Care Home: Gedling Care Home

What the care home does well Effective pre admission needs assessment are performed prior to people moving into the home to ensure their needs can be identified and met. Service users are afforded appropriate levels of privacy and dignity. Recreational activities are provided within the home and opportunities are available for service users to interact within the broader community. Service users and their relatives expressed satisfaction with the quality and variety of meals provided at the home. Service users safety is promoted and they are able to express their views and concerns to a receptive management team. Service users benefit from a well-maintained environment, which is comfortable, clean and safe throughout. A staff training programme is in place to ensure staff are competent in meeting the needs of service users and staff recruitment practices are robust. The management structure is effective in supporting staff to promote the health and wellbeing of service users. Quality assurance systems to show that the service is being delivered in the best interests of service users. What has improved since the last inspection? The recording of service users finances has improved. The management of medication now promotes service users safety. What the care home could do better: All service users care planning documentation could include a reference to the metal Capacity Act. All staff at the home could be provided with information relating to the revised Nottinghamshire Safeguarding Adults policy. Key inspection report Care homes for older people Name: Address: Gedling Care Home 23 Waverley Avenue Gedling Nottingham NG4 3HH     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: Steve Keeling     Date: 2 7 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 27 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) 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 Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Gedling Care Home 23 Waverley Avenue Gedling Nottingham NG4 3HH 01159879792 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Kalbro Care Uk Limited care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Within the total number of beds, a maximum of 26 may be used for the category DE(E). Within the total number of beds, a maximum of 6 may be used for the category DE. Date of last inspection Brief description of the care home Gedling Care Home provides residential care for 26 older people in the early stages of dementia. The home is located in an inner city area of Gedling, Nottingham, close to the local shops, general practitioners surgery and other amenities. The home is an extended residential house, which consists of three-storeys. The home has two lounges, a conservatory and a separate dining area. The home has 20 single rooms one of which is fitted with an en-suite facility and 3 double rooms. There is a passenger lift permitting access to the first and second floor. A small enclosed garden is to the rear of the property. The current fee are £355 to £435 per week; this does not include toiletries, clothing, hairdressing, holidays and outings. This information and a copy of the last inspection report is available to people who use the service and their representatives on request. Care Homes for Older People Page 4 of 27 Over 65 26 6 Brief description of the care home Care Homes for Older People Page 5 of 27 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: The focus of the inspection undertaken by the Quality Care Commission is upon outcomes for people who use the service (service users) and their views on the service provided. The process considers the providers capacity to meet regulatory requirements, minimum standards of practice, and focuses on aspects of service provision that needs further development. Two inspectors conducted the unannounced visit. The main method of inspection used is called case tracking which involves selecting people who use the service and looking at the quality of care they receive by speaking to them, observation, reading their records and asking staff about their needs. On this occasion we placed a greater emphasis on interviewing service users relatives as the majority of service users at the home have impaired communication abilities. Care Homes for Older People Page 6 of 27 The registered manager and members of staff were spoken with as part of the visit, records relating to medication management was also inspected to form an opinion about the quality of care provided. A partial tour of the building was undertaken which included service users bedrooms and communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last key inspection was performed on the 16.07.2008 was considered in planning this visit. This included the Annual Quality Assurance Assessment which was provided by the registered manager on the 10.07.2009 together with two responses we have received from the ten Have Your Say Pre inspection questionnaires which were distributed to service users at the home prior to the inspection process. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 27 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. Potential service users are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. The service does not offer intermediate care Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states Potential service users and their family are invited to view the home, meet other service users and ask questions and an outline of the service users needs are discussed. Prior to admission the service user is assessed by the manager and information is sought from other relevant services to ascertain if the home can meet their needs, if not an explanation will be given and a reason given why it would not be in the best interests of the person to be admitted to the home. Service users are provided with information about the home which includes a service users guide and brochure. All services users are offered a six week review at which the placement and suitability will be discussed. All service users who fund their own care are Care Homes for Older People Page 10 of 27 Evidence: provided with a contract which includes the fees payable, the room allocated and the terns and conditions of