Care Home: Dove House

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What the care home does well The service has continued to improve over the last year and their an clear systems and structures in place to ensure people who use the service experience good care. People have individualised plans of care which means they are able to live the life they choose. People who use the service have opportunities for recreational and leisure activities and to keep in touch with their family and friends. The service is good at involving other professionals to support them in monitoring how people develop and change, so they can continually meet all their health and emotional needs. Positive comments were received from visiting health care professionals during our visit. The home now produces good plans of care offering information on daily routines, choices, likes, dislikes and preferences. This shows the service looks at every individual independently to ensure their needs are met. Finances are well managed meaning people who use the service are suitably protected. The staff are suitably trained, this means they have the knowledge and skills to meet the needs of the people who live at Dove House. What has improved since the last inspection? The requirements made at the last inspection have been complied with, this means the outcomes for people who use the service have improved. The Statement of Purpose and Service User Guide now give individuals an accurate account of the fees payable. This means people have clear and up to date information. The complaints procedure now includes a timescale, this means people who use the service know when they can expect a response. Medication records have been improved upon to ensure the staff always follow good practice and safe practice guidelines. This means the people who use the service are fully safeguarded. Midland Healthcare Ltd has now met their legal obligation of recording the Regulation 26 visits. This means the company is able to evidence an opinion and show how they monitor the standard of care provided at Dove House. What the care home could do better: One requirement was made during the inspection, that is to ensure medication records are always accurate. This means the records always confirm administration practices accurately. The environment should be improved and we would hope plans to update the home are followed through. Information within the home should be tailored to meet the needs of the people who live there. We recommend the home promotes pictorial and easy read literature. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Dove House Dove House Sudbury Nr Ashbourne Derbyshire DE6 5GX     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: Rachel Davis     Date: 0 5 0 5 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 29 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 29 Information about the care home Name of care home: Address: Dove House Dove House Sudbury Nr Ashbourne Derbyshire DE6 5GX 01283820304 01283820220 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) : Midland Healthcare Ltd care home 42 Number of places (if applicable): Under 65 Over 65 0 0 42 7 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: 25 5 0 0 The maximum number of service users who can be accommodated is: 42 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: Dementia (DE) 25, Mental disorder, excluding learning disability or dementia (MD) 5, Old age, not falling within any other category (OP) 42, Physical disability - over 65 years of age (PD(E)) 7 Date of last inspection Brief description of the care home Dove House is a care home registered to provide residential care for 42 older people. The needs of the people who may wish to live at Dove House may range from mental Care Homes for Older People Page 4 of 29 Brief description of the care home health, dementia and or physical disabilities. The staff are trained in all areas of need and other professionals such as district nurses or community mental health nurses visit the home regularly and offer continued advice and support. The inspection confirmed the home is able to meet the needs of the people who presently use the service. The registered provider is Midland Healthcare Ltd who has overall responsibility for the home, the registered manager is Karen Betts. The fees for this service are £415.00 a week. Due to the homes position local amenities are limited but the home is well placed for the use of public transport. The premises have been sympathetically extended and have attractive grounds with adequate parking facilities. Gardens were well maintained and a patio area with seating is available and easily approached. The home also has two large conservatories offering substantial views of the gardens and countryside. The majority of bedrooms are single and meet the required sizes set out by the national minimum standards, they are equipped with adequate fixtures and fittings. Twenty-seven of the thirty-six single rooms have en suite facilities. Communal bathrooms and toilets are well located and offer appropriate equipment. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 over one day and was unannounced, this means the people who use the service and the staff did not know we were coming. The focus of inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, national minimum standards of practice and focuses on aspects of service provision that may need any further development. A quality rating is provided throughout the report based on each outcome area for the Care Homes for Older People Page 6 of 29 people who use the service. These ratings are described as excellent, good, adequate or poor based on findings of the inspection. Before visiting the home on this inspection, survey information was completed and returned to us by people who use the service, health professionals and the staff. Their comments are included in this report. The service also has to complete an annual quality assurance assessment to tell us how they meet the needs of the people who use, or may use the service. This focuses on what they do well, how they evidence this and any areas in need of improvement. We looked around the home to make