Care Home: Devonshire Manor

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What the care home does well An updated assessment of service users` care needs has been completed to ensure staff have the most up to date information on service users` care needs. A plan of the care provided to each service user is in place. Service users` general welfare is monitored daily and staff seek advice from different health care professionals as required. A range of risk assessments have been completed to ensure service users` safety and to minimise the risk of accidents happening. Systems are in place for the safe storage and administration of service users` medication. Staff who administer medication are trained so they are aware of their responsibilities and know how to work safely. Service users spoken to during the visit said they always receive their medication on time. Staff treat service users with respect and ensure their right to privacy is upheld. Service users spoke highly of the staff team saying they are kind and caring. One service user said `The staff are wonderful`. Another service user said `The staff are very nice and I would recommend them to anyone`. A range of social activities is provided so that service users have an opportunity to meet with the other people living at the home and to prevent them from becoming bored. The activities include reminiscent groups, gentle exercises, DVDs and card games. While service users are encouraged to participate in the activities, their choice not to join in is respected. One of the service users spoken to during the visit said `We have social activities, we`ve just done Easter bonnets`. Service users` family and friends can visit at any time so they can maintain personal relationships and continue to be part of family life. Service users` dietary requirements are assessed when they first move into the home so they can be sure they will receive meals they enjoy. Service users said they enjoy the meals and always have plenty to eat. Service users` cultural and medical dietary requirements are catered for. A complaint procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of care provided. The manager has not received any complaints. One of the service users spoken to during the visit said `I have nothing to complain about, all the staff a lovely`. The acting manager was clear on the procedure to follow in the event of an allegation of abuse being made. No safeguarding issues have been raised at Devonshire Manor. Devonshire Manor is maintained to a good standard and provides a homely environment for service users to live. There is a lounge with a large television, books and a selection of videos. The television is not put on in the morning unless there is something special to watch. All of the bedrooms are clean and tidy and service users said they have everything they need to hand. Service users have personalised their rooms with their belongings which gives them a homely and comfortable feel. There is a garden at the back of the home which is well maintained. There is garden furniture and a raised vegetable bed. Special equipment is provided to support service users with their mobility. There is a bathroom on both floors although a hoist is only provided in the ground floor bathroom. There are enough staff on duty to support the number of service users living at the home. Holidays and sickness are covered by the existing staff team to ensure continuity of care. Staff are provided with ongoing training to support them in their role and keep them up to date with new ways of working. Changes and improvements have been made to the way the home is managed in light of the registered manager`s plans to retire in September 2010. A senior member of staff is now acting manager. She is working hard to ensure the ongoing improvement of the service and the effective and efficient running of the business. The health, safety and welfare of service users and staff is promoted through the provision of training and supporting policies and procedures. What has improved since the last inspection? Since the last inspection improvements have been made to service users` care plans. This ensures staff have all the information they need about service users specific care needs. Safeguarding procedures have improved which means senior staff are clear on how allegations of abuse should be managed. Changes and improvements have been made to the way the home is managed and the quality assurance systems are more efficient. What the care home could do better: Although hot drinks are served mid-morning and mid-afternoon, they are not offered at lunch time. service users should be offered a choice of drink at lunchtime. The manager should ensure the menu is displayed so that service users know what meals are being offered and what choices are available. The bathroom on the mezzanine floor would benefit from being redecorated, also there was no hot water in the sink. The bathroom on the ground floor should be tidied and the grouting around the bath should be renewed. Toiletries should not be left in communal bathrooms, they must be stored securely in service users` own rooms. The dining would appear more homely if some pictures were put on the walls and the medication fridge, which is no longer used, was removed. Key inspection report Care homes for older people Name: Address: Devonshire Manor 38 - 40 North Road Birkenhead Wirral CH42 7JF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ingerbritt Moynihan     Date: 1 8 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Devonshire Manor 38 - 40 North Road Birkenhead Wirral CH42 7JF 01516522274 01516536731 Noemail Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Thomas Charles Gorry,Mrs Patricia Mary Gorry Name of registered manager (if applicable) Mrs Patricia Mary Gorry Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home Devonshire Manor is registered to provide personal care to 15 older people. There are 13 single and one double bedroom. The home has two floors and a mezzanine floor. Bedrooms are situated on all floors. A stair lift is available. Toilets are situated on the ground, first and mezzanine floors. There is a bathroom on