Care Home: Bilton Court

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What the care home does well The people and relatives spoken to tell us that the home is clean and has a homely atmosphere. One person told us that `it`s nice` and `I like living here`. Another person said that the `food is very good` and `have two options to choose from`. It was also said `we can choose something else to eat if we do not like what is on the menu`. We were told that `the staff are nice` and `you can`t grumble`. Some people were able to tell staff if they had any concerns about their care. They told us that they like their bedrooms and had their rooms the way they wanted them. The people do activities in the home and information about this is displayed each week. One family told us that their relative likes the activities and help out in the garden and enjoy this. Another family told us that they choose the home because it was `beautiful` and the staff and manager were nice. The staff enjoy working at the home and it was said `I like working with the residents`. They say that they work very hard to meet the needs of the people. They are getting more training to help them meet the people`s needs. The staff were observed talking and listening to the people and offering advice in a positive manner. They say they get good support from the manager and senior staff. What has improved since the last inspection? New furniture was purchased for the respite care room. A new hoist was purchased to replace a faulty one. The home had a new activity coordinator. A large plasma TV was donated by the manager for the people to watch films. The carpet in the corridors was replaced. What the care home could do better: Provide an annual quality assurance system that takes into account the views of all the people, their families, staff and professionals involved with the home and provide their feedback in a format the people can understand. Provide six supervisions per year. This is to monitor how staff are meeting the needs of the people. Provide a refresher hoist training for staff to ensure that the equipment is being used safely to meet people`s needs. Ensure staff files are better organised. This is so information is easier to find. The people`s plans must have all the information recorded in detail and explain how the person`s care needs are being met. This is so the staff have all the information that is needed to meet the needs of the people. Ensure the people`s weight is undertaken regularly. This is to ensure their health needs are being met. Key inspection report Care homes for older people Name: Address: Bilton Court Windermere Drive Queensway Wellingborough Northants NN8 3FR     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ansuya Chudasama     Date: 1 7 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: Bilton Court Windermere Drive Queensway Wellingborough Northants NN8 3FR 01933401613 01933401615 kerry.morgan@anchor.org.uk www.anchor.org.uk Anchor Trust Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kerry Michelle Morgan Type of registration: Number of places registered: care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: No one falling within category DE(E) may be admitted into Bilton Court where there ae 10 persons of category DE(E) already accommodated within this home. No service users with a physical disability over the age of 65 PD(E) may be admitted to Bilton Court when there are already 24 service users accommodated within the home The total number of service users must not exceed 48 in Bilton Court Date of last inspection Brief description of the care home Bilton Court is a care home providing personal care and accommodation to 48 older people, 24 of whom may have a physical disability and ten of whom may have Care Homes for Older People Page 4 of 27 Over 65 10 48 24 0 0 0 1 1 0 3 2 0 0 9 Brief description of the care home dementia. The home is run by Anchor Homes, which is part of Anchor Trust. It is situated on a residential estate on the outskirts of Wellingborough with public transport to and from the town centre. The home is purpose built and has single bedroom accommodation with en-suite facilities consisting of shower, toilet and washbasin for all residents. There are two floors and a passenger lift provides access to the first. There are four separate units within the home each unit having a communal lounge/dining room and kitchenette. There are pleasant accessible grounds surrounding the home and there is some parking available at the front. Further information can be obtained from the home direct by phone, email or website. The following information about fees was obtained on 11th March 2009: Please note that there will be an increase of 5 percent from 1st April 2009: Minimum weekly charge 475 pounds, maximum weekly charge 505 pounds: Additional costs are applicable for some services including hairdressing, chiropody, delivery of magazines and newspapers, and pampering sessions. The home has an amenity fund but sometimes it is necessary to charge a contribution towards special day trips. 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Care Quality Commission (CQC) policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. The report refers to we this is because the report is written on behalf of the Care Quality Commission. We last inspected this service on the 11th of February 09. We did not ask the home to complete an Annual Quality Assurance Assessment (AQAA) which is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Care Homes for Older People Page 6 of 27 This inspection was undertaken due to attending strategy meetings held by Social Services safe guarding team regarding concerns raised about a patient who was admitted to hospital in a poor physical state. The outcomes of the findings are included in the report. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them wherever possible to obtain their views on the service. We also spoke to some of the other people who live in the home. Documentation relating to staff recruitment, training and supervision, medication administration, complaints and health and safety were also examined. We had the opportunity to talk to some of the staff who were on duty and a tour of the home was also conducted. 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: Provide an annual quality assurance system that takes into account the views of all the people, their families, staff and professionals involved with the home and provide their feedback in a format the people can understand. Provide six supervisions per year. This is to monitor how staff are meeting the needs of the people. Provide a refresher hoist training for staff to ensure that the equipment is being used safely to meet peoples needs. Ensure staff files are better organised. This is so information is easier to find. The peoples plans must have all the information recorded in detail and explain how the persons care needs are being met. This is so the staff have all the information that is needed to meet the needs of the people. Ensure the peoples weight is undertaken regularly. This is to ensure their health needs Care Homes for Older People Page 8 of 27 are being met. 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. Needs assessments are carried out for all the people admitted to the home to ensure their needs will be met. Evidence: The Statement of Purpose and the inspection report are displayed in the reception area for the people and visitors to view. We are told by families spoken to that they are given lots of information about the home when they visited the place. One family spoken to said that they had seen other homes but this one is beautiful. The family were shown the bedroom which their relative liked. It was said that the staff are wonderful. Their relative loves it here and they have settled very well. Another family spoken to told us that they had seen a lot of homes but stated that this home was excellent. It was said this was due to the nice attitude of the staff, and the place was clean, and had a nice atmosphere. The manager was said to be brilliant. The contract, which gives people information of their rights and responsibilities of Care Homes for Older People Page 11 of 27 Evidence: staying at the home were being signed by the peoples representatives and by some people. The peoples files looked at showed that the home undertakes needs assessment of the people to make sure their needs can be met by them. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has systems in place for care planning and recording, but these are not always fully completed to reflect changes in need to meet the peoples needs. Evidence: We looked at two peoples care plans in detail. One care plan for a new person admitted to the home did not have all the sections of their plan completed with information. The information discussed about their skin care was not recorded in the plan. The manager said that they were doing care plan training with all staff to show them how to write detailed care plans. Another care plan seen had clearly set out the persons support needs and preferences in receiving personal care. Evidence in the care records showed that the person is offered support for their physical and emotional health needs. The home was keeping charts for fluids and turning the person in bed. There were records of general practitioner, and other health care professionals being involved in the persons care. There was information about the persons pressure areas and how this was being met by the district nurse and the home. Care Homes for Older People Page 13 of 27 Evidence: Concerns raised by a family at the safe guarding strategy meeting said that they had raised concerns with the team leaders in the home about their relative losing a lot of weight. They felt their concerns were not being listened to. Evidence showed that the weight chart had not been completed for the person for many months and the person had lost a lot of weight. The family also said that they were not always informed about the persons health condition and when the person was seen by the GP. It was acknowledged at the strategy meeting that the information regarding the condition of the persons pressure sores was not communicated to the home properly by the district nurses. The manager said that they had asked for a re assessment of the persons needs a few months ago for nursing care as they were finding it difficult to meet their needs. However this was delayed because social services and health care trust were not sure whos responsibility it was to do this. The assessment was finally completed by the district nurse. We discussed the peoples care needs with staff on duty. The staff showed that they know a lot about the needs of the people. We observed staff interaction and noticed that they talked to people in a respectful manner and were careful to preserve their dignity. The people we spoke to informed us that the staff knocked on their doors and maintained their privacy and dignity when doing personal care. One person told us that they have a shower once a week and the staff gave them a wash every morning and they are helpful. It was said that the district nurse visits them to dress their leg and if they felt unwell, they would tell staff and they would do some thing about it. 