Care Home: Edmund House

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What the care home does well The needs of people living in the home are provided with an environment that is furnished and maintained to a high standard in order to ensure they are kept safe from harm. People using the service are appropriately assessed to ensure the service can meet their needs and good information is available to help those thinking about using the home to make an informed decision about it. The health and personal care of people living in the home is met by staff who are friendly and approachable and who are trained to meet their needs and a Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 variety of activities are available to help them experience a lifestyle that generally meets their needs and wishes. The concerns and complaints of people using the service are taken seriously and staff training is provided to ensure they are safeguarded from abuse. Appropriate management and administration systems are in place to support the running of the home in order to ensure the welfare of people using the service is promoted and protected. What has improved since the last inspection? This is the first time the service has been inspected. What the care home could do better: New staff must be confirmed in post only following completion of satisfactory clearance from the Criminal Records Bureau and satisfactory and checks of the Protection of Children and Vulnerable Adults and Nursing and Midwifery Council registers. Care plans belonging to people living in the home must reflect their current and changing needs and should be audited on a more regular basis to ensure they are accurate and kept up to date and staff responsible for administering medication to people using the service should be checked to ensure they are competent in order that people living in the home are safeguarded from potential harm. Activities for people with living with dementia should be further developed in order to ensure their specialist needs and rights are promoted and consideration should be given to obtaining transport facilities in order to promote the lifestyle opportunities for people using the service. The supervision of care staff should be further developed in order to support them to engage and take responsibility for the day to day care of people living in the home. Key inspection report CARE HOMES FOR OLDER PEOPLE Edmund House 98-108 Everest Road Ashby Scunthorpe DN16 3EE Lead Inspector Rob Padwick Key Unannounced Inspection 3rd April 2009 12:00 DS0000072965.V374856.R01.S.do c Version 5.2 Page 1 This report is a review of the 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. 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. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edmund House Address 98-108 Everest Road Ashby Scunthorpe DN16 3EE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01724844495 helen.parrott@hhcare.co.uk Hadrian Healthcare (Scunthorpe) Ltd Helen Mary Parrott Care Home 56 Category(ies) of Dementia (56), Old age, not falling within any registration, with number other category (56) of places Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 - Code DE, maximum number of places 56 Old age, not falling within any other category - Code OP maximum number of places 56. The maximum number of service users who can be accommodated is: 56 N/A 2. Date of last inspection Brief Description of the Service: Edmund House is situated on Everest Road, which runs from Grange Lane to Ashby High Street linking the route to Bottesford and Ashby. The home is a five minute walk from Ashby High Street where there are a large variety of shops to choose from including public houses, coffee shops, restaurants and a post office. There is a bus stop at the entrance of the home, which benefits from a bus service every ten minutes to Scunthorpe Town Centre via Ashby. The home provides personal care for 56 older people and of either sex, who have become physically frail or weak or may have short term memory loss or dementia. The Chesters facility situated on the first floor provides a secure environment when safety and vulnerability may be an issue for some individuals. The Chesters with its fixtures and fittings is designed to enable these people living in the home to live within a warm, friendly and safe environment which is conducive to supporting them in achieving and maintaining their individual optimum quality of life. The home does not provide nursing care A Service Users Guide and Statement of Purpose are available and are on display in the main reception area and copies of these are given to each Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 5 prospective person seeking accommodation. Information given to us by the manager indicates that the current fee at the time of this inspection visit ranged from £349 to £500 per week. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection report is based on information received by the Care Quality Commission since the service was first registered in October 2008. As part of the inspection process, we sent a self assessment document to the service that the manager completed and returned to us. This document should show how well the home is meeting regulations and national minimum standards and what has been done to improve it and what still needs to be done. Information from the self assessment was used as part of the inspection process and other information used included direct feedback from people living in the home, responses gained from relatives and professional staff who we spoke to, together with official notifications received by the Care Quality Commission. This information helps us reach judgments about the service provided. The site visit took place on 2nd April 2009 and lasted for 6.5 hours. The provider was not told in advance when it would take place. The manager was available throughout the period of our site visit, and as well as speaking to her, we talked to staff who were on duty and people living in the home. We looked round the building, including bedrooms and shared areas and we inspected the records of peoples care, staff files, health and safety documents and other records that were kept by the service. What the service does well: The needs of people living in the home are provided with an environment that is furnished and maintained to a high standard in order to ensure they are kept safe from harm. People using the service are appropriately assessed to ensure the service can meet their needs and good information is available to help those thinking about using the home to make an informed decision about it. The health and personal care of people living in the home is met by staff who are friendly and approachable and who are trained to meet their needs and a Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 7 variety of activities are available to help them experience a lifestyle that generally meets their needs and wishes. The concerns and complaints of people using the service are taken seriously and staff training is provided to ensure they are safeguarded from abuse. Appropriate management and administration systems are in place to support the running of the home in order to ensure the welfare of people using the service is promoted and protected. 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. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People using the service experience good quality outcomes in this area. The needs of people using the service are appropriately assessed to ensure the service can meet their needs and good information is available to help them make an informed decision about using the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Good quality information is available about the home to help people thinking about using the service make an informed decision about it and on the day of our visit one person had come to look around the home, in order to help them make up their minds about this. The case files of people using the service contained assessments about their needs, which the manager had carried out before they moved in, to ensure she could confirm the service would be suitable for them, together with other assessments obtained from the Local Authority. The home opened in October 2008 and was not yet full and there was good evidence of consultation with people to address any concerns they Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 10 might have, in order to help improve the delivery of the service. We were told a number of people have chosen to return to the home for a series of respite short term stays after using the service. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. The health and personal care of people living in the home is met by staff who are friendly and approachable, although improved documentation in their care plans would ensure care staff are better informed about their current and changing needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Information in the self assessment for the home stated the service treats “Each resident as an individual” in order to “Ensure privacy is maintained” and that the service maintains “Good relationships with District Nurses”. Health and Social Care Professionals in the Community confirmed this was generally the case and their advice was “Taken on board”. A District Nurse, however indicated communication could sometimes be improved, as there had been occasions when issues relating to the care and moving and handling of people, some of whom have complex needs, had led to concerns over their health being compromised. Case files of people living in the home contained care Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 12 plans that covered a range of issues concerning their emotional, physical and psychological wellbeing and whilst there was evidence of assessments and reviews and monthly summaries of their these being carried out, there was evidence these needed to further improved as some recording and details in these needed to more accurately reflect current and changing needs. The manager told us she was aware of this issue and that care staff were in the process of being encouraged to be more actively involved in the development of these and that training had recently been introduced to ensure staff are more aware of the importance of delivering person centred care and ensure individual needs are better met. A requirement and recommendation is made about this. There was a positive and friendly atmosphere throughout the home and we observed that people were able to chose to remain in the privacy of their rooms or sit with others in the communal areas and comments received from them and visiting relatives indicated their dignity was appropriately respected. The service has medication policies and procedures to guide staff and ensure people living in the home are safeguarded from potential harm. We observed care staff carefully checking medication and staff records confirmed appropriate training had been given to those responsible for this. There was evidence of audits of medication being regularly carried out and the manager told us she was planning to introduce additional checks to test staff competence on this, following errors uncovered as part of a recent safeguarding investigation carried out by Social Services. A recommendation is made about this. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. Whilst people living in the home are provided with a variety of opportunities to experience a lifestyle that meets their needs and wishes, further development of specialist activities would benefit the specialist needs of people with memory impairments. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People living in the home have opportunities to take part in a variety of activities to ensure they can experience a lifestyle that matches their wishes and preferences. We observed a flower arranging class taking place, which was led by the home’s full time activities organiser, and there was evidence of visits from church ministers to ensure the spiritual beliefs of people using the service can be met. The home has a series of weekly events including skittles, manicures, hairdresser, watercolours, film afternoons and baking sessions together with involvement from Community organisations such as local schools. We were told about themed evenings taking place and saw evidence of a recent Valentines night party, which included a special menu of poached salmon, pink Champaign and red roses. At the time of our visit the home had Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 14 no dedicated transport facility and we saw evidence of requests about this following consultation with some people living in the home. A recommendation is made about this. The service has a welcoming attitude that encourages and enables people to maintain relationships with their families and observed evidence of this, with numerous friends and relatives visiting the home throughout our visit. People living in the home indicated the food was generally of a good quality and confirmed staff took their views about choices provided seriously. Menus displayed a variety of healthy meals options and case files contained evidence of the monitoring of nutritional needs. There home has a dedicated unit for people with memory impairments and associated disabilities, which at the time of our visit was not yet fully open. Whilst there evidence of dementia training for staff to ensure they have the right skills and we observed them interacting with people in a positive way, with individual pampering sessions taking place, a recommendation is made this aspect of the service further developed, in order to ensure their specialist needs are promoted and their potential for self control is maximised. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. The concerns and complaints of people using the service are taken seriously and training is provided to ensure they are safeguarded from abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Policies and procedures are available to ensure people living in the home are safeguarded from abuse and their complaints and concerns taken seriously. The manager told us she has an “Open door policy so residents and visitors can discuss any niggles to find a solution” and there was a complaints and suggestions box situated by the front door. We saw evidence of consultation with people living in the home following some concerns about food that was served, together with action taken to resolve the five complaints received by the service. Training from the Local Authority on the Protection of Vulnerable Adults had been provided to all staff employed at the time the home opened and the manager told us about plans to ensure new recruits employed since then also receive this. A safeguarding referral had been appropriately sent to the Local Authority for investigating under its duties to protect vulnerable adults from harm and there was evidence the service was working with them well to resolve this. Staff demonstrated a good level of knowledge about their duty to ensure people using the service are kept safe from potential harm and that appropriate action would be taken should they have any concerns. The Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 16 records of finances belonging to people using the service were being accurately maintained, with two members of staff signing for entries made. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience excellent quality outcomes in this area. The needs of people living in the home are provided within an environment that is furnished and maintained to a high standard to ensure they are kept safe from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home was opened in October 2008 and was newly built and is equipped to meet the National Minimum Standards. Furnishings and fittings are of a very good standard with ensuite facilities in each of the bedrooms. Bathrooms and shower rooms are spacious and well decorated and the building was bright airy with a pleasant and welcoming atmosphere throughout. We saw evidence staff worked hard to keep the building free from offensive smells and infection control measures were in place with training on this delivered to staff. Aids Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 18 and adaptions are fitted to maximise the independence of people using the service and communal areas are comfortable and clean. Dining room areas are spacious and pleasantly decorated with the use of table clothes, individual menus, folded napkins and flowers. People living in the home commented very positively on the standard of facilities provided and we saw evidence the home was being well maintained. A comment received by the service that was seen in the records stated “ I am really thrilled at the quality of the materials used in my room and as far as I can see everywhere in the home”. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. People living in the home are supported by staff who are trained to meet their needs, although supervision and recruitment should be developed to ensure their welfare is further promoted and protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People living in the home were positive about the staff and we observed staff working interacting with them in a friendly and professional manner. One person using the service told us “The lady’s (staff) are lovely” and “excellent”, whilst feedback from them in the home’s records stated “It is early days but a very good first impression, staffing appears quality”. The manager told us that whilst the home opened only recently, there was a low staff turnover and we saw evidence of an appropriate training programme to ensure staff are equipped with the skills needed to do their jobs. Staff told us about a two day dementia awareness course they had been on and there was evidence of mandatory training and regular management audits to ensure their skills are kept up to date. An NVQ assessor was visiting the home at the time of our visit and we observed staff coming in on their days off, in order to collect work for this. The staffing levels were sufficient to meet the needs of people who were living in the home and the manager told us about plans to recruit more of them and stabilize these further as the home becomes full. The manager said Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 20 she was hoping care staff will become more actively involved in the day to day support of people using the service and that there were plans to develop the senior staff role in order to help them with this. Whilst new staff receive an induction that meets Skills for Care standards and there was evidence of formal supervision of them carried out, a recommendation is made about this. The home has policies and procedures to ensure staff are properly checked and there was evidence these were being generally followed. The Commission had received a complaint soon after the service had first opened about this issue and there was evidence it had been appropriately dealt with by the people that own the home. The file of one member of staff however showed they had started working before full Criminal Records Bureau clearance had been obtained and the new manager said this had been necessary due to delays in obtaining this and that it was sometimes necessary to start new staff with only preliminary Protection of Vulnerable Adults (POVA) checks being carried out. This means people using the service are placed at potential risk of harm and a requirement is made about this. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good quality outcomes in this area. Appropriate management and administration systems support the running of the home to ensure the welfare of people using the service is promoted and protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager is a trained nurse and is competent and is registered to formally manage the home. There was evidence the manager takes her role very seriously and staff told us she took an open and positive approach. The manager has a professional qualification in staff training and was confident in her abilities and there was evidence of plans to develop a person centred approach and ensure the individual needs of people living in the home can be Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 22 better met. We saw evidence in minutes of meetings held with staff and people using the service that the manager takes their views seriously and they are able to contribute ideas to improve and further develop the service. The home has administrative and management systems to ensure it can monitor its aims and objectives and there was evidence of various checks and audits and reports about these that are provided to the people who own the home. We saw questionnaires issued to people using the service together with action plans developed from these, together with evidence of recent changes made following consultation with some people about the standard of hot food that had been served. People living in the home are supported to manage their own money where possible and the financial records of money belonging to them were accurately maintained with two staff signatures for all entries made. The home has a maintenance member of staff and a range of the records that we checked confirmed regular tests and servicing of equipment was being carried out to ensure the health and safety of people using the service is promoted and protected. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7OP7 Regulation 15 Requirement The Registered Person must ensure care plans reflect the current and changing needs of people living in the home. The Registered Person must ensure new staff are confirmed in post only following completion of satisfactory clearance from the Criminal Records Bureau and satisfactory checks of the Protection of Children and Vulnerable Adults and Nursing and Midwifery Council registers. Timescale for action 03/07/09 2 OP29OP29 19 03/05/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7OP7 Good Practice Recommendations The Registered Person should ensure care plans are audited on a regular basis to ensure they are accurate and reflect the changing needs of people living in the home. The Registered Person should ensure the competency of DS0000072965.V374856.R01.S.doc Version 5.2 Page 25 2 OP9OP9 Edmund House staff responsible for administering medication is checked to ensure to people living in the home are safeguarded from potential harm. 3 OP12OP12 The Registered Person should develop the activities for people with dementia, in order to ensure their specialist needs and rights are promoted and their potential for selfcontrol is maximised. The Registered Person should consider obtaining transport facilities for the home in order to promote the lifestyle opportunities for people living in the home. The Registered Person should ensure supervision of care staff is further developed in order to support them to engage and take responsibility for the day to day care of people living in the home. 4 OP12OP12 5 OP30OP30 Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 26 Care Quality Commission Yorkshire and Humberside St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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. Edmund House DS0000072965.V374856.R01.S.doc Version 5.2 Page 27 - 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!