Care Home: Bank House Care Home

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What the care home does well Potential new people benefit from a pre- admission assessment that allows for only those who needs can be met, being admitted to the home. The health needs of the people using the service are very well met with evidence of good multi disciplinary working taking place. Staff provide personal support to individuals in such a way that promotes and protects their privacy and dignity. People who use the service experience a wide ranging choice of activities that are requested by individuals and are designed using Dementia Care Mapping Skills. People who use the service experience mealtimes that are unhurried, whilst all meals are home cooked with an alternative or lighter option being available for each mealtime. People who use the service can be assured that there is an efficient complaints procedure in place and that the homes processes and staff training should protect individuals in the event of an allegation of abuse. The location and layout of the home are suitable for its stated purpose. All areas of the home are accessible to the people who use the service. Areas of the garden are maintained by the people who live at the service, with the assistance of staff members were appropriate. People who use the service experience the benefits of a staff team that have the necessary skills, qualifications, training and experience to the meet their needs. Staff training is on going and is appropriate to the level of needs of current people accommodated. The management and administration of the home is excellent, with evidence of consideration being given to the opinions of the people accommodated, staff and visitors at all times. What has improved since the last inspection? The registered person ensures that all new people to be accommodated are fully assessed prior to admission. All windows in poor condition have been replaced with new double glazing. A comprehensive record of all monies held on behalf of people who live at the service is now maintained. Adult protection procedures are maintained and are kept up to date. What the care home could do better: Contracts or Terms and Conditions of stay are updated for all persons accommodated, in order to ensure that all parties are aware of their rights and responsibilities regarding fee charges and how these are paid. Room occupancy details must also be entered. It is recommended good practice that all staff files are updated to include a recent photograph of individual staff members. Key inspection report Care homes for older people Name: Address: Bank House Care Home Church Street Sutton-in-ashfield Mansfield Nottinghamshire NG17 1EY     The quality rating for this care home is:   three star excellent 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: Rebecca Shewan     Date: 3 0 0 6 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 27 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 27 Information about the care home Name of care home: Address: Bank House Care Home Church Street Sutton-in-ashfield Mansfield Nottinghamshire NG17 1EY 01623552766 01623442160 info@bhcarehomes.co.uk WWW.bhcarehomes.com Bank House Care Homes Ltd care home 14 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) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service Users shall be within categroy OP or DE (aged 60 years or over) Date of last inspection Brief description of the care home Bank House is a care home providing personal care and accommodation for 14 older people including those with dementia. The home provides short and long term care and will accept emergency admissions. The home is owned by Mr. and Mrs. Sooriah, which is run as a family business. The home is located in a residential area in Sutton in Ashfield close to the town centre where there are shops, pubs, the post office and other amenities. The home was opened in 1989 and purchased buy the current providers in 2000. The home consists of an extended domestic dwelling. 12 of the homes bedrooms are single, and 6 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a stair lift. The home has an enclosed garden that is well maintained and easily accessible. There is car parking available on the drive and there is unrestricted on road parking to the front of the home. Care Homes for Older People Page 4 of 27 14 0 Over 65 0 14 Brief description of the care home The fees for the service range from 392 GBP to 455 GBP per week depending on dependency needs. There are additional charges for hairdressing and chiropody. People find out about the service by word of mouth, from the Providers website, from the Care Directory, Health Care Professionals, Placing Authorities and from local paper advertisements. 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: three star excellent 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 during the morning and afternoon of the 30th June 2009. The homes Annual Quality Assurance Assessment (AQAA), incident reports and previous inspection reports, held by the Care Quality Commission, were read before the inspection. The inspection of the home took six and a quarter hours. Records such as care plans, staff files and medication records were also viewed. Twelve people were accommodated at the home at the time of the inspection. A tour of the whole home was undertaken and the Registered Providers, the Registered Manager, a Cook, two relatives and one staff member were spoken with. The Care Quality Commission also conducted surveys of both people who use the service and staff, the responses to which were very positive in all aspects of care, provisions, staff support and staff training. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Contracts or Terms and Conditions of stay are updated for all persons accommodated, in order to ensure that all parties are aware of their rights and responsibilities regarding fee charges and how these are paid. Room occupancy details must also be entered. Care Homes for Older People Page 8 of 27 It is recommended good practice that all staff files are updated to include a recent photograph of individual staff members. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 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 10 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. The home has processes in place for assessing people who wish to be accommodated, with services being offered to only those people whose needs can be met. Evidence: From the records we observed it was evident that Contracts or Terms and Conditions of stay, were in place. We evidenced that two of the three viewed, did not specify the room to be occupied, the fee to be paid and who would pay the fees. Therefore a Requirement has been made. We viewed records relating to the pre admission process and we observed that either one of the Registered Providers or the Registered Manager carry out pre- admission assessments. We observed that copies of care management assessments from the placing authority are obtained, where these exist. Records viewed provided evidence that the Registered Provider or Manager addresses any issues, which are highlighted within this assessment. We observed that documented records are maintained of all Care Homes for Older People Page 11 of 27 Evidence: correspondence with the placing authority. Records inspected showed that pre- admission assessments are carried out on all new and potential people wishing to be accommodated. Documentation relating to the most recent admissions to home were viewed and found to have been completed fully and conducted with the involvement of the person to be accommodated and/or their representatives (where applicable). Therefore the previous inspection Requirement that the registered person must ensure that all new residents are fully assessed prior to admission has been met in full. Intermediate care is not provided by this home. Care Homes for Older People Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are offered good provisions of health care and personal support by the home. All care is administered in way that protects the persons privacy and dignity. Medication procedures are robust and ensure that medications are stored, administered and discharged safely. Clear auditing of medication records and medication quantities also occur. Evidence: Care plans and risk assessments were sampled and we evidenced that these were comprehensive, detailed in content and covered all aspects of the individuals needs/risk. We observed that care plans are written in a person centered manner and to allow the assessor to gain a comprehensive and thorough overview of individuals medical, mental health, social and personal care needs and provide the assessor with a very Care Homes for Older People Page 13 of 27 Evidence: clear and specific overview of the persons current needs, limitations and required assistance. We observed that involvement, of the person who uses the service, in the care plan review process was also evident and that care plans are reviewed on a monthly basis and are updated to accurately reflect any change in needs. Staff responses to the CQC surveys stated that Bank House always puts the service users first and is very person centered, Always puts service users first and has a person centered approach and the home prides itself on the person centered approach to care. Records sampled and discussions with the Registered Manager confirmed that all individuals accommodated are registered with one GP from a local Health practice or one of two other local surgeries. District Nurses attend the home as needed and are accessed directly by the staff of the home. The Registered Provider confirmed that the home has access to a Nurse Coordinator, who responds to health care calls made. It was also reported that this is a system that works very well and ensures that people who use the service, receive prompt treatment for ailments and illness. Domiciliary Dentist and Opticians attend the home and private appointments to local opticians are also supported. Access to audiology, physiotherapy, Occupational Therapy and the Dietician are sourced via the GP. The home has a Chiropodist who attends the home every six weeks and as required. The home has well established links to the Community Mental Health Team. Medication stores and records were viewed and we observed that the home has good procedures in place for the monitoring and recording of all drugs administered and those entering and leaving the home. The stores for medication were found to be maintained in a clean and orderly manner. Audits of all medication records and medication numbers were observed to be in place. Staff were observed providing personal support to individuals in such a way that promoted and protected their privacy and dignity. It was observed that people who use the service had their bedroom doors knocked before staff entered them and that they were called by their preferred choice of address. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the service benefit from a wide ranging programme of activities to choose from. Activities are generated around the choice and preferences of the people who live at the service and are designed with Dementia Care Mapping skills incorporated. Specialist and nutritional diets are provided for people who use the service, with individual choices and wishes being respected. Evidence: People who use the service are consulted regarding their social and leisure interests. We observed that there is a published list of activities in place and that records are maintained of all activities conducted. Activities include: one to one sessions, arts and crafts, I spy, sing alongs, hoopla, favourite films (called cinema afternoons), daily newspaper discussions, trips into town, local walks, musical entertainers, music, quizzes, seasonal events and multi faith celebrations. Discussions with the Activity Coordinator and the Registered Manager confirmed that all activities are produced in line with the skills of Dementia Care Mapping. Care Homes for Older People Page 15 of 27 