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. Meals served are nutritious and plentiful with a menu, which changes each day so that the people have a balanced diet with choices to meet their needs. Evidence: Most of the people in the home maintain contact with their families and friends. The families spoken to say the staff keep them informed of their relatives progress. One person told us I cant grumble because staff are nice and help us. Another person told us that they had been at the home a long time, they had settled in well and staff talk to me nicely. It was said food is nice and I have what I want and press the buzzer and the staff comes to help. We were also told I dont have any reason not to be unhappy, its like every thing else you have to learn to adapt. We observed people having their lunch. This was eaten in a relaxed atmosphere with staff talking to the people and encouraging them to eat in a kind manner. One person told us that they have two options to choose from at meal times or they can have other choices. The meal sampled was delicious and hot. The meals recorded were healthy and the chef had good understanding of the peoples likes and dislikes of food and spoke to the people about what food they wanted to eat. Care Homes for Older People Page 15 of 27 Evidence: We were told by the manager that from the 9th of November 09, the main meal was going to be eaten at teatime instead at lunch time. This was because a lot of the people have their breakfast late and it was not long before it was lunch time. It was said the people were still full from having their breakfast. This was discussed with the people and agreed by them. The home has one activity person who works 20 hour per week and another activity person works 10 hours a week. The home has volunteers who also help out with activities. A copy of the weekly activities was displayed so the people knew what was happening each day. Some of the activities include, going to the theatre, ballet, garden centres, shopping, play bingo, paint nails, cooking, helping in the garden, washing up or drying up and including one to ones with staff. The people also do arm chair aerobics, which they enjoy. Holistic therapy also happens in the home by having people from the community do this. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures that safe guard people were in place but improvement is needed to ensure all the people are protected and kept safe. Evidence: The home has a complaints policy, and the procedures for making a complaint is displayed on the notice board. The home had received two complaints and these were dealt with appropriately. Families and some people spoken to informed us that they would tell the manager or staff if they were not happy or had any concerns. Concerns raised by a family at the strategy meeting were not fully met by the home. The staff spoken to informed us that they had completed the safe guarding of vulnerable adults procedure training. They had good understanding of this and understood the peoples behaviours to know if they were unhappy or not feeling well. The home has alerted Social Services safe guarding team four times and had followed the proper procedures to safe guard people from any risk. One safe guarding referral was made by the hospital to social services safeguarding team regarding a person being admitted in a poor physical condition. This investigation was partially upheld and an action plan was recorded for the home to carry out. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and has a relaxing atmosphere and the programme of redecoration is on going to meet the needs of the people. Evidence: A tour of the home showed that the place is clean and we are told it is homely. The people told us that they liked their bedroom, and each persons bedroom seen was individualised to their taste. One person told us that they enjoyed looking out of the window to watch the birds and the lovely garden. We were told that the garden was landscaped last year. The people like to sit in the garden in the warm weather. The manager told us some people get involved with gardening and grow flowers and vegetables. The home has four units with a lounge and dinning room with a kitchenette area with hand basins fitted to the area. Discussion with the manager showed that they were looking at making the individual units more homely. This included taking into account the needs of the people with dementia. The colour schemes in the home were chosen by talking to the people and taking into account the needs of people with dementia needs. The carpet in the corridors had all been changed and was said to look pleasant. We were told that the en suite bathrooms were being refurbished and this would happen with one unit at a time. Care Homes for Older People Page 18 of 27 Evidence: We were told by the manager that the upstairs area near the lift was being turned into a cinema for the people to watch films that they would identify with. The walls in this area had photos of famous people that the people are able to identify with. We were told that an old fashion pop corn making machine was going to be purchased for the room to give the place the feel of a cinema atmosphere. Concerns were raised about the noise of the call bell system from the people and staff. We were informed by the manager that this was being replaced next year in April 2010 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels do not take into account the needs and routines of the people to ensure there are adequate numbers of staff on duty to meet the needs of all the people. Evidence: The staff recruitment files were looked at in detail. Evidence showed that the home was obtaining all the relevant information required to safe guard the people in the home. The manager told us that the staff on protection of vulnerable adults (POVA) first check worked supervised with another member of staff. The information in the staff files was some times difficult to find. A new member of staff spoken to said that they had a two week induction and this also included shadowing an experienced member of staff on duty. They had done training on infection control, health and safety, and safe guarding of vulnerable adults procedures. They were also doing dementia, funeral and catheter training this month. The manager told us that 85 per cent of the