Care Home: Aranlaw House Care Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Aranlaw House Care Home 26 Tower Road Branksome Park Poole Dorset BH13 6HZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Martin Bayne     Date: 0 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 28 Information about the care home Name of care home: Address: Aranlaw House Care Home 26 Tower Road Branksome Park Poole Dorset BH13 6HZ 01202763367 01202420050 kate@aranlawhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Gunputh Associates Ltd Name of registered manager (if applicable) Mrs Catherine Mary Hickson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Aranlaw House is a purpose built detached house. The home was registered on 1 November 2006. The registered provider is Gunputh Associates Ltd, the registered manager is Mrs Catherine Hickson. The home is registered to provide care to 47 people in the category Old People only. All 47 single rooms have en-suite wet rooms with shower, toilet and hand basin. The rooms are arranged over 3 floors, a number of bedrooms have access to a balcony. Each floor has a separate lounge. The dining room is on the ground floor by the kitchen. There is a reception area and managers office. The home has 2 passenger lifts. There is car parking to the front of the building. There is garden to the side of the home and a small grass covered patio area leading out from the patio doors in the lounge on the ground floor. The home is in a leafy residential street near the amenities of Westbourne. There is public transport access to Bournemouth and Poole. The weekly fees range from #600.00 - #700.00. For further Care Homes for Older People Page 4 of 28 0 Over 65 47 care home 47 Brief description of the care home information on fee levels and fair contracts you are advised to refer to the Office of Fair Trading website: www.oft.gov.uk. The Commission for Social Care Inspection (CSCI) October 2007 publication `A fair contract with older people? A special study of people?s experiences when finding a care home? can also be accessed on the CSCI web site www.csci.org.uk Care Homes for Older People Page 5 of 28 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: two star good 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: We, the Commission, carried out a key inspection of the home between 9:30 a.m. to 3 p.m. The aim of the inspection was to follow up on the ten requirements and one recommendation made at the last key inspection of the home in October 2007, and to evaluate the home against the key National Minimum Standards for older persons. The inspection was carried out by two inspectors. Throughout the report the term we is used, to show that the report is the view of the Care Quality Commission. In July 2008 we were notified by the Registered Provider of the absence of the Registered Manager and the management arrangements that were being put in place. We were assisted throughout the inspection by the Registered Provider, Mr Gunpath and senior members of the staff team at the home. We tracked the personal files for Care Homes for Older People Page 6 of 28 four residents admitted to the home since the last key inspection and were able to view the records kept on their behalf. These provided evidence of the care provided and record keeping as required under the Care Homes Regulations 2001. At the time of the inspection there were 32 residents accommodated. We spoke with 10 of the residents about their experience of living at the home, one relative, a district nurse who was visiting the home that day and with four members of staff. Additional information that helped us form the judgements within this report was also obtained from the Annual Quality Assurance Assessment (AQAA) completed by the home. What the care home does well: What has improved since the last inspection? The home has developed a new care planning format that the staff found more informative and easy to use. Care plans were in place, available to the staff and were reviewed monthly or when needs change. There was evidence that residents or their relatives had been involved in development of care plans. Detailed risk assessments had been carried out and recorded to minimise risk of harm to residents. There is also better monitoring of residents nutritional needs and better liaison with district nurses who support the home. The home has taken steps to meet requirements made at the pharmacy inspection of the home and medicines are now administered safely. The home now provides both more and varied activities to meet residents leisure and recreational needs. There is now better recording of actions taken concerning complaints and safeguarding issues. Care Homes for Older People Page 8 of 28 We found that the home had complied with a requirement of the previous inspection, ensuring that new staff do not start working at the home until a clear check had been obtained against the register of people deemed unsuitable to work with vulnerable adults. Training provided to staff in order that they are competent to provide good and safe care has improved, with staff receiving core training. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 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 28 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. The home ensures that the needs of people it admits to the home can be met by carrying out a pre-admission assessment. The process could be improved by dating the assessment and by confirming in writing following the assessment that needs can be met and an offer of a placement made. Evidence: We saw within the personal files of the residents we tracked through the inspection, copies of the pre-admission assessments that had been carried out prior to these residents being offered a place at the home. We were told that the pre-admission assessments are carried out by either the manager or one of the three deputies. The pre-admission assessments were recorded on a form that covered all of the topics detailed within the National Minimum Standards. We found that two of the preadmission assessments had not been dated to so it was not clear when they had been completed. We recommend