Care Home: Briar Close House Care Home

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What the care home does well Individual needs assessments were made before people were admitted to the Service so that their diverse needs were identified, planned for and individually met. People who use the Service had individual plans of care which demonstrated that their health and care needs were being met. They were being treated with great respect. The Service provided a good programme of activities and services that benefited people living here. Meals were varied and enjoyed by people. Good practices for handling complaints and abuse were being followed ensuring that people who live at the Service were fully protected. People were living in a clean, comfortable and homely environment. The Service had a good level of well trained staff to ensure that people were safe and their needs were met. The Service`s management ensured that systems were in place that promote the interests of people living here. What has improved since the last inspection? Staffing levels had improved, including the appointment of a care assistant with responsibility for organising activities for residents. External handrails had been replaced. Copies of staff employment application forms were being kept at the Service. What the care home could do better: Linen cupboards, required to be kept `locked shut`, must be kept locked shut. The completion of certain records should be improved. Key inspection report Care homes for older people Name: Address: Briar Close House Care Home Briar Close Borrowash Derby DE72 3GB     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: Anthony Barker     Date: 1 4 0 1 2 0 1 0 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 25 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Briar Close House Care Home Briar Close Borrowash Derby DE72 3GB 01629531559 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): linda.trigg@derbyshire.gov.uk www.derbyshire.gov.uk Derbyshire County Council Name of registered manager (if applicable) Linda Joy Trigg Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age not falling within any other category - Code OP Date of last inspection Brief description of the care home Briar Close is a care home for older people situated in the village of Borrowash, near the city of Derby. Three places are available for respite care and three places for day care each day. The property is owned by the local authority, Derbyshire County Council. Residents bedrooms are situated on the ground floor. The first floor is used for staff facilities only and is accessed by stairs. There are no en-suite facilities. The care home is divided into four units for ten people, each having its own kitchenette, Care Homes for Older People Page 4 of 25 Over 65 40 0 Brief description of the care home and dining and lounge area. In addition, there is a large lounge at the entrance to the building. There is a garden area with outdoor seating. Care Homes for Older People Page 5 of 25 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: The time spent on this inspection was 8.5 hours and was a key unannounced inspection. Survey forms were posted to people living at the Service, their relatives, staff and external professionals before this inspection and 17 people responded. We spoke with several people living at the Service and to two in depth. We also spoke with two sets of visiting relatives, to the Manager and to one care assistant. Records were inspected and there was a tour of the premises. Three people living at the Service were case tracked so as to determine the quality of service from their perspective. This inspection focussed on all the key standards and on the progress made towards achieving the requirements and recommendations made at the last key inspection on 6th February 2007. The Managers pre-inspection, Annual Quality Assurance Assessment (AQAA), self assessment form was reviewed prior to this inspection. She informed us that the Services fees ranged from £344 to £404 per week. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 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 25 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 25 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. Individual needs assessments were made before people were admitted to the Service so that their diverse needs were identified, planned for and individually met. Evidence: One of the people case tracked had been recently admitted and their file was examined. This person was admitted from hospital and their individual needs had been assessed, before admission, on a Patients Transfer form and Social Services care plan. The Manager told us that Personal Service Plans are completed after six weeks from admission of each person - reflecting an initial six-week trial stay. We consider that this is too long for staff to wait for a plan of care that details the actions they should take to ensure peoples needs are met. People who completed one of our preinspection surveys were positive about their decision to choose Briar Close for them to live. There was good evidence that the Service was well able to meet the needs of people Care Homes for Older People Page 10 of 25 Evidence: living here. These people, their relatives and staff, both in person and through our pre-inspection questionnaires, all praised the Service and the way it meets peoples needs. Comments from people living here included, The home does everything to meet my needs. I am very happy. Relatives comments included, There is good staff/resident rapport...very good staff attention...very welcoming...ten out of ten. We observed, during this inspection, staff showing care to residents and interacting with them in a interested and supportive way. The Home was not providing intermediate care. Care Homes for Older People Page 11 of 25 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. People who use the Service had individual plans of care which demonstrated that their health and care needs were being met. They were being treated with great respect. Evidence: Three people living at the Service were case tracked so as to identify the standard of care provided from their own perspective and from individual records and discussions with them, the Manager and staff. The files of these people were examined and these included holistic Personal Service Plans which clearly set out how peoples individual needs should be met by staff. These documents were not, however, person centred in their wording and did not reflect or support the person centred way that staff work with residents. Individual files contained peoples photographs, and forms that describe peoples preferences regarding issues such as the frequency of night checks. We also saw records of morning/afternoon baths taken by residents - extra to weekly ones. We consider this reflects a good, person centred approach. Daily records were not consistently worded in meaningful terms: some entries were limited to comments such as, Everything fine. All records seen were signed and dated. Monthly reviews of Personal Service Plans were taking place, based on the Monthly Summary Sheets Care Homes for Older People Page 12 of 25 Evidence: completed by peoples link workers and other records. The 2009 Monthly Summary Sheet for one case tracked person comprised twelve entries of No changes. For another case tracked person there were eleven such entries. We were told by the Deputy Manager responsible for care plans that she was considering the re-design of these sheets in order to elicit more meaningful comments from link workers. This would provide recorded evidence that a full consideration had been made of peoples current and changing needs. Recorded risk assessments covered areas such as risks associated with falling, personal handling, nutrition and Tissue Viability and provided a means of measuring and minimising these risks. Reviews of these risk assessments were being made at appropriate intervals and were being signed and dated. The Manager had commented in her pre-inspection self-assessment form that, We deliver a complimentary and integrated service by working with other health and social care organisations. We saw evidence of involvement with external health and social care professionals, including a specialist worker for people with visual impairment who had provided one case tracked person with a range of equipment to support the persons independence. The administration of prescribed medicines was being recorded accurately. Medicine blister packs were being stored securely. The Manager told us that controlled drugs were being administered and we noted safe storage, and recording of administration, of these. Medication requiring storage at a cool temperature was being stored in a dedicated refrigerator and its internal temperature, and that of the room, was being recorded daily. Two residents were self-medicating and there was a recorded risk assessment in place reflecting this, for these people. Additionally, a medication risk assessment was in place for all residents and four sheets of Good Practice Guidance were displayed on the wall of the Medicine Room. All managers who administer medication had been provided with accredited training in the safe use and recording of medicines. The Manager told us in her pre-inspection self-assessment form that, We have employed a laundry assistant to work 25 hours each week. We observed that people living at the Service were well dressed. One case tracked person said that the laundry service was excellent...you dont have to wait long...clothes are ironed well...I get my own clothes back. Two people we spoke with told us that they were treated with dignity and respect. One said, Everyone is lovely. One visiting relative told us, I cant speak too highly(of Briar Close). One member of staff stated in their preinspection questionnaire that the Service, maintains peoples dignity, privacy and safety. The Service is commended on the degree to which peoples dignity is respected and acted upon. Care Homes for Older People Page 13 of 25 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. The Service provided a good programme of activities and services that benefited people living here. Meals were varied and enjoyed by people. Evidence: The Service was providing, and enabling people to take part in, a good range of imaginative activities both within the Service and within the local community. In the pre-inspection self assessment the Manager told us, A care assistant has been recruited for specific duties for activities...she holds regular meetings with service users in order to create a structured programme of activities. The Manager later explained that this post is for 18 hours a week and is additional to the function of two care assistants who lead chair-based activities for two to four hours a week. Photo scrap books provided us with evidence of activities carried out. Also, the Activities Record Book comprises daily records of activities showing those residents who take part and a explanatory record. Some feedback from residents was also being recorded. We heard that a new dedicated Activities budget is in place and this pays for monthly visits from a private organisation specialising in physical and mental motivating exercises. The Deputy Manager with responsibility for activities described a series of monthly Care Homes for Older People Page 14 of 25 Evidence: outings that take place. A notice board on each of the four wings displayed information relating to activities visiting entertainment and outings. Also, many corridors had photo-boards showing residents involved in activities. One case tracked person told us, We get a lot of entertainment here...the Activities Coordinator arranges interesting things such as coffee mornings, quizzes and exercises...I particularly enjoy the shopping sprees. One staff member, who completed our preinspection questionnaire, told us that the Service provides, a stimulating atmosphere (for residents). One visiting relative was very positive about the range of activities provided, including, nail care, cake baking, making Christmas cards. The Service is commended