Care Home: Colne Valley

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What the care home does well People are assessed before they move in, this is to make sure that their needs can be met at the home. There is plenty of information for people to take away that gives details about the service provided, this helps people decide if it is the right place for them to move to. The staff know people very well, they have a good understanding of individual needs and preferred daily routines. People look well cared for and they told us they were happy with the service provided. There are activities on offer to keep people stimulated. Staff have the time to stop and talk to people. Everyone told us the food is very good. We asked people to tell us what they think the home does well. These are some of the comments people made in the surveys they sent to us: "The carers work hard" "I like the food and I`m happy with the care" "They keep you clean and help you to get up and go to bed" "Everything" "We are well looked after" "Everybody is pleasant" "From my experience of seeing the quality of care provided for my friend, I can only say we are highly satisfied. Care staff are excellent. The atmosphere is very wecoming and friendly and it`s clean" What has improved since the last inspection? The home is comfortably furnished and "homely". Everyone has personalised their own rooms with help from relatives and staff. The home is well staffed and almost all of the staff have National Vocational Qualifications in care. What the care home could do better: Care plans need to reflect people`s current and changing needs so that staff know exactly what care and support they should be providing. Medication storage systems need to be improved so that it is kept safely. There needs to be a system for recording complaints. Staff recruitment procedures need to be improved; all prospective staff must be properly checked to make sure thay are suitable to care for older people. The home needs a manager who will deliver a consistently high quality service. Records of personal money need to be improved so that the money held for safekeeping can always be reconciled with finance records. The home must tell us about any events that affect the well being of people living in the home. These are called "notifications" and are a legal requirement. Key inspection report Care homes for older people Name: Address: Colne Valley 185 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lynda Jones     Date: 1 5 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Colne Valley 185 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ 01484659176 01484659176 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Cynthia Hesp Name of registered manager (if applicable) Type of registration: Number of places registered: care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Colne Valley care home provides care and accommodation for up to twenty older people with a range of needs. The accommodation is spacious and all but one room has private en-suite toilet and hand basin. Although the home does not provide nursing care the community nursing team are involved with people who live at the home. The home is located close to the centre of Milnsbridge in the Colne Valley, approximately three miles from Huddersfield, and there is access to local services, including public transport. As of 15/12/09 the fees at the home are four hundred pounds per week. Items not included in the fee include, hairdressing, and residents who wish to have newspapers or magazines, arrange to have them delivered. Information about the service is Care Homes for Older People Page 4 of 29 0 Over 65 20 Brief description of the care home available from the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Colne Valley. The visit to the home was carried out by two inspectors over 5.5 hours. The last key inspection was in January 2008. The methods used to gather information included conversations with the people living at the home, their relatives and the staff, as well as looking at care plans and examining other records. We also sent surveys to a sample of people who live and work at the home, their relatives and to health care providers who visit the home. We received 8 responses from people who live there, 2 responses from staff and 1 response from a relative and Care Homes for Older People Page 6 of 29 health care providers. We have included some of their comments in this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforement action will be taken. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Care plans need to reflect peoples current and changing needs so that staff know exactly what care and support they should be providing. Medication storage systems need to be improved so that it is kept safely. Care Homes for Older People Page 8 of 29 There needs to be a system for recording complaints. Staff recruitment procedures need to be improved; all prospective staff must be properly checked to make sure thay are suitable to care for older people. The home needs a manager who will deliver a consistently high quality service. Records of personal money need to be improved so that the money held for safekeeping can always be reconciled with finance records. The home must tell us about any events that affect the well being of people living in the home. These are called notifications and are a legal requirement. 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 29 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 29 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. Information about the service is available for people to take away and read. People are assessed before they move in to make sure their needs can be met and ensure that it is the right place for them to move to. Evidence: We received eight surveys from people living in the home, they were all completed with the help of a member of staff. In the surveys people said they had been given information about the home that helped them to decide if it was the right place for them. People are welcome to visit the home to view the accommodation but we did not speak to anyone who had done that. When we visited, we asked people about how they came to live at Colne Valley and they said their families thought it was a good place for them to move to. Care Homes for Older People Page 11 of 29 Evidence: We saw evidence in the care files showing that people are assessed before they move in to make sure that their needs can be met. We also saw two copies of assessments carried out by the local authority which contained detailed information. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans do not accurately reflect the care people receive on a day to day basis. This means that people may not always receive the care they need. Medication storage arrangements are unsatisfactory and need to be improved. Evidence: We looked at the care plans for four people who have been living at the home for between two and six months. We wanted to see what individual needs had been identified and what actions staff must take to make sure these are met. The care plans are based on the activities of daily living which includes personal care, dressing, eating and drinking, mobility, sight, hearing, teeth, bowels and falls. The initial care plans that were written when people first moved in, provided some useful information about the sort of assistance people required to help them to wash, dress and mobilise whilst still supporting people to maintain as much of their independence as possible. Care Homes for Older People Page 13 of 29 Evidence: For example, we read about people who needed help combing their hair and cleaning teeth but who could wash themselves and about others who could dress themselves but needed support in choosing what to wear and then needed to be handed their clothing in the correct order to dress. This helps people to retain their independence and have some control over their daily lives. We could see from the care plan who wore dentures, hearing aids and glasses and we noted that they were all in use. Everyone looked well dressed and cared for. The hairdresser was present during the morning and several people were having their hair set. However, there is very little evidence to show that the care plans are used as a working tool after the initial plan is first established . When we looked at the daily records we could see that there had been changes in individual circumstances, for example some people needed more help to move about, there had been changes in peoples continence needs and in their eating and drinking patterns. When we looked at the monthly reviews of the plans we found that without exception, they remained the same month after month, no change in individual needs had been acknowledged. We noted from observing care practice and from talking to staff that they are kind and caring, they know people well and they know what to do to support people. Some of this important information about changes in needs is exchanged verbally at staff handovers but it is not recorded in the care plan and not taken into consideration during monthly reviews. This means that if the staff at Colne Valley were unable to work for any reason and agency staff were required, they would not be able to provide any continuity of care because some people would not be able to tell agency staff what they need. This why it is important to keep the written information up to date. When we looked at the accident records we noted that one person had fallen eight times in ten weeks. On six occasions the falls occurred in the bedroom at night. When we looked at this persons bedroom we noted that the bed was in a central position in the room. The records suggest that accidents had occurred when the person attempted to get out of bed to use the toilet without assistance. The care plan noted that this individual was at high risk of falls but there was no detailed plan in place to show what measures were in place to try to minimise the risk and keep this person safe from injury. We discussed the layout of the room and the use of a pressure pad by the bed to alert staff if this person got up. The owner of the home said these issues had been discussed but there was nothing in the records to show that any action had been taken which means this person is still at risk of falling. Care Homes for Older People Page 14 of 29 Evidence: We saw other examples of health issues not being fully recorded in the care plans. In records relating to one person with diabetes we saw an instruction for staff to take bloods once a week there is no information about where this instruction originates from and nothing in the care plan about diabetic care. Two mobility plans we looked at told us both people walked using zimmer frames, yet when we looked the daily records they said both people were using wheelchairs. The plan had not been amended to reflect the changes. There was insufficient detail on the continence plans we looked at. For example, one plan told us about someone who was incontinent of urine, wears pads and requires assistance to go to the toilet. The plan went on to say this individual needed to use the toilet regularly to prevent accidents. There was no information about the type of pad in use; whether they were different for day and night-time use and there was no information about the frequency of using the toilet. This lack of information makes it impossible to review the plan to see if it is meeting this persons needs. Storage arrangements for medication must be improved to ensure that it is safely kept at all times. When we arrived at the home, the keys to the medicine cupboard had been left unattended in the office. The keys should be held at all times by the person who is responsible for medication administration on each shift. At the time of this visit medication was stored in a locked container that could be picked up and removed from the home. A more suitable medication trolley needs to be sourced that can be secured so that it cannot be removed when not in use. The medication records we looked at were all signed to show that medication was administered at the prescribed times. Care Homes for Older People Page 15 of 29 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 staff have plenty of contact with people, they respect their preferred routines and provide a range of stimulating activities for people to take part in. The meals are good, the menus offer lots of choice and people say they enjoy the food presented to them. Evidence: The atmosphere in the home is pleasant and people are very friendly. During our visit, the staff were always available where people were sitting, they chatted, offered manicures, talked about the