that all pre-admission assessments are dated by the Care Homes for Older People Page 11 of 28 Evidence: person completing them. We were told that prospective residents or relatives are welcome to visit the home to assist in their choosing a suitable placement. We were shown a copy of the updated brochure/Service User Guide, which provides full details of the service and facilities. We recommend that once a decision has been made to offer a place to a prospective resident, they are informed in writing as to whether their needs can be met at the home. The home does not provide an intermediate care service. Care Homes for Older People Page 12 of 28 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. Residents are treated with respect and dignity with their health needs being met through the development of a good care planning system. Medication administration has improved and there is more staff accountabilty for medicines administered within the home. Evidence: At the last key inspection a requirement was made concerning care planning. It was found at that time that care plans did not give enough information on how individual needs were to be supported by the staff. We found that this inspection that care plans were in place for the four residents we tracked through the inspection. We were told that the home was in the process of introducing a new care planning system. Some of the care plans we saw were in the new format and some in the old. The new care planning system was more concise and more user friendly in informing the staff of how to care for residents. We were told that within six weeks care plans would be in the new format. The staff we spoke to told us that they found the new care planning format more informative and easy to use. We found that both formats provided Care Homes for Older People Page 13 of 28 Evidence: sufficient information to instruct staff on how to care for residents. We saw that the care plans were being reviewed monthly or when the needs of residents changed and that they or their relatives had been involved in the process with their signing up to the care plans. The requirement was therefore met. At the last key inspection a requirement was made concerning risk assessments. Within the personal files for residents we saw that risk assessments were being carried out to ensure that the risk of harm to residents is minimised. We saw that moving and handling assessments, nutritional assessments, skincare risk assessments were being carried out and recorded. The requirement had therefore been met. We also saw that residents were being weighed and that a nutritional assessment was recorded as part of the overall assessment of the person’s needs, thus meeting another requirement made the last key inspection. We found that there was a good risk management strategy in place for one person who was at risk from leaving the home. This included regular half hourly recording of where the person was and what they were wearing. We found that this observation was being carried out discreetly and supported the person to move freely around the home. Concerning health care needs of residents we saw within the personal files, a record of visits from health professionals such as GPs, district nurses, chiropodists and dentists. The residents we spoke was told us that medical appointments were made on their behalf as required. We were also able to speak with a district nurse who told us that standards in the home were improving. We were told that the home now makes appropriate referrals for district nursing intervention and that the staff are more knowledgeable and follow-up on agreed action plans to meet residents health needs. We observed that staff had good relationships with the people living at the home, being patient and encouraging. We saw that people with dementia freely approached staff and staff gave them reassurance when needed. We observed staff respecting peoples privacy and dignity, by knocking on their doors and offering personal care discreetly and in private. All of the residents with whom we spoke told us that the staff were respectful and maintained their dignity. One person said, The individual staff are lovely, they are all respectful and treat us kindly. At the last key inspection a pharmacy inspection also formed part of the overall key inspection as the home was not complying with best practice guidelines concerning medication administration. A random pharmacy inspection was also carried out in July 2008 following notification by the home of medication going missing together with medication recording errors. Requirements were made following both pharmacy inspections. The home also notified the Commission earlier in the year, as required, of an incident when controlled drugs left by the district nurse for the care of one resident Care Homes for Older People Page 14 of 28 Evidence: went missing. This incident is still under investigation. At this inspection we looked at the medication administration records for all of the residents. We found that in general the records were being completed correctly, although there was one day where there were gaps in the recording of medications administered. We also found that on some occasions the correct code had not been recorded on medication administration records, for as required medicines. The records should show whether an individual refused the medication or that it was not required. We recommend that there are improved systems put in place to ensure that these ommissions are identified and followed up. We found that the home had taken action to address the requirements made at the previous inspections. The requirement that a second member of staff signs and checks that hand written entries were detailed correctly on medication administration records had been complied with. The requirement concerning PRN (as required medication) of the need to clearly record the number of tablets administered, had also been complied with. Action had also been taken concerning security of medication storage cabinets. The home now only has two sets of keys to the medication cabinets and there is much better accountability for accessing the medication