the ground and on the first floor and bathing aids are provided. Communal space is provided in a lounge with through dining room. There is car Care Homes for Older People Page 4 of 25 Over 65 15 0 2 3 1 1 2 0 0 9 Brief description of the care home parking space at the front of the building and a ramp for wheelchair access. A paved outdoor area is provided with flowerbeds and shrubs. The garden is accessible by wheelchair. The home is situated in the Tranmere area of Birkenhead and is convenient for local bus routes across the Wirral. There is a small selection of shops within walking distance. It costs £352 per week to live at the home. Care Homes for Older People Page 5 of 25 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: Information about the home was obtained through discussion with the manager and members of the staff team. Policies, procedures and supporting documentation were also looked at along with a selection of service users case files. We also obtained information from the Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment document that is filled in once a year by all providers. It is one of the ways that we get information from providers about how they are meeting outcomes for people using the service. Care Homes for Older People Page 6 of 25 What the care home does well: An updated assessment of service users care needs has been completed to ensure staff have the most up to date information on service users care needs. A plan of the care provided to each service user is in place. Service users general welfare is monitored daily and staff seek advice from different health care professionals as required. A range of risk assessments have been completed to ensure service users safety and to minimise the risk of accidents happening. Systems are in place for the safe storage and administration of service users medication. Staff who administer medication are trained so they are aware of their responsibilities and know how to work safely. Service users spoken to during the visit said they always receive their medication on time. Staff treat service users with respect and ensure their right to privacy is upheld. Service users spoke highly of the staff team saying they are kind and caring. One service user said The staff are wonderful. Another service user said The staff are very nice and I would recommend them to anyone. A range of social activities is provided so that service users have an opportunity to meet with the other people living at the home and to prevent them from becoming bored. The activities include reminiscent groups, gentle exercises, DVDs and card games. While service users are encouraged to participate in the activities, their choice not to join in is respected. One of the service users spoken to during the visit said We have social activities, weve just done Easter bonnets. Service users family and friends can visit at any time so they can maintain personal relationships and continue to be part of family life. Service users dietary requirements are assessed when they first move into the home so they can be sure they will receive meals they enjoy. Service users said they enjoy the meals and always have plenty to eat. Service users cultural and medical dietary requirements are catered for. A complaint procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of care provided. The manager has not received any complaints. One of the service users spoken to during the visit said I have nothing to complain about, all the staff a lovely. The acting manager was clear on the procedure to follow in the event of an allegation of abuse being made. No safeguarding issues have been raised at Devonshire Manor. Devonshire Manor is maintained to a good standard and provides a homely environment for service users to live. There is a lounge with a large television, books and a selection of videos. The television is not put on in the morning unless there is something special to watch. All of the bedrooms are clean and tidy and service users said they have everything they need to hand. Service users have personalised their rooms with their belongings which gives them a homely and comfortable feel. There is a garden at the back of the home which is well maintained. There is garden furniture Care Homes for Older People Page 7 of 25 and a raised vegetable bed. Special equipment is provided to support service users with their mobility. There is a bathroom on both floors although a hoist is only provided in the ground floor bathroom. There are enough staff on duty to support the number of service users living at the home. Holidays and sickness are covered by the existing staff team to ensure continuity of care. Staff are provided with ongoing training to support them in their role and keep them up to date with new ways of working. Changes and improvements have been made to the way the home is managed in light of the registered managers plans to retire in September 2010. A senior member of staff is now acting manager. She is working hard to ensure the ongoing improvement of the service and the effective and efficient running of the business. The health, safety and welfare of service users and staff is promoted through the provision of training and supporting policies and procedures. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 25 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 25 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 25 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. Service users care needs are assessed before a service is offered so they know they will receive the care and support they need. Evidence: An updated assessment of service users care needs has been completed. The assessment covers a range of issues relating to service users mental, physical and social care needs. Completing this assessment ensures staff have all the information they need on how to provide the right level of care. Care Homes for Older People Page 11 of 25 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. Service users personal care needs are met and they are treated with respect and valued as individuals. Evidence: A plan of the care provided to each service user is in place. Service users