Latest Inspection
This is the latest available inspection report for this service, carried out on 28th April 2009. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Deer Park Nursing Home.
What the care home does well Deer Park provides people with a clean spacious, purpose built home. All of the bedrooms are en suite and corridors are wide to enable wheel chair users to move about freely. Care and support is well planned with plans of care being developed from an initial pre admission assessment. People who live at the home said ``everyone is very nice, we are really well looked after, the girls all work hard to make sure we are well looked after, I would prefer more baths and personal care but staff try very hard to make sure everyone is well cared for.`` The home offers a range of activities and opportunities to go on trips using their minibus. They employ an occupational therapist and an activities coordinator who work hard to provide activities that involve individuals and ensure that people are engaged and involved. The occupational therapist completes a base line assessment with individuals and involves their family and friends where possible to enable them to gain an understanding of what individuals enjoyed doing in the past and what things they may wish to try now. The home offers a good range and choice of meals, with drinks and snacks offered throughout the day. Most people were very complimentary about the food and comments included ``wonderful, we have plenty to eat, I am not fussy and always eat everything.`` Staff are well trained and in sufficient numbers to ensure that personal and health care needs are well met. The staff group spoken to and those who returned surveys said that staffing levels have significantly improved and this has impacted on staff morale and they now feel they are able to provide a quality service. One staff member said ``people now get a level of care that hey deserve and that we are proud of`` What has improved since the last inspection? The registered manager is now making sure that staffing levels remain sufficient and recruitment is ongoing to keep good levels of staff. She has introduced additional shifts to support key times when staff are busy getting people to bed for example. The manager has also ensured that staff have opportunities to voice their opinions, suggestions and concerns via regular one to one supervision meetings and team meetings. Staff spoken to said that they do now feel their opinion is is listened to. A resource center has been developed for staff to use which includes materials about care of frail old age, dementia and other illnesses and diseases that older people are likely to have. They are also looking at developing a dementia awareness workshop and improving their skills in palliative care by gaining accreditation in the integrated care pathway. This is national guidance and good practice in dealing with palliative care. What the care home could do better: The home needs to ensure that the medication records are always fully robust and provide an accurate audit trail at all times. They should always ensure that anyhandwritten entries are double signed to help prevent any errors. They should always ensure that the exact dose is recorded when a variable dose of medication has been prescribed. This helps to ensure an accurate audit trail. Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Deer Park Nursing Home Rydon Road Holsworthy North Devon EX22 6HZ The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joanne Walsh
Date: 2 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home
Name of care home: Address: Deer Park Nursing Home Rydon Road Holsworthy North Devon EX22 6HZ 01409254444 01409254448 deerpark@rydonroad.fsbusiness.co.uk 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) : Mr Andrew Gordon Orchard care home 56 Number of places (if applicable): Under 65 Over 65 56 0 old age, not falling within any other category physical disability Additional conditions: 0 56 The maximum number of service users who can be accommodated is 56 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (Code OP) Physical disability (Code PD) Date of last inspection Brief description of the care home Deer Park Nursing Home is a purpose built care home situated on the edge of Holsworthy, a market town in North Devon. The home is privately owned; the Registered Manager is a qualified nurse and oversees the day-to-day management of the service. The service is currently registered to provide care for 56 people. People who use the service are provided with care that is overseen by qualified nurses. There is also access to other health services and people are escorted to attend hospital appointments when Care Homes for Older People Page 4 of 28 Brief description of the care home necessary. Additional health service personnel that visit the home include, the chiropodist, dentist, speech and language therapist and an audiologist. Care staff undertake activities with people at the home in the afternoons. They employ an occupational therapist and an actvities coordinator to esnure that people have a range of things to do that suit their needs and wishes. There are regular bus trips and visiting entertainment from time to time. The minibus is also used for hospital appointments and transporting people using the day care facility. Visitors are welcome into the home at any time. Although the home is large, it does have a homely and comfortable atmosphere. The range of fees can be obtained directly from the home The Statement of Purpose, Service User Guide and recent inspection reports can be found in the entrance hall to the home or from the Registered manager. Care Homes for Older People Page 5 of 28 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place during a week day in April and lasted approximately 7 hours. The focus of the inspection was to gain the views of the people who live at the home and 8 individuals were spoken to during the inspection. We also spent time talking to staff including one trained nurse, 7 care staff, one cook and two office staff. We also spent time looking at some of the key documents including plans of care, assessments, staff recruitment files, records relating to medications and individuals finances. This helps us to understand how well the home is run. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Assessment). This shows us how the home has managed the quality of the service provided over the previous year. Care Homes for Older People