cabinets. We also found that the recommendation concerning recording of maximum and minimum temperatures of the fridge where medications requiring refrigeration are kept, had been complied with. The home uses a unit dosage system with medications being delivered to the home. We were told that home had acted on the recommendation that consideration should be given to the use of a quiet area when checking the new delivery of medication to the home, so that staff are able to concentrate on the process without interruption. At the time of the last key inspection each resident had their medication stored in a small lockable cabinet within their bedroom. We were told that these cabinets were now being used only for residents who managed their own medication following a risk assessment as to their ability to manage their medicines safely. We were told that the home was reverting to having medication stored in medication trolleys and that staff would take the trolleys around the home to administer medication, as part of the action to address the shortfalls in medication administration that have happened over the last year. We saw that medications were being stored correctly and that there were systems in place to audit all medication that comes into the home. Care Homes for Older People Page 15 of 28 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. Residents benefit from activities being provided, being able to maintain contact with friends and relatives and through being provided with a good standard of food. Evidence: At the last key inspection a requirement was made concerning the provision of meaningful daytime activities to meet individual interests and needs of residents. We were told at this inspection that there was a vacant post for the role of the activities coordinator. Mr Gunpath said that they were planning to have one full-time and one part-time post of activities coordinator. We were told by the residents we spoke with that normally the home provides more activities than at the time of the inspection. The residents told us that there was a weekly timetable of activities and that in the previous week entertainers had visited the home as part of the activities programme. They also told us that there had been a trip to Poole Park the previous week and also a sherry morning. Action had therefore been taken to improve this aspect of life at the home. Concerning spiritual needs of residents, this forms part of the assessment when residents move to the home. Mr Gunpath told us that the activities coordinator had Care Homes for Older People Page 16 of 28 Evidence: been making links with different places of worship to ensure that the home can meet the needs of peoples different spiritual requirements. We found that peoples spiritual needs were being met. The relative we spoke with told us that they were always made welcome at the home and that they could visit at any time. Concerning food provided at the home we saw that part of the assessment process was to determine peoples needs in relation to diet and any assistance that they may require. We saw an example of one resident who was allergic to eggs and this information had been passed on to ambulance staff when this resident had had to go into hospital, which is good practice. In general we received positive comments about the food provided at the home. We were told that there was always a choice available and that suggestions made at monthly residents meetings about menus were acted upon. One person told us that they had requested olive oil to put on their food as they found it a bit dry, and this had been provided. Care Homes for Older People Page 17 of 28 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. Recording of action taken by the home regarding complaints and safeguarding has improved and residents are well informed of how to make a complaint. Evidence: We saw that information on how to make a complaint was displayed on the noticeboard and that the full complaints procedure was detailed within the Service User Guide. We did however find that the address of the Commission was out of date and it was agreed that residents would be provided with the new contact details for the Commission. People living at the home told us that they knew how to make a complaint and that they had faith in the provider in investigating complaints fairly. As mentioned earlier and the report, the home had informed of incidents at the home, including those that led to adult protection investigations. A requirement was made at the last key inspection that records demonstrate that all incidents of abuse are followed up promptly and show the safeguarding action taken. We saw that the home had complied with this requirement. On examining staff recruitment records, we found that the staff had been provided with training in the protection of vulnerable adults. As found at the last key inspection, the home has robust adult protection policies and procedures that clearly detail the action that staff should take if they suspect or are aware of abuse. Care Homes for Older People Page 18 of 28 Care Homes for Older People Page 19 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The living environment is of a high standard and is homely, comfortable, clean and safely maintained. Evidence: As part of the key inspection process, we carried out a tour of the premises. The home was clean and free from adverse odours. Furniture and fittings are provided to a high standard and the environment is both homely and comfortable. We saw within residents bedrooms that they were able to bring their own furniture and possessions to personalise their rooms. Specialist equipment is provided to meet residents moving and handling needs. The home has policies and procedures for reducing the risks of cross infection and staff are provided with gloves and protective clothing. The home has a dedicated laundry area that meets environmental standards as well as the laundering needs of the home. Care Homes for Older People Page 20 of 28 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. The home is staff by sufficient members of staff to meet residents needs. Some improviements could be made