general welfare is monitored daily and staff seek advice from different health care professionals as required. Service users diabetic health care checks must be completed and monitored carefully to ensure their health and welfare. There must be clear policy and procedure in place to support staff with this area of care. This will ensure staff are clear on their responsibilities and service users health care is well managed. A range of risk assessments have been completed to ensure service users safety and to minimize the risk of accidents happening. Systems are in place for the safe storage and administration of service users medication. Policies and procedures are available to staff should they need more information or clarification on a specific issue. Staff who administer medication are trained in this area of care so they are aware of their responsibilities and know how to Care Homes for Older People Page 12 of 25 Evidence: work safely. The medication administration record sheets were accurately maintained. Service users spoken to during the visit said they always receive their medication on time. Staff spoken to demonstrated an understanding of how to ensure service users are treated with respect and their right to privacy is upheld. Service users spoke highly of the staff team saying they are kind and caring. One service user said The staff are wonderful. Another service user said The staff are very nice and I would recommend them to anyone. Care Homes for Older People Page 13 of 25 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 homes routines are flexible and service users are helped to exercise choice and control in their lives. Evidence: A range of social activities are provided so that service users have an opportunity to meet with the other people living at the home and to prevent them from becoming bored. The activities include reminiscent groups, gentle exercises, DVDs and card games. The acting manager said she would like to develop this area of care in order to provide a more interesting and varied environment. Service users will be involved in the development of this area of care. Service users are encouraged to participate in the activities, however their choice not to join in is respected. During the visit social activities were discussed with service users. One of the service users said We have social activities, weve just done Easter bonnets. Service users family and friends can visit at any time so they can maintain personal relationships and continue to be part of family life. Service users dietary requirements are assessed when they first move into the home so they can be sure they will receive meals they enjoy. The acting manager has Care Homes for Older People Page 14 of 25 Evidence: introduced new meals into the menu which service users enjoy. All of the service users spoken to during the visit said they enjoy the meals and always have plenty to eat. Service users cultural and medical dietary requirements can be catered for when necessary. The acting manager is looking to introduce a new menu and she has recently started to provide fresh fruit each afternoon. This has proven very popular with service users. Mealtimes were relaxed and informal. The dining room tables looked a little sparse. They would appear more attractive if condiments and glasses were provided, although it is acknowledged that providing such items can be problematic at times. The acting manager should look at how this could best be managed. Service users can have breakfast in their own rooms if they want but they are encouraged to eat in the dining room. Hot drinks and biscuits are served midmorning and mid-afternoon. Service users are only given a cold drink with their lunch, a drink of tea is not given at this time. The manager should offer service users a choice of drink at lunchtime. The manager should ensure the menu is displayed so that service users know what they meals are being offered and what choices are available. Care Homes for Older People Page 15 of 25 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. Systems are in place to enable service users to make a complaint and to protect them from abuse and harm. Evidence: A complaint procedure is available to service users and their relatives so they know what to do if they are unhappy with the standard of care. The manager has not received any complaints. One of the service users spoken to during the visit said I have nothing to complain about, all the staff a lovely. Staff know how to manage complaints properly. The Commission has not received any complaints about this service. During discussion staff demonstrated a basic understanding of the different types of abuse can occur and what they should do if they know or suspect abuse is taking place. No safeguarding issues have been raised at Devonshire Manor. The acting manager was clear on the procedure to follow in the event of an allegation of abuse being made. A copy of the Wirral adult protection procedure was in place to support her with this. Care Homes for Older People Page 16 of 25 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 building is well maintained and provides a comfortable and homely environment for the service users to live. Evidence: Devonshire Manor is maintained to a good standard and provides a homely environment for the service users to live. There is a programme of routine maintenance in place. There is a lounge with a large television, books and a selection of videos. The television is not put on in the morning unless there is something special to watch. All of the bedrooms are clean and tidy and service users said they have everything they need to hand. Service users have personalised their rooms with their belongings which gives them a homely and comfortable feel. The dining room would appear more homely if some pictures were put on the walls and the medication fridge, which is no longer used, was removed.The bathroom on the mezzanine floor should be redecorated, also there was no hot water in the sink. The bathroom on the ground floor, which is also used by the hairdresser, should be tidied and the grouting around the bath should be renewed so the bathroom is a more