoples needs is not always carried out having the potential to have a negative outcome for people. Evidence: We looked at the care planning records for five people living in the home. The details were in place in all aspects of health, nursing and personal care. However in some instances we found where risk is identified in specific areas monitoring was not always taking place. Areas of weight loss management were not always followed up. In instances where specific medication is refused, there was little evidence of how this was being managed and by whom. It is necessary to demonstrate evidence of action being taken in any areas of concern around risk management so that peoples needs are being monitored and action taken so it is in their best interest. In general comments about how peoples health and personal needs were being met were positive, however comments did include concern, that fingernails were not always clean and there are times when nails become long. It is important these basic Care Homes for Older People Page 13 of 29 Evidence: care practices are monitored so that they are taking place regularly. We looked at medicines administration. Most medicines were administered by qualified nurses but people wishing to self-administer medication were supported to do so. Witten assessments were completed to help identify any support people may need to manage their medicines safely. The manager had continued to audit (check) medicines handling to ensure that should any shortfalls be identified they can be promptly addressed. We looked at how medicines were recorded and found recent records of receipt, administration and disposal to be generally clear and accurate. Medicines stock control had improved helping to ensure that adequate stocks of medication were maintained without overstocking. Records showing the application of prescribed creams had recently improved following checks by manager but in some cases there was a lack of written guidance for staff about where and when, they should be used. We looked at how care plans supported the safe use of medicines. We were concerned to find that there was no record to show G.P. advice had been sought for someone who often refused to have one of their prescribed medications. Additionally the refused medication was not supplied for administration when they were on a short stay away from the home. This was recorded, but there was no information (risk assessment) within their care plan about how this decision was reached. A second person was regularly refusing a prescribed nutritional supplement; again there was no record of G.P. or dietician advice. The manager told us that advice had been sought but it is important that this is also clearly recorded to help ensure peoples health care needs are best supported. We found that medicines including controlled drugs were stored securely. This helps to ensure that they are not misused or mishandled. We looked at how peoples dignity and privacy are protected and we found staff treated people with respect at all times. We made observations in communal areas and saw staff talked to people in a sensitive way, they assisted them in a dignified way and all residents were seen to be comfortable with the staff on duty. We saw staff always knocked on peoples doors and waited for a response before entering so that their privacy was protected. Comments we received said, Staff have always got time for my relative and they are so patient, they are always around for you, but they can be very busy sometimes. Staff said, we always respect residents right to privacy and we always treat them with respect and in a dignified way because many of them dont know what they are doing. Care Homes for Older People Page 14 of 29 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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 are provided with activities and a variety of home cooked food, which they enjoy. Evidence: We spent time talking to people who live at the home, they told us they have a range of activities including, bingo, games, singers and entertainers, as well as having use of the large rear garden area which everybody spoken to said they enjoyed as it was well laid out accessible and well maintained. The large rear lounge looks onto the garden and people said they enjoy it in summer when the doors are open and they can enjoy the view from the lounge. The large lounge is where most in house entertainment goes on. Comments included, this is a good room because if you dont want to be involved you dont have to. There is access to a bus for outings, which some people told us they enjoy, however comments did include, its not used as much now, we have to raise cash for outings. We spoke to the manager about this and were told the home does raise cash, although it is for specific trips such as Zoo excursions, where it can be cost prohibitive without some fund-raising. There are not constraints on general trips out. Another Care Homes for Older People Page 15 of 29 Evidence: comment told us, I like to go out in the bus its a change of scenery. People living in the home have a good choice of daily meals which are served and presented in a pleasant way. We were told people like the choice of meals available to them. There is a designated cook who prepares meals daily. We spoke to the cook and found they use fresh produce whenever possible and they like to include the opinions of people who live there when making changes to the menu. Access to the dining rooms can be problematic to some people as it is some distance from the rear lounge. In addition it is accessed for people with mobility problems by a lift and for those who walk a small number of stairs. Little can be done about the design, however eating in the lounge for those who choose to can alleviate some of the difficulties they encounter. Care Homes for Older People Page 16 of 29 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 protected by the complaints and safeguarding procedures, which were understood by staff. Evidence: We looked at the homes complaints procedure, which is made available to people who use the service and their relatives or advocates during the admission process. We were told by staff, people spoken to,and through surveys they are aware of the complaints procedures and how to use it. Comments included, I would speak to the manager first but my relative was given the complaints procedure when they came in and its in the written information and on the notice board. Surveys we received told us people know how to make complaints and who to complain to. We found the home has policies and procedures in place for safeguarding people. They reflect current good practice guidance. We spoke to staff about what knowledge they have in place about safeguarding people. They told us they have access to training in this area but have to wait for each training course to become available. The training record shows some people have attended training whilst there are others are waiting for the course to become available. The home says it has investigated two complaints in the last twelve months with one safeguarding investigation completed by working with the local authority. We looked at the records for these complaints and investigations and found the home responded Care Homes for Older People Page 17 of 29 Evidence: using their policies and procedures and the outcomes were satisfactory. Care Homes for Older People Page 18 of 29 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, 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. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in suitably adapted, clean and comfortable environment with pleasant surroundings. Evidence: We looked around the home and found it to be spacious and generally maintained to a satisfactory standard. The home is set on three levels and all residents have their own rooms. There is some refurbishment work taking place on the third floor, and general decoration and maintenance going on throughout various areas of the home. A new heating system has recently been put in place improving how the home is heated and provides a more consistent heating programme throughout the home. People spoken to said it was much better. The rear ground floor lounge looks tired and in need of decoration. This was confirmed through comments received from people throughout the inspection. They included, it could do with a bit of a makeover, a lick of paint wouldnt do it any harm. Carpets in the ground floor communal areas were marked and would benefit from cleaning or replacing. There is a designated smoking lounge which was being used by a number of people at Care Homes for Older People Page 19 of 29 Evidence: the time of the visit. Another small lounge in the original part of the main house has been decorated and is well furnished and pleasant to use. The two dining rooms are bright well decorated. Peoples rooms were seen to be personalised in many instances with pieces of furniture or personal items in place which made them homely. People we spoke to said, I like my room, and can use it whenever I choose to. There are policies and procedures in place for infection control and staff have had access to training in this area. There are designated staff for domestic tasks and laundry tasks. The home was seen to be clean and free from offensive odours throughout. Laundry facilities are in place to meet the needs of the people living at the home, and care is taken to make sure clothing is returned to the named resident. Care Homes for Older People Page 20 of 29 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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 receive support from staff they like and who have the skills to support them correctly. Evidence: We looked at how the home deploys its staff. Rotas looked showed us there is a skill mix of staff on any one shift. There is always a qualified nurse on duty at any one time and care staff have a range of skills to carry out their individual roles. Comments received from surveys and speaking to staff told us there always seems to be enough staff around, the staff are helpful and are always there when you need them. Surveys told us people were generally happy with staff at the home although some comments said there is a high turnover of staff and this can be disruptive to people living there. Staff training is in place for all staff and the training record shows what courses staff have attended and what courses are available. We saw some people need updated mandatory training in areas of moving and handling. This is ongoing and the schedule shows all training will be updated. We looked at recruitment files and found they contained the necessary recruitment checks to ensure staff are fit to work in the home,so people are safe. Care Homes for Older People Page 21 of 29 Evidence: Staff induction provides limited evidence the member of staff has reached a level of competency in specific areas of care. We found current information focuses on personnel issues and health and safety. Whilst both of these areas are essential there needs to be an induction format which takes into account staff competency in areas of care so that there is a clear baseline for future training and development. Care Homes for Older People Page 22 of 29 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 in a way to promote and protect peoples welfare, however limited monitoring of care provision means people may not be sufficiently protected. Evidence: We looked at the systems in operation to manage the home. We found the manager to be qualified to carry out the day to day operation of the home. There have been changes to some of the systems in operation including reviewing staffing rotas so there is a skills mix of staff on duty at any time of the day or night. Staff we spoke to and surveys we received told us they can talk to the manager, and feel supported, although some feel communication could be improved upon. We found there are instances where written and verbal communication is limited and has the potential to have a negative impact on people living there. There were instances where care planning instructions were not always being carried out. It is the managers responsibility to ensure staff are carrying out their duties of care by ensuring care planning is operating effectively. Care Homes for Older People Page 23 of 29 Evidence: The manager told us there are informal and formal staff meetings so staff have the opportunity to share issues and to be told of any changes by the manager regarding working practices. We found the registered manager spends some time working as part of the staff team when there are short falls in qualified staff. This has the potential to impact on management responsibilities and to have a negative impact on the operational running of the service. We spoke to the administrator about how peoples money is handled and were told , there are individual resident bank accounts managed by the administer having a regular audit as well as annual independent audited accounts. Statements are made available to people on a regular basis. All appliances including gas, electric and fire are serviced regularly, with evidence this has been carried out, so people are safe. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes R 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 1 7 15 The care plan must contain current and accurate information. Information must be accurate in order that health needs are dealt with properly and consistently 12/02/2010 2 9 13 Clear records of healthcare professional advice must be maintained to help ensure that changes to peoples care or treatment are promptly and accurately carried out. 12/02/2010 Care Homes for Older People Page 25 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 The home must ensure 21/05/2010 people being admitted to the home have in place a full assessment of their needs in place at the point of admission. By not having completed assessments of need in place for a person being admitted to the home means the they may not have all the information they need to provide the level of care to that person. 2 7 14 People admitted to the care 21/05/2010 home must have a written care plan in place in a timely manner. So their care/nursing needs are recorded and can be met by the home. Care Homes for Older People Page 26 of 29 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 3 8 12 Where peoples health care needs are identified as requiring action the home must take action to meet those needs. To ensure the persons health care needs are being met at all times. 21/05/2010 4 8 12 Written assessments must be completed for planned stays away from the home to help ensure that peoples medication needs are best met. 10/05/2010 5 31 10 There must be evidence the 18/06/2010 registered manager is managing the care home systems in the best interests of people living there. To ensure peoples needs are being met. 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 19 30 The home should continue to refurbish the home as this will improve the environment for people using the service. The home should improve the staff induction programme so it includes training around the needs of the service user group based on the principles of care. The manager should make sure all written and verbal instructions are being carried out so that peoples needs and Page 27 of 29 3 31 Care Homes for Older People 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 their best interests are being met. 4 31 The manager should ensure they are committing their time to the management systems in the home, and making provision for staff cover so this does not impact on their management responsibilities. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © 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. 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