Care Home: Cheyne House Care Home

What the care home does well People said that they were happy living at the home. They told us that they liked their accommodation and the home provided a pleasant and homely environment for them to live in. Care is provided by a stable staff team who are knowledgeable about the residents they support and interact with residents in a very positive manner. People told that the staff respected their wishes and made every effort to meet their needs. One person said, `the staff are friendly and approachable`. Another said, `the best thing is the happy atmosphere, which I noticed from day one, this is down to the staff`. Residents enjoy a varied programme of activities, this offers stimulation to meet peoples individual preferences. People said that the home offers a good menu that meets their needs and offers choice. One person commented, `good variety of meals, which are cooked excellently`. The home`s training programme offers staff a variety of courses including the opportunity to complete an N.V.Q. (National Vocational Qualification) in care. Currently 12 out of the 15 permanent care staff employed has achieved an N.V.Q. The management team and staff are good at developing positive relationships with each resident and encourage them to maintain as much independence as possible. What has improved since the last inspection? There has been a marked improvement in the quality of the care planning documentation. Each plan now contains very good information about what care and support people need, as well as how they prefer their care to be delivered. A social plan has also been added so that staff know what peoples hobbies and interests are, and their role in supporting them. Risk assessment information is clearer and has been incorporated into the care planning process so that staff have better information about minimising potential risks. The environment has been changed to make it more user friendly for people with dementia and memory problems. This includes new signs which help people find their way around the home. The programme for redecoration and refurbishment has been continued to upgrade the facilities provided. Some bathroom and toilet facilities have been upgraded and made more homely. New equipment such as a hoist and laundry equipment has been replaced. Staff training had been enhanced so that they receive more training, including specialist subjects such as dementia awareness. What the care home could do better: No requirements were made following this visit but the areas highlighted below would benefit from some attention. Staff should receive appropriate training about the Mental Capacity Act 2007 and Deprivations of Liberties. This will give them a better understanding of their role in protecting peoples rights and choices.Regular supervision sessions should be provided and recorded so that staff receive structured support that enables them to highlight any areas where they need support. The arrangements for storing medications needs reviewing so that there is sufficient storage space available. A few people felt that it would be beneficial for the cleaning routines to be reviewed to make sure that there is the right number of staff, with the correct skills, available to keep all areas of the home clean and tidy. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cheyne House Care Home Main Road North Carlton Lincolnshire LN1 2RR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dawn Podmore     Date: 0 9 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: Cheyne House Care Home Main Road North Carlton Lincolnshire LN1 2RR 01522730078 01522731056 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cheyne Group Management Ltd Name of registered manager (if applicable) Mrs Susan Kizildere Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 26 The registered person may provide the following categories of service only: Care Home with Nursing - Code N, to people of the following gender: either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE Date of last inspection Brief description of the care home Cheyne House is situated in the small village of North Carlton, approximately five miles from Lincoln. The building is a detached property with grounds and gardens accessible to residents. Car parking is available at the front of the property. There are no immediate facilities, but daily newspapers are delivered and transport can be arranged for residents who wish to visit the nearby city. Bedrooms are located on the ground and first floor, which is accessed via a stair lift. Care Homes for Older People Page 4 of 26 care home 26 Over 65 0 26 26 0 Brief description of the care home Cheyne Group Management Ltd owns the home and the person registered with us to be responsible for the home is Mr Selvaratnam Suresh. A new manager has been appointed since the last inspection and she has been approved by us to be the Registered Manager, therefore she oversees the day to day running of the home. The home is registered to provide personal and nursing care to people over the age of 65years. Recently the home changed their registration so that they can care for more people with dementia. At the time of the inspection the manager confirmed that the weekly fees ranged from four hundred and thirty eight pounds to six hundred and sixteen pounds depending on the residents assessed needs. This does not take into account any monies paid in relation to nursing care assessments, which would be deducted from the total cost. Additional charges are made for services such as chiropody and hairdressing. Information about these costs, as well as the day-to-day operation of the home, including a copy of the last inspection report, is available from the office. 