Care Home: Changing Lives UK Ltd

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What the care home does well Changing Lives UK Ltd provides a clean and well decorated environment for the people that live there.Detailed pre-admission`s assessments were in place before the person was admitted to the service enabling the service to identify the person`s needs.Observation of staff interaction showed that staff focused on the care needs of the person living at the service.The person At Changing Lives UK Ltd is provided with social activities within the home and the community such as attending day care and going to local shops. What has improved since the last inspection? As previously mentioned the service registered with the CQC May 2009, since registration this has been the first inspection of the service. What the care home could do better: Risk assessments must in place for all identified needs which will ensure that staff are clear how the person`s needs in respect of health and welfare are to be met. The registered provider must ensure all persons handling and administering medicines have received training and are competent to undertake the task. A full employment history must be obtained when all new staff are recruited. The registered person must ensure new staff have 2 satisfactory written references when they commence employment. In addition to these requirements some good practice recommendations have also been made. Key inspection report Care homes for adults (18-65 years) Name: Address: Changing Lives UK Ltd 7 Coriander Gardens Littleover Derbyshire DE232UB 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: Rehana Rashid Date: 0 4 1 1 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 33 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Changing Lives UK Ltd 7 Coriander Gardens Littleover Derbyshire DE232UB 01332761368 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): changinglivesuk@live.com Changing Lives UK Ltd Name of registered manager (if applicable) Mrs Sukhjinder Dosanjh Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 2 0 care home 2 learning disability Additional conditions: The maximum number of service users who can be accommodated is 2 The registered person may provide the following categories of service Care Home only PC To service users of the following gender Both Whose primary care needs on admission to the home are within the following category Learning Disability Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Changing Lives UK Ltd was registered on 11 May 2009. It is a house situated in a residential area in Derby. It is close to local facilities, shops and a bus route. The home is registered for two people aged 18 and over with learning disabilities. There are two bedrooms both with ensuite facilities and emergency call systems. All of the bedrooms are on the first floor, access to the first floor is by stairs only. There is a garden and patio area at the rear of the property. At the time of this inspection the registered manager told us that the current weekly fees are between £750 - £850. Information about the service is available in the Statement of Purpose and Service User Guide which can be obtained from the manager. Copies of the inspection report are available from the service and are also available on the Care Quality Commissions website www.cqc.org.uk Care Homes for Adults (18-65 years) Page 5 of 33 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home This was an unannounced inspection carried out by one inspector on 4 November 2009 which took place over four hours. The main method of inspection was case tracking, which involved examining one persons care records. Case tracking is used to establish if the needs of the people living at the home are being appropriately assessed and their needs are being catered for. The registered manager was present during the inspection visit. Discussions were held with one member of staff about the care provided to people living at the service and the support and training they receive. Two staff recruitment files were examined. Before the visit the registered manager submitted an Annual Quality Assurance Assessment (AQAA), which is a self assessment detailing what the home was doing well and any plans for improving the service over the next twelve months. Information from the AQAA was used within this inspection report. Care Homes for Adults (18-65 years) Page 7 of 33 A partial tour of the building was carried out which included viewing communal areas. We also sent out surveys asking for views about the care and support people receive at the home. Surveys were sent out to members of staff working at Changing Lives UK Ltd. We received one surveys back from a person who uses the service and we had three completed surveys back from staff. Prior to this inspection visit time was spent looking at information we had received since the registered with the CQC. To assist with planning the AQAA, notifications from the provider and any other information received about the service were also examined. What the care home does well Changing Lives UK Ltd provides a clean and well decorated environment for the people that live there. Care Homes for Adults (18-65 years) Page 8 of 33 Detailed pre-admissions assessments were in place before the person was admitted to the service enabling the service to identify the persons needs. Observation of staff interaction showed that staff focused on the care needs of the person living at the service. The person At Changing Lives UK Ltd is provided with social activities within the home and the community such as attending day care and going to local shops. What has got better from the last inspection As previously mentioned the service registered with the CQC May 2009, since registration this has been the first inspection of the service. