Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd June 2009. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Ardtully Retirement Residence.
What the care home does well Ardtully offers a relaxed and welcoming home environment for service users. Staff within the home work well as part of a team, and the management arrangements ensures that there is clear leadership and direction. Staff on duty were attentive to people`s needs and the interaction between staff and service users was respectful and friendly. Internally the home is pleasantly decorated and rooms were bright and very clean. The garden offers a well maintained, accessible and relaxing area for people to enjoy. What has improved since the last inspection? A new electrically operated awning had been fitted to the conservatory, there were new curtains in the main lounge and the front dining room. Staff training had included awareness of dealing with challenging behaviours, medication and fire awareness. Recruitment records seen now included all appropriate checks on new staff employed. A more detailed breakfast sheet had been introduced to improve choice and evidence of nutritional intake of people. Documents had been introduced to supplement care plans and give more detailed information for staff on people`s assessed needs. The manager had achieved the Registered Manager Award and NVQ level 4 award. Checks had been undertaken of the cold water system to try to minimise the risk of legionella. What the care home could do better: Risk assessments need to include better details of the perceived risk, the assessed level of risk and more detailed guidance to staff on actions to be taken to try to minimise risks. Some of the furniture in the communal rooms looked jaded, and in places worn, and should be replaced. Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Ardtully Retirement Residence Station Lane Ingatestone Essex CM4 0BL 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: Alan Thompson
Date: 2 8 0 7 2 0 0 9 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 27 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 27 Information about the care home
Name of care home: Address: Ardtully Retirement Residence Station Lane Ingatestone Essex CM4 0BL 01277353888 01277355924 ingatestone@ardtully.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Rajan Dhirjal Madlani care home 26 Number of places (if applicable): Under 65 Over 65 26 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 26 The registered person may provide the following category/ies of service only: Care home only - Code 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 - Code OP Date of last inspection Brief description of the care home Ardtully is a striking pseudo Tudor building, which was originally built in 1882 and offers personal care and accommodation for up to twenty six older people. The home has twenty two bedrooms including three that are available for use as shared rooms, although the manager advised us that normally one of these is kept as a single. All rooms have an en suite wc. There is a passenger lift to all three floors, however due to the age and retained character of the building there are a number of changes in floor level, with steps within private and communal areas. Therefore the home is not considered appropriate for Care Homes for Older People
Page 4 of 27 Brief description of the care home service users with mobility problems, for example those that require the use of a wheelchair to mobilise indoors. Communal space includes a main lounge, a conservatory dining room at the rear and a further dining area at the front, with a quiet sitting area between these. There is also a small visitors room and a separate large hairdressers room. All communal rooms are on the ground floor of the home. Outdoor space comprises use of a good size garden at the rear of the building, and off road car parking for visitors available at the front of the home. The garden has raised flowerbeds, pagoda and seating area. Ingatestone village shops, bus and rail services are all close by, and Ardtully provides service users with the use of a minibus. The current rate of fees is between £650 and £770 per week depending on the room and facilities. Additional charges are made for hairdressing, chiropody, newspapers and magazines. There were no charges made for escorts or transport. CQC inspection reports can be obtained from the home, or via the CQC internet website, www.cqc.org.uk Care Homes for Older People Page 5 of 27 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: This unannounced key inspection commenced on Tuesday 2nd June with a second announced visit on Tuesday 28th July 2009 to complete the process. The manager was at the home during the first visit and the manager and deputy manager were present for our second visit. Both assisted us in a professional and helpful manner. Our most recent inspection prior to this visit was on 5th June 2007. The content of this report reflects the inspectors findings on the days of the inspection along with information provided by the service and feedback by service users, staff and other parties. The manager completed and returned their Annual Quality Assurance Assessment Care Homes for Older People