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: 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: This key inspection was unannounced and took any previous information held by C.Q.C about the home into account. Throughout this report the terms we and us refers to the care Quality Commission (CQC). Before the the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, nine of which were returned in time to be included in this report. The main method of inspection used was called case tracking. This involved selecting a Care Homes for Older People Page 6 of 26 proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and observation of care practices. A partial tour of the home was also conducted, which included looking at some bedrooms, communal areas and bathing and toilet facilities. Documentation was sampled and the care records of the three people being tracked were examined. We spoke with seven residents, three relatives and five members of staff. They shared their views about how the home operated on a day to day basis and the care and facilities provided. The manager and Mr Suresh were present during the visit and the outcomes of the visit were discussed with them at the end of the inspection. an hour was also spent observing the care given to a small group of people. All observations were followed up by discussions with staff and examination of records. On the day of the visit 25 people were living at the home. What the care home does well: What has improved since the last inspection? What they could do better: No requirements were made following this visit but the areas highlighted below would benefit from some attention. Staff should receive appropriate training about the Mental Capacity Act 2007 and Deprivations of Liberties. This will give them a better understanding of their role in protecting peoples rights and choices. Care Homes for Older People Page 8 of 26 Regular supervision sessions should be provided and recorded so that staff receive structured support that enables them to highlight any areas where they need support. The arrangements for storing medications needs reviewing so that there is sufficient storage space available. A few people felt that it would be beneficial for the cleaning routines to be reviewed to make sure that there is the right number of staff, with the correct skills, available to keep all areas of the home clean and tidy. 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admissions procedure includes an initial assessment, this helps to make sure that the home can meet the needs of the people admitted. Evidence: The home provides people with various information to help them decide if it is the right place for them to live. The Statement of Purpose and the Service Users Guide, are available in various formats, such as large print. A review of all information available prior to the visit to the home, and the content of peoples care records, showed that the home does not admit residents without a comprehensive assessment of their needs being completed. The AQAA also says that people are encouraged to visit the home before making any decisions and trail stays can be arranged. Care Homes for Older People Page 11 of 26 Evidence: We reviewed the content of the surveys returned and spoke to relatives and staff, they all confirmed that a satisfactory process was being followed. The manager said that although people come to the home for short stay placements the home does not provide intermediate care. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide staff with good information about the care and support that people require, as well as how they prefer their care to be delivered. Staff respect peoples privacy and dignity while maintaining their independence. There are systems in place to make sure that medications are administered safely Evidence: We looked at the care records of 4 people living a the home choosing people with different needs. They contained very good information about what care and support people needed and their individual preferences and abilities. This included assessments regarding peoples nutritional status and their likes and dislikes. Files also contained pen profiles about their past history, both social and medical, and their hobbies and interests. Assessments for potential risk areas, such as manual handling and risk of pressure damage, had been carried out. This information had then been used to formulate care plans to guide staff as to how to minimise these risks. Care Homes for Older People Page 13 of 26 Evidence: A daily record of how people were progressing had been maintained and care plans had been evaluated regularly. Mental capacity assessments had been carried out for each person to help determine their ability to make decisions. Where a resident was assessed as not being able to make a decision in a particular area their relatives and other people, such as social workers, had been involved in best interest decisions. This is new legislation that is aimed at protecting peoples rights and choices. Some senior staff had attended training in this subject and the manager said that this would be cascaded to all staff. Records and peoples comments indicated that residents had access to outside health professionals such as doctors and specialist nurses. Peoples health care was being monitored and equipment such as pressure relieving mattresses were in use. Staff were knowledgeable about the people they supported and how they preferred their care delivering. During the observation period we heard staff speaking to residents with respect. In discussion with staff we found they had a good understanding of how to maintain residents privacy and dignity. Residents and relatives we spoke to, as well as the people who returned surveys to us, said that they were happy with the level of care and support provided. A relative told us, I am satisfied, he is very well looked after. Another person said, the staff dont rush you, everything is very good. Information provided in the AQAA and discussions with staff demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. The manager had asked the pharmacist to carry out an audit of the home systems. His report indicated that the systems were robust, but a new trolley would be required to accommodate the combination of the monitored dose and traditional way of administering the medications. We identified the need for more secure storage for stock medication. The manager said that both these areas were being addressed. Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a varied activities programme which people enjoy. Residents are enabled to maintain and develop links in the local community and relationships of their choice. People receive a nutritious and varied diet that meets their individual preferences and health requirements. Evidence: The home employs two part-time people to provide activities and stimulation for the residents. The activities programme for the week was displayed on the notice board and each resident had a personalised plan in their room. Various activities take place on a regular basis. These included crafts, cooking, movement to music and visits from PAT dogs. Staff have also changed one of the small lounges into a memory room where clothing and items from daily life in the past are displayed and used for discussions. The home arranges for outside entertainers to visit and people said that they were assisted to go for walks around the local community. An afternoon tea is held every month to enable residents and their relatives and friends to socialise and talk to staff. On the day we visited a clothes party took place and people were seen taking part in Care Homes for Older People Page 15 of 26 Evidence: movement to music. Peoples religious needs are met by the vicar who visits the home and provides communion for those who wish to participate. The people we spoke with and those who returned surveys told us that they were happy with the activities that took place and said that they could choose not to join in if they preferred not to. They said that relatives could visit at anytime and that they were always made very welcome by the staff. One relative told us, the activities arranged suit him, he prefers to listen to music and the TV. A resident said that she could join in if she wanted to but mostly preferred her own company. At lunchtime the atmosphere in the dining room was calm and relaxed, with staff assisting some people to eat. However as some staff were taking a break the two carers left seemed a little rushed which meant that the experience was not as unhurried as it could have been for the people being served. This along with the lack of condiments on the tables was discussed with the manager. People said that alternatives to the main menu and special diets were also available. They told us that they enjoyed the meals at the home. Comments included, the food is home cooked and adequate choice and variety is available, its proper home cooked food and the food is lovely. At the last visit by the Environmental Health Officer the kitchen was awarded a 4 star rating for the cleanliness and organisation of the kitchen, the highest rating being 5 Star. Care Homes for Older People Page 16 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. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Evidence: The home has a complaints procedure, this is displayed in the home and included in the Service User Guide, this is given to people when they come to live at the home. The AQAA said that no areas of concern had been raised, but a system was in place should any complaints be made. People said that they knew how to make a complaint and would be comfortable highlighting any issues. Residents and relatives told us that they had no complaints. The home has procedures concerning the protection of vulnerable people. One alert made since the last visit had been appropriately addressed. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring and confirmed that they had received training in this subject. Care Homes for Older People Page 17 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 live in a well maintained, comfortable and homely environment, which offers a satisfactory standard of decor and furnishing. Evidence: We took a partial tour of the home looking at the bedrooms of the people being case tracked, communal areas and bathing facilities. The general atmosphere of the home was welcoming and homely. Bedrooms had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. Improvements to the home over the last year included redecoration of some rooms, some new carpets being fitted, the redecoration of a toilet area and the purchase of new laundry equipment. One of the lounges has also been developed as a memory room with clothing and items from the past. Corridors had been brightened with murals and tactile wall hangings, and one of the bathrooms had been individualised with a painting of a whale and decorated cupboard. With peoples permission staff had also organised a Cheyne House Family Tree on the wall as you enter the home. Someone had painted a tree on the wall and photographs of the residents had been added. A staff photograph board was also on display. New picture signs have been fitted throughout the building to help people find their Care Homes for Older People Page 18 of 26 Evidence: way around the home, these included individually chosen pictures on each persons door. The treatment room was being redeveloped into a hairdressing room so that people have somewhere more comfortable and private to sit. People told us that they were happy with their rooms, but one relative said it would be nice if all the rooms had en suite facilities, the owner said that this was being explored. The garden was well maintained and seating was available. Ramps are in place to enable easy access to all areas. Although the driveway has received some attention since our last visit further deterioration was evident. Two housekeepers are employed to maintain the cleanliness of the home. There were no unpleasant odours detected during the visit and most areas looked clean and tidy. However people told us that the standard of cleanliness had dropped and identified this as one of the areas that the home could improve. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are safeguarded by the homes robust recruitment procedure, which helps to ensure that staff are suitable to work with vulnerable people. Residents receive care from staff who are knowledgeable about the people they support and have received training to meet their needs. Evidence: Records and observations on the day showed that there was sufficient staff on duty to meet peoples needs. Residents and relatives spoken with, and those who returned surveys, raised no concerns about the staff and felt that there were enough staff available to meet their needs. The staff spoken with said that they felt that the current staffing levels were satisfactory. Observation showed that staff supported residents in a calm and relaxed manner and had time to sit and talk to people. We checked the files of 2 new staff and these showed that their recruitment had been carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks, being undertaken. Records and staff comments demonstrated that new staff received a satisfactory induction to the home. Care Homes for Older People Page 20 of 26 Evidence: The home has a training programme which includes essential subjects such as manual handling, protection of vulnerable adults from abuse, fire safety, medications and infection control. Specialist training such as dementia had also taken place. The manager said that training planned for the next few months included managing behavior, equality and diversity, fire awareness and dementia. The manager and a member of the night staff had attended a training course about the Mental Capacity Act and Deprivation of Liberties, which are aimed at protecting peoples rights and choices. The manager said that she was planning to provide all staff with awareness training on these subjects shortly. The company encourage staff to complete an N.V.Q (National Vocational Qualification) in care. Information provided showed that out of 15 care staff 12 have attained an NVQ and 3 others are currently doing the award. Residents and relatives said that they were very happy with the way staff supported them. Their comments included, the staff are lovely, they are friendly and approachable and they are very good, mature and brilliant. Staff said that they felt well trained and supported and they demonstrated a very good knowledge of the people they were caring for. One person said, staff are up to date with a lot of training opportunities. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good leadership and guidance is provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interest of the of the residents. There are systems in place to make sure that the health, safety and welfare needs of the residents are met. Evidence: The home is managed by Mrs Sue Kizildere who is a qualified nurse with experience in managing a care home. Comments from residents and relatives indicated that they felt that the home was well run and that the manager was helpful and supportive. They praised the support provided and said that the manager and staff were approachable. When asked what the home did well they told us, friendly staff, the senior staff, and manager particularly, are always friendly and welcoming, they are generally kind to the residents. When we asked what could be improved most people said nothing, but others Care Homes for Older People Page 22 of 26 Evidence: suggested areas of improvement. These included all rooms to have en suite facilities and some people thought that the cleaning could be better, although others said that they were happy with it. In the main staff were enthusiastic about their work and felt that the home had improved over the last year. One person said. the home put residents priorities first. Another told us, Sue (the manager) is good, very enthusiastic, things have settled down and its got better and will continue to do so. Staff also highlighted areas that could be improved. These included; communication between some staff, a higher standard of cleanliness and some rooms being up dated. They said that the management team were supportive and approachable. However records and staff comments failed to demonstrate that they were receiving regular supervision sessions, although some had taken place. The home has a quality assurance system so that they can gain the views of the people who use the service. The AQAA said that this included surveys and meetings. Surveys had been sent out to residents in 2008 and the results analysed to provide an action plan to address any ideas or issues they had raised. There is a system in place for residents monies to be held in safe keeping by the home. This includes keeping a running total of all transactions and obtaining receipts and two signatures. The home has health and safety polices and procedures to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA demonstrated that regular checks on equipment, such as fire equipment and hoists, had taken place as scheduled. Care Homes for Older People Page 23 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 24 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 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 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 36 Staff should receive regular supervision sessions which are planned and recorded. This will help to make sure that they receive the right level of support to in carry out their job. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: 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) Commission for Social Care Inspection (CSCI). 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 CSCI 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!