days news and asked people about their families. The staff were very patient and gentle in their approach to individuals. They clearly know everyone very well and they exchanged some good humoured banter. People told us they get on really well with the staff, these are some of the things people said: We are well looked after The staff are really lovely Everyone is always very pleasant Nothing is too much trouble for them In the surveys we asked people if any activities are arranged for them to take part in if they want to. Most people said always. They told us about the various events Care Homes for Older People Page 16 of 29 Evidence: taking place in the run up to Christmas; carol singers, visits from local school children and the homes christmas party which everyone was looking forward to. Photographs from the previous years party that were on display were pointed out to us, together with photos of the Colne Valley PAT dog scheme. The lounge is L shaped with chairs arranged in two distinct areas. Each area has its own TV so that everyone can watch in comfort. One TV was on during the day and people were watching and talking to staff about what was on. It was switched off when people went to lunch. In the other part of the lounge people told us they did not like the TV on during the day. We were told we put it on for Countdown because we like that, we all have a go. There was lots of animated conversation in this area throughout the day. There were lots of CDs, videos, games and newspapers and magazines around. One person said you dont get bored here. The menu for the day was on display in the dining room. When we asked, some people knew what they were having for lunch, others said they like a surprise. In the surveys everyone said they liked the meals and they endorsed this when we talked to people about the meals. The mid day meal was a social, leisurely affair. People chatted and ate at their own pace. Most people had their meal in the dining room but some people who required assistance from staff had their meal in the lounge. The approach of staff was excellent, they talked about the food and took their time with people. Care Homes for Older People Page 17 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems need to be inplace to record complaints and re-assure people that they will be taken seriously and investigated. Staff are aware of their responsibility to safeguard people in their care. Evidence: In the surveys, everyone told us they knew how to make a complaint. They also said they had someone they could talk to if they were not happy. We saw a copy of the complaints procedure in the statement of purpose and service user guide that gives people information about the service. We asked to see the complaints record but we were told the home does not have one because there have never been any complaints. The owner of the home said any issued raised about the service would always be promptly dealt with and would not turn into complaints. Discussion took place about viewing complaints and comments about the service in a positive light and as a demonstration of the open culture of a home. Many older people do not like to complain - either because it is difficult for them or because they are afraid of being victimised. An open culture within a home enables people to feel confident about making comments/complaints about a service. Care Homes for Older People Page 18 of 29 Evidence: The home owner told us the staff have all received training about safeguarding people, this is about their responsibility to make sure that people they care for are safe and free from harm. We asked staff about this and they confirmed thay had taken part in the training and they told us they knew about their responsibility to report any poor care practice. Care Homes for Older People Page 19 of 29 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 home offers people a homely, comfortable and clean environment. Evidence: As part of this visit we looked round the accommodation. We looked at the communal areas, bathrooms and some of the bedrooms. All areas of the home were clean, warm and odour free, and systems are in place to prevent the spread of infection. In the surveys people told us the home was always fresh and clean and when we talked to people they confirmed this was the case. They said they were very pleased with their rooms and the sitting areas. The bedrooms we saw were all different, each was well decorated and personalised by the occupant. Lounge and dining areas are pleasantly decorated with lots of ornaments,plants and flowers in evidence. People told us the seats were comfortable and they were warm in the lounge. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of trained staff on duty during the day and night to meet peoples needs. Recruitment procedures need to be improved to ensure that new staff are suitable to work with vulnerable individuals. Evidence: The home is appropriately staffed to meet the needs of the people living there at the present time. There are two care staff on duty between 8am and 10pm. There is a senior on duty between 8am and 3pm and the acting manager is available until 6pm Monday to Friday. In addition, the owner of the home lives in a house in the grounds and she is available each day. We asked people about staffing and they said there are always staff available when needed. When we visited, the staff were always on hand in the areas where people were sitting.At night there are two staff on waking night duty. A cook is available every day between 8am and 3pm and the housekeeper is available 5/6 days each week. We looked at the staff rota and this supported the level of staffing outlined above. In feedback at the end of the inspection we said the staff rota should be improved so Care Homes for Older People Page 21 of 29 Evidence: that there is clear information about the times that staff actually work. A key is used at present; O = Office, E=early, L =late, N =night. The rota should show which staff are on duty at any time during the day and night and in what capacity they are working. The acting manager informed us that 16 out of 18 staff have gained a qualification at NVQ level 2, a further member of staff is currently undertaking the training. This means that staff have been assessed as competent to do their job. Records show that staff have received regular