Care Home: Collingwood

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What the care home does well People who use the service can be confident that they will receive the care they require from a competent staff team. People who use the service enjoy a clean, homely and welcoming environment. The home has received 5 star Food Safety award from Environmental Health in recognition of their high standard in this area. This is to be commended. People who use the service can be assured that the staff team will listen to their opinion about the care they would like to receive. What has improved since the last inspection? Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 People who use the service have access to a better standard of food as the home has recently taken on an improved food supplier. What the care home could do better: People who use the service would be more assured that the staff team had the skills to protect them if there were a rolling programme of training in this area. People who use the service would enjoy a higher standard of life experience if they had more opportunities to go out into the community on trips. People who use the service would be assured that their views are fully listened to if the staff team asked them if they all wish to have breakfast in their bedrooms and some finer food issues detailed in the report. People who use the service would be more assured that staff members are working consistently if they were regularly supervised. People who use the service would have clearer information about the home if their agreement/contracts showed which room they would occupy. The staff team would be better able to evidence that they are delivering a good standard of care if they sent the Commission copy of the Quality Assurance questionnaire and report giving results and any actions taken. Key inspection report CARE HOMES FOR OLDER PEOPLE Collingwood 78a Bath Road Longwell Green South Glos BS30 9DG Lead Inspector Jacqueline Sullivan Key Unannounced Inspection 5th may 2009 14:00 DS0000003320.V375866.R01.S.do c Version 5.2 Page 1 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. 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. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 2 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 Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Collingwood Address 78a Bath Road Longwell Green South Glos BS30 9DG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0117 9324527 NONE linkside-care@btconnect.com Mrs Frances Stephanie Bailey Mrs Wendy Ann Pullin Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 21 persons aged 65 years and over requiring personal care only 7th June 2007 Date of last inspection Brief Description of the Service: Collingwood is a privately owned care home registered to provide accommodation and personal care for up to 21 older people. The home is situated in a cul-de-sac in the residential area of Longwell Green. It is within walking distance of nearby shops and other amenities including medical services. The area is well served by public transport. There is easy access to Bristol and Bath. The M4 and M5 motorways are within easy reach. The property is stone built on two levels with an additional extension to the side. There is a passenger lift. There are attractive, well maintained gardens which are fully accessible to the residents. Accommodation is provided on two floors comprising of 21 single rooms. All rooms have en suite toilet facilities and wash hand basins. There are two lounges and a dining room on the ground floor. Assisted bathrooms and toilet facilities are situated on both floors. Collingwood aims to provide high quality care in a homely and safe environment and maintain individual service-user care, respecting resident’s rights, choice, privacy, individuality, autonomy, independence and confidentiality. (from home’s Statement of Purpose) Fee £450-460 Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced visit to the home as part of an inspection to look at the home’s performance and quality of care provided. As part of this visit a number of documents were looked at including the home’s Statement of Purpose, care plans, staffing arrangements, recruitment and training of staff. There was also an opportunity to discuss with people who live in the home their experience and views about the quality of the care they receive in the home. Surveys were not sent out for this inspection. However we were able to read the surveys sent out by the home to p and their representatives. What the service does well: People who use the service can be confident that they will receive the care they require from a competent staff team. People who use the service enjoy a clean, homely and welcoming environment. The home has received 5 star Food Safety award from Environmental Health in recognition of their high standard in this area. This is to be commended. People who use the service can be assured that the staff team will listen to their opinion about the care they would like to receive. What has improved since the last inspection? Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 6 People who use the service have access to a better standard of food as the home has recently taken on an improved food supplier. 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. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service mostly benefit from having agreement contract which explains the terms and conditions of living at Collingwood. People who use the service can be confident the staff team will know what care they require, as there is an assessment of need in their files. People who use the service can be assured that they will have the opportunity to visit the home before they commit themselves to living there. EVIDENCE: Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 9 At the last inspection it was noted that the Statement of Purpose gave full and detailed information about the facilities including environment, how the home meets social needs through activities, staffing structure and the complaints procedure. It was noted that additional information about the staff was not included. We tried to see if this had been completed but the staff member could not find it. The staff team should confirm that this information is now in the statement of purpose and consideration be made to making it more accessible so every one knows where it is. The deputy was able to describe the criteria for admission and the admissions procedure and we saw a copy, which describes the introductory visit and trial period of four weeks. One person said, “ I was looking for somewhere to live and I came here. I tried it out and liked it.” We saw copies of home’s agreement (contract) and saw that it had information about fee and additional costs also arrangements for giving notice. Some contracts seen did not fully detail individual rooms. This was a recommendation of the last report and therefore will remain a recommendation. We looked at four people’s files and saw that in each there was a detailed preadmission assessment detailing their health and social care needs. Copies of the local authority care assessment were also seen and information from this document and outside agencies were used to inform the care plans. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that their health needs will be met. Arrangements for managing people’s medication make sure that people’s health needs are protected. People who use the service can be confident that they are treated with respect and their dignity is upheld. People who use the service can be assured that the staff team will know what their end of life plan is as they have asked them. EVIDENCE: We looked at the care plans and noted that they contained information about care tasks and routines of people who use the service. As noted at the last Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 11 inspection there were separate entries for health needs, mobility with moving and handling assessments being completed and mental health. The senior staff member that we spoke with had put a great deal of work into keeping the plans current but she told us that they were not all completed as it was a fairly new task for her. However there were no significant shortfalls seen. We saw risk assessments were in place in people’s files. These were seen to meet the standard .As part of care plans Advanced Directives are completed by the individual or their representative, which provides information about next of kin and importantly their wishes on death. People who live in the home receive the health care they require. The care files showed us that community health services such as chiropody, dental and opticians regularly visit them. One person who had recently had ill health said “The staff look after you here.” The feedback from people in the homes own questionnaires was positive about the health care provided. One person told us “They look after me well.” Discussions with the assistant manager, people who use the service and evidence seen in people’s files confirmed that the home liaises well with GP’s, Consultants and District Nurses. There is a system in place for the regular review of care plans and risk assessments. We also saw comments from health Care professionals about the health care provided for people and these were very positive. We saw that the medication arrangements in the home were organised and appropriately recorded. We were told that they are planning to complete a medical questionnaire for people so they can “plan and promote the best delivery of care.” When we asked people what they thought about the care they received from the staff team they were positive in their responses. Comments included “Really nice girls they would do anything for you.” We saw that staff members were respectful, friendly and warm to people. The home had a warm welcoming relaxed feel. Two people said that was why they had chosen it in the first place. We looked at the care plans and noted that they contained information about care tasks and routines of people who use the service. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the 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 arrangements for meeting the social and recreational needs of people who use the service could be further developed. There are opportunities for residents to maintain links with family, friends and the local community. People are able to make choices and have control over their lives. Some choices could be further explored by the staff team. The home provides meals, which are balanced and meet the dietary needs of people in the home. EVIDENCE: Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 13 We spoke to three residents about the activities in the home. They told us about playing cards, dominos and crafts with the staff team. We asked two people if they used the garden for BBQ’s. They said that they used to but had not for a long time. I asked if they would like to again and they said it would be a good idea. One person said that they chose the house because they liked the look of the dining room leading into the garden. She said, “I liked it the minute I saw it.” We asked if there were any trips outside the home like trips to the theatre or to the river. One person said that they couldn’t walk very far and so it might be difficult but they would like to go out. We spoke about maybe using a coach and they both thought that it would be a good idea. Two other people spoken to also thought this was a good idea. When we spoke to the people who use the service and some staff members on duty it was clear that the opportunities to go out of the home could be further developed. A lot of people went out with their relatives but people who had limited mobility or who did not have regular visitors went out