Page 6 of 27 (AQAA) to us in time for the inspection. This document gives homes the opportunity of recording what they do well, what they could do better, what has improved in the previous twelve months as well as their future plans for improving the service. Some of the information and detail provided within the AQAA has been included in this report. Discussions were entered into with the management of the home, service users and staff on duty. CQC survey questionnaires were also provided to service users, staff and stakeholders. We received thirteen completed surveys and reference to feedback from these has been made within this report. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. All matters relating to the outcome of the inspection were discussed with the manager of the home, with full opportunity for discussion given and/or clarification where necessary. 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 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 8 of 27 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 9 of 27 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 considering moving into the home can be confident that the admission processes ensures that the home can meet their needs. Evidence: The manager or deputy manager and sometimes a senior carer will visit prospective new service users to undertake an assessment of their needs. The assessment is commenced during the initial visit at the service users home or hospital, and will be expanded on if people are able to visit Ardtully before deciding to move in. Evidence of this process was seen in two files for people admitted since our last inspection. Areas of assessment covered included background information, personal care, speech and communication, behaviours, pressure care, safety, religious, family contact, mobility, personal hygiene, diet, vision, hearing, continence, manual handling, sleep, foot care, medication, oral care, falls, social needs, hobbies, interests, orientation and pain. Files seen contained the information needed for staff to provide the right initial support
Care Homes for Older People Page 10 of 27 Evidence: when the service user first moves in. The manager said that all service users had been self funding when they moved in and so there were no assessments carried out by local commissioners of services. The manager confirmed that trial visits are available for prospective new service users and information in surveys confirmed this. Comments included, we looked around the home and decided that this was the best one for our relative. Care Homes for Older People Page 11 of 27 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. The information in care plans ensures that peoples needs could be met in a way they would wish. Evidence: Two care plans were inspected. These had a profile of the person with background information, personal details, and next of kin contacts. Assessments of identified needs were recorded with instructions of the care required to meet these needs. Areas of assessment were based on those identified upon admission and added to afterwards. Care plans seen showed the identified activity/need with instructions for staff on how to meet these. There were moving and handling assessments which included mobility issues and a safe system of work form on which was recorded the support service users needed relating to personal care and moving around. However assessments seen did not include sufficient specific details of the perceived level of risk and of the interventions
Care Homes for Older People Page 12 of 27 Evidence: needed from staff to try to minimise the risk, or of any equipment/aids required. We have included a statutory requirement on this issue at the end of this report. Care plans had been reviewed with service user involvement, records of this process were seen. There were also records of daily staff observations to ensure good communication on service user issues between shifts. Records of service users weight had also been kept along with records of GPs visits and treatment and on any other medical consultations. Service users night time needs were included in care plans. The manager said that Ardtully gets good support from District Nursing services on pressure care assessment and with the supply of appropriate treatment. Continence issues are supported by the community continence team with the manager or designated senior carer acting as link to this service. This is to ensure there is regular communication and updates on service users continence needs. Hearing needs are provided for by GP referral to a local hospital. Dental services are available to service users from a dentist who comes into the home or by visiting a community based dentist outside. The manager said that there are also some service users in the home who continue to see their own dentist. GP services are provided by one local practice. A chiropodist and an optician also visit regularly, and some people attend appointments at an optician outside the home. Records of medical/health visits with written outcome notes were seen. The homes medication policies and procedures were seen and included instructions and guidance on ordering, receipt, storage, administration and returns of unused stocks. Staff told us that they been trained on medication practice and there were certificates seen on staff files to evidence this. Only senior staff deal with medication and practice competency assessments were seen to have been carried out regularly by the homes training manager to ensure staff remain competent for this role. Medication administration records were looked at and no shortfalls were noted. Discussions with individual service users and comments made in surveys returned to us confirmed that they thought they were well cared for and were treated with respect by staff. Staff on duty were seen to be friendly, attentive and helpful in their dealings with service users. Comments made to us included, Ardtully provides an above average service, the home always has a very happy atmosphere and the care standard is good, Ardtully provides a very homely and friendly atmosphere for both residents and visitors. Care Homes for Older People Page 13 of 27 Care Homes for Older People Page 14 of 27 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 living in Ardtully can expect to have a lifestyle that matches their expectations through opportunities for activity, and enjoyable food. Evidence: Service users meetings are held approximately every two months. Minutes were seen of the areas covered, these included food and menus, activities, decoration and the garden. Service users spoken with confirmed that regular meetings take place and that their views and opinions were asked for and listened too. The manager said that a new full time social therapist had been employed at the beginning of 2009, and there was also a part time activities person working at the home. Activities are now offered to service users each day and there was a programme of planned activities displayed on the notice board and individual records had been kept of activities offered and taken part in. These included visiting professional entertainers every four weeks and a visiting physiotherapist every week who organisers indoor exercises. Daily activities offered by the homes staff included indoor games, quizzes, 1 to 1 time, arts and crafts, cards, discussion groups, book club, cinema, bingo, darts, board games and crosswords. The home has shared use of