sure that it is warm, clean and comfortable. We looked to see whether people who use the service are being protected and the arrangements the service has for listening to what people think about Dove House. When we are there we focus on a small number of people who use the service which involves discovering individual experiences of living at the home by meeting them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. This helps us to understand the experiences of people who use the service. What the care home does well: What has improved since the last inspection? What they could do better: One requirement was made during the inspection, that is to ensure medication records are always accurate. This means the records always confirm administration practices accurately. The environment should be improved and we would hope plans to update the home are followed through. Information within the home should be tailored to meet the needs of the people who live there. We recommend the home promotes pictorial and easy read literature. Care Homes for Older People Page 8 of 29 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 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are suitably assessed and offered the necessary information regarding Dove House. Evidence: The Statement Of Purpose and a Service User Guide have been reviewed since the last inspection and now contain all the necessary information, this means people have access to everything they may need to know. It is recommended that people using the service are informed that the Statement of Purpose and Service User Guide could be made available in a format appropriate to the people who use the service, their individual capacity and language. The home may also wish to consider an audio or pictorial version. People living in the home are assessed by the manager or a senior member of staff from the home prior to moving in, this helps to ensure peoples individual needs can Care Homes for Older People Page 11 of 29 Evidence: be met. Paperwork available, and discussion with the manager told us that a full assessment before admission to the home is taken seriously and fully considered. Areas such as health care needs and social needs are discussed along with the individuals ability to live with the current group of people living at the home. We were able to speak with a visiting professional who confirmed the home had completed thorough assessments and worked in partnership with them to ensure the best outcome for the person . They said; The clients I have asked Karen (the manager) to care for either on a short term or long term basis have been well cared for. They listen, do a remarkable job and manage different circumstances very well. A questionnaire returned to us by a family member said, My relative is settled, X( relative) was made very welcome and the staff keep me informed of any changes. In the AQAA, to demonstrate this the manager has written, We will carry out a comprehensive pre-admission assessment so that we can be totally sure we can meet the residents needs. We do not admit social service clients without their care management assessment and care plan being available to us prior to admission. We will provide plenty of information so that the resident is able to make the right decision. Standard 6 is not applicable to this home as it does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive personalised care and support to meet their needs. Evidence: Since the last inspection it is clear that the systems and structures put in place have proved effective. We are confident all people who use the service have plans of care and two plans were studied in depth. Each individual plan contained a photograph of the person and the plans covered all their assessed needs. This included admission details, aspects of care, daily reports, professionals visits and risk assessments. There is clear information on how to manage risk, this is another area of improvement. From inspection of records and discussion with the staff it was clear that people who use the service received a range of health care services according to their need. One staff member said; It is the best place I have worked, problems are sorted, the Care Homes for Older People Page 13 of 29 Evidence: atmosphere is good and everyone is happy. I also think the handovers are helpful and we all know who does what. This means there are clear lines of accountability and the manager can easily track situations, to ensure a clear audit trail of information is in place. Health care professionals who completed questionnaires reported : They have looked after one high dependency person very well, I was pleased to see such improvement. I think people placed at Dove House have been well cared for and the home always call us for advice when needed. At the last inspection we asked for the pharmacist inspector to attend because there have been problems with medication storage and administration in the past. Requirements made at the last inspection were: Appropriate information relating to medication must be kept, for example, in risk assessments and care plans. This is to ensure that staff know how to use and monitor all medication including when required and variable dosed medication. This shows medication is administered safely, correctly and as intended by the prescriber. Secondly, Controlled Drugs must be stored in a cabinet that complies with the Misuse of Drugs (Safe Custody) Regulations. Both these requirements were checked and both have been complied with. This means medication management is safer for the people who use the service. We observed medication being administered at lunch time, overall the practices are good and records are clear and concise. We saw a medication administration record (MAR sheet) had been signed to say medication had been administered to a person when it had not. MAR sheets must only be completed after the medication has been offered. Completing these prior to the person receiving their medication does not comply with regulations and could have a negative impact on the person, for example under dosing. We discussed this on inspection with the manager and member of staff, we do not consider this