on the social opportunities provided to the people living here. Both sets of relatives we spoke with said they visit the Service regularly. We saw evidence in the Visitors Book to confirm that residents receive visits from relatives and friends on a very frequent basis. One case tracked person that we spoke with told us about their weekly attendance at a group for people with visual impairment. The care assistant we spoke with told us that residents are helped to exercise choice over their lives. She gave examples on topics such as menus, clothing and individual bedroom decoration. One staff member told us, in their completed pre-inspection survey, that, We offer choice to all people who live here and respect that choice. In the pre-inspection self assessment form the Manager told us, Independence for all service users is actively encouraged. We were also told, Age Concern is always available for service users less able to advocate for themselves. She explained to us that Age Concern had been approached once during 2009 in relation to a financial matter, in the absence of a residents family. We saw that food stocks were at a good level and the three-week rolling menus indicated that people were being provided with nutritious and varied meals. Menus were displayed on each wing and there was a choice of main meal. We also noted that the lunch dessert trolley had six options on it. Lunch-time tables, on the day of this inspection, were laid out attractively. One case tracked person told us, The food is wonderful. Another resident said, The food is fantastic. In the pre-inspection self assessment the Manager told us, We now offer a flexi-breakfast for early/late risers...we hold supper evenings offering food from different countries...12 staff have received training in malnutrition care and assistance with eating. The care assistant we spoke with told us that she had recently put together a list of residents food likes and dislikes and we examined this. The Service is commended on its standard of catering. Care Homes for Older People Page 15 of 25 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. Good practices for handling complaints and abuse were being followed ensuring that people who live at the Service were fully protected. Evidence: The Services written complaints procedure was examined and found to be well worded. A copy of this was displayed in the entrance hall. The Services complaints record was examined and this indicated that a satisfactory process was followed when a complaint is received. Most of the people who responded to the postal survey said they knew how to make a formal complaint. A case tracked person we spoke with told us they had, made one complaint in the past and this was attended to to their satisfaction. The Service had put together its own, simplified, version of Derbyshire County Councils Guidance on Safeguarding Adults and Whistle Blowing policy. This was examined and considered to be well worded. The Manager told us that all staff, including managers, had been provided with training, on keeping adults safe from abuse. She added that all managers will be attending a further two-day training course in February 2010. The care assistant we spoke with showed understanding of how to safeguard vulnerable people and of whistle blowing. Care Homes for Older People Page 16 of 25 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. People were living in a clean, comfortable and homely environment. Evidence: All areas of the premises that were inspected on this occasion were found to be pleasant, clean and tidy with good standards of furnishing and decoration. Those bedrooms inspected were found to be attractively decorated and nicely personalised. All toilets had recently been tastefully redecorated and provided with new flooring. External handrails had been replaced, as required at the last inspection. Some staff who completed our pre-inspection surveys commented that better equipment, such as higher backed chairs, would be beneficial. The Manager told us that new high-back and low-back chairs, and settees, were now on order. We found the premises to be clean with no unpleasant odours. One staff member commented in their pre-inspection survey, Its nice and clean and does not smell of an old peoples home. One resident we spoke with told us, Cleanliness is spot on. The care assistant spoken with described good infection control practices. Care Homes for Older People Page 17 of 25 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 Service had a good level of well trained staff to ensure that the people living here were safe and their needs were met. Evidence: Staffing rotas were examined and these indicated that there were sufficient staffing levels at the Service. The Manager told us that there had been an increase in staff numbers since the last inspection. The care assistant spoken with confirmed that there were adequate numbers of staff on duty. The case tracked person we spoke with said the Service, can be short of staff at times but even then they go out of their way to meet needs...Ive never suffered. The Manager said that staff record, on daily logs, time they spend with their link residents. From the Managers pre-inspection self assessment form we could see that there were no male staff employed at the Service; and at the time the questionnaire was written there were seven male residents. The Manager told us that there had been male staff in the past but there are few male applicants for care worker posts. The Managers pre-inspection self assessment form indicated that 90 of the staff group had achieved a National Vocational Qualification (NVQ) in Care at least to level 2. She told us that the two staff without this qualification were now taking the course. This was a very good level of qualified staff and met the requirement to maintain a staff group with at least 50 qualified staff. Care Homes for Older People Page 18 of 25 Evidence: The file of the most recently appointed member of staff was examined. All matters relating to her recruitment were satisfactory, except that the Services job