Care Home: Collingtree Park

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What the care home does well Admissions to the home are managed well, staff make sure that they are able to meet peoples needs and expectations. The service has taken the right actions to reduce the number of falls occurring in the home. The service ensures that people are able to participate in a wide range of activities including outings in the minibus. One person commented `The activities are excellent`. People are supported to make choices in their daily lives regarding personal routines and other activities. The a arrangements for meals and mealtimes is good. One of the people that we spoke to during the inspection told us ` We have lovely food and there is always plenty to eat and drink`. The service has the right systems in place to manage complaints and to protect people from abuse. The standard of the environment is generally good, an expert review has been conducted to enable the management to enhance the lay out of the building to better meet the needs of the people who live there. The management make sure that staff have all of the right checks before they are able to start working in the home. What has improved since the last inspection? Everyone who lives in the home has an individual plan of care which sets out how people need and wish to be cared for. These now provide detailed instruction to staff and are regularly reviewed. They also contain information about how identified risks are to be reduced or managed. Nutritional assessments are now in place, people at risk are closely monitored and are supported to maintain their nutrition. Good outcomes were noted where people had either gained or lost weight according to their assessed needs. The service now has a stable management team and good staffing levels. Staff training has been improved, more staff have been registered to commence National Vocational Qualifications, staff have had training in dementia care, nutrition and all mandatory training is up to date. The service now ensures that they keep the Commission up to date about things that happen at the home and quality assurance systems are in place. The management have complied with all of the outstanding requirements made as a result of the last Key Inspection and random pharmacy inspection. What the care home could do better: The service should consider reviewing the information that is provided to people so that it is in easy read formats such as large print and supported by appropriate illustrations and photographs. Accident records should be improved by including sections that allow staff to record further checks after an incident throughout the subsequent 24 hours period to eliminate secondary signs of injury such as swelling and bruising. The management need to ensure that Controlled Drugs are stored in certified storage facilities. They also need to review the stock control systems for boxed medication to ensure that the numbers remaining tally with the appropriate records. The management should review the record keeping relating to complaints to ensure that there is a robust audit trail evidencing all stages of a compliant investigation and outcome. The management need to make sure that there are effective measures in place to ensure that all areas of the home are free from offencive odours. Consideration should be given to a review of the premises by an occupational therapist regarding the provision of aids and adaptations. The type of privacy lock used in the home should be reviewed and included in the arrangements being made to upgrade the premises. Systems should be put in place for people to safely manage small amounts of money should they wish to do so. Key inspection report Care homes for older people Name: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN     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: Stephanie Vaughan     Date: 1 7 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Collingtree Park 110 Windingbrook Lane Northampton Northamptonshire NN4 0XN 01604763623 01604702820 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.barchester.com Barchester Healthcare Homes Ltd Name of registered manager (if applicable) Mr Matthew Andrew Robert Bell Type of registration: Number of places registered: care home 79 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: 79 The registered person may provide the following categories of service only:- Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall 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 Collingtree Park is a purpose built residential care home in a quiet residential area, close to a golf course. The home is set within well-maintained grounds and is bright, clean and modern in design. All areas of the home and gardens are accessible to people who use wheelchairs. Care Homes for Older People Page 4 of 28 Over 65 0 79 79 0 0 5 1 0 2 0 0 9 Brief description of the care home All rooms have en-suite facilities and can be personalised with the peoples own furniture and belongings. There are attractive communal sitting rooms and dining areas on both the ground and the first floor. The first floor of the home provides care for people with dementia. There are additional assisted bathing and showering facilities for less able residents. The Statement of Purpose and Service Users Guide, giving information about the home, are provided for all new residents and are available on request. Fees range from 405 to 725 pounds per week, with additional charges for hairdressing and podaitry. Care Homes for Older People Page 5 of 28 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: Before this inspection we spent four hours in preparation. This included looking at the Annual Quality Assurance Assessment (AQAA) which is a document sent to us by the service, the previous inspection reports, associated requirements, the service history and other associated documentation. We sent some surveys to the people who use the service and to some of the staff all the responses that we received were positive and specific comments are included within the report. We have received no concerns or complaints about this service. However we have received eleven notifications that have safeguarding implications. The Commission focus on Equality and Diversity and issues relating to this are included in the main body of the report. Care Homes for Older People Page 6 of 28 The site visit was conducted over a period of eight and a half hours during which the inspector