of the home less frequently. We spoke with the senior carer about having a residents meeting about trips out and the possibility of obtaining a minibus. A recommendation has been made about this. Following the inspection the provider sent us a list of planned activities, which we will use as a focus of the next inspection. At the last inspection there was a discussion about the flexibility of routines for people. At that time they had to be in the lounge when morning and afternoon drinks were served. The reasoning behind this arrangement was that it encouraged people to socialise. At this inspection we discussed with the senior carer the practise of people having their breakfast in their bedrooms. It may be that some people prefer this but other may not. In order that the staff and we can be assured that it is people’s choice we recommend that this issue forms part of the quality assurance or is part of discussion at the residents meeting. We saw people having tea, which was very well presented and looked appetising. One person said she liked to have smallish portions or “Its too much for me.” When we looked at the resident’s meetings book we noted that one person had written down some issues that they wanted to be discussed. One was to have chips that were not oven chips. We spoke with this person who said they would like a fryer to make the chips. We saw that the issue had been discussed but the staff were concerned that this would be an unhealthy option for people. However the occasional use of the fat fryer could be incorporated into a healthy lifestyle. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 14 Another issue that was raised was having a grill as the people who live in the home like to have cheese on toast. We looked at the oven and saw there wasn’t one. As some people were saying they would like to have grilled food. We are recommending that these issues be discussed to establish what preferences people have. We looked at the menus and saw that for lunch some people like to have sandwiches. It is recommended that the staff team record what the residents actually eat so they can assure themselves that they are eating a healthy diet. The menu was varied and included people’s preferences. One person said, “ I enjoy the food here.” Another said they would like more choice at breakfast and would like bacon more often. We noted that the menu was in quite small writing and was difficult to read. Consideration should be given to larger print to make it more accessible. We saw visitors eating with people who live at the home. We noted how flexible the staff team were as they had kept a meal for one person and their relatives as they were out when lunch was served. We asked the relative if they were enjoying the food and they replied, “Its lovely”. Discussion with staff members, people who use the service and evidence in the care files and visitors book showed that visitors are welcome into the house. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the 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 can be assured that the staff team will listen to their concerns or complaints and will take prompt action. People are protected policies and procedures about the Protection of Vulnerable Adults. However training to all staff in this area must be further developed. EVIDENCE: People receive a copy of the complaints procedure when they move to live in the home. People who we spoke to said they were aware of how to make a complaint and were confident in the staff team to help them. We looked at the responses from people who live in the home to the in house questionnaires. It showed us that they knew how to make a complaint and all said yes to the question “Do staff listen and act on what you say”. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 16 We looked at the complaints recording and saw there was one complaint that had been dealt with appropriately by the staff team. There is also a suggestion box for peoples use. The home has an Adult Protection policy. At the last inspection it was noted the manager and deputy have not completed the local authority training. This remains the case. The information in the staff files and information from the senior staff member and some staff members confirmed that not all the staff have received safeguarding training. We spoke with a staff member about their understanding about safeguarding and they were not clear how this was different to the whistle blowing policy. As this issue was in part raised at the last inspection a requirement has been made that staff members receive this training. Following the inspection we were sent a plan in place to resolve this and we were told by the provider that they have started a rolling programme of training. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service enjoy a clean, homely and comfortable environment. EVIDENCE: The home is very well maintained and attention paid to making the home a pleasant place to live. One person we spoke to said,“I like the open feel it is always clean and tidy”. We saw a resident’s bedroom and noted it was comfortable and furnished to their tastes. One person said, “ I’ve got everything I need here.” We looked at the bathrooms and saw they were clean and hygienic. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 18 There is a rolling programme of refurbishment and evidence in the office diary and discussions with staff members confirmed repairs are completed quickly. There are plans to refurbish the communal areas and develop the seating in the garden. We looked at the feedback from people who use the service and their representatives and noted that this was positive. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the 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 protected by robust recruitment practises. There are sufficient staff on duty to provide people with the care they require. However staff training could be further developed. EVIDENCE: We looked at the staff rotas and saw there are appropriate numbers of staff on duty to care for people. There is waking night staff and sleep-in member of staff. In addition to care staff the manager and deputy are on duty. Over 50 of staff have completed NVQ (National Vocational Award) 2 or 3. Staff are advised at interview that NVQ training is mandatory. We looked at the staff recruitment records and saw that they contained the necessary checks .Two references were obtained and Criminal Record Checks undertaken. Application forms showed full employment history. All staff complete an induction programme. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 20 Training records showed staff had completed “mandatory” areas of training: moving and handling, first aid, fire and health and safety. Fire training is undertaken yearly. However when we asked the staff team to write down additional training that they had completed within the last year there was very little. The Deputy told us that they are aware of the need to develop training in areas like mental capacity act. Following the inspection the Provider showed us the plan they will start for staff and at the time of writing this report she confirmed this was underway. A recommendation has been made that there is evidence that staff members receive training appropriate to their role. This will be a focus of the next inspection. When we asked people what they thought of the staff team one person said,”They are great girls… nothing is too much trouble,” Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 36 38 People using the 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 well managed and run in the best interests of people that live there. People would receive a more consistent service if staff members were supervised more frequently. EVIDENCE: The manager Mrs Pullin was not present formally at the inspection although she did join us informally when she came to the home. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 22 She has extensive experience of working with older people having worked at Collinwood for over 18 years originally coming to the home as a care assistant. She has completed NVQ 4 Registered Manager’s Award and is a qualified NVQ assessor. The deputy is trained to level three NVQ and has many years experience of care. She described her self as being “Hands on” and has “struggled with the paper work”. The manager has been away from the home for several short periods during the year and this has impacted on the systems with in the home. When we read the last report and looked at the records of staff supervision and it was evident that there was a clear system in place but this had slipped as the deputy was covering the home in the manager’s absence. The deputy said that the manager’s absence explained why they had not developed activities in the home and there was limited staff training. She said she had prioritised making sure the people were “happy.” We spoke with the provider who had assisted the deputy ensure the home was managed and she confirmed the manager would be back shortly. The manager who said that once she is back she will make sure that all the care plans are current and there will be more time to ensure staff supervisions take place. Resident’s meeting are held which provide an opportunity for people to comment on the service they receive. There is a quality Assurance questionnaire sent to people who use the service, which had just been compiled for this year so we were able to see the responses. They were all very positive about the home and care provided. The manager said it is sometimes difficult to get responses back and we discussed other ways they could give them out. A recommendation has been made about this issue. As noted at the last inspection, it the home’s policy not to manage individuals financial affairs. Where the home purchases items or services such as chiropody records were seen which showed that individuals or two members of staff sign and witness any money given or used for such services. The home completes the necessary fire and health and safety checks with staff undertaking fire drill as required. Fire risk assessments in relation to the environment have been completed. Arrangements are in place to maintain infection control. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP18 Regulation 18 (1) (a) Requirement The registered person must ensure that there is a rolling programme in place to ensure that staff are suitably qualified. This refers to safeguarding training. Timescale for action 30/09/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP2 Good Practice Recommendations The registered person should ensure that the home’s agreement/contract to show room to be occupied by the individual. The registered person should ensure that the staff team are regularly supervised. The registered person should ensure that the staff team consult with people about having breakfast in their bedrooms and about some other food issues detailed in the report. 2 3 OP36 OP15 Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 25 4 5 6 OP12 OP33 OP30 The registered person should ensure there are increased opportunities for people to go out into the community on trips. The registered person should supply to the commission a copy of the Quality Assurance questionnaire and report giving results and any actions taken. The registered person should ensure there is a rolling programme of staff training in place. This refers to training other than the mandatory training. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 26 Care Quality Commission South West Region Citygate Gallowgate Newcastle uponTyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Collingwood DS0000003320.V375866.R01.S.doc Version 5.2 Page 27 - 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. 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