pleasant area to use. Toiletries should not be left in communal bathrooms, they must be stored securely in service users bedrooms. There is a bathroom on both floors although a hoist is only provided in the ground floor bathroom. Special equipment is provided to support service users with their mobility and to Care Homes for Older People Page 17 of 25 Evidence: maximise their independence. The garden is well maintained. The garden furniture is being cleaned and prepared for summer, vegetables are being grown and summer bedding plants will be bought for the planters. The manager said that service users can become involved in the garden although most dont. The raised vegetable plot could actually make gardening easier for the service users as they would not have to bend down as much. This could be a very pleasant activity for service users to become involved in. The laundry, which holds cleaning equipment, must be kept locked at all times to ensure service users safety. The freezer is stored in the laundry. To prevent the possible risk of cross infection this should be moved to another area. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff are suitably qualified and competent in their role. Evidence: There are enough staff on duty to support the number of service users living at the home. Holidays and sickness are covered by the existing staff team to ensure continuity of care. There are enough staff on duty to reflect the numbers and needs of the service users. Staff providing personal care to service users are over 18 years of age. Domestic staff are employed in sufficient numbers to ensure the home is kept clean and tidy at all times. Staff are provided with ongoing training to support them in their role and keep them up to date with new ways of working. Further training is planned for the forthcoming year. Most of the staff are trained to the National Vocational Qualification standards which is a recognised qualification for staff involved in the care profession. Newly appointed staff are provided with induction training when they are first employed. This ensures they clear on their role and aware of their responsibilities. Care Homes for Older People Page 19 of 25 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. Changes have been made to the way the home is managed which will ensure the improvement of the service and the efficient and effective running of the business. Evidence: Changes have been made to the way the home is being managed in light of the registered managers plans to retire in September 2010. A senior member of staff has now taken on the role of managing the home. She has started NVQ level 4 in management and has the full support of the registered manager. She plans to apply to the Commission to become registered for this post. The acting manager has introduced changes to the way the home is managed and is working hard to ensure the ongoing improvement of the service and the effective and efficient running of the business. She is a member of the Wirral Partnership which supports care home managers with training and provides them with information on changes in the care home sector. The administrator is now part of Business Links which will provide a learning mentor on how to promote the business. The home now has access to the Internet and they are setting up their own website. Having the Internet will provide Care Homes for Older People Page 20 of 25 Evidence: staff with easy access to valuable information about changes in the care home sector. Service users manage their own finances. Staff meet regularly with the acting manager to discuss their work. This meeting gives them an opportunity to talk about all aspects of the running of the home, the philosophy of the care and their development in their role. The health, safety and welfare of service users and staff is promoted through the provision of staff training and policies and procedures. The manager is aware that some health and safety training is out of date and she is in the process of arranging further training. Health and safety checks are carried out to ensure the safety and welfare of everyone in the home. These checks include the hoist, the stairlift, small electrical appliances, Legionella, the fire alarm system and water temperatures. Although the acting manager confirmed that weekly fire safety checks are completed, the fire logbook could not be located on the day of the visit. The fire log book should always be available so that staff can ensure regular fire safety checks are being completed. Care Homes for Older People Page 21 of 25 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 22 of 25 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 13 The freezer should not be kept in the laundry. This will prevent the possible risk of infection. 18/06/2010 2 7 12 Where service users have 18/06/2010 diabetes, the necessary health checks must be completed as directed by the relevant health care professional. Appropriate policy and procedure must be available for staff reference. This will ensure service users receive the care they need and staff are fully aware of their responsibilities. 3 19 13 There must be a hot water supply in the bathroom on the mezzanine floor. This will prevent the possible risk of infection. 18/06/2010 Care Homes for Older People Page 23 of 25 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 38 13 The fire log book must be available at all times. This will ensure staff can regularly monitor fire safety checks. 18/06/2010 5 38 13 Staff must be provided with regular health and safety training. This will ensure the staff and service users safety. 18/06/2010 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 15 Service users should be informed of the choice of meals available. They should also be offered a choice of drinks at each meal time. The toilet on the mezzanine floor should be redecorated to ensure a more homely environment is provided. The manager must ensure the laundry is kept locked at all times to ensure service users safety. 2 3 19 26 Care Homes for Older People Page 24 of 25 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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