residency. The Have your Say pre inspection questionnaire asked service users, Did you receive enough information to decide if this has was the right place for you, before you moved in, both respondents stated Yes. We looked at the records of two service users, each had an effective assessment of their needs which provided the opportunity to identify service users requirements in relation to promoting their health and wellbeing. Throughout the day we spoke to six relatives who were visiting service users. All people spoken with confirmed that the manager had undertaken the assessment process and they felt fully involved in the process. Visitors to home also confirmed that they had visited the home prior to admission so they could determine the suitability of the home in meeting their relatives needs. The assessment process also uses information provided by other agencies, such as Adult Social Care and Health, when available. Intermediate care is not provided at Gedling Care Home. Care Homes for Older People Page 11 of 27 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. Service users living in the home have up to date and relevant care plans to enable staff to deliver the appropriate individual care. Medication management promotes service users safety. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states All service users are actively supported in making their own choices and decisions. Service users who have been assessed as having variable capacity are always assumed to have capacity and encouraged to make decisions for themselves. If service users lack capacity the decisions made on their behalf is always made in their best interests. Our care plans identify preferences in relation to the provision of health and personal care. Risk assessments are maintained for pressure areas, nutrition, falls, garden area, hot water and dependency levels. We have good links with local doctors, district nurses, continence promotion specialist, community psychiatrist nurses, occupational therapists, physiotherapists, opticians and dentists. The Have your Say pre inspection questionnaire asked service users Do you receive Care Homes for Older People Page 12 of 27 Evidence: the care and support you need, both respondents stated Always. The case tracked care planning and risk assessment documentation contained good information to ensure that care staff can perform the tasks required to meet service users needs, care staff also confirmed that they have access to the care plans at all times for guidance and reference. The case tracked care plans had been reviewed on a regular basis to ensure they remain pertinent to the needs of the service users and the relatives of service users spoken with on the day of the inspection confirmed that the manager is pro active in involving them in the review process. One relative stated The manager keeps me fully informed of any developments, she is very good. The care plans viewed on the day of the inspection did not, in all instances, make reference to the Mental Capacity Act but the registered manager stated that she was in the process of incorporating the information in the care planning documents. The Have your Say service users survey asked, Do you receive the medical support you need, both respondents stated Always. Records showed and service users relatives confirmed that they have access to external professionals such as Doctors, District Nurses, Dentists, Opticians, community psychiatric teams and Chiropodists. A relative of a service user said I have complete trust in the home and feel my mum is very well looked after. We found that all requirements and recommendations related to medicines, made at the previous Random inspection on 3rd April 2009 had been acted upon in a satisfactory way. At this inspection we found that one person had not received their morning medicines on 26th August, and that the administration record had been signed to say the tablets had been given. The mistake was acknowledged and recorded on an incident form, and on its own does not indicate that the requirement to give medicines as prescribed has not been met. We found that records of medicines entering the home were accurate, and that medicines were safely stored at the correct temperature. A cupboard was available for storing controlled drugs. We watched part of the morning medicine round and saw that medicines were administered in the way described in the homes medication policy. We also saw that staff were courteous and patient when giving out medicines. We checked the quantities of some medicines against the records and found no discrepancies. We looked at two medicine charts that had been handwritten by staff and found that, although details of medication were correct, important information about the person Care Homes for Older People Page 13 of 27 Evidence: (date of birth and any known allergies) had been omitted. On one chart,the first name the person prefered to be called by, and surname, had been written; the full name was therefore different to the name on the medicine labels. We spoke to a member of staff, and looked at her training folder, and found that she was fully trained to handle medicines. The Have your Say service users survey asked, Do staff listen and act on what you say, both respondents stated Always. The relatives of service users spoken with on the day of the inspection were very complimentary about the staff at the home promoting their relatives respect and dignity, they confirmed that staff always close curtains and doors when performing personal care and comments included My brothers respect is always promoted, the staff are patient and caring and I have complete faith in the manager and staff, they are very good. We observed interactions between care staff and service users throughout the day and at meal times. All observed interactions promoted service users respect and dignity. Care Homes for Older People Page 14 of 27 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. Service users have the opportunity to participate in recreational activities and maintain social contacts. Service users receive a nutritious and appetising diet with individual preferences being met. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states We hold regular service users support groups to which family and friends are welcome, feedback and comments are very welcome relating to all aspect of the home. A relaxed homely atmosphere is maintained by being flexible with meal times, bath times and the promotion of a open door policy for visitors. Close family are invited to have meals with service users and service user are provided with privacy and space to be alone. Staff respect the individuals needs for privacy in terms of personal and social relationships. Service users are actively encouraged to personalise their bedrooms by bringing in personal possessions including furniture (if it meets fire regulations and health and safety). We discussed the social activities provision with the relatives of service users who confirmed that they include guest entertainers, religious interventions and sing songs Special events such as Christmas and Easter are also celebrated together with service Care Homes for Older People Page 15 of 27 Evidence: users birthdays. A relative of a service user stated that her relative does not like to participate in social activities and that the staff the care staff respect his wishes in this area. The manager and care staff stated that an open door policy is promoted in relation to relatives and friends visiting service users. All visitors to the home confirmed the open access and said they are made very welcome by all the staff. Information provided by the registered manager in the Annual Quality Assurance Assessment relating to the provision of meals states Service users dietary likes and dislikes are recorded and their is always a choice at meal times, specialist diets are catered for and snacks and drinks are provided between meals. The Have your Say pre inspection questionnaire asked service users Do you like the meals provided, both respondents stated Always. On the day of the inspection the lunch time meal consisted of roast chicken or braised faggots with mash potatoes and fresh vegetables followed by a fruit platter or steamed pudding. We asked service users to comment on the quality of the food provided, responses included It nice and Its lovely. The relatives of service users also stated that the food is very good and confirmed at a choice is always provided. We observed the lunchtime meal session. The care staff were assisting service users in a relaxed, considerate and discreet manner thus promoting service users respect and dignity at all times. Care Homes for Older People Page 16 of 27 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. Service users feel able to raise concerns and complaints and can be confident that the manager will act on them. Staff know how to safeguard service users from abuse. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states The home has a clearly written complaints procedure which is displayed in the main entrance and is part of the service users guide which is supplied on admission. The manager operates an open door policy so that concerns can be shared immediately. A record is kept of all complaints, the subsequent investigation and the actions taken. All staff have received training in Safeguarding Adults and our Whistle-Blowing policy is discussed within the Induction period. Staff are given the opportunity to discuss any concerns during supervision. The Have your Say pre inspection questionnaire asked service users Is there someone you can speak to informally if you are not happy, and Do you know how to make a complaint, both respondents stated Yes. The Care Quality Commission has received one anonymous complaint since the last key inspection was performed, records showed that the manager is liaising effectively with various agencies to achieve a satisfactory conclusion. We asked the relatives of service users if they felt confident in highlighting any Care Homes for Older People Page 17 of 27 Evidence: concerns or complaints, responses included I can discuss anything with the manager, I have no complaints but if I did I feel confident the manager would address them and Its a nice home, the staff are wonderful, I have no complaint at all. All relatives spoken with confirmed that had received the homes statement of Purpose, which includes a complaints procedure. Records showed, and staff confirmed, that training in Safeguarding Adults has been provided. We spoke to a member staff to determine her level of understanding in this area. The member of staff demonstrated a good level knowledge of Safeguarding Adults procedures. We asked the member of staff if she was aware of the revised Nottinghamshire Safeguarding Adults policy and is it available at the home, her responce was No. Care Homes for Older People Page 18 of 27 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. Service users live in a home that is clean and well maintained. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states We employ a part time handy man to keep an on-going programme of maintenance. We employ a trained domestic to reduce the risk of cross infection and staff are provided with training in the prevention of cross infection. The home has a fully serviced fire detection system and our policies comply with requirements set by the fire brigade. The home provides communal areas which are accessible to service users with decreased mobility and the home has sufficient bathroom and toilet facilities. All corridors have grab rails. All rooms have a buzzer system in place which are checked weekly, the home provides suitably furnished private accommodation. The Have your Say pre inspection questionnaire asked service users Is the home fresh and clean, both respondents stated Always. We asked the relatives of service users if they are satisfied with the standard cleanliness in the home, they all said they were, and confirmed that their relatives bedrooms are cleaned on a regular basis, as are the communal areas in the home. We did a partial tour of the building, which included service users bedrooms and communal areas. All areas were safe, well maintained, clean, fresh and warm, service Care Homes for Older People Page 19 of 27 Evidence: users bedrooms were homely and personalised. Records showed that care staff have received training in the principles of infection control and appropriate policies and procedures are available for reference in this area. Staff said that gloves and aprons are worn at all times when providing personal care to promote infection control and we observed that gloves and aprons were available and staff were using them appropriately. In addition all visitors to the home are required to use a alcohol based hand sanitizer to further promote infection control within the home, which is good practice. Care Homes for Older People Page 20 of 27 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 home operates a safe staff recruitment process and staff are trained effectively in supporting service users. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states The home follows a recruitment policy which is non-discriminatory and provides equal opportunities for all. All prospective employees are Protection of Vulnerable Adults / Criminal Records Bureau checked and we obtain references, employment and medical history together with past experience relevant to the job. All employees have a period of supernumerary induction prior to starting work, they receive a job description then they commence the Common Induction Standards. The Have your Say pre inspection questionnaire asked service users Are staff available when you need them, both respondents stated Always. We asked the relatives of service users on the day of the inspection if the staff are available when needed, responses included Yes, they appear to be always available and Yes, I dont think their are any staffing problems they seem well trained and competent. The content of the staff files examined on the day of the inspection confirmed the information provided by the registered manager within the Annual Quality Assurance Assessment that the recruitment processes are effective in promoting safety. Staff Care Homes for Older People Page 21 of 27 Evidence: files contained, Protection of Vulnerable Adult checks, Criminal Record Bureau Checks, an application form, two written references and proof of identity. Records showed and staff confirmed that an induction process is provided, which is based on The Skills for Care common induction standards. In addition a staff training matrix showed that a staff training programme is provided to ensure staff are confident and competent in meeting the needs of the service users. Information provided by the registered manager shows that 53 of the care staff have a National Vocational Qualification at level 2 and above which exceeds National Minimum Standards. Care Homes for Older People Page 22 of 27 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 is run in the best interests of the service users and the acting manager provides good support for staff to deliver a safe and effective care service. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states The manager is a Registered Mental nurse. Records are kept to safeguard everybodys interests for at least seven years. Service users and their representatives are given questionnaires each year to fill in and information provided is acted upon. Service users are offered a copy of their care plan, and care plans and evaluations are discussed at regular intervals with service users and their family. We provide a safe place for service users to store their money and valuables and a running record is kept of all transactions. If a service user is unable to manage their own finances we will liaise with a representative of theirs or the local authority to ensure finances are managed in the best interests of the service user. The registered manager has been in post since March 2006. She is a Registered Care Homes for Older People Page 23 of 27 Evidence: Mental Nurse (RMN) and has applied to be enrolled on a Team Leader and Management Skills course to further promote her managerial skills. The Have your Say pre inspection questionnaire asked service users What do you think the home does well, comments included Excellent staff, who are always happy, the residents are clean and tidy and attention is paid to the little things like hairdressing and having their nails done. There is no shouting in the home and residents are spoken to in friendly terms and Always very clean, friendly staff and residents are well looked after. Records showed and a member of staff confirmed that the manager performs supervision sessions and annual appraisals to support the care staff at the home. The manager also performs quality assurance systems such as satisfaction surveys which were last completed in June 2009. The surveys establish the views of service users, relatives and visiting professionals. Comments made within the satisfaction surveys included I feel my relative is very happy and we could not have chosen a better place, The standard of food is excellent and The staff are always happy and patient. Comments made by visiting professionals included Good work being done, keep it up and The manager is always very helpful and knows the needs and problems of all the residents. We examined accounting sheets of three service users which showed that service users finances are managed effectively. Service users financial records are monitored by the registered manager, all transactions are recorded and all monies received or spent are receipted. Service users health safety and wellbeing is promoted by the provision of effective routine maintenance and documentation was available to show that annual gas testing, mains electrical testing, hoist and mobility checks had taken place. Care Homes for Older People Page 24 of 27 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 25 of 27 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 2 7 9 It is recommended that the care plans make reference to the Mental Capacity Act in all instances. It is recommended that the service users full name (as on the medicine label), prefered name, date of birth and any known allergies (or the words none known) should be included on any medication administration records. It is recommended that all staff at the home are made familiar with the revised Nottinghamshire Safeguarding Adults policy. 3 18 Care Homes for Older People Page 26 of 27 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. 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