Page 6 of 28 It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. During the inspection 4 people were case tracked. This involves looking at peoples individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process we try ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to people living at the home; representatives, health and social care professionals (including GPs and care managers) and staff. At the time of writing the report, responses had been received from 7 people living at the home, and from 8 staff. Their comments and views have been included in this report and helped us to make a judgment about the service provided. What the care home does well: What has improved since the last inspection? What they could do better: The home needs to ensure that the medication records are always fully robust and provide an accurate audit trail at all times. They should always ensure that any Care Homes for Older People Page 8 of 28 handwritten entries are double signed to help prevent any errors. They should always ensure that the exact dose is recorded when a variable dose of medication has been prescribed. This helps to ensure an accurate audit trail. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New people are only admitted to the home once their personal and health care needs have been assessed. Evidence: We looked at the pre admission assessment information for two newer people moving into the home and one person who is currently having respite care. The assessment information gave good basic details of individuals personal and health care needs. This information is then used to form the basis of a plan of care. Individual files also contained copies of care management assessments and care plans, hospital discharge records and notes and joint assessment information. One person we spoke confirmed that the matron had visited them in hospital prior to them moving into Deer Park.
Care Homes for Older People Page 11 of 28 Evidence: Staff spoken to on the day of the inspection said that they were given the basic details of new peoples needs via hand overs and by looking at their care plan file and checking the assessment information. One area for improvement is that there was a lack of information in respect of individuals social needs, often this section was left blank. The home should look to include the social and any diverse needs as part of the initial pre admission assessment so that all needs can be planned for. Care Homes for Older People Page 12 of 28 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals personal and health care needs are well met Evidence: Four plans of care were looked at in some detail and where possible those individuals were spoken to about the care and support they receive. Some of the comments from people who live at Deer Park included The care is superb, its very nice here, but its not like home, staffing levels have improved and the girls are very nice, we have no complaints, we are well looked after. A total of eight people were spoken to about their experiences of living at Deer Park. All but one person gave positive views about the care and support they receive. One person said that whilst the care was generally good, they had had to wait for 40 minutes for staff to get them off a commode, and was told this was because there was only one hoist working. One of the nurses on duty was asked about this and she stated that there were in fact three hoists in operation at present and they were awaiting a fourth so that there would be two on each floor. Plans of care have clearly improved since the last inspection. They evidence that a
Care Homes for Older People Page 13 of 28 Evidence: basic pre admission assessment has been completed and that plans of care are based on identified needs. Care plan goals are in place for each area of need, for example one person it was identified that in order to aid good sleep that they have a specialist air wave mattress and be offered nighttime pain relief, also identified that their medication needed regular reviews and entries showed that the doctor was regularly consulted about pain relief for sore joints. Other plans showed that assessments had been completed in respect of risk of pressure areas, and where significant risks identified, a section was included in the plan of care and specialist equipment used, such as pressure relieving cushions and pressure relieving mattresses. For people who had pressure areas that had broken, a clear dressing record chart recorded what dressing were being used and what improvements or otherwise were noted for each pressure area. Other plans of care showed that staff consulted with specialists for nutritional needs, swallowing difficulties, pain relief and continence assessments. Plans of care also included risk assessments to ensure that staff understood what to do to minimise any risks in moving and handling an individual for example. Plans now also include a nutritional assessment action plan and where appropriate a palliative care plan. Plans are reviewed monthly and the basic plan of care that includes what staff should do to support each person in their daily lives is also held in each individuals room so staff can refer to it. The registered manager also spot checks a sample of plans of care and medication records each month as part of the homes quality assurance audit. Staff spoken to said that they do have good information to be able to meet peoples needs, but more importantly they now have better staffing ratios and additional shifts that help to meet people needs more timely. One staff member said we do sometimes get short staffed at weekend when people phone in sick, but mostly we are now working with a full staff compliment and it is really good because we can spent time making sure we meet peoples needs, without having to rush about. Everyone is much happier now staff and residents. Two people who live at Deer Park confirmed that they can see their doctor when they wish, that they are offered chiropody and optician visits the home and that any health care appointments at local hospitals are accommodated with transport where possible. Two visiting relatives were spoken to during this inspection and they had previously made their concerns known to both the home and to us about the lack of care and low staffing levels. They confirmed that this had improved and they were now much happier with the support and care their relative was getting. Care Homes for Older People Page 14 of 28 Evidence: The medication records and storage was checked during this inspection. The home have good secure storage facilities to ensure medications are safely and securely stored at all times. The records are well maintained, but nursing staff are reminded that where any changes are made to the typed medication records, that these hand written changes are double