made observations, spoke with some of the people who live at Collingtree Park and to some of the staff. A limited tour of the premises was conducted which involved reviewing the communal areas and some of the bedrooms. Case tracking is a method used during the inspection where a sample of four people were selected and aspects of their care and experiences were reviewed, including the individual plans of care and associated documentation. The service specialises in the care of people with Dementia, as such some of the people who live there have limited ability to recall and communicate their experiences. In these circumstances observations are used to inform the inspection activity. The Registered Manager was present throughout this inspection Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? Everyone who lives in the home has an individual plan of care which sets out how people need and wish to be cared for. These now provide detailed instruction to staff and are regularly reviewed. They also contain information about how identified risks are to be reduced or managed. Nutritional assessments are now in place, people at risk are closely monitored and are supported to maintain their nutrition. Good outcomes were noted where people had either gained or lost weight according to their assessed needs. The service now has a stable management team and good staffing levels. Staff training has been improved, more staff have been registered to commence National Vocational Qualifications, staff have had training in dementia care, nutrition and all mandatory training is up to date. The service now ensures that they keep the Commission up to date about things that happen at the home and quality assurance systems are in place. The management have complied with all of the outstanding requirements made as a result of the last Key Inspection and random pharmacy inspection. Care Homes for Older People Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 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 28 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 admission procedures at Collingtree Park ensure that people who may wish to live there are able to make informed decisions about the service and have confidence that the service is able to meet their needs and expectations. Evidence: The service has a Statement of Purpose which complies with the criteria set out in the National Minimum Standards. It is available within the home and is provided to people who may wish to live there. The service has a service users guide which is currently being updated, both documents would benefit from being produced in more user friendly formats to meet the needs of people who may have difficulty reading standard print. Each resident has a contract in place which sets out what is included in the costs and services such as podiatry and hairdressing which incur additional charges. Care Homes for Older People Page 11 of 28 Evidence: People who may wish to Live at Collingtree Park have a preadmission assessment before admission to ensure that the service is able to meet their needs and expectations. The standard of the pre admission assessemnst is good. The pre admission assessments are use to develop individual personalised care plans before admission, this means that the staff have the right information to enable them to care for people properly. The service enables people to visit the service to meet the staff and other residents and to decide whether they would like to live there. People also have a settling in period so that they can be sure that the service in able to meet their needs and expectations. One of the people who lives there told us that as soon as she arrived at the home she knew that she was going to like it there and that she has been very happy since moving in. Care Homes for Older People Page 12 of 28 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. The people who live at Collingtree Park have a detailed plan of are that indicates that they are treated as individuals and that their health, personal and social care needs are met. Evidence: Following a requirement made at the last inspection each person living at Collingtree Park now has a detailed and individualised person centred care plan which is based on their assessments of needs. These contain all of the right information about health, personal and social care needs so that staff know how a person needs and wishes to be cared for. This requirement as therefore been met. Following a requirement made at the last inspection the service has reviewed the arrangements for the management of nutrition, all are now assessed for the associated risks and a nutrition group has been established including the Hotel Services Manager and the Chef who liaise on a daily basis to ensure that the service is Care Homes for Older People Page 13 of 28 Evidence: responsive to peoples changing needs. Individual plans of care indicate that people have access to additional nutrition throughout the day and are weighed regularly to ensure that appropriate weights are maintained. None of the people living at the home have pressure ulcers, all are assessed and receive the appropriate pressure relieving equipment through liaison with the District Nursing Services. We noted that the service has had a high number of falls over the recent months. We discussed this with the management who have since conducted a review of the accidents records to identify individuals at specific risk, times and places. All of the people who live at Collingtree Park have a detailed risk assessment in place that sets out what actions have been put in place to reduce and manage the risks. These include the provision of pressure pads to alert staff as to when someone gets out of bed, increased supervision for some residents, referral to the falls clinic and the involvement of the local falls coordinator. Accident records are maintained in good order, however could be improved by including sections that allow staff to conduct and record further checks after an incident throughout the subsequent 24 hours period to eliminate secondary signs of injury such as swelling and bruising. Management are currently in discussion with the Ambulance Trust to establish an agreed protocol for when paramedics are to be called to assess people after slips, trips and other accidents where there is no obvious sign of injury and in the absence of nursing and medical staff. The management have also commissioned a review of the premises to enable it to be