Care Home: Beacon House Nursing Home

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What the care home does well The home continues to provide good care for the residents by a stable and committed staff team. The staff team receive ongoing training and support to ensure they can meet the varied needs of the residents. The home reflects on how it is run and makes improvements and adjustments on an ongoing basis. Overall the majority of the comments from residents were positive, with comments made such as there is "good food " provided in the home and that the staff team were "wonderful". The feedback from a community health professional in a survey also made positive comments confirming that they felt the needs of the residents were being met. What has improved since the last inspection? The recruitment checks are good and the Manager ensures all the information is obtained before a member of staff joins the staff team. The Manager had developed an annual review report, which looks at the work the home has been doing to raise the standards and includes aims and objectives for the forthcoming year. What the care home could do better: Any allegation or concern raised must follow the home`s adult protection policies and procedures. Concerns and allegations must be reported to the relevant professionals and to the Care Quality Commission. The home must ensure the medication is counted and checked on a regular basis. All Medication Administration Records must accurately record the amount of medication in the home. The nursing staff, who administer medication, must be vigilant in recording. We are confident that the above shortfalls will be addressed and that the home can achieve excellent outcomes in the future for the residents living in the home. Key inspection report Care homes for older people Name: Address: Beacon House Nursing Home 184 Beaconsfield Road Southall Middlesex UB1 1EA     The quality rating for this care home is:   two star good 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: Sarah Middleton     Date: 0 9 0 9 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: Beacon House Nursing Home 184 Beaconsfield Road Southall Middlesex UB1 1EA 02088138713 02085742549 vimala@beaconcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Gurpal Singh Gill care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 19 The registered person may provide the following category of service only: Care Home with nursing - Code N 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 Physical disability - Code PD Date of last inspection Brief description of the care home Beacon House is a Nursing Home for 19 people situated in Southall West London. The Home is a purpose built Tudor style building on three floors. There are eleven single bedrooms and 4 double bedrooms. There is one lounge, a conservatory and a dining room on the ground floor. A lift is available. There is an enclosed garden at the rear of the home, which can be accessed via the conservatory. The home is located within walking distance of Southall. Public transport is available nearby in the form of buses and the railway station. The home currently has a Manager, Nurses, carers, housekeepers and a chef. Care Homes for Older People Page 4 of 27 0 3 1 2 2 0 0 8 0 19 Over 65 19 0 Brief description of the care home Fees are between £575-£900 per person per week and is based on each individual assessment. 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: An unannounced inspection was made on the 9th September 2009. Before the visit we looked: Information we have received since the last key inspection visit on the 3rd October 2006 and the random inspection visit on the 3rd December 2008. The Annual Quality Assurance Assessment (known as the AQAA). The AQAA gives the Care Quality Commission evidence to support what the home says it does well and gives them an opportunity to say what they feel they could do better and what their future plans are. How the home has dealt with any complaints and concerns since the last visit. The Providers view of how well they care for the residents. The views of the residents and staff team using postal surveys. During the visit we: Talked with the residents, staff and Registered Manager (who will be referred to in this Care Homes for Older People Page 6 of 27 report as the Manager). Looked at information about the residents who live in the home and assessed how well their needs are met. Looked at other records which must be kept. Checked staff had the knowledge, skills and training to meet the needs of the residents they care for. Looked around the building to make sure it was clean, safe and comfortable. We told the Manager what we found. 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: 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 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. Good comprehensive assessments are carried out before and after admission to ensure the residents needs can be planned and met at the home. Intermediate care is not provided at the home. Evidence: We viewed three pre-admission assessments. These were detailed and recorded the needs of the prospective resident. The Manager had added in a question to this document which assessed if the prospective resident had a preference for same gender personal care support. This is good practice and is a way to consider if there will be any issues in meeting the possible requests and wishes of a new resident. The placing authority also provides information to the home so that the home is aware of the prospective residents needs and risks. We were informed there is a pre-admission process in place, whereby prospective residents are assessed and then encouraged to visit the home so that they can meet Care Homes for Older People Page 10 of 27 Evidence: other residents and the staff team. Relatives and professionals are also invited to visit the home before a decision is made. The Manager informed us that the trial period varies depending on the residents needs. Staff then draw up care plans and risk assessments using the information obtained. 