Evidence: Individuals religious wishes are observed and arrangements are in place for residents to receive Holy Communion, if they wish. Discussions with the Registered Provider and Registered Manager highlighted that although the current people accommodated had similar religious beliefs, the home would welcome any potential new person who has special cultural/religious/spiritual beliefs and would make provision to accommodate their needs. The management of the home believes in promoting an equal and diverse culture among staff and people who use the service. Staff and relatives spoken with confirmed that contact with family and friends is positively encouraged with visitors being able to attend the home at any time and in accordance with the individuals wishes. We observed that care plans are utilised to record when a resident has received visitors. Relatives spoken with reported that they are always made to feel welcome at the home, that the staff are friendly and that the Registered Manager is always open to any suggestions made about how the home is operated and the care their relative receives. Menus were viewed and we observed that they are planned with the input of the people accommodated. We observed that the homes menus are devised on a four week rolling programme and that all meals are home cooked with an alternative option available for each mealtime. Staff, relatives and people accommodated stated that meals can be taken in the individuals bedroom, the lounge or in the communal dining room. We observed that medical, therapeutic or religious diets are provided as needed. The meal served during the inspection was ample in quantity and attractively presented. The lunchtime meal was observed to be unhurried. 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. People who use the service benefit from a robust and efficient complaints procedure, whilst the homes procedures, processes and staff training should protect individuals in the event of an allegation of abuse. Evidence: From records viewed we observed that the home has an established complaints procedure in place. The complaints book was viewed and we observed that the home has received four complaints within the past twelve months, which has been recorded as addressed. We observed that the complaints have now been resolved and the Registered Manager took appropriate action, to address the concerns raised. Staff files were viewed and we observed that Criminal Record Bureau (CRB) checks have been carried out on all new and existing staff. We observed from training records viewed that staff have attended training in the Safeguarding of Vulnerable Adults within the last twelve months. The Registered Manager confirmed that there have been no Safeguarding Alerts raised by the home in last twelve months. We observed that the staff of the home have ready access to the Multi Agency Procedures for the Safeguarding of Vulnerable Adults and that updates sent by the local authority are retained within this file. Therefore the previous inspection Recommendation that the registered person should keep the adult protection procedures up to date has been met. Care Homes for Older People Page 17 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the service are provided with accommodation that is safe, and well maintained, whilst infection control procedures are adhered to at all times. Evidence: We observed that the location and layout of the home are suitable for its stated purpose and that the home is well maintained with all areas of the home are accessible to the people living at the service. We observed that the people who use the service assist to maintain the garden and have a vegetable patch, which they attend with assistance. The Registered Manager reported that the vegetable patch was created following the expressed wish of the people accommodated. Observations made at the inspection provided evidence that there is an ongoing plan of refurbishment in place. We observed that all the windows had been replaced with Double glazing. Therefore the previous inspection Requirement that the registered person must repair or replace all windows in poor condition has been fully met. People living in the home benefit from sensory stimuli and clear signage of facilities such as toilets, bathrooms and bedrooms. The home has an infection control policy in place and staff are trained in infection control procedures, staff training records viewed confirmed this. Staff were observed Care Homes for Older People Page 18 of 27 Evidence: adhering to infection control procedures. There is a daily cleaning schedule in place. Care Homes for Older People Page 19 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. The home has a staff team that have the necessary skills, appropriate training and experience to the meet the needs of the people living at the home. Evidence: We observed that a competent staff team, sufficient in number, meet the needs of the people using the service and that there is a clear staff rota in place, which details staff hours of working and staff job designations. Discussions with the Registered Manager and the duty rotas viewed provided evidence that the home has a permanent staff team of the Registered Manager, six Senior Care Assistants, three Care Assistants, one Cook, one Domestic and one Activities Coordinator. From the training records and individual staff records viewed we observed that the management of the home are committed to training staff in National Vocational Qualification (NVQ). Four care staff are NVQ, level 3, trained in care and a further five care staff are currently completing the NVQ level 2 or 3, in care training. Staff recruitment files were viewed and we evidenced that these files contain all items required under the Care Homes Regulations 2001. We observed that the home has an Equal Opportunities policy in place and is an equal opportunities employer. Care Homes for Older People Page 20 of 27 Evidence: Appropriate checks were observed to be in place for staff recruited from overseas, with the required