updated to better accommodate the needs of the people who live at Collingtree Park. People who live at Collingtree Park have access to a full range of primary and secondary health care services including podiatrists, opticians, specialist nursing staff and general practitioners as well as hospital services and specialities. Each person living at the home has a Key Worker who supports them and makes sure that the individual plans are up to date and that when ever possible people are involved in their review. Daily records indicate that the care is delivered as prescribed and that people are supported to make choices within their daily lives, including the arrangements to meet Care Homes for Older People Page 14 of 28 Evidence: their health and personal care needs. As a result of the last Key Inspection one requirement was made regarding the administration of medication. We looked at the medication systems and found that these were in good order. Medication is securely stored and is dispensed in monitored dose systems which allow staff to ensure accurate stock control systems. In general records indicated good compliance however one of the medication administration records did not tally with the remaining amount of boxed medication. This was discussed with the management who have agreed to investigate the circumstances and to take appropriate remedial action. We also conducted a Random pharmacy inspection on the 24th March 2010, three further requirements were made as a result of this inspection, the timescale for two of these have now elapsed and the service has now complied with both of these. Arrangements are being made to comply with a further requirements as to the temperature that medication is stored within the home. We also looked at the management of controlled drugs, these were found to be in good order, with improvement having been made to the way that liquid medication is dispensed and monitored. However the storage facilities in one area appear to offer limited storage space and may not comply with the guidance issued by the Royal British Pharmaceutical Society. We spoke to some of the people who live at Collingtree Park, they told us that they felt well cared for and that the staff were very nice to them. Other comments included The staff are very caring The family is always included when a doctor is needed. when I first came here I was not in good shape but with constant good care I am now in much better health I am able to do jobs for myself and can even walk to my room with assistance of a walking stick. Care Homes for Older People Page 15 of 28 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. People who live at Collingtree Park have control over their lives which means that they are able to exercise choice and independence. Evidence: Individual plans of care contain good detail about preferred times of rising and how residents prefer to spend their time and the activities in which they choose to participate. The service employs two activity coordinators, this means that they can provide activities on each floor and also combine their efforts for activities such as outings, a recent example being a trip to the seaside in the homes mini bus, which was said to be much enjoyed. People are supported to make choices in their daily lives regarding personal routines, presentation, personalising their private accommodation and accessing organised activities. We also noted that people were encouraged to engage in routine domestic activities within the home. Care Homes for Older People Page 16 of 28 Evidence: Arrangements for meals and meal times are good with the provision of a seasonal varied diet, the option of four meals a day with two choices at each meal including the option of a cooked breakfast. Fluids and snacks are also available throughout the day. One of the people that we spoke to during the inspection told us We have lovely food and there is always plenty to eat and drink. Other comments that we have received include The food is excellent A fresh hot cup of tea would be nice We have good activities The activities are excellent We have a Visiting pantomime The staff are usually good at arranging activities and have purchased a mobile coach We would like more external trips for residents Staff commented we have some good ideas for new activities. Care Homes for Older People Page 17 of 28 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. There are good procedures for handling complaints and abuse ensuring that the people who live at Collingtree Park are protected. Evidence: The service has an appropriate complaints procedure which contains the right information. Management ensure that complaints are investigated and that this information is used to improve services and to prevent recurrence. The management have agreed to review the record keeping relating to complaints to ensure that there is a robust audit trail evidencing all stages of a compliant investigation and the outcome. Since the last Key Inspection the service has had eleven incidents which have implications for the safeguarding of the people who live at Collingtree Park. We reviewed the actions that had been taken by the management to protect people and have concluded that the service has responded appropriately. One person told us that they liked living at the home, that the staff were very nice and that she was very happy living at Collingtree Park. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment is generally good, providing people with a safe and comfortable place to live. Evidence: The home is fairly spacious with a lounge diner on the ground floor, separate lounge and dining room on the first floor. The first floor accommodation is utilised for the care of people with dementia and there were small of domestic and sensory items available for their occupation. Bedrooms showed that people are able to bring in their own personal possessions such as small items of furniture, photographs and other personal memorabilia. The rooms are fitted with privacy locks however these do not have up to date override facilities.This was discussed with the management who informed us that the provider had commissioned a review of the premises by a dementia specialist. Arrangements are now being made to redesign the layout of the home. This will enable people living on the first floor to be cared for in smaller groups. The Provider also plans to update the premises with the provision of life skills kitchenettes on both floors and a review of