Care Home: Celia Johnson Court Residential Home

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What the care home does well The home has a core of dedicated staff who have worked in the home for some time. These staff members appear to know the residents well and know how to recognise and meet their needs. We saw staff interact well with the residents. On the day of the inspection the food served was of good quality and was found to be tasty and served at an appropriate temperature. The environment was clean, fresh and odour free. What has improved since the last inspection? There was no improvement since the last inspection. What the care home could do better: The home needs to improve all aspects of the service. When we looked at the care plans and cross referenced the information with what staff told us and with the daily records we noted that care plans did not reflect the care we were told was being given to the residents. Some of the information in the care plans and admission assessment was scant therefore were not able to judge if the person`s needs were recognised and met while they were in the home. We were told in the AQAA that the home is good at keeping daily records for nutrition and fluids. We were told that only one person in the home was having all nutrition and fluids monitored at the time of the inspection. The home could not provide us with the evidence that this was being done i.e. show us the monitoring charts. We noted confidential information relating to the residents was kept on the reception desk in the reception area and could have been read by anybody passing who chose to read it. This does not respect peoples` privacy nor does it promote their dignity. Medication was being stored and administered in a manner that made it difficult for staff to reconcile records if some drugs were refused or not taken by the residents. It was being administered by one staff member who had to walk away and leave the medication unattended while assisting the resident to take their medication. The residents were not offered any useful occupation that they could pursue themselves, by this we mean that there was nothing to stimulate them i.e. books and magazines to look at while sitting down in the communal areas. The environment was `barren` by this we mean that there were not any pictures on the walls in some areas of the home, there were not reminiscence materials to offer comfort to any of the residents whose memory may now have receded back to the past. It is important to have sensory and intellectual stimulation for the optimum well being of the person. There were only two staff on duty at night. A high number of the residents need two staff to complete their care safely, this means that other residents cannot be attended to while the two staff are engaged caring for an individual. This may leave people at risk. The Manager has not kept up to date in the care of people who have memory loss. This was evidence in the lack of stimulation of the people in the home. The home was not seen to be managed in the best interests of the people who live there, examples of this are their privacy and dignity was not promoted, the administration of medication could put them at risk and the environment did not offer stimulation to the residents. Care plans and monitoring charts were not up to date. This home has been awarded one star because some of the staff know the residents and are able to respond to their needs resulting in adequate outcomes for the residents. Had this not being the case it would have been awarded a zero star rating. Key inspection report Care homes for older people Name: Address: Celia Johnson Court Residential Home Gregson Close Studio Way Borehamwood Hertfordshire WD6 5RG     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: Marian Byrne     Date: 0 9 1 2 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 26 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 26 Information about the care home Name of care home: Address: Celia Johnson Court Residential Home Gregson Close Studio Way Borehamwood Hertfordshire WD6 5RG 02082073700 02083815221 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Aldwyck Housing Association Limited care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Celia Johnson Court is a care home providing personal care and accommodation for 37 older people. Aldwyck Housing Association owns the home, which is a voluntary organisation. It was opened in 1992 and consists of a purpose built two-storey building. The home is located in a modern housing estate on the outskirts of Borehamwood, near to the town centre. Public transport is easily accessible, and the home also has its own transport. All the homes bedrooms are single with en-suite facilities. There is a passenger lift. The home has attractive gardens on three sides that are well maintained and easily accessible. The statement of purpose, service user guide and previous CQC inspection reports are available at the mangers office at Celia Johnson House (a copy of the service users guide will be provided to prospective service users by the home) CQC inspection reports are also available on the CQC web 0 Over 65 37 Care Homes for Older People Page 4 of 26 Brief description of the care home site. The fee range is currently #437.78- #555. Care Homes for Older People Page 5 of 26 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 by one inspector. We visited the home and spoke to residents, staff and the manager. We looked at records pertaining to the admission and care of the residents. We also looked at records pertaining to the recruitment and training of staff. We spoke to residents, visitors to the home and to staff. We observed the interaction between staff and the people who live in the home. Prior to the inspection we sent out an Annual Quality Assurance Assessment (AQAA), this is a legal document and it was returned to us in a timely manner. This tells us what has been happening in the home in the past year. This form did not give detailed information on how the home has been functioning. We were given facts but with no supporting evidence. An example of this is well trained staff but with no detail on what training the staff had or how training needs are identified and training carried out. The summary stated The staff are friendly and polite. They are trained to a high Care Homes for Older People Page 6 of 26 standard and competent to do their jobs. They are focused on delivering a high quality service, giving value for money. We found the staff to be friendly and polite but needed more training and direction to deliver a good service to people who have a memory loss. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The home needs to improve all aspects of the service. When we looked at the care plans and cross referenced the information with what staff told us and with the daily records we noted that care plans did not reflect the care we were told was being given to the residents. Some of the information in the care plans and admission assessment was scant therefore were not able to judge if the persons needs were recognised and met while they were in the home. We were told in the AQAA that the home is good at keeping daily records for nutrition and fluids. We were told that only one person in the home was having all nutrition and fluids monitored at the time of the inspection. The home could not provide us with the evidence that this was being done i.e. show us the monitoring charts. We noted confidential information relating to the residents was kept on the reception desk in the reception area and could have been read by anybody passing who chose to read it. This does not respect peoples privacy nor does it promote their dignity. Medication was being stored and administered in a manner that made it difficult for staff to reconcile records if some drugs were refused or not taken by the residents. It was being administered by one staff member who had to walk away and leave the medication unattended while assisting the resident to take their medication. The residents were not offered any useful occupation that they could pursue themselves, by this we mean that there was nothing to stimulate them i.e. books and magazines to look at while sitting down in the communal areas. The environment was barren by this we mean that there were not any pictures on the walls in some areas of the home, there were not reminiscence materials to offer comfort to any of the residents whose memory may now have receded back to the past. It is important to have sensory and intellectual stimulation for the optimum well being of the person. There were only two staff on duty at night. A high number of the residents need two staff to complete their care safely, this means that other residents cannot be attended to while the two staff are engaged caring for an individual. This may leave people at risk. The Manager has not kept up to date in the care of people who have memory loss. This was evidence in the lack of stimulation of the people in the home. The home was not seen to be managed in the best interests of the people who live there, examples of this are their privacy and dignity was not promoted, the administration of medication could put them at risk and the environment did not offer stimulation to the residents. Care plans and monitoring charts were not up to date. This home has been awarded one star because some of the staff know the residents and are able to respond to their needs resulting in adequate outcomes for the residents. Had this not being the case it would have been awarded a zero star rating. Care Homes for Older People Page 8 of 26 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 26 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 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Not all the people who live in this home can be sure that their needs will be identified and met. Evidence: We looked at the care plans of three people who live at the home. We found that they had been assessed prior to admission and that they had been reviewed after six weeks to ensure that home was meeting their needs and that the person was happy there. We asked to see the records of the most recently admitted person. That persons admission notes were scant and did not provide sufficient information for us to be assured that a full assessment of need had been carried out. The person is no longer in the home. Care Homes for Older People Page 11 of 26 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. Not all the people who live in this home can be sure that they are cared for in a manner that promotes optimum health. Evidence: We looked at the care plans for three people and found them to contain good information on how to care for the person. However, when we cross referenced the information in the care plan with the daily records and what staff told us, we found the information in the care plans did not always reflect the actual needs of the person. An example of this is when we spoke to staff about one resident who was unkempt and was wearing soiled clothes we were told that they were depressed and it was difficult to encourage them to wash and change their clothes. Their care plan made no mention of this. Another was a person who had a pressure area treated by District Nurses, their care plan made no mention of this. The home calls in Health Care Professionals in a timely and appropriate manner. We were told that the staff were working well with District Nurses who were attending a resident who was in the last stages of their life to ensure that their pain was under control. We were told that her nutrition and fluids were being monitored. We asked to Care Homes for Older People Page 12 of 26 Evidence: see the records of this. The staff were unable to produce them. The AQAA said that this was one of the things the home did well. The persons daily records were not up to date and in the recent past the records were missing for 20,22,23,25 November 2009. The District Nurses left swabs for staff to carry out mouth care. When we asked for evidence that staff had instruction on how to use the swabs the home was unable to do this. There were no records of this having been done. We found another example