to staff recruitment to better protect residents. Staff receive a good levle of training. Evidence: On the day of our inspection there were 32 people living at the home, supported by a staff team of 40 workers. We were told that between 8am and 2pm, there are 6 carers on duty and between 2pm and 8pm, five carers. During the night time there are three carers who carry out awake night duties. We saw duty rosters for the previous week and the week of the inspection that reflected the above staffing. In additon, during the week, the acting manager and two deputy managers are also on duty. The home is also supported by ancilliary maintenance, housekeeping, catering and reception staff as well as the posts of activities co-ordinators. During the inspection we spoke with four members of staff who told us that this level off staffing was sufficient to meet the needs of the residents. Residents we spoke with also concurred with this view. At the last key inspection a requirement was made, as at least one memer of staff had started working at the home before a clear POVAFirst check had been received. This is the check against the register of people deemed unsuitable to work with vulnerable adults. At this inspection we looked at the staff recrruitment files for four members of Care Homes for Older People Page 21 of 28 Evidence: staff recruited to the home since the last key inspection. We found that all of the recruitment checks and records required under the Care Homes Regulations 2001 had been complied with, including the taking up of references and Criminal Record Bureau check and POVAFirst check. We saw that newly appointed staff did not start work until a clear POVAFirstchcek had been received. We recommend that the staff application form be changed as it did not ask questions in line with those required under the Regulations. An example being, the application form requested a reference from the persons last place of work and not a reference from the persons last place of work when working with vulnerable adults or children, as required under the Regulations. We saw that in the case of one staff member, whose recruitment files we looked at, that a reference had been taken up from their previous employer and not from their last care worker position. A requirement was made concerning this matter. We found that the home had achieved a ratio of 50 of the staff team trained to the standard of NVQ level 2, thus meeting National Minimum Standards. We looked at the training provided to staff working at the home. A requirement was made at the last key inspection as although a training programme was being implemented, there was insufficient evidence that staff received all the necessary training. We found at this inspection that all new staff receive induction training that meets Skills for Care induction standards. All staff receive core mandatory training in topics including, moving and handling, health and safety, infection control, fire safety, first aid food hygiene. Once staff have undertaken core training, they are able to do more specialst training. All the four members of staff we spoke with said that there good training opportunities and that there was a positive moral amongst the staff team. Care Homes for Older People Page 22 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We found that the home was well managed and run in the interests of the residents. Evidence: In July 2008 we were informed of the absence of the Registered Manager and the management arrangements that had been put in place. The feedback from the four staff we spoke with was positive with us being told that there was good staff morale. We were told that individual staff supervision sessions had not happenened as regularly as required at the time of changes of management but that supervision sessions were now taking place. We saw a plan for supervisory sessions for all staff that supported this. The staff we spoke with told us that if they needed management support, managers were always available and approachable. Generally we found that the home was being well managed. Mr Gunputh showed us the surveys that are sent out to people, which form part of the quality assurance for the home. The surveys were complex and in small type font but Care Homes for Older People Page 23 of 28 Evidence: comprehensive. We would recommend that information about the home and the surveys be in larger type font. We were told that the prefers not to safekeep or manage any residents finances with relatives or appointtees taking on this responsibility. We looked at the fire safey records of test and inspections to the fire safety system, which were being carried out to the required timescales. We saw from the AQAA that other test and inspections of equipment in the home were taking place as required. No particular hazards were identified during the inspection and we saw that accident records were being completed and notices sent to the Commission appropriately for incidents affecting the well-being of residents in the home. Care Homes for Older People Page 24 of 28 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 25 of 28 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 29 19 When recruiting new 18/05/2009 members of staff, you are required to obtain a written reference from the persons last place of employment of not less than three months duration, where they worked with vulnerable adults or children. To ensure that residents are supported by competent and suitable staff. 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 3 We recommend that all pre-admission assessments are dated by the person completing them. We recommend that once a decision has been made to offer a place to a prospective resident, they are informed in writing as to whether their needs can be met at the home. 2 9 We recommend that there are improved systems put in place to ensure that any gaps in medication recording are Page 26 of 28 Care Homes for Older People followed up by staff. 3 29 We recommend that the staff application form be amended to seek information in line with Schedule 2 of the Care Homes Regulations 2001. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!