application form did not ask the applicant to provide details of any criminal offences, as required by the Regulations. Also, there was no recent photograph to provide proof of identity. Copies of staff job application forms were being kept on the care home premises, as recommended at the last inspection. An extensive staff training record indicated that all staff had completed mandatory training courses, within the previous three years, and had had fire training within the past 12 months. The Managers pre-inspection self assessment form stated that, All care staff have in-house training in end-of-life care and dementia...it is now organised for all staff to attend sensory training. The Manager confirmed that new staff follow induction training to the required Common Induction Standards. The care assistant spoken with confirmed she had attended a good range of training courses over the past 12 months, including topics such as fire safety, safe use of hoists, First Aid and chair based activities. The level and range of staff training provided is commendable. Care Homes for Older People Page 19 of 25 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 Services management ensured that systems were in place that promote the interests of people living here. Evidence: The Manager told us that she had completed the Registered Managers Award. She is very experienced, having worked in the social care sector for 18 years, 15 of which have been as a care home manager. She showed us, at this inspection, that she has a sound knowledge of every aspect of care home management and a commitment to continuous improvement. In her pre-inspection self assessment form she stated that, I always observe (staff) practice and lead by example...the outcome of good leadership and good management underpins all of the other outcomes for service users. We gathered good evidence of such positive outcomes at this inspection. Good administration systems were in place and there was evidence of regular updating of records. There was good communication throughout the Service, ensuring that resident care was of a good quality, consistent and person centred. There was a clear management and delegation structure, with each of the three deputy managers being Care Homes for Older People Page 20 of 25 Evidence: responsible for particular aspects of home management, i.e. care planning and risk assessments, outings and activities, housekeeping and domestic. There was clear evidence of the Managers approach creating an open, positive and inclusive atmosphere at the Service. Residents and relatives comments were all positive and have already been quoted in this report. Staff were positive about their ability to provide high standards of care to residents and about their working environment. Staff comments, in their pre-inspection questionnaires, included, We provide a friendly, relaxed, homely environment for all people who live here, their family and friends...I feel the home is a wonderful place to live, work and visit. Effective quality assurance systems were in place. We examined the Services current five-year Business Plan and 2009/2010 Action Plan. In the pre-inspection self assessment the Manager told us that, We have regular (residents) Wing meetings. We noted that the minutes of the October meeting, on Amber Wing, were displayed on the Wing. The Manager also told us, We have introduced Focus Group meetings... and we belong to the Erewash Residents Forum. One case tracked person said of their involvement in this Forum, I have visited other care homes and this has helped me to see this is a very good home. The Service sends out Quality Assurance Questionnaires to residents, relatives and external professionals to find out their opinions on the quality of care provided. We examined a number of these completed questionnaires which were all positive. One relative we spoke with confirmed receipt of quality questionnaires from the Service. We were informed that residents personal finance records are kept through Derbyshire County Councils manual scheme which appears to work satisfactorily. The Manager said there were no personal monies held on the premises against individual residents names. The kitchen was clean and good food hygiene practices were noted. The Environmental Health Officer last visited in July 2009 and left no recommendations. The Fire Officer visited in April 2009 and the two requirements and two recommendations had been completed, the Manager told us. Two linen cupboards were not being kept locked shut, as required by the Fire Officer, and no domestic staff were in the vicinity. Following this inspection, we sought advice from the Fire Officer on this matter and he confirmed that he would require the Service to ensure staff keep these doors locked shut. Fire evacuations were taking place twice a year and fire alarms were checked weekly. A General (environmental) Risk Assessment form was placed on each residents file. Cleaning materials were being securely stored and Product Information Sheets were in place. The Manager showed us, in the pre- Care Homes for Older People Page 21 of 25 Evidence: inspection self assessment, that equipment was being checked and maintained appropriately. Care Homes for Older People Page 22 of 25 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 23 of 25 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 38 13 13(4)(a) Linen cupboards, required to be kept locked shut, must be kept locked shut. This will ensure the safety of residents and staff. 01/03/2010 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 3 4 3 7 7 29 Personal Service Plans should be completed within the first two weeks of a persons admission. Personal Service Plans should be person centred in their wording. Daily records should be more consistently worded in meaningful terms. The Services job application form should prompt the applicant to provide details of any criminal offences. A recent photograph should be on file as proof of identity. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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