of this where daily notes for 21,28 November and 2 and 4 December were missing. Daily notes, where they did contain details of incidents there was no follow up information on how the incident was resolved. An example of this is Whilst using the hoist, XXXXXXXXXXX was screaming and shouting and trying to undo the straps and XXXXXXXXXXX would not listen, screaming out and would not co-operate. There were no notes on if and how staff endeavored to understand the persons needs. We found some good detail in the care plans one resident on how he likes to walk every day and how staff are to assist him. As already stated daily records were kept in reception on the desk and were not kept in a private and locked area. All residents are registered with a local GP. We found medication to be stored in a manner that would not allow staff to identify individual drugs. All the persons drugs were stored together in a doset box by a pharmacist. This is important because the home needs to be able to identify a drug that the person may have refused which may leave them at risk. The medication trolley was left unattended while the person administering the medication was with the resident getting their medication. It is important not to leave the medication trolley unattended at any time as this can pose a risk to the residents. At the time of the inspection we were told that at least one resident was suffering from depression. Care Homes for Older People Page 13 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Not all the residents who live in this home can be confident that they will have their social and emotional needs met. Evidence: Visitors are welcomed to the home at all reasonable times. On the day of the site visit we noted a constant stream of visitors to the home. Residents who are able to and want to are taken out of the home regularly to enjoy local attractions. On the day of the inspection visit we found that the residents did not have anything to occupy them. We saw that there were no newspapers or magazines to offer stimulation nor were there any items of comfort around the home for residents to touch or hold. The communal areas were found to be barren and offered little in the way of emotional or intellectual engagement for the residents. It is important for the residents to have easy access to items that offer stimulation as this allows the residents to have both sensory and intellectual stimulation as this promotes their welfare. We tasted the food and found it to be tasty of good appearance and served at an appropriate temperature. The environment in the dining room lacks items to engage people who have to wait for lunch they were seen during the inspection to be seated at a table and have to wait up to 30 minutes to have their lunch served. We tasted the food and found it to be tasty and served at an appropriate temperature. Care Homes for Older People Page 14 of 26 Evidence: We observed staff assist residents with eating in a manner that promoted their dignity. Residents told us that they enjoy the food and if there is a menu item that is not to their taste they will be provided with a choice. As mentioned earlier the lack of confidential storage of records showing the detailed daily care needs of the residents is disrespectful and does not promote the dignity of the residents. The manager assured us that they would get item i.e. newspapers and magazines that could offer stimulation to the residents the following day. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that they will be listened to when they complain and that they will be protected from abuse. Evidence: The home receives very few complaints and when it does it responds appropriately. There is a complaints procedure that is followed in the event of a complaint being made. We noted many complements given by families and friends of the residents. Staff were aware of what to do should there be an incident of abuse. We presented them with a scenario and asked them what they would do. All of the staff we spoke with were aware of their responsibilities under the Safeguarding Adults Procedure. Care Homes for Older People Page 16 of 26 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 who live in this home can be sure that it is clean and fresh and odour free. Evidence: On the day of the site visit we found the home to be clean and fresh. It was odour free and in good repair. Rooms were decorated and furnished to meet residents taste and needs. We have discussed the need for the home to have more items of stimulating available to the residents in other parts of this report. Care Homes for Older People Page 17 of 26 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. People who use this service cannot be confident that there are enough appropriately trained staff on duty at all times to meet their needs which may leave them at risk. Evidence: We observed staff to be kind and caring and we saw them interact with residents in a manner that promoted their dignity. Staff were appropriately recruited and the records we inspected (three) contained evidence that all the required checks had been carried out. This included evidence of identity and a Criminal Records Bureau check. It is important for the welfare of the residents that all these checks are carried out. On the day of the inspection there were 34 residents living over two floors in the home. During the day there are five care staff on duty - giving a ratio of approximately seven residents to one care staff member. Staff told us that they think this is sufficient. However, there are only two staff on duty at night. We were told that some of the residents need two staff to assist them with personal care this means that if any other resident needed assistance they would have to wait and this could put them at risk. The outcomes for the people who live in this home indicate that staff are not sufficiently trained to care for people with memory loss. This is evident in the lack of stimulation offered to the residents. Some training has been carried out however the manager needs to review the training needs of all the staff in the home in