Care Home: Hansa Rest Home

What the care home does well Prospective residents are able to have a look around the home so that they can make a decision about moving in or not. The home supplies prospective residents with literature about the service it provides. The home carries out its own needs assessment for those referred for possible admission so that it can make a decision about whether or not the person`s needs can be met. Residents described the home as meeting their care needs and that they are able to maintain their independence. One person said how much he/she likes the feeling of community in the home saying, `there is always someone to talk to.` A relative and a resident said it is a `homely place.` A resident said that the staff are responsive and that his/her wishes are catered for. Staff were observed interacting with the residents by playing games. Various activities and stimulation are provided. Two people said that they enjoy making use of the supply of books from the home and the mobile library. Staff said that they receive relevant training and support. Residents are supplied with a copy of the complaints procedure and staff receive training in safeguarding vulnerable adults procedures. What has improved since the last inspection? The AQAA states that the home has improved its Service Users` Guide. A staff member states that the care plans have been reviewed and updated, although it was found at this visit that there are still areas where the recording needs to improve. The home has followed the advice of the Environmental Health Officer by installing extra handrails to the stairs and by installing a new cooker. The home has employed additional staff. What the care home could do better: Care plans need to be consistently recorded and include details of how needs, including moving and handling, are met. The written procedure for the handling, administration and storage of medication needs to be reviewed so that it gives staff clear guidance on procedures that need to be followed. Controlled medication procedures need to adhere to Royal Pharmaceutical Society guidelines and a controlled drug cupboard provided. The hours worked by care staff need to be recorded on a duty roster so that the home can demonstrate that it is providing adequate staffing levels. Staff recruitment procedures need to improve so that staff do not start work until the required checks have been obtained. The ground floor bathroom needs to be refitted and made available to residents. Key inspection report Care homes for older people Name: Address: Hansa Rest Home 9 Empress Road Lyndhurst Hampshire SO43 7AE     The quality rating for this care home is:   one star adequate 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: Ian Craig     Date: 0 7 0 7 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) 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 28 Information about the care home Name of care home: Address: Hansa Rest Home 9 Empress Road Lyndhurst Hampshire SO43 7AE 02380282298 02380282298 hansa.care@ic24.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Peter John Louis Colato,Mrs Ann Colato care home 9 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: 9 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Hansa Rest Home is a detached house set in a quiet residential street a short distance from the centre of Lyndhurst. The home is privately owned and run by Mr and Mrs P Colato. Mrs Ann Colato is the registered manager of the home. The care home is registered to provide accommodation and support for up to nine older people. Residents are accommodated in seven single and one double room. Five of the single Care Homes for Older People Page 4 of 28 Over 65 9 0 Brief description of the care home rooms and the double room have en-suite facilities. Residents have access to the two lounges and dining rooms and the pleasant garden. Accommodation is on two floors and a chair lift is provided for those who do not wish to walk up the stairs. 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: one star adequate 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 inspection was unannounced and started at 10.00 am and ended at 3.45pm. A visit was also made to the home 4 prior to this inspection. The visit had to be curtailed because of unforseen circumstances. Records, documents, policies and procedures were looked at during the visit. This included 3 residents care records. Three residents and a relative were involved in the inspection. At the time of the visit the home accommodated 6 residents. Surveys were sent to each of the residents and were returned by 5 people. Staff from the home assisted residents to complete the survey forms. It would ave been preferable if residents completed the surveys independently or with assistance from a more independent person. Surveys were returned by 6 staff. Information contained in the surveys has been used for this report. Care Homes for Older People Page 6 of 28 Discussions took place with the registered manager and with 2 staff. Registered care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for the purposes of this report. The information given in the AQAA was brief. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Care plans need to be consistently recorded and include details of how needs, including moving and handling, are met. The written procedure for the handling, administration and storage of medication needs to be reviewed so that it gives staff clear guidance on procedures that need to be followed. Controlled medication procedures need to adhere to Royal Pharmaceutical Society guidelines and a controlled drug cupboard provided. The hours worked by care staff need to be recorded on a duty roster so that the home can demonstrate that it is providing adequate staffing levels. Staff recruitment procedures need to improve so that staff do not start work until the required checks have been obtained. The ground floor bathroom needs to be refitted and made available to residents. Care Homes for Older People Page 8 of 28 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 9 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 10 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. Prospective residents are able to make an informed choice about moving into the home and the home takes steps to ensure that it accommodates only those whose needs can be met. Evidence: Residents and their relatives