Care Home: Ancona

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What the care home does well The home ensures it carries out an assessment before people move into the home ensuring it can meet their needs. The home promotes choices at all times for people. A range of activities are provided, which people can choose to join in or not. Visitors are made welcome at any time. Home cooked meals are provided with a choice at all meal times. People are made aware of the complaints process. The environment is well decorated and provides a homely atmosphere for people. Staffing levels meet peoples needs. What has improved since the last inspection? The physical environment of the home continues to improve. All windows will soon have been replaced with window restrictors fitted where necessary. The home is due to start fitting a new kitchen, with all new appliances. All staff are encouraged to achieve a National Vocational Qualification Level 2 and those who wish can carry on to study further. What the care home could do better: Care plans need to record in detail the personal care needs of each person and how these should be met. Records of medication described as `take when necessary` need to be clearer. Training in some key areas needs to be organised for all staff. Recruitment records need to to be carried out in a more thorough manner. The manager must set aside time for carrying out some of the management responsibilities. Key inspection report Care homes for older people Name: Address: Ancona The Square Freshwater Bay Isle Of Wight PO40 9QG     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: Michelle Presdee     Date: 0 7 0 8 2 0 0 9 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) 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 Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Ancona The Square Freshwater Bay Isle Of Wight PO40 9QG 01983753284 F/P01983753284 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Carole Mary Brooke care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 18. 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) maximum number of places 5 Physical Disability - (PD) maximum number of places 6. Date of last inspection Brief description of the care home Ancona is a registered care home, which provides care/support and accommodation for people who may have dementia over the age of sixty-five years. Six residents may be accommodated by reason of age related physical disability over 65 years. The home is situated in a quiet residential area of Freshwater close to the centre of the Care Homes for Older People Page 4 of 29 Over 65 0 18 0 18 0 18 Brief description of the care home village. Accommodation is organised over 2 floors across 2 houses that are linked on the ground floor, with access to all floors via the two shaft lifts. There are large gardens to the rear of the home, which are enclosed and fully accessible to residents. The ground floor has some bedrooms, but also provides communal space, including a large lounge split into two areas, a dining area, communal bath/toilet facilities, the kitchen, a utility room and staff WC. All bedrooms are single and 13 have been provided with en suite facilities. Each floor has access to communal bathing/shower and WC facilities. The home also has staff accommodation in the attic area. 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: This unannounced inspection took place on the 7th August between 10:AM and 3:PM. The Commission (we) were assisted by the provider/registered manager Mrs Brooke. All the staff on duty were part of the inspection. The majority of people in the home, were involved with the inspection, some in more depths than others. Two visitors to the home have contributed to this inspection. Surveys as part of the inspection were sent out to some people living in the home, health and social care professionals and staff members. At the time of writing this report ten surveys have been received from people who live in the home and two from people who work in the home. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, which detailed information on the home. The home has sent us notifications appropriately regarding the welfare of people. Care Homes for Older People Page 6 of 29 Paperwork including assessments, care plans, menus, staffing records and safety checks were seen. A tour of the home including all communal areas, the kitchen, bedrooms and laundry was taken on the day. All this information has helped form judgments in this report. The last key inspection was completed on 7th November 2007. 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: 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. Care Homes for Older People Page 8 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured assessments are carried out to ensure the home can meet their needs. Evidence: In the AQAA we were advised every service user has a full assessment before they move in to ensure we can meet their needs. We include the views of anyone else who has been involved in the care of this person. Each person is given a Statement of Purpose. The home states it has recently introduced an assessment after the first three months to ensure the person is happy. The assessments of three people who had been in the home for differing lengths of time were viewed. It was found these all followed the same format and had the same standard of information recorded. It was possible to establish what the persons needs were at this time. Information recorded included the views of the person themself and recorded their choices and preferences in certain areas. People spoken to were very Care Homes for Older People Page 11 of 29 Evidence: positive about the home, nobody could remember the assessment process but one person commented, everyone in the home works very hard to make sure you are alright. Staff spoken to stated they always had access to assessments before someone moved in, which would guide them on someones needs. Seven of the service user surveys received confirmed they had received enouth informatin to help them decide if the home was right for them before moving in. The home does not provide intermediate care. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured care plans are in place to ensure staff can meet their needs in a manner which respects their privacy and dignity. Peoples health needs are met but attention is needed with as required medication to ensure staff have clear guidance and an audit trail is available to ensure the safety of people. Evidence: In the AQAA we were advised each person has a care plan. We treat each person as an individual. We record their choices and preferences. Risk assessments are completed. All health appointments and visits are recorded. We have a monthly church service and a hairdresser visits. The service user plans belonging to the three assessments were viewed. It was found these all followed the same format and had the same standard of information recorded. All had a photograph of the person and detailed personal information, which had come from the person themself or their family members. Information was included on any medical diagnosis and how this may effect the person. Information was recorded on communication, eating and drinking, mobilising, personal care and Care Homes for Older People Page 13 of 29 Evidence: dressing, likes and dislikes. Risk assessments had been completed in a wide range of areas and it was agreed these should only be completed when they are relevant to the person. Daily notes and night notes were recorded in a respectful manner clearly taking into account peoples privacy. Discussions were held with the manager on ensuring there is adequate and in depth information on peoples personal care needs and how these should be met. When asked what the home does well, one relative stated, provides individual care to meet my relatives needs. Evidence was seen that service user plans had been reviewed on a regular basis and the person themself had signed to say they were happy with the review. Service user plans had details of all of a persons health needs. Details were recorded on all health appointments and of all health professionals involved in the persons care. It was noted when necessary fluid chats were maintained. In one persons record it was noted the person had had a pressure sore. A care plan for this has been developed with the inclusion of the district nurse. A weight record was maintained for each person in their own file. People spoken to confirmed they could access their own doctor at any time. One visitor to the home confirmed they were always kept informed on any details of their relatives care. In surveys nine people stated they always received the medical care they needed. The home has a drugs procedure, which is available to all staff. The manger reported the home is in the process of changing the the pharmacist and has on order a medication trolley, which we were advised the previous one had just been colloected by the previous pharmacist. Staff reported only the staff who have undertaken the training course at college can be involved with the administration of medication. No one in the home was on any controlled medication, but the manager was aware of how this should be stored and recorded. Appropriate storage facilities were available. The medication of three people was checked. The medication held matched the records held. The medication records showed medication had been administered at the appropriate times and signed for appropriately. No one in the home managed all their medication but two people managed their own inhalers. When walking around the home it was noted some prescribed creams were left out in peoples rooms, it was advised these should be kept in a locked drawer/cupboard in the persons room. In the last inspection a requirement was made regarding medication administered as required. We were advised not many people take as required medication. When looking at medical administration records it was evident two people were on as required medication. However no care plan had been developed for these people and it was not clear when this medication had been prescribed. Both had hand written details on the care plan and for one person none of the medication could be found and Care Homes for Older People Page 14 of 29 Evidence: for the other person the medication was dated seventeen months ago. It was clear from discussions with people they felt their privacy and dignity was always respected. All bedrooms are single. People confirmed they always saw any visitor in private. It was clear daily notes were written in a manner which demonstrated they respected peoples privacy. Observations on the day demonstrated staff had a good relationship with people in the home and treated them in a dignified manner. In a survey received one realtive had added, provides care and security in a compassionate manner, without chivving the resident or making them follow a rigid timetable. Care Homes for Older People Page 15 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 benefit form having a range of activities they can choose to join in with or not. Meals are varied with a choice always being available. Evidence: In the AQAA we were told choices are promoted for example what time people get up in the morning, what time they go to bed, where they would like their meals, what meals they would like. The home has an open house policy for visitors. Evidence was seen in peoples care plans that routines of daily living are flexible and take into account peoples choices. Information was recorded on peoples preference at meal times to where they would like their meals, what they would like at breakfast time. One person spoken to confirmed they had a choice at meal times. They explained they did have a bath rota , but felt sure if they asked for a bath this would be accommodated. All people spoken to stated there were plenty of activities in the home, two people confirmed there was so many they chose not to go to some. It was noted in care plans leisure and hobbies were detailed and included photographs