Care Home: Aliwal Manor

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What the care home does well The way the staff deal with people who live in the home is calming and caring, which means they are well cared for. A comment in one survey received was “The home is a very nice place, my husband could not be in a better place”, People said the meals were well cooked and there was always a choice. The relatives and those living in the home who attended the last meeting have been given information and been involved in discussions about safeguarding and deprivation of liberty. People living in the home said the gardens were lovely and they took every opportunity to sit outside. Even when the weather was inclement they looked at the birds and plants. What has improved since the last inspection? Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 There was information in each room on how to make a complaint. There was information in each unit and in the foyer about safeguarding and protecting people against abuse. What the care home could do better: Where there are fluid charts being completed, they must include a total input and output for the day so that they can be monitored and staff know when to call the GP to ensure the person’s wellbeing. The competency of staff after receiving/completing e learning must be determined, together with a proper assessment of their answers to the questionnaires completed after each session. Key inspection report CARE HOMES FOR OLDER PEOPLE Aliwal Manor Turners Lane Whittlesey Cambridgeshire PE7 1EH Lead Inspector Alison Hilton Key Unannounced Inspection 20th July 2009 07:05 DS0000015291.V376689.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. Aliwal Manor DS0000015291.V376689.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 Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aliwal Manor Address Turners Lane Whittlesey Cambridgeshire PE7 1EH 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) 01733 203347 01733 203566 Aliwal Healthcare Ltd Manager post vacant Care Home 30 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (30) of places Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st April 2008 Brief Description of the Service: Aliwal Manor is a care home providing accommodation for up to thirty older people. The home is situated in the town of Whittlesey, Cambridgeshire with good access to local facilities, such as shops, churches and pubs. The city of Peterborough, with its wide range of leisure facilities, is within a 10-minute drive. The home is divided into four separate units: Wordsworth, Shelley, Byron, and Tennyson, one of which is for nine people with dementia. One unit accommodating five people upstairs is accessed by a lift or stairs and is for people who are more independent. Each unit has its own lounge, dining area and kitchen where snacks and drinks are prepared, and a number of bedrooms. The main meals are prepared in the central kitchen and there is a main laundry room. There are an adequate number of toilets and the home has five large bathrooms, with assisted bathing equipment. There is a separate shower room. The manger has employed a new activities coordinator who is getting to know the home and the people who live there, but is providing some activities already. There is a large lounge in the centre of the home which is used as a day centre by people in the local community on two days a week and can be used by people living in the home. The fees for accommodation and care at Aliwal Manor range between £300 per week for a smaller room and £419 for dementia related care. Twenty-four of these places are block-booked by Cambridgeshire County Council, with the other six available to people who privately fund their own care. In addition, residents pay for items of a personal nature, such as toiletries, newspapers, hairdressing, chiropody and so on. The Care Quality Commission (CQC) formerly the Commission for Social Care Inspection (CSCI) produces a published report following each key inspection. These reports are available in the foyer of the home. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 5 Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We, the Care Quality Commission (CQC) carried out a key unannounced inspection of Aliwal Manor on Monday 20th July 2009 between the hours of 07:10 and 15:10, using the Commission’s methodology described below. This report makes judgements about the service based on the evidence we have gathered. Staff (including night staff); people who live in the home and the manager were spoken to. An Annual Quality Assurance Assessment (AQAA) was completed and returned to the Commission prior to this inspection. 9 questionnaires for people who use the service and 10 for staff were sent to the home on 26 June, and three were completed and returned by people who live in the home or their relative prior to this inspection. One was completed on a staff survey and therefore some relevant information was not available. A number of records were seen together with three staff files and three files for people who live in the home. There were 22 people living at Aliwal Manor on the day of inspection. The manager was present for most of the inspection. What the service does well: The way the staff deal with people who live in the home is calming and caring, which means they are well cared for. A comment in one survey received was “The home is a very nice place, my husband could not be in a better place”, People said the meals were well cooked and there was always a choice. The relatives and those living in the home who attended the last meeting have been given information and been involved in discussions about safeguarding and deprivation of liberty. People living in the home said the gardens were lovely and they took every opportunity to sit outside. Even when the weather was inclement they looked at the birds and plants. What has improved since the last inspection? Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 7 There was information in each room on how to make a complaint. There was information in each unit and in the foyer about safeguarding and protecting people against abuse. What they could do better: 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. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 8 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 Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 9 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): 1,3,4,5,6 in this area. People using the service experience good quality outcomes People who may wish to come to live in the home are provided with enough information to make an informed decision as to whether the staff can meet their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The statement of purpose and service user guide have been updated. People spoken to said they had moved in some time ago and couldn’t remember what information they had seen, but some said their relatives had looked into things for them. This was confirmed on some files seen during the inspection and on Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 10 some surveys. People also indicated they had received sufficient information to help decide if the home was suitable. The home has a contract with the Cambridgeshire Primary Care Trust to provide 24 places for people who are part funded by the PCT and six places for people who fund themselves. The home is also a community resource with respite services and the day centre. Intermediate care is not provided. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 People using the service experience good quality outcomes in this area. The care plans for people who live in the home provide good information for staff to meet their needs, however the recording of some information needs to improve to ensure their health and wellbeing. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The information seen in the care plans for three people enabled staff to meet their needs in a personal and individual way. The plans (where possible) were signed by the person, or at times by a relative, and they had been reviewed monthly. There was evidence that the GP, District Nurse, chiropodist and other health professionals were called when necessary and details of their visits and any changes made to care or medication noted. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 12 The daily notes in each file were adequate but focussed on the tasks undertaken not the way a person was that day and why, whether they were interested in any activity they undertook or how they were interacting with staff. There were some positive elements around person centred care planning for one person in the home for respite. For example under the heading of washing/bathing/dressing there were details of what the person could do for themselves, what they could do with supervision or prompting and then the elements where staff needed to assist. This needs to be the basis for all care plans so that people feel supported and enabled (especially in tasks of daily living). This was discussed with the manager who agreed that this style would be useful and would be part of future care plans. The files showed that there had been assessments and reviews of the risk of falls, nutrition and pressure areas, which meant there was up to date information on file. As we looked round the home we saw that some people were on food and fluid charts and these were inspected. There were gaps in the recording and even where fluids and the amount had been noted this was not totalled at the end of the day to check on fluid intake. This meant that noone could say if the person was having enough fluid or if the GP should be called. Some information on fluids was noted on the food charts but no details as to quantities. The manager was made aware and will review the system used since staff said they were confused as to which sheet to record what on. Staff said there were scales that they can use to weigh pads to check how much fluid is being lost but this did not appear on the charts seen (other than to say wet pad). One person who lives in the home said they smoked, but always did this outside. There was no risk assessment on file in relation to smoking. The manager was made aware and will ensure one is put in place immediately to protect all those living and working in the home. A copy was forwarded to the Commission the following day. The manager said staff had recently received training in completing care plans so expected to see an improvement in the way they were written and the recording in them. This will be checked at the next inspection. Medication Administration Record (MAR) charts were seen and were completed well. There were details of medication cancellations or additions at the front of each person’s charts, which means staff had the most up to date information to hand to ensure people received the correct medication. There are regular audits of the MAR charts and medication by the manager and other senior staff. There were forms completed to say if people wished to self medicate but all the files seen indicated that they did not want to. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 13 Staff were heard to speak to people who live in the home in a caring and positive way, putting them at their ease when they were anxious and encouraging where possible. Two relatives were spoken to and both felt the staff provide good care and support to their relatives. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15 in this area. People using the service experience good quality outcomes Visitors are welcome in the home to ensure people who live there have as much contact as possible. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There has been a new activities co-ordinator employed in the home. On the day of inspection a game of bingo took place in the activities area and staff were on hand to help. People seemed to enjoy the game and there was a prize for the winner. There were details of events that had occurred such as ‘round the world’ which was about the culture, food and people of other countries; individual time with people by taking them out in wheelchairs (confirmed by those living in the home), having film nights, games , gardening and cards. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 15 We arrived as breakfast was beginning to be served. People we spoke to said they could have cereal, toast and drinks and staff were heard to ask people their choice of food. The meal at lunchtime consisted of Pork chops, potatoes and vegetables or curry and rice, followed by apple charlotte. People spoken to said there was always a choice and if they didn’t like what was on the menu they could have something else. Most said they usually liked one of the choices. Two said they were quite difficult to please and did sometimes ask for an alternative and this was provided. One person said she needed her food soft and the cooks were good at doing that. Everyone was happy with the meals and the amount they had to eat. On the surveys one person usually liked the meals and the other always did. One person said there was “not enough fluid on hand”, but on the day of inspection there were jugs of drink in each bedroom and in the lounges. The same person said the “food is inadequate, no refreshing foods in hot weather, just sandwiches made from 1 slice of bread and cut into two small squares plus one small cake”. The manager was informed but said there had already been some changes in menu since she took over. When talking to one person in their room it was noted that the towel they had been left for personal use was more like a rag. One survey also commented on the quality of towels. The manager was spoken to and will look at replacing the towels and flannels that have become worn. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 16 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, 18 this area. People using the service experience good quality outcomes in The complaints received have been dealt with according to the policies in the home which means people who live there can be assured their complaints will be listened to and taken seriously. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The AQAA showed that 4 complaints had been made and 2 were upheld. 2 safeguarding referrals had been made. This was prior to the current manager having taken over and since her arrival there has been one complaint about a fence surrounding the property and this has been dealt with. It was discussed with the manager that she record minor complaints separately so that there is a method of tracking them and for her to use the information for staff training needs or things to be discussed in team meetings or supervision. There were posters in each unit and in the foyer of who to contact if there were concerns about abuse (including telephone numbers of advocacy groups), as well as the complaints procedure in every bedroom and on the Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 17 notice boards. One relative commented on the survey that they did not know how to make a formal complaint. Staff spoken to during the inspection were very clear on what they would do if they saw abuse occurring in the home, where they would find information about who to contact and what sorts of abuse could happen. However on looking at the staff questionnaires completed after some video training sessions in April it was clear that nobody marked them, it appeared nobody followed up gaps in knowledge or questioned further those who had not answered correctly. For example one question was ‘name three types of abuse’ and one person had only given two; another was ‘who could abuse people in the home?’ and one answer was family and staff and another ‘what changes would you look for in someone who has been abused?’ the answer was given as bruises and confused. The manager said she was arranging for the local safeguarding practitioner, from the local authority, to come and talk to staff on the day of the staff meeting to ensure the practice in the home followed the joint protocol between social services, the police and other parties. This was confirmed by the area manager who was present for some of the inspection. 11 staff had completed the Deprivation of Liberty training in May 2009. All staff are due to update dementia training and six the PoVA E learning. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 18 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): 19,20,23,24,25,26 outcomes in this area. People using the service experience good quality People live in a safe and comfortable environment, which means they have a pleasant place to live. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There were no offensive odours anywhere in the home during the inspection. Aliwal Manor is homely, clean and well maintained. The manager was aware that carpets needed replacing and said they were on order for some rooms. She confirmed the following day that the order had gone to London and is being redirected to Whittlesey as soon as possible. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 19 Some furniture in the rooms is in need of replacing. The manager is in the process of looking at this but will talk to each person about any replacement and give them the choice if they wish to keep what they have. The housekeeper was spoken to and she had information on COSHH in her cupboard. One person said that there was only one vacuum cleaner for the whole building but the manager said there are three but only one that staff like to use. One person commented in the survey that some toilets did not have soap or paper towels available for people to wash their hands. On the day of inspection the bathrooms and toilets seen had the necessary equipment in them to prevent infection. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30 in this area. People using the service experience good quality outcomes People who live in the home are cared for by the number and skill mix of staff to meet their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home has 23 staff and 9 have NVQ Level II or above. Night staff were seen during the inspection and there was one senior and two carers in the building. One housekeeper does start at 6am on three mornings during the week. The staff on night duty were assisting people who wanted to, to get up, washed and dressed. Several people in the unit for those with dementia were up and walking about the building in a relaxed and easy way. Other people were spoken to and said they had wanted to get up and dressed and staff had assisted them to do this. There was a handover before the night staff left the building, ensuring information is passed on. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 21 Staff said they had completed an induction and had received further training in areas such as food hygiene, dementia, abuse and infection control. There were notices on the staff board that showed training was available. Three staff files were seen as part of the inspection. Only one person started work in the home before a full Criminal Record Bureau (CRB) check was completed but a PoVA First had been received for that person, they were not working in direct contact with people living in the home and worked with another member of staff. There were some issues with references on file. These were discussed with the manager who said staff had been spoken to before their position was confirmed. The details of the discussions need to be recorded and kept on file so that there is evidence they have taken place, ensuring people who live in the home are protected. The manager said she is in the process of filling the two and a half vacancies for care staff. She stated that there are occasions when agency staff are used but most shifts are covered by permanent staff. Staff rota’s were seen and it was noted that some staff are doing in excess of 60hrs per week, and although this may be their choice the manager needs to consider the effect on their work and the impact on those they work with and care for. When making changes on the rota staff must ensure they only put one line through the information so that it is still readable. Details in the AQAA showed that the manager intends to motivate staff with the presentation of an award each month. Comments from people spoken to during the inspection included “Can’t fault the staff, I would complain if I wasn’t happy”; “ Not all carers are as good, some try and rush you, but if I say ‘go careful’ they do take more care”; “ I get the help I need”. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 22 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): 31,33,35,36,38 People using the service experience good quality outcomes in this area. The manager has the experience to be in charge of the home and ensure the wellbeing of those who live and work there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager is in the process of making an application to the Commission to become the registered manager at Aliwal Manor. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 23 Staff said they received supervision and this was recorded. Records of regulation 37 reports sent to CSCI were kept by the manager. Where fire drills have taken place the names of those who have taken part need to be recorded so it can be seen who has not been involved and will need training in the future. There are regular Regulation 26 visits from a company representative. The minutes of resident/relatives meetings were seen, the last held on 24/5/09 where a discussion and information was given out on Protection of Vulnerable Adults and deprivation of liberty. The minutes of the last staff meeting 26/6/09 were seen and included discussions about staff shortage (two and a half staff vacancies to be filled), care plans and staff badges. Other minutes from 1/7/09 (home managers) and 17/6/09 (Team Leaders) were also seen. The accidents/incidents log was seen and the numbering system needs to be checked as initially it appeared there had been 66 incidents but in fact there had been only 26. The manager is aware. The details on the reports were adequate and the process good, ensuring people who needed to be admitted to hospital were sent. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 24 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 3 X X 3 3 3 3 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 3 X 3 X 3 3 X 3 Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 25 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 OP8 Regulation 17 Schedule 3 Requirement Where a record of food and fluid intake is required the information must be sufficient and suitable to ensure people’s dietary needs are met. Timescale for action 21/07/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Staff competency after training should be assessed to ensure their full understanding of information and their own responsibilities. Aliwal Manor DS0000015291.V376689.R01.S.doc Version 5.2 Page 26 Care Quality Commission Care Quality Commission Eastern Region 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. 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