care staff have NVQ level 2 or 3 in care. All the senior care staff and the manager had completed the Mental Capacity Act. The action plan from the strategy meeting stated that more staff training in meeting the peoples needs was required. Care Homes for Older People Page 20 of 27 Evidence: The staff say that they enjoy working at the home, and it was said that they worked hard to look after the peoples needs well. They all get on well as a team. We were told by some staff spoken to that at peak times there are not enough staff at the home. It was said in the mornings a lot of the people want to get up after 7am and it was said that this was difficult when some people needed the support of two staff and some needed help with feeding. We were told that the breakfast gets delivered to the units around 8-30am and around this time the staff are still getting people washed and dressed. The staff also said that they had to toilet people, complete peoples different health charts, write in the daily notes, and help the district nurse with dressings when needed. One residents questionnaires read said the staff are always polite, but their Wednesday showers are often missed due to not having enough staff on duty. Another person commented that there generally seems to be a shortage of staff particularly at weekends and often staff are stressed. It was also said that staff leave some one on the commode some times very long time and have to be called back. Another comment said their relatives corridor is understaffed. This was discussed with the manager who stated that they had recently recruited staff, and this was on going. It was also said that the two staff who had been on maternity leave were now waiting to start back at the home. We were told that there were staff vacancies and these were being worked by bank staff and some times by agency staff. The team leaders positions had also increased from four to five staff. We were told that the deputy manager who had been off sick for a while had also returned to work recently. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of the people and management is aware of the areas where they need to make improvements to meet the needs of the people. Evidence: The manager of the home has many years experience of running a home. She has good understanding of the areas that needed improving in the home and some of these were discussed on the day of the inspection. The manager acknowledged at the strategy meeting that the recording system needed improving and said that an Electronic Doc system was being implemented to improve this. The manager said with the support from the deputy manager, she was going to put in systems to ensure she was kept informed of what was happening in the home. Some of the staff spoken to tell us that the manager is very supportive and listens to them. We observed that the home has worked hard and has made improvements in the home, and some of these are still on going. This was also said by the monitoring visits carried out by social services team. Care Homes for Older People Page 22 of 27 Evidence: Due to being short staffed, it was said that 6 supervisions per year was not happening. It was said that now the deputy manager was back from leave, this would improve. The accident and incident records show that these were being reported to the appropriate agencies and recorded appropriately. The home was carrying out regulation 26 monitoring visits to find out how the home was meeting the needs of the people. The home had recently started the resident questionnaire and relative /visitor questionnaire. We looked at some of the questionnaires that were returned. There was positive information said about the care provided by the home and the concerns raised were being looked at by the manager. The staff files in the office needed to be better managed because information was difficult to find. This was acknowledged by management The peoples finances inspected were satisfactory with detailed records being maintained. The fire alarm system was being tested on a weekly basis. The emergency lighting was done on a monthly basis. We were told that fire drill practice was also happening on a regular basis. One residents questionnaire said that not all staff can use the hoist properly. The home was awarded five stars following a recent Environmental Health Inspection. 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 7 15 The peoples plans must 18/11/2009 have all the information recorded in detail to explain how the persons care needs are to be met. This is so the staff have all the information that is needed to meet the needs of the people. 2 27 18 There must be adequate staff on duty at all times. This is so the staff have enough time to meet the needs of all the people. 18/11/2009 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 2 8 16 Ensure the peoples weight is undertaken regularly. This is to ensure their health needs are monitored and being met Ensure that all concerns raised are acted upon by management to meet the peoples needs. Page 25 of 27 Care Homes for Older People 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 3 30 Provide staff with appropriate training to ensure they have the skills to meet all the peoples needs. Provide an annual quality assurance system that takes into account the views of all the people, families, staff and professionals involved with the home and provide the analysis in a format the people can understand. Provide six supervisions per year. This is to monitor how staff are meeting the needs of the people. Ensure all staff files are better organised. This is so information is easier to find. Provide refresher hoist training for staff to ensure that they are using the equipment safely to meet peoples needs. 4 33 5 6 36 36 7 38 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. 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!