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. Care plans are well maintained and reviewed on a regular basis. Residents health needs are recorded and were being met. Arrangements for the checking and recording of medication needs to be improved. Residents could be at risk if there medication systems in the home are not robust and detailed. Evidence: We viewed three files containing information about the residents. These are completed by the nurses and are reviewed every month. Those saw gave good information about the resident. The care plans looked at the health, social and personal care needs of the resident. We brought to the attention of the Manager where there were a few areas that were too general on one of the files seen. For example the care plan said the resident needed help with a shower and wash but did not record what the resident could do for themselves to maintain independence. The Manager agreed that care plans need to be specific to ensure the staff team know how to support each resident. Care Homes for Older People Page 12 of 27 Evidence: We were confident the Manager would ensure this is addressed, as the other files viewed contained more specific details about the residents needs and abilities. Another care plan viewed had some good person-centred information, such as the resident enjoyed having social interaction and provided details of what the staff team needed to do to ensure the resident was supported appropriately. Daily records were seen and these were informative. Risk assessments were also viewed. These considered the residents potential risk to themselves and/or others. Staff had assessed the ways to also minimise these identified risks. Charts had been completed if a resident was permanently in bed and needed turning regularly by staff. Risk assessments were kept under review and made sure that important areas such as risk of falling and risk of developing pressure sores were carefully considered. Residents health needs were being met and staff knew how to address particular health needs, such as seeking advice from the Tissue Viability Nurse. A resident had returned from hospital last year with pressure sores and staff informed us that they had clearly recorded where the sores were and had consulted with the relevant professionals. The sores are slowly clearing up and we were informed there were no other residents with pressure sores. Health appointments are clearly recorded so that the staff team can monitor any changes in health needs. Residents have access to the usual health professionals, such as GP, Podiatrist and Optician. We looked at medication for three residents. Medication is only administered by the nurses. Items were stored safely and securely. The majority of the medication is delivered in sealed blistered packs. The Manager informed us that there had been reviews of the residents medication to ensure they were on the correct type and dose. There were no residents self-medicating at the time of the inspection. We made attempts to count a sample of medication by looking at the quantities that had been recorded on the Medication Administration Records (known as the MARS record). One resident had been admitted into hospital for a few days and had returned to the home with additional medication which the nurses had not recorded onto the MARS record. These errors made the checking of the medication difficult. One of the medicines was Warfarin, which after our initial check seemed to not have been administered as prescribed, as there was too much in the home. The Manager was given some time, along with the Clinical Manager, to count and check to see what had Care Homes for Older People Page 13 of 27 Evidence: occurred. It was clear that nurses had not recorded any of the medication that had come back with the resident from the hospital and this had caused the confusion. Had this be correctly recorded then the check we tried to carry out would have shown that the resident had received the right amount of medication. We also noted that the nurses on some occasions had written a code of O when the MARS record had a code of F if the nurse wanted to record another reason for not administering the medication. The Manager had been aware of this particular error and said she had already raised this with the nurses. The above shortfalls raised several points of concern. If regular counts and checks had been carried out the errors would have been identified and the issue could have been addressed quickly. It also showed that nurses were not being vigilant in what they recorded on the MARS records. These are important documents and can affect the health and safety of the resident. The Manager informed us they had carried out a full medication count and check with the Clinical Manager after the inspection visit and had not found any further medication errors. The Manager confirmed that she would be taking action to investigate why these errors had occurred and would be carrying out, along with the Clinical Manager, regular counts and checks on all the medication. Evidence of these checks would be available for inspection and auditing purposes. Although we are confident that the Manager will address all of the above concerns, the health and safety of the residents could have been placed at risk as these errors might have gone undetected. The home has some good quality assurance checks in place, which should have included checking the medication systems to ensure residents safety and welfare is protected. We were pleased to see that the Manager had taken action immediately after the inspection visit and we will check this Standard again at the next inspection visit. Some residents share a bedroom, where this occurs, screening is provided to ensure residents can have privacy. Some residents were seen to have their own mobile telephones, whilst others use the phone in the office. Residents can receive their own personal mail. Those residents asked said the staff are good and the surveys returned by residents said that the staff team listen to them and are available when needed. 