Care Home: Dawson Road, 5 & Whateley Road

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What the care home does well The staff know the people who live there very well. One person told us `they look after them very well`. The staff support people well, and treat people with respect.The home ask for advice from other people to make sure people stay well.The people living there are asked what things they like and do not like.People go out and do the things that they enjoy. One relative said `we went away last week on an adventure holiday`.Each person has a care plan. Thistells staff how to help the person.People have things they like in their bedrooms.Staff have training so that they know how to look after people.Staff do health and safety checks so the home is safe for the people who live there. What has improved since the last inspection? Care plans told staff a lot about theperson so they know more about how to help them.There are good rules for keeping most of the medicines safely.Some rooms have been redecorated so the home is more comfortable for the people who live there.The garden area has had new furniture so that people can enjoy this when the weather is nice.A `shift leader` role has beenintroduced so that staff spend more time with people. What the care home could do better: Staff should have information so they know how to keep people safe.People should know what foods are on the menu so that they can choose the foods that they like.Staff should write down how much medication they receive so they know it has been given to people.Staff training should be clearly recorded so that they know if they need any more training to help the people living there.Fridges should be maintained at safe temperatures so that people are not put at risk of food poisoning. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Dawson Road, 5 & Whateley Road Dawson Road, 5 & Whateley Road Handsworth Birmingham West Midlands B21 9HS two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lisa Evitts Date: 0 4 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.cqc.org.uk Information about the care home Name of care home: Address: Dawson Road, 5 & Whateley Road Dawson Road, 5 & Whateley Road Handsworth Birmingham West Midlands B21 9HS 01215544718/5896 01215544718 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Milbury Care Services Ltd care home 12 Number of places (if applicable): Under 65 Over 65 12 12 0 0 learning disability physical disability Additional conditions: The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 12 Physical disability (PD) 12 The maximum number of service users who can be accommodated is: 12 Date of last inspection 2 5 0 6 2 0 0 8 A bit about the care home The home is two bungalows and 12 people can live there. Each bungalow has a lounge, kitchen and bathroom. Each person has their own bedroom. There is a garden at the back of the home. Our reports are in the home for people to read if they want to. It costs eight hundred and forty eight pounds per week to live at the home. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home One inspector visited the home and did the inspection in one day. The home did not know we were going to visit. We observed and spoke to people who live in the home. We spoke to staff who work there and looked at how they help the people who live there. We spoke to peoples relatives on the telephone. We looked at two care plans of people who live in the home. We looked at some of the paperwork the home has to keep. This included medication charts, menus, staff rotas and fire testing records. We looked at information about things that have happened at the home. We looked around the home and at records about staff and health and safety. What the care home does well The staff know the people who live there very well. One person told us they look after them very well. The staff support people well, and treat people with respect. The home ask for advice from other people to make sure people stay well. The people living there are asked what things they like and do not like. People go out and do the things that they enjoy. One relative said we went away last week on an adventure holiday. Each person has a care plan. This tells staff how to help the person. People have things they like in their bedrooms. Staff have training so that they know how to look after people. Staff do health and safety checks so the home is safe for the people who live there. What has got better from the last inspection Care plans told staff a lot about the person so they know more about how to help them. There are good rules for keeping most of the medicines safely. Some rooms have been redecorated so the home is more comfortable for the people who live there. The garden area has had new furniture so that people can enjoy this when the weather is nice. A shift leader role has been introduced so that staff spend more time with people. What the care home could do better Staff should have information so they know how to keep people safe. People should know what foods are on the menu so that they can choose the foods that they like. Staff should write down how much medication they receive so they know it has been given to people. Staff training should be clearly recorded so that they know if they need any more training to help the people living there. Fridges should be maintained at safe temperatures so that people are not put at risk of food poisoning. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Lisa Evitts 77 Paradise Circus Queensway Birmingham B1 2DT 0121 600 5300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People have information to enable them to make an informed decision about whether they would like to live at the home. Peoples needs are assessed so they know they can be met at the home. Evidence: The statement of purpose and the service user guide was available in the reception area of the home. The documents contained all the information people would need to know about the home. The documents were in large print and included pictures to help people understand the information. The home was in the process of reviewing individual service users guides and producing them in a format that each person could understand. The certificate of registration is displayed so that people can see this when visiting and a copy of the last inspection report is available for people to read if they want to. There had not been any recent admissions to the home so we could not look at any assessments. We discussed the process of admission with the staff. They told us that this would be managed to ensure that it was the best decision for the person to come and live at the home. This would include assessments and the opportunity to visit the home, sample a meal and even stay overnight so that the person could see what it would be like to live there. Staff also told us that they would involve an independent advocate as some people may have difficulty expressing their views about where they want to live. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff have the information they need so they know how to support people safely to meet their needs and make choices about their day-to-day lives. Evidence: Each person had a written care plan. This is an individualised plan about what support is required from staff in order for the person to meet their needs. We looked at two peoples care files. These stated how staff are to support the person with their personal care including promoting their independence, leisure and social needs, sleep, eating and drinking and health needs. The plans also stated what peoples likes and dislikes were. Care plans cross referenced with recommendations made by healthcare professionals. This meant that staff had all the information they needed to know how to support people to meet their needs. Records sampled and observations showed that staff followed the plans so that people were supported appropriately. Staff were observed to talk to people and spend time with individuals. It was clear that people in the home had built up good relationships with the staff and were pleased to see particular members of staff. Most of the people living at the home were unable to communicate their needs verbally due to their learning disability. Staff had guidance about clues that may mean that someone was unhappy and were able to tell us how they would recognize this. People were offered choices such as if they wanted to go out into the garden and were showed different drinks and foods so they could choose what they wanted. Records included risk assessments for individual needs. These detailed what staff needed to do to assist the person to be independent whilst keeping them safe. Risk Evidence: assessments for bed rails had been completed but were not readily available on the persons file. The manager found all of the assessments but it is recommended that the files are audited to ensure that staff have information they require so that they can protect people from possible risks. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living there experience a meaningful lifestyle. They are offered a varied diet of their choice so ensuring their well being. Evidence: Sampling of records and observations show that people who live at the home have opportunities to participate in a wide variety of activities. On the day of our visit two people went out for lunch following a hospital appointment. People have the opportunity to participate in aromatherapy, watching films, going out for walks, meals out, music and sensory activities. People were observed to be looking at magazines, taking in an interest in the garden and using the sensory lights in their rooms. Some people were watching a film in the communal area. Three people were going to a disco at the end of the month as they enjoyed music. A relative said they take them out in turn so that they all go out. Some people had just been on an adventure holiday and some people were due to go on holiday to Blackpool. It was good that one relative was able to go on holiday with the person who lived in the home. They said It was really good, they did different things like abseiling, canoeing, rock climbing and horse riding. Three people who live at the home attend college courses. The manager told us that other people were on waiting lists for courses, but local colleges have lost funding and places were now limited. Staff at the home were really keen to help people attend college courses and were trying to find alternative courses for them to attend. Evidence: People are supported to maintain contact with family and friends and relatives told us that they could visit whenever they chose to. This means that people can continue to have relationships that are important to them. We observed the lunch in Whateley Road and staff were sitting down with people to eat their meals providing assistance where required in a respectful manner. People were encouraged to maintain their independence by using equipment such as raised plates. Tables were nicely set with cutlery and drinks were available. The dining experience was calm and unhurried. In the evening, people in Dawson were having southern fried chicken but the menu stated beef burgers. Staff said that they had had burgers yesterday but the menu didnt reflect this. The menus should reflect the foods people have eaten so that staff know what people have had. The manager told us about plans to have menu boards and have photographs of food so that people knew what choices they had. This will be reviewed at the next visit. In Whateley Road, one person was helping staff to prepare a mince curry. People were offered a variety of foods at each mealtime which reflected individual tastes and cultural needs. Fresh fruit was available. Some people are fed through a tube which goes directly into their stomach. This is usually due to a swallowing difficulty and may mean that they would be a risk of choking. The tube means that people receive the nutrition they require but are not at risk of choking while eating. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The personal care and health needs of the people living there are met so ensuring their well being. Evidence: Care plans included how staff are to support people to ensure that their personal and healthcare needs are met in a way that they prefer. The plans told staff what people could do to maintain independence and identified what staff needed to do to support people. Attention had been paid to peoples personal care and people who live at the home were well dressed and their clothes were appropriate to their age, gender and the time of year. Records sampled included individual health action plans. This is a personal plan about what a person needs to be healthy and what healthcare services they need to access. Health records indicated that people are receiving access to general practitioners, social workers, opticians, dieticians, dentists, tissue viability nurses and speech and language therapists. Recommendations made by these professionals had been transferred into the care plans so that staff had all the information they needed. Staff knew what people needed for example one person had been seen by the speech and language therapist and a raised plate was recommended. Staff told us about the person needing this and we saw that it was used at mealtimes. One person was being helped to lose weight and a detailed plan was in place about how staff could help the person to choose healthier foods. Weight records were in Evidence: place which were monitoring this persons progress. There were detailed plans in place about how staff were to help people who required feeding through a tube. Moving and handling assessments detailed type of equipment that should be used so that people were moved safely. We looked at medication in both bungalows. Qualified nurses give medication to the people who live at the home. Each person had a photograph so that staff could identify the person safely. There was information about how people liked to take their medication and guidance was in place for medications that people only take when required. Controlled medication was accurately recorded and securely stored. Some medications were not always signed in upon receipt into the home or if it was carried over from the previous month. However when auditing the medication from the amount in and the prescription we were able to see that people had their medication as prescribed. The exception to this was one medication that had three tablets unaccounted for. It is recommended that all medications are carried over and signed in so that an audit trail can be followed. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples views are listened to acted on. Arrangements are in place to ensure people are safeguarded from harm. Evidence: Information about the complaints procedure is included in the service users guide and is on the notice board in reception. People who live at the home at the home rely on staff to pick up on signs that they are unhappy. To help with this staff have information in care plans to help them recognize when individuals are upset or unhappy. We have not received any complaints or concerns about this home since the last inspection. The home had received one complaint since our last visit regarding the cleanliness of a bedroom and the stained carpet. Records showed clear details of the nature of the complaint, who had dealt with it, action taken and the date it was resolved. This means that people can be confident that their concerns will be listened to and acted upon. Relatives told us: I have no complaints about the home itself I would speak to the head one but I have no problems The home had an adult protection policy and had local multi agency guidelines to follow. Staff have received training in how to safeguard people. Staff spoken to demonstrated a good understanding of their duty to safeguard people and report concerns so that people are safe. One safeguarding referral has been made by the home since our last visit, this was in the process of being investigated and the outcome is not yet known. Staff have not had any training on the Mental Capacity Act or the Deprivation of Evidence: Liberty Safeguards. This is recommended so that staff know the implications of this legislation for the people who live at the home. The home is able to hold small amounts of personal monies. Financial records were seen for three people who live at the home. Receipts were available for all money spent and individual balances were correct. The money is audited each month so that any discrepancies would be found and rectified. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People live in a homely, comfortable and safe environment which meets their individual needs. Evidence: People choose where they want to spend their time, either in the communal areas, their own rooms or out in the garden. The home was clean and free from offensive odours and there was a calm, friendly and relaxed atmosphere. One relative told us they never know when I am going and its always the same, its very good. The home was in the middle of a redecoration programme. The communal area in Whateley Road had just been redecorated. Work was due to commence on communal areas and bedrooms in Dawson road the following week of our visit. Dawson road was to have a new three piece suite. Both communal areas were due to have new flooring fitted once the painting had been completed and the home was to have new curtains throughout. All of which will enhance the environment that people live in. The bathrooms had recently been decorated and were homely in appearance. Each bungalow has a shower trolley and bath so that people can have a choice. Work had started on the kitchen areas with ceilings being repainted, new work surfaces installed and cupboards being repaired. We looked at peoples bedrooms and these were decorated, furnished and personalised to meet individual tastes, gender and cultural preferences. The annual quality assurance assessment completed by the manager told us that the garden was being improved with a sensory space. The garden had just had a decking area completed and there was a variety of new furniture waiting to be put together. The home also had a water feature and other items to enhance the area. People were seen to use the garden area throughout the day and one person was enjoying looking Evidence: out onto the garden. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are supported by staff who receive training to ensure they have the knowledge to meet peoples needs. There is a robust recruitment system in place to protect people from harm. Evidence: The home has six support staff and one nurse on duty throughout the day and two support staff and one trained nurse at night. During the day the home is staffed as two separate bungalows with staff allocated to each home. Staff are responsible for assisting people to keep the home clean, go food shopping and to do their laundry as well as assisting them with personal care. The home did not have any vacancies and has a core group of staff who know peoples needs well. Staff were observed to interact well with people and supported them in a warm, friendly and patient manner. One member of staff told us it would be better if additional staff could come in when they have to take people out as they are conscious that other staff are left to manage. A relative said they are a little bit short of staff at times but someone is always willing to come in. Over 50 per cent of staff have a National Vocational Qualification (NVQ) in care and others are working towards this. This exceeds the standard that a minimum of 50 per cent of staff should have this qualification to ensure that a knowledgeable and skilled workforce meet peoples needs. A new shift leader role is being developed so that a support worker with NVQ level 3 is able to support the nurse. Staff were positive about this role and one said the role works, its a positive thing as things get allocated and done. Evidence: Staff recruitment files are held at the head office. We reviewed the proforma for three people who had started work at the home. We found that two satisfactory references and a Criminal Records Bureau (CRB) check had been completed before people started work to ensure that people were suitable to work with vulnerable adults. One file did not have evidence that the person was still eligible to work in the UK, but the manager was able to produce evidence that this was being followed up with the relevant authorities and a decision was being awaited. The home has a training matrix however this was not easy to follow and was not up to date. A number of people according to the matrix had training which needed to be updated but when checking their individual training records, they had received this training. Individual records showed that staff had received training in topics such as fire safety, moving and handling, hoist training, food safety, first aid, health and safety and safeguarding. Staff were enthusiastic about training and confirmed that training was available. The training matrix should be updated so that information is available to assist with plans for future training needs. Staff have a home meeting and a separate nurses meeting. Minutes of these were available so that staff know what has been discussed in the meetings. A communication book ensures that important messages are relayed to staff so that they know what is happening in the home. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is run in the best interests of the people who live there. Evidence: The registered manager has numerous years experience of caring for younger adults and in management roles. He is a registered nurse in learning disabilities and continues to update his knowledge by attending training courses so that he has knowledge and skills to support the staff and ensure that the home is run in the best interests of the people who live there. Senior external representatives of the organisation visit the home each month and report on the quality of the service to ensure it is meeting the needs of the people who live there. The organisation complete an annual service review which was very detailed about what people have said about the home and how the home can develop. An operational review was completed earlier this year which again detailed areas for improvement. This shows that the organisation takes a proactive approach to the home. Staff at the home hold meetings to discuss activities and holidays with people. Some minutes were written and these were in large print so that people could read them, however they may not be easy for all of the people to understand. We were told that people had been involved in choosing the colours for the decoration of the home but there was no evidence to support this. We discussed this with the deputy manager who had some good ideas about how the home could improve this. The manager had also started communication and accessibility meetings where staff were discussing how they could make information more easily available to people who live at the home. We will review this at our next visit to the home. Evidence: The registered manager returned the AQAA to us in the required timescale and this was detailed with information about the home. Information recorded was consistent with our findings. Health and safety and maintenance records were sampled and we found that the home undertakes checks to ensure that equipment is safe and in working order. Fire equipment is regularly checked and staff attend training and drills so that they know what to do to safeguard people in the event of a fire. The Environmental Health Officer had completed a visit to the home in February 2009 and made a number of recommendations. The manager confirmed that action had been taken to resolve all of the points raised to ensure that people lived in a safe environment. Fridges in both homes had temperatures of around 8 degrees and this does not ensure that food is stored at a safe temperature. This should be resolved as has been an ongoing problem. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 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 2 9 17 Care files should be audited to ensure that staff have all the information available to minimise the risks to people. Menus should reflect food options available so that people know what they can choose from and staff know what they have eaten. Arrangements should be in place to ensure that medication can be audited to ensure that people receive their medication as prescribed. Staff should receive training in new legislation so that they know how to safeguard people and act in their best interests. The training matrix should be a accurate reflection of staff training to assist with plans for future training. Fridge temperatures should be maintained within acceptable limits so that people are safe from food poisoning. 3 20 4 23 5 6 35 42 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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