Care Homes for Older People Page 15 of 27 Evidence: a tail lift mini bus and regular outings are arranged by staff for service users. There had been trips to Hyde Hall, a butterfly farm, the theatre, the coast, tea shops, restaurants and Hanningfield reservoir. People spoken with said they were satisfied with activities offered. An outing took place on the day of our visit. Some people did not take part but confirmed that they had been asked if they wished to go out. When asked service users told the inspector that their family and friends could visit at anytime and that staff always made them welcome. Comments in surveys from relatives confirmed that they visit regularly and at any time, and that the atmosphere in the home is friendly and happy. Other regular visitors to the home are a pat a dog and a hairdresser every week, and a church minister once a month. Some service users also receive regular visitors from local churches. Inspection of private rooms evidenced that service users had been permitted to bring their own personal items with them on admission, and rooms seen looked homely and comfortable. Information for service users and their relatives on how to access independent advocacy support was seen displayed in the home. The manager said that a financial guidance leaflet is also given to people if they have any questions in this area. Nutrition records and menus were looked at, these evidence choice and variety. The manager confirmed that the main daily meal is lunch with at least two menued choices and there is a choice at tea and breakfast. We saw a separate breakfast menu that is given to service users each day for them to choose what combination of options they prefer. The manager said supper snack meals are always available. Kitchen facilities and food stocks were good and service users spoken with at the inspection were satisfied with the food. Actual comments made included, the food is very good and I get enough to eat, the food is good here. Records are kept of peoples nutritional intake so that any changes in eating habits can be looked into without delay. Care Homes for Older People Page 16 of 27 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. Practices in the home safeguard service users and ensure that concerns are listened to and addressed. Evidence: The complaints procedure was seen and contained guidance on how to make a complaint and who to complain to. Also included were timescales for responses from staff and a standard template for staff to record any complaints and concerns. Information in the AQAA states that no complaints had been received in the twelve months leading up to this inspection and so there were no records of complaints for us to look at. However the manager confirmed that if any are received then records would be kept on how they are dealt with and of the outcomes. There had been one safeguarding issue in the home since our last inspection. The manager had followed the correct procedures for reporting and responding to this, and the alert has been closed by Essex Social Care Safeguarding Unit. Service users spoken with said they knew who to speak to if they had any concerns, and they seemed confident that any concerns would be looked into properly. Comments from relatives also indicated that they were confident that complaints or concerns would be dealt with appropriately. The homes policy on adult protection was inspected. There was written guidance for
Care Homes for Older People Page 17 of 27 Evidence: staff on recognising and reporting abuse, and action to be taken by staff if abuse is suspected, this included a policy on whistleblowing. Staff spoken with displayed awareness of this subject and procedure and had received training on adult protection procedures and the mental capacity act. Certificates were seen to evidence this. The homes induction training for new staff also covered adult protection and safeguarding vulnerable people. Care Homes for Older People Page 18 of 27 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. Service users live in a mainly well maintained, comfortable, clean and homely environment. Evidence: Ardtully provides a comfortable and generally well maintained environment. The site visit included a tour of the premises when it was noted that the home was very clean and tidy. The bedrooms, lounges and dining room were well decorated, although some of the furniture in communal rooms looked worn in places and should be replaced. The home has three bathrooms all with hoists and wc. The bathrooms are situated on each floor of the home and there is also a walk in shower and wc, and a separate wc on the ground floor. Bedrooms seen were clean, comfortable and made homely with peoples personal possessions. During discussion with service users all who expressed a view confirmed that their rooms were comfortable and kept clean. Comments made included yes my room is always kept clean, staff keep the home clean, the home is always clean. Communal space includes a main lounge, a conservatory dining room at the rear and a further dining area at the front, with a quiet sitting area between these. There is also a small visitors room and a separate large hairdressers room. All communal rooms are