to people enjoying these activities. Feedback had been recorded on the activity to establish if the person had enjoyed it and wanted to do it again. Several people spoke of their enjoyment of planting sunflowers and waiting to see whose was going to grow Care Homes for Older People Page 16 of 29 Evidence: the tallest. In surveys received asking if the home had activities you can take part in, five had stated, always, three usually, one sometimes and one had ticked dont know. When asked what the home could do better, very little comments were made, but the two which were made both involved activities. One person wrote outings and another stated, some varied entertainment throughout daytime. The home has a large back garden which people again spoke of their enjoyment. One person was sat on the large patio, which had suitable seating and a large parasol. They explained they were enjoying watching the birds feed from the feeders and explained they saw all sorts of wild animals. Two visitors were spoken with in the home. One explained they were made welcome whenever they came to the home. They confirmed they had a choice of seeing their relative in their own room or in the communal areas of the home. One had just been into the garden with their relative to cut some flowers from the garden. The second also came to the home on a regular basis and had meals with their relative, all the details were recorded in the care plan. The home has a menu and people are asked on a daily basis what they would like at each meal time. All choices are recorded. One person stated the meals are very enjoyable but by the time the next day came they had forgotten what they had ordered. However they said this was not a problem as it was always a nice surprise. Another resident spoke of their enjoyment of the meals and explained they were a vegetarian but always had a choice at meal times. Another person stated they looked forward to a glass of wine with their roast dinner on a Sunday. Care Homes for Older People Page 17 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 are confident they can discuss any concerns with the manager who they believe will sort out their concerns. Staff have some knowledge on safeguarding but this needs to be extended on to ensure people are protected. Evidence: In the AQAA we were advised everyone is given a copy of the statement of purpose which details the complaints procedure. A copy of the complaints procedure is displayed in the home. We talk to people all the time and encourage them to complain so we can change things for the better. We a whistle blowing policy and safeguarding procedure. The complaints procedure was displayed in the home, this gave clear details of the procedure to be followed, the relevant addresss and telephone numbers. People spoken to on the day stated the manager was very approachable This was echoed by a visitor to the home, who also felt everyone was very friendly, but if she did have concerns she would speak to the manger. A complaints log was kept in every service users folder. We were advised no complaints have been made to the home. All surveys received from service users stated there was always someone informally they could speak to if they were not happy. In the AQAA we were told, We have a whistle blowing policy and safeguarding Care Homes for Older People Page 18 of 29 Evidence: procedure. The manager informed us adult protection and abuse are discussed at team meetings. The manager had undertaken train the trainer on safeguarding but had not kept up the annual refreshers. It was not possible to establish when staff had last received training in this area. From discussions with staff it was possible to establish they had some knowledge on safeguarding procedures but were not aware of the full procedure. Care Homes for Older People Page 19 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 are provided with a clean, safe, well maintained and homely environment. Evidence: In the AQAA we were told we have an on going programme of repairs and renewals. The home is always clean and odour free. We have replaced some of the old metal draughty window frames with double glazing units (just 2 left). An outside door ariel has been fitted. During the inspection every room in the home was looked at. All bedrooms are large single rooms, which are decorated to a good standard. Rooms had been personalised by people and many had photographs of family members and of friends made whilst in the home. Five people were spoken with in their own rooms all of whom were very happy with the home and their rooms. All reported the home is always spotless and their bedding was kept clean. One visitor to the home who calls on a regular basis reported she had never smelt an unpleasant smell in the home. All surveys received from people living in the home stated the home was always fresh and clean. One relative stated, the home has a high standard of cleanliness. People confirmed their laundry is well looked after and always comes back to them without getting lost. One member of staff who is responsible for the laundry showed us she used a different washing machine to launder residents own personal laundry. Care Homes for Older People Page 20 of 29 Evidence: Staff had access to protective clothing and were aware of how to store procedures harmful to people. The home had plans to replace two old steel frame windows the week following the inspection. Some bedroom doors did not have locks, the manager explained if a new resident came into these rooms and wanted a lock fitted, then it would be fitted. We were advised the people in these rooms do not want locks. People had access to the large gardens at the back of the home, which they reported they really enjoyed. Care Homes for Older People Page 21 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care from a stable staff group but the necessary checks have not been undertaken to ensure peoples safety. Evidence: We were advised the home always has a minimum of three staff on duty and the manager who is in the home most