signed. This will help to prevent any errors occurring. We also noted that one one persons medication records, it was not always clear what exact amount had been given on a prescribed variable dose of pain killers. The medication records must always give an accurate audit and staff need to record the exact dose given. Care Homes for Older People Page 15 of 28 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals social needs are reasonably well met Evidence: The home employ an occupational therapist who has one full day and two half days at Deer Park to assess individuals needs and wishes in respect of activities and look at how best these can be met. They also employ an activities co ordinate for several sessions per week. She is also one of their nursing staff so knows the people who live at the home well. Plans of care show that individuals are offered a range of activities such as one to one time doing puzzles, crosswords, one person even enjoys a game of badminton weekly. During the inspection time was spent observing interactions in the main lounge of the home. Previously individuals have been observed to sit for long periods of time disengaged and not having any social contact with other people or staff. This inspection showed a marked improvement with the activities co ordinate and the occupational therapist using a variety of mediums to promote discussion and get people interested in their surroundings. They had a large selection of objects that gave individuals different stimulus. They had some potted herbs that were planted
Care Homes for Older People Page 16 of 28 Evidence: previously by people, and this evoked a whole range of discussions about cooking, living on a farm and smells. The staff working with people managed to engage a large number of people, some only for short periods of time, but this was a real improvement on what has been reported previously. Individuals spoken to said that they had enjoyed joining in some activities such as art and crafts, gardening, games and doing some gentle exercise. The activities co coordinator said that they hoped to develop a gardening club with people having a greater involvement in planting tubs and beds for flowers. She also said that care staff have been encouraged by the results of getting individuals involved and that most afternoon they would now get out puzzles and games for people to do. Some staff supported this, and most said that now they are better staffed, they are able to spend more quality time with individuals. People spoken to said that they are able to have visitors when they liked and could see them in private. Visiting relatives confirmed that they visited at different times, and were made to feel welcome and were offered drinks. Meals are served either in the main dinning rooms or individuals rooms or communal areas. People spoken to said that they could choose where they wished to eat, and that they were offered a good choice and range of meals. Comments included The food is brilliant,wonderful, I like most things, we get a good choice. The lunchtime meal was observed in the main dinning area. The meals were attractively presented and served in an unhurried manner. Individuals who needed support were treated with respect and dignity. People are encouraged to stay as independent as possible and specialist equipment is used to help them do this, such as modified cutlery and plate guards. The cooks said that they offer a varied menu, and are aware of most individuals likes and dislikes. They can cater for special diets, currently this is mainly diabetic. They vary menus and most things are cooked fresh with fresh vegetables used daily. Care Homes for Older People Page 17 of 28 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals views are listened and acted upon. Evidence: The home have a stated complaints procedure and keep a written record of all complaints and concerns and outcomes of any investigations. These were looked at during this inspection. We have received one complaint about the home which we asked the registered provider to investigate. We are satisfied that the complaint issues have been dealt with satisfactorily. People who returned surveys said they knew who and how to make a complaint, and some of the people spoken to face to face understood how to make a complaint and said that they would be happy to do this if they needed to. One family who have voiced their concerns previously both to the home and to us, were spoken to as part of the inspection process. They believe that following the intervention from the commission, the home have taken their concerns seriously and have increased staffing levels. They are now happier with the care and support their relative received they are no longer considering a move for them. Seven care staff were spoken to during this inspection, all said that they had had training in the protection of vulnerable people, and that since the last inspection
Care Homes for Older People Page 18 of 28 Evidence: communication within themselves and the management of the home had improved. Most agreed that they were now able to voice concerns or suggestions and that these would be listened to. Staff when asked understood what constitutes abuse and what they needed to do to report this if abuse was suspected. One newer person was not sure, but said that they knew they could look this up and would always discuss any concerns they had with the matron or nurse on duty. Care Homes for Older People Page 19 of 28 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Deer Park provides people with a clean, safe and well maintained environment. Evidence: During this inspection all of the communal areas were looked at and some of the individual bedrooms. The home was clean, warm and free from odours except for a few individual bedrooms. The home employs ancillary staff to ensure the home is kept clean to a good standard and people spoken to said that their rooms were kept clean and tidy on a daily basis. The kitchen had recently been checked by environmental health who gave it a green light and made a few minor recommendations that have been done. The laundry area is separate to areas where food is prepared or stored and systems are in pace to ensure it is cleaned at correct temperatures and sorted so that clothes are returned to individuals in good time. The home have a no touch policy for soiled linen and staff understand and practice good procedures for infection control. Staff were seen using gloves and aprons at appropriate times. The AQAA gives information about what checks are made to ensure the environment remains safe and this includes regular checks on the temperature of hot water.