Care Homes for Older People Page 19 of 27 Evidence: on the ground floor of the home. The manager said that a new electric awning had been fitted to the conservatory, and that there were new curtains in the main lounge and the front dining room The garden areas were well maintained and had raised flowerbeds, pagoda and seating area. Five bedrooms had direct access to the garden. The homes kitchen was also well maintained, well equipped and spacious. The laundry areas were looked at and the equipment in place was considered suitable for the size of the home. There was also sufficient space for staff to work in. Staff facilities include a room to prepare service users breakfasts trays and a staff room on the ground floor, and a work station office on the top floor. Care Homes for Older People Page 20 of 27 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a properly recruited and trained staff team. Evidence: The homes staffing rota was looked at and showed current daytime staffing levels as one senior and three carers on AM shifts, with one senior and two carers on PM shifts. The home had several vacant rooms when we visited and when full there is another carer on AM shifts. The manager and deputy managers hours are supernumerary (extra). Night staffing is one senior and one carer on waking duties. In addition to the care staff there are one full time and one part time cooks, one full time and one part activities coordinators, two maintenance staff, a housekeeper and six domestic staff. Two staff recruitment files were inspected. Evidence was seen to confirm that staff are properly recruited with application forms completed, interviews held, written references obtained, written terms and conditions issued, and criminal records checks undertaken. Copies of proof of ID, photographs and job descriptions were also on files. Staff are supported in undertaking NVQ training and information in the AQAA states that thirteen out of nineteen permanent staff have achieved their NVQ 2 or 3 awards. This figure exceeds the 50 recommended number of staff with this award. Care Homes for Older People Page 21 of 27 Evidence: Staff records seen showed that new staff undergo initial first day induction training and then commence six week induction training using the Skills for Care common induction standards format for social care staff. Staff said that they had received induction training, they also said that the management team are supportive and will respond quickly to any queries or concerns they may have regarding service users well being. All staff have individual training records and there is a training matrix which identifies training undertaken and when updates are due. Much of the training is arranged and delivered by the homes own trainer. Training records seen and discussion with staff confirmed that staff had been provided training on, safeguarding awareness, nutrition, bereavement, food hygiene, challenging behaviour, fire safety, first aid, manual handling, medication, dementia, basic awareness of arthritis, diabetes, epilepsy, incontinence, multiple sclerosis, parkinsons, stroke awareness, NVQ, induction and the mental capacity act. Comments in staff surveys returned to us also confirmed that staff had received regular training and that this helped them to understand and meet the needs of service users. Care Homes for Older People Page 22 of 27 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. People live in a well run home that is managed in their best interests. Evidence: The manager of Ardtully said that overall she had twenty three years experience of working in the care sector, with twenty two of these as manager at Ardtully. The manager has the Registered Manager Award and the NVQ 4. The management team at the home includes a full time deputy manager who works closely with the manager in supporting staff in their different roles. The quality assurance (QA) process used involves a planned annual audit of the service with surveys sent to service users, their relatives and to staff. We saw completed surveys for 2009, these included questions on the care provided and staff attitudes, food, concerns, the environment and social issues. There was an evaluation of the responses which identified the actions needed in response to the comments, with a plan of action of when this would happen. The manager confirmed that some personal allowance monies are held for safe
Care Homes for Older People Page 23 of 27 Evidence: keeping for service users. Records had been kept of the balances held and of receipts for expenditure. A random sample of these were checked and found to satisfactory. Staff had received 1 to 1 supervision support from the management team and regular team meetings had been held. Records of these were seen and included discussion on performance, abilities, communication, staff routines, social activities, service user issues, training, personal development and personal issues. We asked staff if they felt properly supported by the management team and all who responded agreed that they were. Random samples of records required to be kept were inspected. These included, regulation 26 reports (registered provider visit reports), assessments, care plans, staff rotas, staff recruitment, visitors book, fire drills, nutrition, medication, and fire procedures. All of these seen were satisfactory. Discussions with staff, management and inspection of records confirmed that training is provided to staff in moving and handling, fire safety, food hygiene, first aid and health and safety. Certificates and service records were seen to confirm that the homes hoists, passenger lift, fire equipment and alarms, electrical installation supply, gas boilers and portable electrical appliances had all been tested/serviced. Hot water temperature is regulated and manual checks are also carried out regularly. These were seen as were records of water testing to check that there was no legionella in the homes water tanks. Care Homes for Older People Page 24 of 27 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 27 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 7 13 Risk assessments need to 30/09/2009 include better details of the perceived risk, the assessed level of risk and more detailed guidance to staff on actions to be taken. This is to try to minimise assessed risks to service users. 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 19 Worn furniture in some lounge and dining areas should be replaced to ensure that service users have a well maintained and comfortable living environment. Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!