relation to caring for people who have a memory loss. Care Homes for Older People Page 18 of 26 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. This home is not always run in the best interests of the people who live there. Evidence: At the last inspection this home was awarded three stars, the home has not kept up this standard of care and as indicated throughout this report the manager has not updated herself on the best way to care for people who have a memory loss. We noted on the day of the inspection that staff were using two of the sitting rooms to eat their lunch in. These rooms would normally be used by residents. We were told that this was because the staff room was being re-decorated. The sitting rooms are stark and offer little that would comfort residents who have memory loss. When we spoke to the manager about this we were told that staff engage with the residents and that is their stimulation. As already stated the ratio of staff were were told working there was five care staff to care for 34 residents. We saw good interaction between staff and residents, however, staff are not able to interact with all the residents all the time and the residents must have access to constant access to stimulation to promote their independence and to ensure they have sensory stimulation. Care Homes for Older People Page 19 of 26 Evidence: As stated earlier in the report care plans did not always reflect the care we were told that the person needed and many day to day notes were missing. There was no evidence that staff had been instructed/trained on mouth care for one individual who was in the last stages of their life. There were no charts to monitor the nutrition of one person where this had been identified as necessary. Records were kept in the reception area where any body passing had access to them. This does not protect the dignity of the person. Medication was stored and administered in a manner that did not offer optimum protection to the residents. Most of the residents were well cared for, despite the lack of records, staff appeared to know the residents and their needs. Had this not been the case this home would have been awarded a zero star rating. Residents monies was kept in a manner that did not allow an audit to be carried out. By that we mean that all the residents monies were pooled together and not individually kept. By keeping it individually it allows an audit to be carried out on what the person has spent their money on and exactly how much is left. We looked at staff supervision files and found they to be sporadic and not consistent. Some staff did not have formal supervision. None of the supervision was carried out in an regular or timely manner. The manager returned the AQAA in a timely manner. It contained information, but the information was not validated. An example of this was we were told that staff were highly trained but no evidence or details of the training was enclosed. The home carries out an Annual Quality Check and we were given details of it. Seventeen forms were completed and returned to the manager. This represents 50 of the residents. There were no issues raised. All the respondent expressed satisfaction with the home. Care Homes for Older People Page 20 of 26 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 21 of 26 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 1 9 13 The Registered Manager must ensure that all medication is stored and administered in a manner that protects the residents. You must do this because you have a responsibility to keep the residents safe. 14/12/2009 2 10 17 The Registered Manager 08/12/2009 must ensure that all records pertaining to the residents are kept in a secure location that protects the confidentially of the resident. You must do this because the dignity of the resident must be promoted. 3 27 18 The Registered Manager must ensure that there is sufficient staff on duty at night to meet the needs of the residents. You must do this to ensure the warfare of the residents. 09/12/2009 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 Registered Manager must ensure that all the residents in the home have 31/12/2009 Care Homes for Older People Page 22 of 26 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 an up to date care plan that includes nutrition and fluid charts if it has been established that this is necessary. We were told by the Registered Manager that this would be carried out straight away. You must do this to ensure the optimum health of the residents.. 2 12 16 The Registered Manager 31/12/2009 must ensure that there are items available to the residents that will offer stimulation or comfort to the residents. You must do this because it is important for the mental and emotional health of the residents that they are offered stimulation and relief from boredom. 3 30 18 Staff must have training in caring for people with memory loss. You must do this because the people who live in this home must have their needs recognised and met 28/02/2010 Care Homes for Older People Page 23 of 26 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 4 31 12 The Registered Manager must ensure that she is up to date in the care of residents who have memory loss. You must do this because the welfare and quality of life of the people who live in the home are reliant on the manager being able to recognise and meet their needs. 26/02/2010 5 32 12 The Registered Manager 31/12/2009 must ensure that the home is run in the best interests of the people who live there. You must do this because the experience of living in the home depends on it being run in the best interests of the people who live there. 6 35 16 The Registered Manager 07/01/2010 must ensure that residents monies are held in a manner that allows and immediate audit. You must do this because residents have a right to have their monies stored approopriately. Care Homes for Older People Page 24 of 26 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 25 of 26 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 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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