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. There is stimulation for those residents unable to occupy themselves. Food in the home is of a good quality and well presented. Visitors are welcome at the home at all reasonable times. Evidence: We were informed that the home had recruited an activities co-ordinator who would work in the home once all the relevant checks had been carried out and obtained. In the meantime the staff team spend time interacting with residents and the regular yoga sessions continue to take place. Outside entertainers also visit the home. Trips out are good, was one comment from a survey completed by a resident. The home does not have its own transport, which one resident commented on in a survey. The Manager said the home uses Dial-A-Ride or a local taxi company. Overall those residents asked said they could take part in whatever activities were on offer. Residents also receive visits from people from different places of worship, such as the catholic church and the local temple. Festivals are also celebrated in the home. On the day of the inspection the TV was on, but this was because the residents said they wanted to watch it. Some information is recorded on residents files to assist staff in Care Homes for Older People Page 15 of 27 Evidence: knowing what the residents interests and hobbies are. Residents spend time in various places, but usually in their bedrooms or in the lounge. Visitors were seen to visit the home throughout the inspection visit. We did not speak with any on this visit. Residents can see visitors in private or in the communal areas. Those residents asked said they can see family and friends whenever they want to. Where possible residents can bring personal possessions into the home. The home would support residents to manage their own personal finances, if they were able to do this in a safe way. The home has a new chef working six days a week, with a carer working in the kitchen on the seventh day. The chef consults with residents to see what they would like to eat and he confirmed that he prepares fresh meals every day. Overall the majority of the residents in the surveys said they enjoyed the meals. One resident said they had made it clear to the staff team the food they enjoyed to eat and what they did not like. One comment in a survey said the resident had asked for a meal preference but this had not been acted on. From previous visits to the home and based on todays visit, there was no evidence to suggest the home does not acknowledge the personal preferences some residents might have for particular meals. We tasted the lunch and found it to be appetising and well presented. We saw the evening meals being given and saw that those residents who needed support to eat their meals were assisted in an appropriate manner. 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. Complaints procedures were in place and residents felt that concerns would be listened to and acted on. Staff receive training and information on safeguarding and protecting residents. Improvements need to be made to ensure all concerns are reported to the relevant professionals. Evidence: The home had received four complaints since the last inspection visit and the previous Regulator/Commission had also received one anonymous complaint. A random visit was carried out to the home on the 3rd December 2008 to investigate this complaint. There was no evidence found to uphold this complaint and therefore it was closed. The Manager provided evidence that she had responded appropriately to the four complaints that had been received. The complaints procedure was freely available and those residents asked said they would talk to the Manager or staff if they had a concern or complaint. Seven out of the eight returned surveys from residents also confirmed they knew how to make a complaint. The home had received one allegation from a member of staff since the last inspection visit but this had not been reported to the previous Regulator/Commission, or to the Local Authoritys safeguarding co-ordinator. The Manager explained that she had investigated the allegation and had not found any evidence to suggest it was true. Care Homes for Older People Page 17 of 27 Evidence: However we discussed with the Manager that any concern or allegation must be reported to the relevant professionals. The home should always follow its policy on reporting a concern. Staff receive training on this subject and all staff need to know what to do in the event of an allegation being made. The Manager had not completed Deprivation of Liberty Safeguard (known as DOLS) forms from any of the placing authorities. We advised the Manager to consult with the Local Authorities to ascertain if this needs to be considered for each resident living in the home. We also discussed with the Manager the need to consider how it would be recorded and evidenced if the home used the Mental Capacity Act or if they needed to arrange for a Best Interests Assessor to support and assess a resident. All staff need to be aware of this legislation and the potential impact it could have on their practice and the residents. 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. Residents have the benefit of living in a well-maintained and clean environment. Evidence: The home has a housekeeper who keeps the home clean and free from offensive odours. A tour of the home revealed that it is kept to a good standard and is bright and welcoming for residents and visitors. The communal carpets were being replaced and the first and second floor bathrooms had been updated. On the ground floor there was a modern walk in shower room. The home is well maintained and safe. There are two laundry areas, one was seen on the inspection visit and both machines were in good working order. Residents confirmed they could lock their bedroom doors if they wanted to. 