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Care Home: Dove`s Nest Nursing Home

  • 17/19 Windsor Road Clayton Bridge Manchester M40 1QQ
  • Tel: 01616817410
  • Fax: 01616813612
  • Planned feature Advertise here!

Dove`s Nest is a nursing home providing 24-hour accommodation for up to 40 people, including 14 places for people with physical disabilities. The home is owned by Doves Nest Limited. The Responsible Individual is Ms Helen Claffey. The home is situated in the North of the City of Manchester. Local facilities and bus routes are within easy walking distance. Parking is provided at the side and rear of the building. The building 0 14 0 is an extended and converted detached house set in its own grounds. Accommodation is provided on three floors, served by two passenger lifts. The home is fully accessible to wheelchair users. Bedroom accommodation is on the lower, ground and first floor. There are 36 single and 2 double rooms. All rooms have wash hand basins and bedrooms in the physically disabled unit provide en-suite shower facilities. The double rooms have strategies in place for the maintenance of privacy. There are 4 lounges, a hair dressing room and a conservatorydining room. A small patio area, overlooking a wooded garden area, is provided for people to sit outside in warm weather. A separate building within the grounds of the home provides administration and training facilities. Fees charged for the services provided at Dove`s Nest vary according to a person`s assessed needs. Details of fees can be obtained by contacting the provider at the home.

  • Latitude: 53.494998931885
    Longitude: -2.1659998893738
  • Manager: Manager Post Vacant
  • Price p/w: -
  • UK
  • Total Capacity: 40
  • Type: Care home with nursing
  • Provider: Dove`s Nest Limited
  • Ownership: Private
  • Care Home ID: 5586
Residents Needs:
Old age, not falling within any other category, Physical disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th June 2010. CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for Dove`s Nest Nursing Home.

What the care home does well Residents at the home were being cared for and supported well by the staff and said the quality of care provided was very good. Residents said staff spoke to them respectfully and maintained their dignity, particularly when personal care was being given. Comments made included: `the care provided by the staff and the interest taken in the residents is really good`, `my relative`s health and well-being has improved greatly as a result of the care they have received at Dove`s Nest`, `staff are friendly, helpful and kind`, `the residents always appear to be happy and well cared for and staff respond to them quickly`, `I am very happy with the care I receive in this home, they help me to do the things I can`t do for myself anymore`. What has improved since the last inspection? The programme of refurbishment of the home is now nearly complete and ensures that a clean, warm, suitably adapted and comfortable environment is provided in which residents can be cared for and supported appropriately. Improvements have been made to the way residents medicines are looked after and the home is seeking accreditation through the Gold Standard Framework programme, the purpose of which is to enable the home to deliver a high standard of care for residents nearing the end of their lives. Also the health and safety issues identified at the last inspection have been appropriately addressed. What the care home could do better: Whilst residents care records and risk assessments were of a good standard it is recommended that they are formally evaluated at least monthly to ensure they remain current and appropriate. In order to maximise the protection provided to residents a full employment history, together with a satisfactory written explanation of any gaps in employment should be obtained from all people applying to work at the home. The owner of the home must appoint a manager to ensure that the home is being managed by a person who is qualified, competent, experienced and registered with the Care Quality Commission as required by The Care Standards Act (2000). Key inspection report Care homes for older people Name: Address: Dove`s Nest Nursing Home 17/19 Windsor Road Clayton Bridge Manchester M40 1QQ     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: Michael Murphy     Date: 1 5 0 6 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 23 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 23 Information about the care home Name of care home: Address: Dove`s Nest Nursing Home 17/19 Windsor Road Clayton Bridge Manchester M40 1QQ 01616817410 01616813612 laura@dovesnest.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Dove`s Nest Limited Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following categories of service only. Care home with Nursing - code N, to people 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 Physical disability - Code PD (maximum number of places: 14) The maximum number of people who can be accommodated is: 40 Date of last inspection Brief description of the care home Doves Nest is a nursing home providing 24-hour accommodation for up to 40 people, including 14 places for people with physical disabilities. The home is owned by Doves Nest Limited. The Responsible Individual is Ms Helen Claffey. The home is situated in the North of the City of Manchester. Local facilities and bus routes are within easy walking distance. Parking is provided at the side and rear of the building. The building Care Homes for Older People Page 4 of 23 0 14 Over 65 40 0 Brief description of the care home is an extended and converted detached house set in its own grounds. Accommodation is provided on three