Care Home: Fairhaven, Swindon

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What the care home does well The Home was found clean, warm, well lit and free from unpleasant odours. The atmosphere of the Home was friendly and relaxed. Residents looked well cared for and staff were noted interacting with residents in an informal and respectful manner. At a discussion, the home manager stated that the Home continues to maintain high standards of care through regular care reviews. Residents are encouraged and supported to make choices on how they wish to live their lives. The relationship between staff and residents remains informal and cordial including the relatives. The home continues to provide good training for its staff both internally and externally to ensure that the needs of the residents are met. Two staff members spoken with stated that there is good team working at the Home; this makes a great impact on the care of the residents. Residents enjoy good nutritious food this had contributed to their feeling of wellness. This was evident on the day. What has improved since the last inspection? The home stated in the Annual Quality Assurance Assessment that the maintenance programme is ongoing for example, new windows and doors had been put on the front and side of the building. The back garden had been Landscaped so that residents are walk around the garden. Three bed rooms had been redecorated with new carpets and furniture. New carpet had also been fitted in the front lounge and a new stainless steel table for the kitchen and garden furniture had been obtained. What the care home could do better: To enhance the security of residents medication at the home we recommend that the medicine trolley is chained to the wall in the drug room when not in use in odrer to provide additional security to residents` medication. We recommend that the kitchen is included in the generic risk assessment to make it more robust. We also recommend that accidents to residents are audited regularly to determine if there is a pattern and to ensure that appropriate risk assessments are put in place in order to minimise the falls. Key inspection report Care homes for older people Name: Address: Fairhaven, Swindon 99 Bath Road Old Town Swindon Wiltshire SN1 4AX     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: Grace Agu     Date: 1 2 0 8 2 0 0 9 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 28 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 28 Information about the care home Name of care home: Address: Fairhaven, Swindon 99 Bath Road Old Town Swindon Wiltshire SN1 4AX 01793535293 01793485366 kirtsyplumstead@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Swindon Old People`s Housing Society Name of registered manager (if applicable) Mrs Lynn Plumstead Type of registration: Number of places registered: care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 18 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Fairhaven is a voluntary, non-profit making residential home offering accommodation and personal care to 18 service users over the age of 65 who require care through old age. Fairhaven was first registered with the current provider Swindon Old Peoples Housing Society on 18th December 1986. The home is situated in Old Town, Swindon Care Homes for Older People Page 4 of 28 Over 65 18 0 Brief description of the care home and is within easy walking distance of the local shops and amenities. There is also a regular bus service to Swindon town centre, which stops outside the home. Limited parking facilities are available to the front of the property. The accommodation provides service users with all single bedrooms, which are located on the ground and first floor levels, and those bedrooms on the first floor can be reached by the use of a new stair lift. The highest fee at Fairhaven is £540. 00 for one week. Care Homes for Older People Page 5 of 28 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 visit took place over eight hours and was carried out following an unannounced inspection in 20 July 2006 to review the requirements made at the last inspection and also to review the care practice to ensure that it is in line with the legislation and that best practice is followed at the Home. It was pleasing to note that the recommendation made at the last inspection had been implemented. A tour of the building was undertaken and a number of records were viewed. Mrs Lynn Plumstead the home manager, two staff members and two relatives and a number of residents were spoken with on the day. Care Homes for Older People Page 6 of 28 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 Care Homes for Older People Page 7 of 28 order line 0870 240 7535. Care Homes for Older People Page 8 of 28 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 9 of 28 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. The Home provides information to prospective residents and their representatives and ensures that the admission process provides safeguards to meet the assessed needs of the resident. Evidence: The homes Statement of Purpose and Service Users Guide have full information as required by the regulations. These documents are provided to prospective residents and or their representatives when they visit or make inquiries to enable them to make an informed choice of moving to the Home. The manager told us in the Annual Quality Assurance Assessment (AQAA) that the initial assessment of a prospective resident is carried out by a member of the management team in their own home or hospital or at Fairhaven, depending on the circumstances, to ensure that their needs will be met. This information was confirmed at a discussion with a recently admitted person. Care Homes for Older People Page 10 of 28 Evidence: The AQAA also states