visa and passport checks being in place prior to employment being offered. Discussions were held with the the Registered Provider and the Registered Manager relating to expectation of recent staff photographs on file. From the files viewed we observed that many of the staff team have a recent photograph, while some have their photograph on their passport. Therefore a Recommendation has been made. Training records were observed and we evidenced that the staff induction training is conducted in line with Care Skills Sector guidance. Mandatory training consists of Skills for Care Induction, Moving and Handling, First Aid, Safeguarding Vulnerable Adults, Infection Control, Fire Safety, Health and Safety, Mental Capacity Act, Deprivation of Liberties, Equality and Diversity, Personal Care, Person Centered Planning, Policies and Procedures and The Safe Handling of Medication. Additional training is also provided in dementia, diabetes, nutrition, falls prevention and other subjects that arise from changes in the needs of the people accommodated. Certificates viewed provided evidence that the Registered Managers and one of the Registered Providers has completed the Dementia Care Mapping training and have achieved user status. Staff spoken with detailed that mapping occurs within the home. Care Homes for Older People Page 21 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience the benefits of a home that is well managed and administrated. The opinions of the people accommodated are considered and the management team embrace new ideas for ways in which the home can be operated in a user friendly manner. The health, safety and welfare of staff and the people accommodated, are protected at all times. Evidence: From discussions with the Registered Manager and files held by the CQC, we observed that the Registered Manager has been in the care sector working with older people, for twenty years. The Registered Manager has achieved the Dementia Care Mapping certificate and the NVQ level 4. She confirmed that she has also applied to undertake the Learning and Management Certificate in the near future. Discussions with the Registered Provider, the Registered Manager and training records Care Homes for Older People Page 22 of 27 Evidence: provided evidence that the Registered Manager has attended training in all mandatory subjects and management related subjects i.e. management and development, falls training, appraisal and supervision, coaching and mentorship and risk assessing. Staff and relatives spoken with and CQC survey responses stated that the home is extremely well run and that the Management of the home are always open to suggestion and available to talk to if you have concerns or comments to make, our home owners and manager are always helpful and available and the manager is always looking for ways to improve the running of the home and is open to suggestion. We observed that a formal quality monitoring system is in place. From records viewed we observed that annual residents questionnaires are conducted, the results of which are correlated and published. We observed that other stakeholder and relative questionnaires are also conducted on an annual basis. Regulation 26 visits not currently required as the Registered Provider visits the home one or two days a week, however, Regulation 26 reports are generated on a monthly basis. The Registered Provider reported that this allows them to review how the service is operated in a formal manner. Minutes of meetings held were viewed and they provided evidence that staff meetings are held four to eight weekly. People who use the service have requested not to have formal residents meetings, the Activities Coordinator reported that when any issues or concerns are raised these are recorded in activity records and fed back to the Registered Manager, who takes the appropriate action to address them. The Registered Manager reported that the home does not take any responsibility for any of the finances for the people accommodated and that most individuals have family, friends or representatives who protect their financial affairs. We observed that personal allowance accounts are maintained for many of the current residents, detailed accounts of which are maintained. From accounts viewed we observed that two staff sign for all transactions, that all monies are kept locked in the homes safe, in secure individual money bags and no monies are pooled together. Therefore the previous inspection Requirement that the Registered Person must keep a record of all monies held on behalf of residents has been fully met. The homes AQAA records viewed and observations made on the tour of the premises provided evidence that fire drills, fire alarm testing and fire equipment checks, health and safety checks and water checks had been carried out. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 3 14 The registered person must 01/08/2006 ensure that all new residents are fully assessed prior to admission. The registered person must 01/07/2007 repair or replace all windows in poor condition The registered person must keep a record of all monies held on behalf of residents 01/08/2006 2 19 23 3 35 17 Care Homes for Older People Page 24 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 2 5A That Contracts or Terms and 30/08/2009 Conditions of stay are updated for all persons accommodated, in order to ensure that all parties are aware of their rights and responsibilities regarding fee charges and how these are paid. Room occupancy details must also be entered. In that current Contracts do not provide the person accommodated with information regarding the fees to be paid and how they are paid. Room occupancy is also not always included. Care Homes for Older People Page 25 of 27 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 29 That all staff files are updated to include a recent photograph of individual staff members. Care Homes for Older People Page 26 of 27 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. 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