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home could do better Risk assessments must in place for all identified needs which will ensure that staff are clear how the persons needs in respect of health and welfare are to be met. The registered provider must ensure all persons handling and administering medicines have received training and are competent to undertake the task. A full employment history must be obtained when all new staff are recruited. The registered person must ensure new staff have 2 satisfactory written references when they commence employment. In addition to these requirements some good practice recommendations have also been made. Care Homes for Adults (18-65 years) Page 10 of 33 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Rehana Rashid Care Quality Commission (East Midlands) Citygate Gallowgate Newcastle Upon Tyne NE1 4PA Tel: 03000 616161 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 set out 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 Adults (18-65 years) Page 11 of 33 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 33 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Assessments are in place prior to admission to ensure peoples needs can be met by the service. Evidence: At this inspection we looked at the service user guide and statement of purpose which provided information about the service. Both the service user guide and statement of purpose did need to be updated to include the name and address change of the regulator, which the registered manager agreed to do. In the annual quality assurance assessment (AQAA) questionnaire completed by the service they told us that information from the placing local authority and health needs assessments are used to assess compatibility of the person who may potentially move to the service. They also told us that the pre-admissions process includes an initial visit to the service and trail visits to include a day visits and or night visit to determine whether or not the placement will be suitable. We looked at one persons care and support file who had recently moved into the service. Records viewed demonstrated that pre-placement assessment had been undertaken Care Homes for Adults (18-65 years) Page 13 of 33 Evidence: before the person started using the service. The file also showed that there was information available from the assessment and care management team. An individual care and support plan was in place for the person taking into account their individual needs. Care Homes for Adults (18-65 years) Page 14 of 33 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are in place and the promotion of independence ensures that staff are able to meet the needs of the people who use the service and people can make individual choices. Evidence: In the annual quality assurance questionnaire completed by the service, they told us that they have adapted individual approaches and support to meet individual needs. We looked at one persons care file. This evidenced that a care plan was in place which demonstrated how the persons individual needs would be met by the service. The care plan was generally clear and provided satisfactory information, informing staff how to support and assist the person with daily activities. Daily records are completed which ensure that there is good communication between staff regarding the person living at the home and any significant information is recorded. Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: We spoke to one member of staff and the registered manager they were able to demonstrate their knowledge of the individual as well as their needs. Observation of the person living at the service showed that they are supported to make decisions and choices about their daily routines. In the persons care file viewed there was no risk assessments for a specific medical need (epilepsy) and no risk assessment regarding a specific behavioral matter. As the person had recently moved to the service, a review had not been completed as yet. The registered manager was aware of who to contact regarding Deprivation of Liberty Safeguards and the Mental Capacity Act 2005. Care Homes for Adults (18-65 years) Page 16 of 33 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 provides appropriate activities which were are valued by people and promoted their independence. Evidence: In the annual quality assurance assessment (AQAA) questionnaire completed by the service they told us people at their service have regular activities that they are involved in. They said that people are supported with daily living skills. They also told us that they actively encourage people using the service to maintain contact with family and friends. Discussions with staff and observations at this inspection confirmed that the daily routines at the service were flexible. One person currently using the service was able to move around freely within the building. Observations showed that they were able to make choices as to how they wished to spend their day. The registered manager told us that activities are arranged both within the home and the community. The service promotes social inclusion, the person at the service told us that Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: they attend a club and have been going shopping with staff. We observed staff talking to the person in a respectful and sensitive manner. The person had a key to their bedroom. Visiting arrangements for family and friends to the service are flexible, they can visit when they prefer. In the AQAA the service told us that menu plans are completed daily, people are able to decide what they would like to eat the night before. They also told us that people are supported to go shopping for food. One person spoken with told us that they liked the food, they were observed telling the registered manager what they preferred for tea that evening. The registered manager also told us that they purchase foods to suit individual preferences. Care Homes for Adults (18-65 years) Page 18 of 33 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Peoples personal and health care