that as from 1st of April 2009 every resident at the home has had a Mental Capacity Assessment and a Deprivation of Liberty Assessment and these assessments have been extended to prospective residents. Each resident or their Next of Kin has been given a copy of Mental Capacity Act 2005 (a guide for family and friends) Deprivation of Liberty Safeguards (a guide for relevant persons representatives) and a publication referring to the Independent Mental Capacity Advocacy Service. We noted, on the care file that we looked at, that the person had a probationary period of three months during which period they can change their mind and a letter from the home confirming that Fairhaven is able to meet their needs. Care Homes for Older People Page 11 of 28 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. The home offers care and support to individuals including at the end of their life. It protects service users with care plans on how to meet their needs. It also protects the individuals through satisfactory medication administration. Evidence: Three care files including that of an individual who recently left the home were reviewed. All of the care files contained pre-admission information which covered areas in relation to the persons physical well being, personal care, diet and dietary preferences, communication, mobility and medication amongst others and individualised care plans, which described how the identified needs were being met. These are followed up by monthly reviews and intervention as needs change. We agreed that the care plans could be more comprehensive to ensure that every aspect of the persons need is well supported and met. Residents spoken with stated that they are well cared for and that staff treated us with dignity and respect, I decide when I get up and retire and staff help me when I ask them. One of the feedbacks we received from a relative through a survey stated Care Homes for Older People Page 12 of 28 Evidence: We are very happy with the way they look after my relative and cater for their needs. The completed care files showed evidence of professional visits, to include General Practitioner, Chiropodist, Optician, Dentist and District Nurses. Whilst touring the building we met two residents who were recently admitted to the home. One of the individuals told us that swallowing was a problem and was not eating well , however evidence suggested that the home was aware of that need and was providing adequate nutrition based on the assessment. The manager was seen speaking to the persons concerned relatives and explaining how care is provided to the individual and especially in terms of nutrition. We looked at the care file of an individual with a behaviour that challenged the ability of staff to support the person in relation to their care. We noted that the person had a pre admission assessment and had capacity to agree and sign their care plan. We also noted that the home informed the individual in writing that they were able to meet their needs. However evidence from the daily notes indicate that the individual became challenging and non compliant to measures agreed to support and protect their health and safety and that of other individuals living at the home. We noted that there were various entries of consultations with the persons General Practitioner but it had not changed the situation. The manager told us that they were no longer able to meet the persons needs and in order to protect this person and others the individual was given notice to leave the home, using the homes policy, to enable the individual to move into a more appropriate setting where their needs would be met. Procedures for medication administration, handling, records and storage were assessed. The home had policy and guidelines on medication. A local pharmacy provides medication using a monthly monitored dosage system. A check of the blister packs indicated that medication had been administered as recorded. All medication is ordered, received by staff and stored securely. A Medicines trolley is used to transport medication around the home. However we noted that the trolley was not secured to the wall when not in use. We believe that this practice makes the Care Homes for Older People Page 13 of 28 Evidence: trolley and its contents vulnerable to theft. We discussed our concern with the manager and we recommend that the trolley is chained to the wall to provide additional security in order to reduce the risk mentioned above. The pharmacy supplies printed medicines administration record sheets each month. Records of administration of medicines were clear. Waste medication is recorded and disposed of via the supplying pharmacy. The home has a Death and Dying policy and procedure to enable staff to care for people who use the service in the event of a terminal illness and at the time of death. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home enables residents to maintain contact with family, friends and local community. It also provides meaningful activities and choice in respect of meals and meal times. Evidence: The manager told us that residents are given the opportunity to choose whether or not they would like to participate in leisure and social activities. The home employs the services of a qualified Occupational Therapist that visits the home twice a week incorporating movement to music, exercises, quizzes, reminiscence, arts and crafts. The home also has singers on a weekly basis and the choir from Christ Church attend monthly. Holy Communion is made available to residents who wish to maintain their religious obligations. We noted that the home has an activity schedule for residents to choose from and during the month the home has different topics and themes as mentioned above. For example in July the topic was Our