Care Home: Evering Road (41)

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What the care home does well There are good care planning systems in place. Some of the service users at the home are non verbal and the service puts considerable effort into supporting their communication. Much information is presented in a pictorial form and often this is in the form of photographs of the actual service users which is really relevant. The home involves service users as much as possible in planning activities. Care staff who spoke with us felt that they were well-supported by the registered manager. Staff are appropriately trained to meet the assessed needs of the people who use the service. What has improved since the last inspection? Since the last inspection the registered manager has worked hard to ensure that the previous requirements and recommendations have been met. Risk assessments have been reviewed so that they identify a full range of possible risks to individuals, as previously required. Manual risk handling Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 assessments have also been carried out for the service users who use wheelchairs. The home’s kitchen and bathrooms have been replaced. Improvements have been made to the staff training and the organisation has ensured that staff receive all mandatory training. Staff now receive regular supervision, records from which are kept in the home. The manager has ensured that the electrical wiring testing has been undertaken. He has also ensured that the portable appliance testing has been carried out, as previously required. In addition, the registered manager has ensured that the care planning is more accessible to the people who use the service. Improvements have been made to the home’s medication system and the home has stopped re-ordering medication of which they have a good stock. The home has also produced a list of the initials (signatures) of staff who administer medication. What the care home could do better: Records of what food has been offered to the people who use the service must be improved. All perishable food should be labelled once opened to prevent food poisoning. The registered manager must ensure that any known allergies are recoded on individual medication administration charts in respect of each person who uses the service. One of the service users’ bedrooms requires repainting. Key inspection report CARE HOME ADULTS 18-65 Evering Road (41) 41 Evering Road Stoke Newington London N16 7PU Lead Inspector Robert Sobotka Key Unannounced Inspection 30th November 2009 10:30 Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 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 home adults 18-65 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. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 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 Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Evering Road (41) Address 41 Evering Road Stoke Newington London N16 7PU 020 7241 2145 020 7241 2145 evering@hilt.org.uk www.hilt.org.uk HILT Support Ltd 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) Syed Salique Ahmed Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th December 2008 Brief Description of the Service: 41 Evering Road is a residential home which is registered to accommodate six younger adults with learning disabilities. Hackney Independent Living Team (HILT) is a voluntary sector organisation and is the registered provider for the home. The home is a converted terraced house with a self-contained flat for one person and accommodation for five more people on the ground and first floors. The ground floor is wheelchair accessible. The home is situated in a residential area of Stoke Newington in the London Borough of Hackney. It is within easy access to local shopping and transport facilities. The stated aim of the home is to support people with a learning disability to live happy and fulfilling lives in the community. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This inspection was undertaken on behalf of the Care Quality Commission and the terms ‘we’ and ‘us’ will be used throughout. This inspection took place over one day and was unannounced. During our visit we spoke with some of the service users, staff working in the home and the registered manager. We also undertook a tour of the premises and viewed various records. Prior to this inspection, we asked the registered manager to complete an Annual Quality Assurance Assessment, which he returned to us in the timescale given. Some of the information and comments included in the AQAA have been included in this inspection report. We would like to thank all service users and staff who contributed to this inspection. What the service does well: What has improved since the last inspection? Since the last inspection the registered manager has worked hard to ensure that the previous requirements and recommendations have been met. Risk assessments have been reviewed so that they identify a full range of possible risks to individuals, as previously required. Manual risk handling Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 6 assessments have also been carried out for the service users who use wheelchairs. The home’s kitchen and bathrooms have been replaced. Improvements have been made to the staff training and the organisation has ensured that staff receive all mandatory training. Staff now receive regular supervision, records from which are kept in the home. The manager has ensured that the electrical wiring testing has been undertaken. He has also ensured that the portable appliance testing has been carried out, as previously required. In addition, the registered manager has ensured that the care planning is more accessible to the people who use the service. Improvements have been made to the home’s medication system and the home has stopped re-ordering medication of which they have a good stock. The home has also produced a list of the initials (signatures) of staff who administer medication. 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. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users have all the necessary information to make an informed choice about where to live. EVIDENCE: We were informed by the registered manager that there have been no reviews or amendments to the home’s statement of purpose. There have been no new admissions to the home since the last inspection. The standard relating to the home’s admissions systems could not therefore be fully assessed. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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): 6, 7, 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate care planning and risk management systems are in place. EVIDENCE: As part of the visit we reviewed care plans of four of the people who use the service. Care plans viewed were kept up-to-date and have been revised since the last inspection visit, to ensure that they contain all information in relation to the assessed needs of the people who use the service. All people have communication passports expressing how they would like others to communicate with them. This is in pictorial format prepared by themselves with asistance from staff. All our support plan materials are in pictorial format making it user friendly for the people who use the service. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 10 The home supports decision making for non-verbal service users with pictorial information, some of which is photographs of the service users and therefore relevant for them. We saw evidence in the weekly residents meetings where service users decide what they would like to eat. Once a week they have a takeaway and they take it in turns to decide what kind to have. They also decide whether they want to go out and where, shopping decisions, etc. The service has put effort into producing information in a way which supports service users. This demonstrates respect for service users and commitment to upholding their dignity. Appropriate risk management systems were in place. Since the last inspection, the home’s risk assessments have been reviewed so that they identify a full range of possible risks to individuals, as previously required. Manual risk handling assessments have also been carried out for the service users who use wheelchairs. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16, 17. People using the 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 supports a range of opportunities for service users and encourages family and community links. Improvements are required to the way the home records what food has been offered to the people who use the service and to the storage of perishable food products. EVIDENCE: All people living at the project have regular planned activities. Some people who use the service attend day services five days a week, whilst others attend them two to four days a week. People also have other planned activities in the evening & weekends where support is provided on a one-to-one basis. People are supported to use the local community i.e. the shops to purchase personal Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 12 items, the pubs for a drink, the leisure centre for swimming sessions etc. People who have contact with family members are supported to maintain those relationships. Information is shared with family members making them feel an integral part of their loved ones. People using the service have the freedom to do what they want to do. Due to the project being a shared home, weekly house meetings are held to ensure the views of all are taken into account. People have their own set of keys to front and bedroom doors giving them the freedom to move at their own choice and time. All bedroom doors are kept shut and only entered when people are in the house or allowed in. We spoke with one of the service users during our inspection visit and he said that he was happy with the level of activities on offer and the way staff working in the home were supporting him. He also said he like the food offered by the home. People who use the service usually choose what they would like to eat and they plans menus during house meetings which are conducted every week. The home has utilised input from a dietician for one person and this has helped to manage their weight issues. People are supported to participate in preparing their own meals. Appropriate food supplies were kept in the home during this unannounced inspection visit. When checking the home’s fridge we found a jar of mayonnaise and tomato ketchup, which had been opened, but not labelled. The registered manager must ensure that all perishable food products are labelled once opened to prevent food poisoning. In addition, records of food offered to the service users must be improved, as at the time of this inspection they appeared to be insufficient in detail. The registered person must ensure that the home maintains records of the food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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): 18, 19, 20. People using the 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 appropriately meets the health and personal needs of the people who use the service. The home’s medication systems are satisfactory, however a minor improvement is required to ensure that staff record any know allergies on each service user’s medication administration sheet. EVIDENCE: Following the review of the documentation kept in the home and discussion with the care staff and the registered manager, we were satisfied that the home was appropriately meeting the personal and health needs of the people who use the service. The registered manager stated that all people living at the project receive oneto-one support. The layout of the property helps to maintain people’s privacy and dignity when offering personal support. Due to some people having physical diabilities staff are required to use aids and adaptations to asist in Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 14 providing support. People requiring mobility aids have specialist input from the physiotherapy team guiding the staff team in providing the appropriate support. Due to mobility difficulties staff working in the home also provide physiotherapy exercises to some of the people using the service. This is provided with the full guidance from the Physiotherapy team. All people are encouraged to make their own choices such as choosing what clothes they are going to wear. Some prepare their own meals with staff support, as well as purchasing their own personal items such as clothes & personal care items once a week. There is a key working system in place to ensure that people are supported with daily tasks. The home accommodated people from different ethnic backgrounds and staff ensure their cultural needs are met by taking into account their personal needs in terms of body care, food and clothing etc. All people are supported to ensure they see apropriate healthcare professionals depending on their needs i.e. the General Practitioners, Chiropodists, Dentists, and Opticians. One person required input from the leg Ulcer clinic and he is provided apropriate support ensuring his own independence, his input and sense of responsibility is not taken away. All people are supported with medication. The medication is stored in medication cabinet with staff holding the keys at all times. All staff are trained to administer medication. The home keeps a record of all medication received into the care home, administered to the service users and returned to the pharmacist. These were generally well maintained, however staff did not always record allergies of each service user on individual service user’s medication administration sheets. This required improvement. Improvements have been made to the home’s medication systems and the home has stopped re-ordering medication of which they have a good stock. The home has also produced a list of the initials (signatures) of staff who administer medication. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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): 22, 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate complaint systems were in place. People who use the service are protected from abuse and neglect. EVIDENCE: The home had appropriate complaints systems in place. There has been one complaint made to the home, which was being investigated at the time of this inspection. The registered manager stated that the project facilitates a house meeting for all people once a week to take their views of any concerns, wishes or any changes they would like to see. Complaints procedures are explained and given to people at time of move to the project. The complaints procedure is also displayed in the house so people can see the details who they can speak to if they want to make a complaint. The procedure is also backed with pictures to reinforce the text message. The organisation (HILT) also has a service user handbook which ilustrates relevant information both in text & pictorials. All staff are trained regularly around the protection of vulnerable adults. Any issues around protection from abuse, or neglect is taken very seriously and staff are encouraged to report these without hesitation. The home has regular staff meetings, where policies and procedures are dicussed to ensure staff are fully aware of issues. To minimise abuse the home endeavours to use regular Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 16 sessional staff, who are aware of each service user’s assessed care needs. Service users’ finances are monitored/checked on a daily basis during handovers. One service user is supported to manage his finance by a family friend thus the home has no control of his finances. Another person manages his finances independently. One person’s account is managed by the HILT chief executive. Two service user’s finances were managed by Evering Road manager. We checked a random selection of service user’s finances and these were found to be correct. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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): 24, 26, 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements have been made to the home’s environment, however further work is required to ensure that all part of the building are attractively decorated. EVIDENCE: As part of our visit we undertook a tour of the premises, which we found to be generally well maintained, clean and hygienic. Since the last inspection the home has had a new kitchen installed, which is now accessible to wheelchair users. Additionally, one of the bathrooms has been refurbished and improved. The project has a cleaner who comes to do a thorough cleaning of the property once a month. Daily cleaning tasks are maintained by care staff. The registered manager stated that the furniture and fittings in the home’s Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 18 communal areas are chosen by the residents themselves. Individual rooms are chosen by themselves or support from family members. The premises were well-decorated, however one of the service user’s bedrooms required refurbishment, as some of the paintwork was worn. There is a planned maitenance programme in conjunction with the landlords’ one. Repairs and maintenance issues are all recorded when they are reported/repaired. The ground floor of the home is wheelchair accessible. Appropriate laundry facilities were in place. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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): 32, 34, 35, 36. People using the 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 supported by staff who are appropriately trained and committed to providing a good quality of care. EVIDENCE: During our visit to the home we checked the duty roster, the staff training and personnel files, as well as the supervision records. We also spoke with four of the care staff, all of whom stated that they were satisfied with the quality of training offered by HILT. They also confirmed that the current staffing levels were sufficient to meet the required needs of the people who use the service. Duty rosters seen showed that there are always two care staff on duty during the day, as well as the registered manager. There is also a sleep-in cover in place at nights. The majority of staff working in the home have completed their NVQ (National Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 20 Vocational) training. Improvements have been made to the staff training and the organisation has ensured that staff receive all mandatory training. All staff have completed appropriate training to be able to do their job efficiently by attending courses such as Manual Handling, First Aid, Protection of Vulnerable Adults etc. These are also offered as refresher courses where and when required. The registered person stated that there is an emphasis on providing a quality service by ensuring the staff approach is service user friendly and trustworthy. A support service that people feel comfortable and can rely on and one they can take at their own pace. All permanent staff appointments are subject to a six months probation period. Staff are given a contract detailing statement of terms and conditions of employment. All staff appointed are required to complete a Learning Disabilities Qualification within the first six months of employment. Sessional bank staff who are employed also need to go through a similar process. The home has a thorough induction process for any new staff. All new staff are expected to shadow shifts with permanent members of staff before they are allowed to offer support on their own. Staff are offered regular supervision. A training needs analysis form is completed to ascertain training requirements this is then forwarded to our training coordinator to action. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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): 37, 39. 42. People using the 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 benefits from having a committed and manageable manager in place. Appropriate health and safety systems were in place. EVIDENCE: The home continues to be managed in an appropriate manner. Throughout the inspection, the registered manager demonstrated his awareness of each service user’s assessed needs. He has recently obtained the Registered Managers Award. Staff who we spoke with gave positive comments about the registered manager’s skills, abilities and leadership styles. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 22 Appropriate quality assurance systems were in place. Regular visits from the responsible person were taking place in line with Regulation 26 of the Care Homes Regulations, copies from which were available for inspection. Improvements have been made to the home’s health and safety systems. Since the last inspection the registered has obtained certificates to demonstrate that the home’s electrical wiring systems has been checked and deemed as safe. All electrical appliances have been tested. Appropriate fire safety arrangements were also in place. The home was appropriately insured for its stated purpose. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.3 Page 24 Evering Road (41) DS0000010268.V378775.R01.S.doc Are there any outstanding requirements from the last inspection? No 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 YA17 Regulation 16(2) Requirement Timescale for action 15/01/10 2. YA17 17(2) 3. YA20 13(2) 4. YA26 23(2) The registered manager must ensure that all perishable food products are labelled once opened to prevent food poisoning. 15/01/10 The registered person must ensure that the home maintains records of food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual service users. The registered person 15/01/10 must ensure that individual medication administration sheets contain details on any allergies in respect of each service user, in order to ensure their wellbeing. The registered manager 01/03/10 must ensure that the DS0000010268.V378775.R01.S.doc Version 5.3 Page 25 Evering Road (41) service user’s bedroom located on the first floor of the house in redecorated. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 Page 26 Care Quality Commission Care Quality Commission London Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.london@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. Evering Road (41) DS0000010268.V378775.R01.S.doc Version 5.3 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. 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