needs are satisfactorily managed ensuring their needs are met. Evidence: In the annual quality assurance assessment (AQAA) questionnaire completed by the service they told us that staff support people living at the service to attend appointments with health care professionals and all visits are recorded in peoples health notes. The care plan viewed confirmed that the persons health care needs are met through the involvement of necessary health care professionals. This has included the General Practitioner, Chiropodist and the Psychiatrist. The placing local authority has also been involved in the persons care and support. Discussion with the registered manager identified that there had been a change in the persons behavior, however no risk assessment had be put into place addressing the issue. In the AQAA the service told us staff administer medication to people in accordance with their individual nomad pack following the services policy and procedure for administering medication. At the inspection visit the registered manager told us that she was the only person responsible for administering medication and had undertaken the necessary training. It was discussed with the registered manager that in an event that she was not Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: around to administer medication suitable arrangements must be in place to ensure people at the service receive medication by a trained person. The registered person must ensure all persons handling and administering medicines have received training and are competent to undertake the task. At this inspection there were no controlled drugs at the service. If in the future the service has controlled drugs they will need to have a controlled drugs cabinet otherwise they will be in breach of the Misuse of Drugs Act. We were also told by the service that they have been advised by a local pharmacist that medication which is required to be stored in the fridge could be stored in a lockable box such as a money box and kept in the fridge. The registered person should carry out a risk assessment ensuring the safety of the people living at the service. Medicines were stored in a lockable free standing cabinet in the dinning room. The service should ensure that the storage arrangements in place for medication are satisfactory. The cabinet should be of a robust construction and fixed to the wall. Care Homes for Adults (18-65 years) Page 20 of 33 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. People are generally protected by the homes safeguarding and complaints procedures. Evidence: In the annual quality assurance questionnaire completed by the service, they told us that they have a complaints procedure in place which is easily accessed by people living at the service. In the information we received from the service we were also told they received no complaints. We saw a copy of the complaints procedure and the complaints log. The complaints procedure seen was only available in written format. The complaints log had not been completed as no complaints have been received. Since the service has been registered with the Care Quality Commission we have not received any complaints. The complaints procedure needed to be updated reflecting the new contact details for the Care Quality Commission. In the information from the service they told us that they have a safeguarding adults and the prevention of abuse policy in place. Information from the local authority regarding guidance around reporting issues Derby and Derbyshire Safeguarding Vulnerable Adult Partnership procedure was available at the inspection and seen. One member of staff spoken with demonstrated a basic understanding regarding safeguarding adults. They told us that as yet they had not received training in this area. Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: Financial records were examined for the person living at the service, and found to be generally satisfactory. Receipts are kept to show each transaction made. However currently there is only one signature on the cash sheet and the running balance was not up to date. Care Homes for Adults (18-65 years) Page 22 of 33 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 live in a home which is generally well maintained, which enables them to live in a safe and comfortable environment. Evidence: In the Annual Quality Assurance Assessment which we received prior to the inspection we were told that the service supports people to live in a clean and homely environment. We carried out a brief tour of the building, we found it to be comfortable and maintained to a good standard. Communal areas of the home were well furnished. There is a garden area to the rear of the property which is accessible for people living at the service. All of the bedrooms are on the first floor, access to the first floor is by stairs only. Both bedrooms were seen and were well furnished. Keys are available for people to lock their rooms if they wish to do so. One person had a key to their room which they used independently. There was also lockable storage in the two bedrooms. Staff are mainly responsible for carrying out domestic tasks around the building. Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: Currently there are no laundry facilities at the service. The registered manager told us that the washing is taken to the local launderette. At this inspection we observed that the home was clean and fresh throughout. The survey received from a person living in the home told us that the premises were always fresh and clean. Care Homes for Adults (18-65 years) Page 24 of 33 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 recruitment practices at the service do not fully protect people from harm. Evidence: In the annual quality assurance questionnaire completed by the service, they told us that the staff team are committed to provide a quality service to the people at changing Lives UK Ltd. The home employs one team leader and three support workers. At the time of this inspection there was one person living at the home, during the day there is one support worker on duty and at night there is one person on sleep-in duties. We received three surveys back from people who work at the service, they told us that there are enough staff to meet the needs of the person who is currently living at the service. We looked at the recruitment files for two members of staff. Both files contained evidence of a satisfactory Criminal Record Bureau (CRB) check and Protection of Vulnerable Adults (POVA) first check these had been obtained before staff commenced their employment. One staff file viewed contained only one written reference and contained no details regarding employment history. This information should be in place to ensure staff employed by the service are suitable to work with the people living at the home. Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: At the time of writing this report we received confirmation from the service telling us that staff had been booked onto a Mandatory Health and Social Care programme. Evidence was seen on one staff members file regarding the training they have undertaken which included safeguarding adults, first aid and basic food hygiene. The registered manager and one member of staff spoken with demonstrated a good understanding of the needs of the person they are supporting. The member of staff also told us that they have received supervision. Care Homes for Adults (18-65 years) Page 26 of 33 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 run well and peoples health, safety and welfare are generally protected. Evidence: In the annual quality assurance questionnaire completed by the service, they told us that the registered manager has had many years experience in managing various services. Also that she is work towards the LDQ - Learning Disability Qualification. When the manager attended her registration interview she told us that She was enrolling onto the National Vocational Qualification (NVQ) Level 4 in Health and Social Care. We did not see any evidence at the inspection to confirm this training had commenced. In the staff surveys we received, all the respondents told us that the manager regularly gives them enough support and meets with them to discuss how they are working. There is no quality assurance system in place to obtain the views of people living at the service or their representatives regarding the quality of service provided. The registered manager told us at the inspection that they are looking at a advocate for the person living at the home. Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: The service were unclear under what circumstances they need to send the Care Quality Commission (CQC) notifications. The registered person must ensure that any significant incidents which have a negative effect on the health or welfare of any individual person or all people living at the home. They must notify the CQC by means if a regulation 37 notifications. Information within the annual quality assurance questionnaire stated that the required health and safety equipment servicing had been completed. During the inspection we looked at the gas safety certificate and electrical installation certificate which were up to date. Care Homes for Adults (18-65 years) Page 28 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 33 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 Description 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 Description Timescale for action 1 9 13 The registered person must ensure complex needs including epilepsy and behavioral issues have an appropriate risk assessment in place. As to how the persons needs in respect of health and welfare are to be met. Risk assessments will ensure that any unnecessary risks to their health and safety in relation to these areas can be identified and monitored. 08/01/2010 2 20 18 The registered provider must 08/01/2010 ensure all persons handling and administering medicines have received training and are competent to undertake the task. This will ensure the health and safety of people living at the service. Care Homes for Adults (18-65 years) Page 30 of 33 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 Description Timescale for action 3 34 17 A full employment history must be obtained when all new staff are recruited. This will ensure people are safeguarded from any risks. 08/01/2010 4 34 19 The registered person must ensure new staff have 2 satisfactory written references when they commence employment. This will ensure people living at the service are protected and safeguarded from harm. 08/01/2010 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 20 The service must have a Controlled Drugs (CD) cabinet if they have CD otherwise they will breach the Misuse of Drugs Act. It is recommended that the registered person either obtain a proper metal cabinet for the storage of medication or undertake a risk assessment as per the people living at the service looking at the current medication storage arrangements. The registered person should ensure that the complaints procedure is available in an accessible format for people who live at the service. Two signatures should be provided on individuals financial transaction records this will people are safeguarded and protected from financial abuse. 2 20 3 22 4 23 Care Homes for Adults (18-65 years) Page 31 of 33 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 5 35 Staff working at the home should receive training to ensure they have the required skills to meet the needs of the people living at the service. A quality assurance system should be implemented. This will ensure feedback can be obtained from people who use the service and their representatives regarding the quality of service provided. 6 39 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or 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. 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