lighting, signage, fixtures and fittings. Care Homes for Older People Page 19 of 28 Evidence: The home is usually accessible to wheelchair users however the passenger lift was out of order on the day of inspection - staff told us that it had broken down the evening before and the engineers were present at the time of the inspection, the lift was in working order by the end of the inspection. Two areas of the home were identified as being malodorous, some of the people who filled in surveys also commented the home sometimes fresh and clean and the home is always clean although not always fresh. One of the people that we spoke to told us that I feel very lucky to be here, I have a lovely room and I enjoy the views that we have. Some of the people who live at Collingtree Park were seen to be enjoying the garden areas accessible due to the fine weather. Other comments that we received included I have a lovely room and out look I have a lovely outside area with table and chairs, my own plants and ornaments. The view from mothers room is lovely Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service employs appropriate numbers of inducted and trained staff to ensure that the service is able to meet the needs of the people who live at Collingtree Park. Evidence: Staffing levels in the home are maintained according to the needs of the people who live at Collingtee Park. Care staff are supported by sufficient catering, domestic, maintenance staff and administrative staff. Recruitment practices are generally satisfactory however one discrepancy was identified during the inspection. The management have conducted an investigation into the circumstances which indicates that this discrepancy was due to a clerical error. The management have agreed to submit a report to the Commission with the outcome of the investigation and include a copy in the appropriate file. There was one outstanding requirement from the last Key Inspection, we looked at this and found that staff are now in receipt of all of the required training and that they have training according to the needs of the people who live at the Collingtree Park, this includes training in the care of people with Dementia. Identified staff have also received training in Nutrition, whist others are being trained in the Mental Capacity Act and Deprivation of Liberty Standards. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The interests of the people who live at Collingtree Park are enhanced by the home being run in an organised manor that promotes their health and safety. Evidence: The service now benefits from a qualified and experienced management team who are working together to improve outcomes for the people who live at Collingtree Park. This is enabling management to have a higher profile in the home, to improve staff support, staff supervision and standards of care. The service does not currently hold any money on behalf of the people who live there, expenses such as hairdressing and podiatry are billed to the account holder retrospectively. Systems should be put in place for people to safely manage small amounts of money should they wish to do so. Both of the requirements made at the last Key Inspection that relate to the management of the home have now been met. This means that the service keeps the Care Homes for Older People Page 22 of 28 Evidence: Commission informed about the things that happen in the home and that they have introduced Quality Assurance activities designed to improve the services based on the views of the people who live there and others. There were a total of nine requirements made as a result of the previous Key Inspection dated 05/10/09 and the random Pharmacists Inspection conducted on the 24/03/2010. The timescales for eight of these has now elapsed and there is sufficient evidence found during this inspection to determine that the service has complied. This shows that they work with us to improve outcomes for the people who use care services. Care Homes for Older People Page 23 of 28 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 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The storage arrangements for controlled drugs must be reviewed to ensure that facility is certified as compliant with RBPG and that it is of adequate capacity. To ensure the appropriate storage of Controlled Drugs. 01/07/2010 2 9 13 Stock control systems for boxed medication must be reviewed to ensure that stocks tally with the medication administration records. To ensure the safe administration of medication. 01/07/2010 3 26 23 The management must ensure that there are effective measures in place to ensure that all areas of the home are free from offensive odours. 19/06/2010 Care Homes for Older People Page 25 of 28 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 To ensure the health and well being of the people who live at Collingtee Park. 4 29 19 The management must 01/06/2010 investigate the circumstances surrounding the discrepancy of clearance and start dates in the identified staff file. The outcome of this investigation must be placed on file. To ensure that recruitment practices are consistently robust and that the people who live at Collingtree Park are in safe hands. 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 1 The Statement of Purpose and Service Users Guide should be produced in user friendly formats appropriate to the needs of the people who live there including large print and pictorial versions. Accident records should be developed to include sections that allow staff to conduct and record further checks after an incident throughout the subsequent 24 hours period to eliminate secondary signs of injury such as swelling and bruising. The management should review the record keeping relating to complaints to ensure that there is a robust audit trail evidencing all stages of a compliant investigation and outcome. 2 8 3 16 Care Homes for Older People Page 26 of 28 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 4 19 Consideration should be given to a review of the premises by an occupational therapist regarding the provision of aids and adaptations. The type of privacy lock used in the home should be reviewed and included in the arrangements being made to upgrade the premises. Systems should be put in place for people to safely manage small amounts of money should they wish to do so. 5 19 6 35 Care Homes for Older People Page 27 of 28 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. 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