days works extra to the duty rota. Two staff work a night duty, one asleep and one awake. The home also employs domestic staff and a cook. All people spoken to confirmed there is always enough staff on duty to meet their needs. All stated their call bells are answered within a reasonable time scale. Comments included very well cared for and staff are very good. Staff spoken to also confirmed there is adequate staff on duty to allow them to meet peoples needs in a dignified and none rushed manner. Three quarters of staff have achieved a National Vocational Qualification (N.V.Q.) Level 2. One member of staff is currently doing this and one member of staff is dong level 3. Two members of staff have already achieved a N.V.Q level 3. One person is currently carrying out their induction in line with skills for Care requirements. The staffing records of two members of staff were looked at. No completed application form could be found for either of these members of staff. No photo identification could be found. For one person two written references had been obtained for the other no Care Homes for Older People Page 22 of 29 Evidence: written references had been obtained. Checks had been obtained with the criminal reference bureau, but it was pointed out without any form of identification it was not possible to establish these people were who they said they were. The manager stated she was not the registered manager when they were employed but acknowledged it was her responsibility. The manager was aware of what should have been undertaken before the staff started work in the home. From records seen it was very difficult to establish what training each member of staff had undertaken. It was possible to establish some members of staff had undertaken training in first aid, diabetes, fire awareness but most other certificates seen were dated 2006, 2007 and 2008. Two members of staff confirmed they felt they received adequate training and could always do any training they asked for. Care Homes for Older People Page 23 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. People receive a well managed service, but the manager must organise some of her formal responsibilities to ensure staff are supervised, trained and people are protected. Evidence: The manager of the home has many years experience in management and has gained a NVQ Level 4 and a Registered Managers Award. All people spoken to including residents, visitors and staff were full of praise for her. All felt they would be able to discuss any area of concern they may have. Comments included, very supportive and nice lady. One member of staff stated, It is a pleasure to work here. Another staff member in a survey stated,there is good communication between management, staff and residents families. Whilst the manager agreed she was a very hands on manager priority must be given to more formal areas. For example staff recruitment, training and supervision. The AQAA states the home encourages people to express their views and sends out Care Homes for Older People Page 24 of 29 Evidence: questionnaires. The home actively seeks the views of people who live in the home and visit the home. Each persons file has a copy of a questionnaires sent to each service user and their relatives or visitors. Questionnaires seen all made positive comments and highlighted no areas in need of improving. The manager confirmed the home does not become involved at all in the finances of people living in the home. Records demonstrated staff were receiving formal supervision although this was not on a regular basis. The manager stated she was aware she was behind with supervision sessions but had prioritised other work instead. One member of staff only had evidence of one formal supervision session this year. Two members of staff spoken both confirmed they felt very well supported in their roles. The AQAA advised us the home has clear policies on health and safety. Regular checks are made on the equipment in the home and reports were seen demonstrating professionals service these. Staff reported they all have the equipment they need. The laundry was well maintained. Plans are in place to totally modernise the kitchen area with new equipment, cupboards and flooring. Food temperatures were maintained and the kitchen was well stocked. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 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 9 13 A care plan must be 16/10/2009 developed for anyone on as required medication. It must be possible to establish when as required medication was prescribed. Stocks should match the records held. Guidance must be available for staff to guide them when they need to give as required medication. As required medication should be detailed on the medical administration records with clear records of when taken and refused. Stocks of medication must match the records held in the home. 2 29 19 All staff must have undertaken a good recruitment procedure including all details in schedule 2 before they start work in the home. 16/10/2009 Care Homes for Older People Page 27 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 It is not possible to ensure the safety of people if the necessary checks have not been undertaken. If the person is not able to prove who they are all subsequent checks are meaningless. 3 30 18 Staff must receive training in the areas of moving and handling, infection control, dementia and safeguarding. Without regular training it is not possible for staff to keep up to date with current legislation and practice. 4 36 18 Staff must receive a minimum of six formal supervision sessions in a twelve month period. Without formal supervision staff will not be sure how they are progressing. Any areas of concern can be discussed at supervision. 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 16/10/2009 16/10/2009 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. 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. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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