floors, served by two passenger lifts. The home is fully accessible to wheelchair users. Bedroom accommodation is on the lower, ground and first floor. There are 36 single and 2 double rooms. All rooms have wash hand basins and bedrooms in the physically disabled unit provide en-suite shower facilities. The double rooms have strategies in place for the maintenance of privacy. There are 4 lounges, a hair dressing room and a conservatorydining room. A small patio area, overlooking a wooded garden area, is provided for people to sit outside in warm weather. A separate building within the grounds of the home provides administration and training facilities. Fees charged for the services provided at Doves Nest vary according to a persons assessed needs. Details of fees can be obtained by contacting the provider at the home. Care Homes for Older People Page 5 of 23 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 included an unannounced visit to the home on the 15th of June 2010. During the visit we talked to residents, relatives, staff, the owner of the home and the clinical nurse manager. We also looked at documents and records the home have to keep such as residents care records, medicine records, written policies and other records. Before the inspection, we also asked the registered home owner to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form had been completed in sufficient detail and provided useful information. Care Homes for Older People Page 6 of 23 What the care home does well: 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. 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 7 of 23 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 8 of 23 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. All prospective residents have their care and support needs assessed prior to admission to the home to ensure the home is appropriate for their individual circumstances. Evidence: All prospective residents are assessed prior to being admitted to the home. The clinical nurse manager (a qualified nurse) or one of the team of qualified nurses do the preadmission assessment. Such an assessment is very important to ensure the home is able to decide if the prospective resident can be supported properly if they are admitted. Residents spoken to said that they felt they were actively consulted and involved in the pre-admission and post-admission process and that it was their choice to enter the home. The pre-admission assessments carried out by the home were supported by assessments conducted by social workers and/or health professionals such as doctors. Care Homes for Older People Page 9 of 23 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. Residents were confident that they were being properly supported to ensure their health and personal care needs are met appropriately. Evidence: Residents health, personal and social care needs are set out in their individual care plans. The care records of three residents were looked at during this inspection. These identified how staff were to care for and support residents in their daily lives. Care plans were individualised and were developed and periodically reviewed with individual residents and their relatives. Care records also contained risk assessments. These identify potential threats to the health and safety of residents and identify ways to keep them safe as well as maximising their independence and freedom. For example risk assessments were conducted in respect of mobility, moving and handling, nutrition and the use of specialist equipment. Whilst care records and risk assessments were of a good standard it is recommended that they are formally evaluated at least monthly to ensure they remain current and appropriate. All residents are registered with a local GP. Discussion with residents, relatives and staff and inspection of care records reflect that residents are very actively supported Care Homes for Older People Page 10 of 23 Evidence: to access the services of health care professionals. Such interventions are recorded in the individual residents care records. The way residents medicines were being looked after was safe and secure. The qualified nurses are responsible for managing residents medicines (each resident has their own individual supply of medicines that have been prescribed by their GP). A medication administration record is maintained for each resident. These records had been completed appropriately. The senior staff regularly conducts checks (audits) to ensure the management of medicines within the home continues to be safe and secure. Residents spoken to expressed the view that staff treat them with respect and maintain their dignity, particularly when personal care is being provided. For example they said staff knock on bedroom doors before entering, preserve their modesty, have a nice/friendly manner, and that they respect residents choices/preferences. Comments made included: the care provided by the staff and the interest taken in the residents is really good, my relatives health and well-being has improved greatly as a result of the care they have received at Doves Nest, staff are friendly, helpful and kind, the residents always appear to be happy and well cared for and staff respond to them quickly, I am very happy with the care I receive in this home, they help me to do the things I cant do for myself anymore. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The home is seeking accreditation through the Gold Standard Framework programme, the purpose of which is to enable the home to deliver a high standard of care for residents nearing the end of their lives. All staff at the home had been accessing a wide range of training to assist them in achieving the aims of the programme. Care Homes for Older People Page 11 of 23 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. Residents were supported to enjoy a stimulating lifestyle and access a wide range of social and leisure activities. Residents were encouraged to make as many personal choices in their daily lives as possible, and the general view of food provision was very positive. Evidence: The routines of daily living and the social activities available were flexible and varied and meet residents expectations, preferences and capacities. Residents were supported to access a range of social and leisure activities, entertainments and outings. The home employs a person who organises and co-ordinates activities. Residents said they enjoyed the programme of activities available. They were also able to follow their own religious practices and as in other areas of life in the home were are able to exercise their own personal choices in respect of this. Residents and relatives spoken to said there were no unreasonable restrictions on visiting at the home. Residents may receive their visitors in the privacy of their own room or quieter area of the home if preferred. Residents also said they were able to exercise choice and independence in their daily lives. Comments made included: I choose what time I get up in the morning and what time I go to bed, I decide what activities I take part in, You are able to stay in your own room if you wish some Care Homes for Older People Page 12 of 23 Evidence: privacy or go to the lounge areas, I choose what clothes I am going to wear each day and how I want to spend my time, the staff always try to respect my choices. Menus were prominently displayed in the home and were varied, balanced and provided choice. Residents said they can always request an alternative from the menu if they wish and that the catering staff were very accommodating about this. Comments regarding the food included: the food is really very good, I do like the meals - they are well cooked and very tasty, the food is very nice and there is always plenty to eat, if you cant choose or are not keen on something on the menu they will make you something else. Lunch was observed on the day of inspection. Staff served and assisted residents appropriately and sensitively. The dining areas were comfortable, suitably furnished and appropriate for residents to take their meals in. Care Homes for Older People Page 13 of 23 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. Suitable arrangements were in place to keep residents safe and ensure their complaints or concerns were listened to and acted upon. This is important as such arrangements help residents feel confident their interests are protected. Evidence: Proper arrangements were in place to address residents (or other peoples) complaints. Residents spoken to on the day of inspection said that the owner, clinical nurse manager and staff at the home always listened to their concerns and that issues raised were addressed quickly and effectively and rarely needed to become formal complaints. A record of complaints made is kept. The record details the nature of the complaint, how it has been investigated and what the outcome of the complaint is including actions taken to address the issues raised. Proper arrangements were in place to ensure residents are protected and feel safe. Residents spoken to during the inspection said that they felt staff helped to keep them safe. The home has policies and procedures in place that describe how to properly deal with any instances of abuse. The way the home recruits staff include checks that help to ensure those employed are suitable to care for and support vulnerable people. Discussion with staff on the day of inspection revealed that they were aware of the importance of keeping residents safe and were aware of what keeping residents safe means. Staff have been provided with safeguarding training. Care Homes for Older People Page 14 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided a clean, warm, suitably adapted and comfortable environment in which residents can be cared for and supported appropriately. Evidence: The home provided a homely and comfortable environment for residents and has undergone a major programme of refurbishment that was near completion at the time of this visit. Suitable aids and adaptations have been provided to ensure residents collective and individual needs can be met. A tour of the premises revealed that it was clean, free of bad odors, suitably/comfortably furnished and well decorated. Residents spoken to said they were happy with their own rooms and the lounge and dining areas of the home. The home is centrally heated and was warm, well lit and well ventilated on the day of this inspection. Toilet, bath and shower areas were easily accessible to residents and were all suitably equipped and adapted. Proper arrangements were in place to ensure residents laundry was dealt with. Laundry equipment was suitable for a care home setting. There were also suitable hand washing facilities throughout the home and staff were provided with suitable equipment (such as disposable gloves and aprons) - important for reducing the risk of infections spreading. Staff have also been provided with training in infection control. Care Homes for Older People Page 15 of 23 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. Suitable and appropriate numbers of staff were provided to meet the care and support needs of residents. Staff had been appropriately recruited and trained. This is important so that residents are confident that the staff supporting them are competent and suitable to do so. Evidence: Staffing records showed that qualified nurses and carers were on duty at all times, in addition to nursing and care staff, the home employs administrative staff, catering staff, laundry staff, maintenance and other staff to ensure that residents needs can be met appropriately. Inspection of staffing records, discussion with residents, the home manager and staff revealed the care and support needs, of the 30 residents living at the home at the time of this inspection appeared to be being met properly. The home continues to make progress in the provision of NVQ 2 and 3 training. At the time of inspection in excess of 90 of the care staff had received such training. 