training updates training in safeguarding people, fire safety, health and safety procedures, moving and handling techniques food hygiene and infection control. We looked at a sample of staff recruitment records because we wanted to see whether staff were properly checked before they started work at the home, this is to make sure that new staff are suitable In the feedback at the end of the inspection we said the recruitment procedures need to be improved in the following areas: The management team must ensure that when all prospective employees provide a detailed employment history as part of their job application. There was insufficient detail on some of the applications we looked at. No interview notes were available on the records we looked at. Some of the references were addressed to whom it may concern. There was no evidence that the validity of these had references had been checked. The application form needs to be amended so that all prospective employees are asked to provide information about any cautions and convictions they have received. Care Homes for Older People Page 22 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home would benefit from having a manager who could deliver a consistently high quality service. People are being consulted about the service provided and asked if it could be improved in any way. Evidence: The home does not have a registered manager at the present time. The last registered manager resigned from the role in January 2008. Since then the owner of the home has assumed this role and has more recently been assisted in the task by her daughter who has worked at the home for two to three years (we have referred to this person as the acting manager earlier in this report) . She said she deals mainly with administrative matters. It is important that there is a manager so that there is someone responsible for the day to day management of the service. We discussed this with the home owner and her daughter. Care Homes for Older People Page 23 of 29 Evidence: Before we carry out an inspection we ask service providers to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that provides us with information about how well the outcomes are being met by people using the service. Our records show that we contacted the service and they told us they would download a copy of the document and e mail the completed version to us. When we did not receive the document we sent a reminder letter. We did not receive a completed AQAA. We asked the home owner about this and she said she did not receive the letter. We have carried out this inspection without this information. The home has a Quality Assurance system in place; they issue surveys to people living at the home and their relatives once a year, asking for their comments on the service provided. The latest survey was underway and when we visited six people had returned their comments. We looked at some of these and noted that people were very positive in the remarks they made about the care provided. The owner of the home said she intends to collate the information and display the results in the home in the next couple of months. The home holds small amounts of money for safekeeping on behalf of people living there. The money is usually deposited by relatives for hairdressing, chiropody and confectionery. We looked at a sample of the records and the balance of money held. We found that the personal money records could not always be reconciled with the amount of money held. On some of the balances we found more money in safekeeping than the records indicated. In feedback we said the system of accounting must be more robust and we explained how the personal money records could be easily checked for arithmetical errors. We asked the home owner to check all of the records and the money held for each person. We have not received any notifications from the service since the last inspection. These are about things that have happened such as deaths, infectious diseases or any event which adverslely affects the well being of anyone living there. These notifications are a legal requirement. When we discussed this with the home owner, she said she was unaware that she was required to send us this information. We looked at a selection of records relating to the maintenance and servicing of equipment and found them up to date. None of the people living at the home are currently subject to a deprivation of liberty order as prescribed by the Mental Capacity Act. Care Homes for Older People Page 24 of 29 Evidence: Care Homes for Older People Page 25 of 29 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 26 of 29 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 7 15 The care plans must include details of the actions staff are expected to take to ensure that peoples health, personal and social care needs to be met. To ensure that people receive the care and support they require. 26/02/2010 2 9 13 All medication held in the home must be safely stored at all times. To ensure that people who use the service are not placed at risk. 29/01/2010 3 29 19 All staff must be appropriately checked to ensure they are suitable to work at the home. This is to make sure people are not at risk of being cared for by unsuitable staff. 11/02/2010 Care Homes for Older People Page 27 of 29 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 4 35 17 The records of money held 26/02/2010 for safekeeping for people must be accurate and clearly show what money has been deposited and give details of any expenditure, together with written receipts. This will make sure people are protected from any financial abuse. 5 38 37 The Commission must be notified of any event tin the care home that affects the well being or safety of people living there. so that their health and welfare can be monitored. 29/01/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 16 A complaints record should be kept which outlines details of the complaint, who made it and when, how it was investigated and the outcome of investigation. A staff rota must be available to accurately show which staff are on duty at what time and what their role is. A permanent manager needs to be appointed so that there is someone has day to day responsibility for the management of the home. 2 3 27 31 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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