family-Family Trees, Collages. August, Musicplaying instrument, visit to town Gardens Sing-a-longs and September Poland-food and culture. Other activities provided on a daily basis include Games on Wednesdays and Bingo and Karaoke on Mondays. Care Homes for Older People Page 15 of 28 Evidence: The AQAA stated that residents are encouraged to handle their own financial affairs for as long as they wish and have the capacity to do so. All resident have access to their personal records in accordance with the Data Protection Act 1998. The menu on the day contained a choice of two nutritional meals and a choice of three puddings. Staff were noted assisting the residents during lunch, in particular residents who were unable to feed themselves. All residents spoken with after lunch stated that they enjoyed their food. Care Homes for Older People Page 16 of 28 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. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure protection of residents from harm and abuse. Evidence: Records show that there was no recorded complaint and residents we spoke with stated that they were happy at the home and have no complaint. In relation to protection of the residents, all staff have received training on Protection of Vulnerable Adults from abuse. The home has a whistle blowing policy to enable staff to report any bad practices or suspected abuse without fear of reprisal. We noted that the home has obtained the Swindon and Wiltshire policy and procedure for the Protection of Vulnerable Adults from Abuse. The AQAA told us that no staff commences work at Fairhaven without a PovaFirst check and Criminal Record Bureau Enhanced Disclosure. Confirmation of the above documents was seen in the personal file of one newly recruited staff member. The AQAA also states that every member of staff is issued with a copy of No Secrets /Codes of Practice Booklets which they sign to say that they have received. Also every member of staff have been issued with a copy of the Deprivation of Liberty Safeguards (DOLS) information to enable them to support residents in relation to making Care Homes for Older People Page 17 of 28 Evidence: decisions and choices while protecting the individuals rights. The manager told us that any monies held on behalf of the residents are locked in the safe. Monies deposited for residents are signed into their financial record by two staff members, one being from the management team, a receipt is given and the same process is followed on any monies spent on behalf of the resident. We looked at the records of the monies held in the safe on behalf of two of the residents and noted that the amounts recorded tallied with the amount stored in the safe. The manager stated that residents have access to their money at any given time. Care Homes for Older People Page 18 of 28 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. Individuals living at the home enjoy a pleasant, safe and homely environment with a good standard of hygiene. Evidence: Fairhaven is a voluntary, non-profit making residential home offering accommodation and personal care to 18 service users over the age of 65 who require care through old age. Fairhaven was first registered with the current provider Swindon Old Peoples Housing Society on 18th December 1986. The home is situated in Old Town, Swindon and is within easy walking distance of the local shops and amenities. There is also a regular bus service to Swindon town centre, which stops outside the home. Limited parking facilities are available to the front of the property. The accommodation provides service users with all single bedrooms, which are located on the ground and first floor levels, and those bedrooms on the first floor can be reached by the use of a new stair lift. Residents sitting in the lounges, looked relaxed, well cared for and enjoying each others company. The home was found clean tidy and with no offensive odours. Care Homes for Older People Page 19 of 28 Evidence: Some residents spoken with in the lounge and in the bedrooms stated that they felt safe at the home and that they have access to the garden. We noted while touring the building that the back garden had been landscaped this enables residents, who are able, to walk around the garden. Staff were noted well presented in uniform and wearing disposable aprons and gloves and more importantly washing their hands after attending to individual residents. We noted that each staff member had an antibacterial hand gel to use after attending to residents. We also noted that a hand gel was positioned in the home for visitors to use before entering and leaving the home. This demonstrated that infection control and principles of hygiene are of paramount importance to the home. Laundry facilities have washing machines with sluicing facility and disinfectant programmes. A contract company visits monthly to test the water supply and water temperatures. The company also attends monthly to do bacteriological screening for example, for Legionnaires Disease. All records are logged by the company in a water hygiene log book and kept in the home. The home has a maintenance programme for example the AQAA states that there were new windows and doors to the front and sides of the building. Window restrictors have been fitted for extra security and protection. Three bedrooms have been redecorated with new carpets and furniture. New carpet had been fitted in the front lounge and a new stainless steel table for the kitchen and garden furniture had been obtained. The AQAA stated that all the radiators in the bedrooms are fitted with thermostatic valves to control the heat and are covered with radiator covers to prevent scalding of the residents. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedure of the Home is robust and offers protection to residents at the Home. Staffing levels are satisfactory and meets the needs of people using the service. Evidence: There is a robust recruitment policy and procedure in place at the Home to ensure that only appropriate and well-experienced staff were recruited at the Home. Records of two recently appointed staff members contained required information to include CRB disclosures, two satisfactory references, record of previous employment and proof of identity. All staff have job descriptions in the files and staff spoken with demonstrated knowledge of their roles and responsibility in relation to meeting the needs of individuals living in the home. There is evidence of a detailed induction programme for all new staff to ensure that staff are competent before working independently with residents. Evidence from the staff-training file showed that eight care staff have NVQ Level 2 certificates; twelve care staff have NVQ level 3, three staff have NVQ level 4 including Care Homes for Older People Page 21 of 28 Evidence: the manager. The manager and deputy also have Registered Managers Award. Staff have also attended First Aid, Protection of Vulnerable Adults from Abuse, Manual Handling, Basic Food Hygiene and Infection Control updates. All staff have attended Fire Awareness training updates, Health and Safety, Dementia and Death and Bereavement On the day of the visit there were eleven residents at the home and review of the rota shows that there were adequate numbers of staff to meet the needs of the residents. Care Homes for Older People Page 22 of 28 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 benefits from good leadership and management, its practices have offered protection to the health and safety of residents. Evidence: Fairhaven is a residential care home in Swindon with Mrs Lynn Plumstead as the registered manager. Fairhaven was first registered with the current provider Swindon Old Peoples Housing Society on 18th December 1986 The registered manager Mrs Plumstead took over the management of the home in 2003 and had since acquired skills and experience over the years to enable her to support the staff to provide good standards of care for the individuals living in the home. The registered manager has attended many training courses to enable her to provide quality care for all the residents. The manager has a qualification at level 4 National Vocational Qualification (NVQ) in management and also attained the Registered Managers Award (RMA). Care Homes for Older People Page 23 of 28 Evidence: The manager told us that she is supported and supervised by the organisation. The organisation provides her with opportunities for personal development. She has the autonomy on budgeting to ensure that the home had adequate resources to meet the needs of the residents. On the day of inspection there was a good, friendly interactive atmosphere at the home. Residents looked well care for and were interacting with staff in an informal and friendly way. Residents and staff spoken with commented positively on the managers ability to manage the home. Two staff members told us that stated that The manager is very fair; she would listen and is approachable. In relation to how the home audits the quality of its services the AQAA stated that the home has an effective Quality Assurance monitoring system. The AQAA told us that this is completed annually with the residents, staff, family, friends and other professionals completing questionnaires. The findings are then published to every one that has taken part. The report is also sent to the Care Quality Commission. The manager stated that other tools used to enhance this process include, care plan reviews, staff supervision and medication audits. The manager confirmed that regular supervision of staff was taking place. This was evidenced in the staff records viewed and discussion with staff met during the visit. The fire logbook is well maintained as well and the homes maintenance programme is ongoing. There is evidence that staff have attended fire lectures and regular fire drills. In relation to other health and safety measures, there was evidence of service record of lifts, hoists, fire alarm systems and portable appliance tests (PAT) of all electrical appliances. There was appropriate storage and risk assessment of substances hazardous to health. The home had a generic risk assessment in relation to various areas of the home to include the stair lift, bedrooms and bathrooms. It was agreed that risk assessments should include equipment in the kitchen. Accidents are recorded and are followed up. We recommend that accidents are audited regularly to establish if there is a pattern and to enable appropriate risk assessments to be put in place in order to minimise the falls following the number of accidents to four residents in July and early August. Policies and procedures in the home include, Whistle Blowing, Confidentiality, Health and Safety, Concerns, Problems and Complaints, Prevention of Abuse and Advocacy. Care Homes for Older People Page 24 of 28 Evidence: Residents monies had been discussed previously under Standard 18. All residents information and records were securely locked away. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 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 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 9 Keep medicine trolley secured to the wall in the drug room when not in use in order to provide additional security to residents medication. Include the kitchen in the generic risk assessment to make it more robust. Audit accidents to residents regularly to determine if there is a pattern and to put in place appropriate risk assessment in order to minimise the falls. 2 3 38 38 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!