3 staff recruitment files were inspected on this occasion. They contained evidence of CRB checks (including POVA first checks), 2 written references, criminal convictions declarations, proof of identity, a completed application form and included some details of the applicants working history and a declaration relating to the prospective employees health status. Checks are made and recorded in respect of the status of registered nurses with their registered body. In order to maximise the protection provided to residents a full employment history, together with a satisfactory written Care Homes for Older People Page 16 of 23 Evidence: explanation of any gaps in employment should be obtained from all applicants. Training records and discussion with staff indicated that they were provided with induction training on commencing employment. There was also documentary evidence that staff had been provided training in moving and handling, safeguarding, fire safety and basic food hygiene and other relevant topics. Care Homes for Older People Page 17 of 23 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 was being managed effectively by the home owner and clinical nurse manager. Residents and and staff were confident the home is run in the best interests of the residents. However there is still no registered manager at the home. Evidence: There was still no Registered Manager in post at the home at the time of this visit. It is a legal requirement of the Care Standards Act (2000) that a Registered Manager is appointed. Discussion with the owner of the home revealed that despite an ongoing recruitment drive no suitable person had been found to date. The owner of the home stated that they continue to advertise widely to attract a suitable applicant. The interim arrangements to manage the home until such an appointment is made were effective. The home is managed on a daily basis by the home owner and the clinical nurse manager (a qualified nurse of many years experience). Residents, relatives and staff indicated that the Home owner and clinical nurse manager are approachable and respond to issues raised with them and manage the home in the best interests of the residents. Care Homes for Older People Page 18 of 23 Evidence: Relevant management policies and procedures were in place and these were subject to regular review. The home owner and clinical nurse manager seek to ensure the quality of the service provided to residents is good. Regular checks (audits) are carried out to see this is the case. For example checks are made on how effectively residents medicines are being looked after, how residents care records are being maintained and the quality of the environment. Also questionnaires seek the views of residents and their relatives. The home owner holds regular meetings for residents, relatives and staff where their views and suggestions can be aired. Residents financial interests were being safeguarded. Where residents monies are managed by the home these were secure, appropriately documented and periodically audited. Suitable arrangements were in place to promote and protect the health, safety and welfare of residents and others at the home. In particular staff had been provided with training in respect of safe moving and handling techniques, fire safety, first aid, food hygiene and infection control. Electrical, gas, fire safety, hoists and other equipment at the home had been regularly serviced/certificated. The premises were secure at the time of inspection. Staff monitor all callers to the home. The home operates policies in respect of safe working practices. All staff receive induction training when they start to work at the home. Care Homes for Older People Page 19 of 23 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 31 8 The registered person must 14/11/2009 appoint a manager who will be in day-to-day charge of the home and who will make an application to be registered with the Commission. Care Homes for Older People Page 20 of 23 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 29 19 A full employment history, 31/07/2010 together with a satisfactory written explanation of any gaps in employment should be obtained from all applicants. To maximise the protection provided to residents by the staff recruitment process. 2 31 8 The registered person must 30/09/2010 appoint a manager who will be in day-to-day charge of the home and who will make an application to be registered with the Care Quality Commission. To ensure that the home is being managed by a person who is qualified, competent, experienced and registered with the Care Quality Commission as required by The Care Standards Act (2000). Care Homes for Older People Page 21 of 23 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 7 That care plans and risk assessments are formally evaluated at least monthly to ensure they remain current and appropriate. Care Homes for Older People Page 22 of 23 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. © 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. Care Homes for Older People Page 23 of 23 - 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!

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