Care Homes for Older People Page 20 of 28 Evidence: One area of concern raised by one person living at the home and by one staff member was the lack of hoists. There is currently only one in use upstairs, but the are trialling a new one and there will shortly be two per floor, which is sufficient for the number of people and staff. Care Homes for Older People Page 21 of 28 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are well trained and supported to do their job. Evidence: The home provides sufficient staffing levels to meet the needs of the current people who live at the home. There are usually two trained nurses and up to 10 carers per shift. The home have introduced a twilight shift that covers 8 till midnight, and then another that covers 8 pm until 2 am. This gives more hours to help with allowing individuals to make choices about when they go to bed and what time they prefer their care and support to be delivered. The home also employs 4 cleaning staff and a laundry person. They have one cook and three assistants in the kitchen to provide all the meals. They now also have an occupational therapist and activities coordinator that cover 3 days within the home. There is also a training coordinator who provides training and checks what training needs people have. She works across the three homes owned by the provider, so is available on a weekly basis. Staff spoken to and those who returned surveys said that staffing levels have improved and that there were only a few occasions, usually at weekends when people ring in sick that they may be short staffed. Staff morale has visibly improved, and staff
Care Homes for Older People Page 22 of 28 Evidence: say they are now able to provide batter quality of care to people and that they are enjoying their work more. Staff recruitment files were checked for the three newest members of staff and all had relevant checks and references in placed before they commenced employment. This helps to protect people and shows a robust system is in place. Staff spoken to said that they did get regular training to ensure they could do their job. The registered manager stated that they have made sure that all staff have had 6 monthly fire training as well as updates on all core health and safety areas such as moving and handling. They are looking to develop a dementia awareness workshop and have also recently developed a resource center in the upstairs lunge for staff to use. This includes information, books and materials about areas of caring for frail elderly and dementia. One nurse has also been doing workshops for senior staff on management of staff and supervisions. The AQAA and the registered manager stated that more than 50 of care staff have the National Vocational qualification in care level 2 or more. This is a nationally recognized training package that give carers skills in working with and supporting people. Care Homes for Older People Page 23 of 28 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run and in the best interests of the people who live there. Evidence: The registered manager is qualified and experienced to run the home. Since the last inspection she has made efforts to ensure that staff have had opportunities to discuss any issues via regular 2 monthly supervisions, that are recorded. She has also tried to ensure more regular staff meetings, a carers meeting being the last held and minutes of this meeting held on 4/04/09 showed that issues and ideas were being shared with the care team. Staff spoken to said that in the main the staff/ management relationship had improved, one person commented in their survey matron has an open door policy so we can go to her at any time to discuss any issues. The home do annual quality assurance surveys for people living at the home and their
Care Homes for Older People Page 24 of 28 Evidence: families. The results of 2008 surveys were collated and made available to people. There were no major areas identified for the service via these surveys. The manager is now ensuring monthly audits on care plans, medications, and health and safety checks such as checking the hot water temperatures. This means that they are taking quality assurance seriously and ensuring that the environment is well maintained and safe. Monies kept on behalf of individuals was checked and found to be clearly recorded with a robust audit trail and receipts kept for any transactions made on behalf of someone. The AQAA gives us good information about how the home maintains a safe environment via checks, servicing of equipment and reviewing policies and procedures that relate to safe working practices. The home ensures that all accidents and incidents are well recorded and risk assessments are in place for all safe working practice topics. New staff receive induction training that meets nationally regcognised standards. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 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 3 Where possible the pre admission assessment should include checking what individuals social and diverse needs are so these can be planned for. All hand written entries into the medication records should be double signed to help prevent errors Where a variable dose is prescribed, records should clearly show what dose has been administered on each occasion so there is a clear audit trail for all medications. 2 3 9 9 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