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. There are sufficient competent staff working in the home. Staff receive relevant training and are supported by regular supervision sessions. This enables them to work to a high standard and deliver good care. Evidence: We were informed that there were currently no staff vacancies. The Clinical Manager, who had been working part-time, would be starting full-time the following month. Their role will be to support the staff team and to look at training. They will also deputise if the the Manager is not working in the home. The Manager is aware that the Clinical Manager will need supervision from a qualified professional and has identified a person who is suitably experienced who will offer this support. There is always a registered nurse on duty. We viewed the rota and saw there were additional staff booked to work if a resident had an appointment in the community. This ensures that any appointments do not have an impact on the rest of the running of the home. The Manager is aware that staff should not work too many hours or days in a row. There were times when some staff worked a long day but we saw that they would then have sufficient time off work. Those staff asked said the team work well together with good communication. The Care Homes for Older People Page 20 of 27 Evidence: home also have student nurses who are in their second year. They come to work in the home for their clinical placements. This is for usually no more than four weeks. They are not counted as working on the rota and are seen as additional people in the home. There are twelve carers working in the home, who are not nurses. We were informed that six have an NVQ and the remaining six will be booked on NVQ training throughout 2010. The home encourages the staff team to keep up to date with information and good practice. We viewed three staff files. These contained all the required information, such as Criminal Record Bureau Checks. Each member of staff also has to complete an annual health declaration stating any known injuries or illnesses. We inspected training records. Those staff asked confirmed they had received an induction when they first started working in the home. New staff spend time shadowing existing staff members before they work on the rota. Each month staff complete questionnaires. These are on different subjects, such as nutrition and adult abuse, (safeguarding). Staff also attend training provided by external trainers and through the Local Authority. Individual training records are kept along with a training plan for the year. Overall staff were up to date with the essential core subjects. We discussed with the Manager ensuring the staff team receive further information on the Mental Capacity Act, the Manager had attended training on this subject, and Deprivation of Liberty Safeguards. It was agreed that she would action this. Those staff asked said they were happy with the training they received. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manager is providing clear leadership in the home. The home is run in the best interests of the residents. The regular servicing and maintenance checks keep the home safe and the residents free from harm. Evidence: The Manager has the appropriate qualifications, experience and skills to manage the home. The Manager looks at ways to make improvements and acts on the views of residents and relatives and from the inspection visit. Every few months residents and relatives are given surveys to complete. These give them the opportunity to record their views about the home. The surveys cover different areas such as meals and the staff team. We viewed the annual review report the Manager had completed. This provides an overview of the home and the work that Care Homes for Older People Page 22 of 27 Evidence: has been carried out. We were pleased to see that photographs had been put into this report to make it appealing to read. The home does not hold resident meetings, as these were not seen to be a useful way of obtaining the views of the residents. Instead the Manager spends time with the residents on a one to one basis asking them about the home and evidence was seen of these discussions. The home does not handle the residents personal finances. We saw a sample of supervision notes to evidence that staff receive this form of support on an ongoing basis. Those staff asked said they had good support from each other and from Management. The home was waiting for two servicing certificates for the Gas Safety check and the fire alarm, both of which had recently been carried out in the home. Other servicing and maintenance agreements were in place. We viewed the fire risk assessment and an evacuation pack was in place. This pack had important numbers, GP details and next of kin details. Water temperatures are taken each month and a new boiler had been fitted in 2009. Care Homes for Older People Page 23 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 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 9 13 Quantities of all medication in the home must be recorded onto the Medication Administration Records. To ensure any medication errors are quickly identified and acted on, so that the health and safety of the residents is protected. 15/09/2009 2 9 13 Medication must be counted 15/09/2009 and checked on a regular basis. Evidence of this check must be available for inspection. To ensure there are no medication errors and to protect the welfare of the residents. 3 18 13 All concerns and allegations must be reported to the relevant professionals, such as the Local Authority and the Care Quality Commission. 17/09/2009 Care Homes for Older People Page 25 of 27 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 To ensure residents are protected from abuse, the homes policy on abuse must be followed. 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 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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