is common practice however it must not be condoned. We evidenced the manager is completing competency checks and she advised us that these would be increased from 3 monthly to monthly following this situation. Care Homes for Older People Page 14 of 29 Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Dove House can be confident their social needs are met and they are supported to maintain relationships with friends and family. Evidence: The AQAA tells us: We hold regular residents meetings and act upon the suggestions raised. We have a 4 weekly rotating menu, which is written in consultation with the residents to include their choices. Service Users are involved in the activities programme through consultation and the programme must be amended to accommodate their changing wishes. We have an activities coordinator who is employed for 20 hours per week, some activities on offer include printing, bingo, quizzes etc. We ensure that service user needs are taken into consideration i.e. for dementia residents we ensure a more holistic approach for example, hand massages, 1-1 reading. Mobility and disabilities are also taken into account. This was verified by a visiting Community Psychiatric Nurse (CPN) who spoke highly of the way the home had tailored their programme to meet an individuals needs. Care Homes for Older People Page 16 of 29 Evidence: We evidenced a variety of activities on the day of the inspection and visitors spoken with confirmed they felt their loved ones were well supported and encouraged to take part in the homes daily activity programme. One person said : I love the activities, it keeps my mind busy. We saw one person reading a large print word search, others completed a jigsaw , some people were listening to music whilst a small group played dominoes. The meals are served in the dining room, tables are laid with tablecloths and place mats. The delivery of the mid-day meal was observed. Meals are served individually to the people who use the service and choice is offered. Everyone was asked what they would like, and vegetables and gravy were served separately, the occasion was relaxed and pleasurable. Two people told us that the food was beautiful. We did not inspect the kitchen on this visit, the service has a recent four star rating from Environmental Health. The only recommendation was to change the wooden surfaces which are not suitable in the kitchen, it said; scoured and worn and difficult to clean, they should be replaced with surfaces that can be cleaned thoroughly. The kitchen staff have lots of pictures to offer visual support for people, the staff confirmed this has proved useful and benefitted people who use the service who may find it difficult to express themselves verbally. We have asked the home to consider a pictorial menu next to the written one on the notice board, thus offering further support to enable people to know the menu for the day. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a suitable complaints procedure and ensures the people who use the service are protected from abuse in accordance with written policies. Evidence: The Annual Quality Assurance Assessment tells us: We work to company and government policies and procedures to keep our residents safeguarded from abuse. Should anyone wish to make a complaint, our procedure has all the relevant information, is written in plain English and displayed prominently in the home. While we trust that all our residents will be satisfied with the quality of the care they receive, there may be occasions when they or their relative may wish to raise a concern, or make a formal complaint, we actively encourage this as this ensures that we constantly review the standards that we work to. We train our staff to a high level in POVA, to enable them to have the confidence to raise concerns, whenever they feel that the standard of care is less then they would like to see. The home has appropriate recruitment policies and procedures to ensure that staff are suitable to work with vulnerable people. This includes the taking of two references, one from their last employer, POVA and CRB checks. We have not received any formal complaints about the home since the last inspection. The manager advised us in the AQAA there has been one made to her since the last Care Homes for Older People Page 18 of 29 Evidence: inspection. The manager was able to evidence complaints have been logged and dealt with. The complaints procedure is available in the Service User Guide and it is also sited by the office, a grumbles, comments book is situated by the visitors signing in book. Questionnaires returned to us evidenced knowledge of the homes complaints procedure. Comments, compliments, a grumble or concerns are all recorded. The manager is happy to promote the recording of complaints in a transparent manner. From the records available on the day of inspection it was clear that the staff are trained to recognise the signs and symptoms of adult abuse, this training is mandatory. No vulnerable adult referrals have been made since the last inspection. We consider peoples legal rights are protected by the systems in place in the home to safeguard them. These include their contract, the continual assessment and review in care planning, and the policies in place, for example, the complaints procedure and Whistleblowing policy. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Refurbishment is needed but the home does provide a physical environment that is appropriate to the specific needs of the people who live there. Evidence: At the last inspection we noted a number of wardrobe doors did not close properly and some wardrobes were not attached to the wall. There were not any fans available for when it is very hot or stuffy, and some bathrooms were without blinds or curtains, some paintwork was chipped and some carpets were in need of replacement. We can confirm there has been some work completed but carpets are in need of an upgrade and the painting of the home is ongoing. The manager tries to ensure one room per month is upgraded. The manager confirmed carpets need replacing in some communal areas and she will pursue this with Midland Healthcare. Infection control is well managed and all the required measures such as liquid soap, gloves and aprons and sanitizer are in place. Care Homes for Older People Page 20 of 29 Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are suitably recruited to make sure people who use the service are protected. The staff are trained to meet peoples needs, this means they have the knowledge and skills to support people who live at Dove House. Evidence: Staff are suitably recruited to make sure people who use the service are protected. The staff are trained to meet peoples needs, this means they have the knowledge and skills to support the people who live at Dove House. We looked at two staff files and can confirm the recruitment of staff is safe and protects the people using the service. This includes two written references, criminal records bureau checks, application forms that cover gaps in employment history and the required identification certificates and health declaration. We noted that staff are supervised when working on a POVA First ( this is the documentation received before the CRB arrives) which is what we would expect. However, to fully meet the requirements people who use the service should be made aware of these staff and offered the choice as to whether they would prefer another member of staff to support them. We have asked the manager to evidence this in future. Male staff are recruited to the home, which promotes equality and choice. Care Homes for Older People Page 22 of 29 Evidence: During the time we spent at Dove House we spoke to a number of staff and observed them supporting people. We found there were positive and engaging interactions between those people living at the home and the staff members. Staff questionnaires offered positive comments and there was evidence the staff felt part of a team, knew their roles and responsibilities and would receive support where necessary. These are some of their comments: Proper assessments are done and implementation of care plans are given to each resident. Well trained staff. All staff work as a team. Equality of care given to all residents. Care plans are always updated. Very supportive professionally, open and confidential, the best employer in terms of support. Provide home from home care to the best standard possible. We are satified the staff have the skills necessary to meet the needs of the people living at Dove House. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and run in the best interests of the people who use it. Evidence: The manager is in the process of completing the required qualifications and has the experience necessary to run the home. She has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. Since April 2009 the home has implemented training on new legislation known as Deprivation of Liberty. The manager has ensured policies and procedures are in place and the staff team are aware of the processes to follow should a deprivation of liberty be noted. This will also be incorporated into plans of care. The manager promotes equal opportunities, has good people skills and understands the importance of person centred care and effective outcomes for people who use the service. Care Homes for Older People Page 24 of 29 Evidence: Over the past 12 months improvements can be seen in a number of areas. Records are accurate , up to date and reflect the current situations of people who use the service. Risks are properly managed. Staff have specific training are are encouraged to have their say. One questionnaire revealed: Manager is very supportive, professionally open and confidential, best employer in terms of support. Another said , The manager is very supportive and confidential. The annual quality assurance assessment (AQAA) is a legal document that all services have to complete on a yearly basis. All sections of the AQAA were completed and it was returned to us within timescale. The information gave us a reasonable picture of the situation within the service. The evidence to support the comments made is satisfactory, although there are areas where more supporting evidence would have been useful to illustrate what the service has done or how it is planning to improve. The AQAA also tells us about servicing and annual checks on equipment etc. All checks are suitably completed but the wiring in the home needs to be updated, the report from the electrician on 30.4.09 says electrical inspection does not conform to wiring regulation there is no RCD protection to cables which are below surface. The home has six months to comply, the manager tells us the work will be completed in July 2009. Staff files and discussions confirmed supervision is fairly regular, team meetings and residents meetings are also held, and we were able to attend this during our inspection. Relatives and people who use the service offered positive comments, we felt the way the meeting was held and the style of question did not always enable an individual to fully share their views and we discussed this with the manager during our visit. Monies were checked and all records and receipts tallied, people who use the service can be confident their allowances are stored and managed suitably. Care Homes for Older People Page 25 of 29 Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The records of 10/06/2009 administration for the people who use the service must be accurate to demonstrate that all medication is administered as prescribed. This is to ensure people are kept safe and records tally with actions. 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 1 It is recommended that information is made available to confirm that the Statement of Purpose and Service User Guide are available in a format appropriate to the people who use the service, individual capacity and language. All records should be updated to reflect the change in name of the regulatory body from the Commission for Social Care Inspection (CSCI) to the Care quality Commission (CQC). The home should upgrade where necessary to offer an improved environment for the people who live there. 2 16 3 19 Care Homes for Older People Page 28 of 29 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). 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