confirmed that they had a look round the home before making a decision about whether or not to move in and that they received information about the home in the form a brochure. Pre admission assessment procedures were looked at for 3 people admitted to the home since the last inspection. Assessments of need are completed for those referred for possible admission. These are carried out by either the manager or the deputy manager who visit the person at their home or in hospital. These are recorded in an assessment form, which covers the following needs: religion, medical history, personal care, sight, hearing, communication, oral health, foot care, mobility and dexterity, diet Care Homes for Older People Page 11 of 28 Evidence: and weight, individual preferences, falls, continence, medication, mental state and cognition, social interests and hobbies, personal safety and risk and carer and family involvement. It was noted that one of the assessments was not signed or dated by the person completing it, so it was not possible to tell if the assessment had been carried out before the person was admitted to the home. The home also obtains information about potential residents needs from referring social services and from discharging hospitals where relevant. Copies of hospital discharge summaries and social services care managers assessments are held with residents records. The manager and deputy said that social services do not always supply a copy of their own assessment when referring a person for admission. The importance of obtaining relevant assessment details when people are being assessed for possible admission was discussed. Care Homes for Older People Page 12 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are detailed in care plans although these are not consistently recorded with the potential that residents health and personal care needs may not always be addressed. Improvements are needed to ensure that medication is safely stored and administered. Evidence: The home has reviewed its care plan and assessment procedures following advice from social services. Care records were looked at for 3 residents. A further assessment of need is carried out following admission to the home and is comprehensive. The following documents are also completed: social and cultural needs, social assessment, personal profile including a social history, a care plan agreement which has also been signed by the resident, risk assessment and a moving and handling risk assessment. It was noted that the moving and handling risk assessment had not been completed for one person who had identified needs in this area. It was also noted that one of these assessments was signed by the person completing it but no date included. Care Homes for Older People Page 13 of 28 Evidence: Following completion of this assessment document an individual care plan and an individual care plan outcome sheet are recorded. It was noted that for one of the 3 peoples records looked at that the individual care plan was only partly complete and for another had been not completed at all. Guidance for staff to follow, however, was also recorded in the care plan outcome sheet which give specific instructions for staff. The home also completes an assessment for each person using a score system. One persons social assessment was not completed. Care records show that needs are reviewed and updated on a regular basis. Individual centred support plans are recorded giving the daily preferences for each person. Daily running records are recorded individually for each person. These records are detailed and include the date and signature of the person completing them. Nutritional assessments are carried out for each person. It was noted that for one person this needed to be reviewed with medical input, which the deputy manager and manager agreed to do. Care records included contradictory information about whether the person needs help or not with eating and drinking. Medical and health appointments are arranged for residents with records showing check ups with the optician, chiropodist and visits by the district nurse plus liaison with the general practitioner when medical needs arise. Each of the 3 residents spoken to during the visit said that they are able to excercise choice in how they spend their time. One person said, I can get myself ready for bed when I want and only have to ask for help when I need it. Each of the three residents said that the help they receive with care is good and that they are given assistance in the way they like, and, in a way that allows them to maintain independence. Residents said that they are treated with dignity and respect. Residents referred to the fact that they can ask for help by using the call point system in their rooms. Surveys from residents show that staff are available when the residents need them. A resident said that he/she was offered a key to his/her bedroom door for privacy and security. Staff say that residents care needs are met. One staff member said the the home Care Homes for Older People Page 14 of 28 Evidence: provides a good level of care to the residents. Another staff member said, Being a small home the clients get a personal and individual service. Staff also say that they have enough support, experience and knowledge to meet the different needs of the residents. Each staff member who returned a survey said that the sharing of information about residents needs works well. A staff member described the various courses he/she has attended including National Vocational Qualifications in care, protecting people from possible abuse and training in dementia. The homes medication procedures were looked at. The home uses a monitored dosage system. Staff record a signature each time medication is administered to a resident. It was noted that for the 8 am medication that on three occassions staff had signed to say that medication had been given but the medication was still in the blister pack stock. The home does not have a controlled drug cupboard. A key cupboard within a cupboard is used but the medication was not in this, but was held in a filing box. The homes own procedures for administering medication that needs to be stored as a controlled drug were not being followed. The procedure says that 2 staff must administer and record their signature. Records and discussion with a staff member show that only one person does this. Good practice guidance also advises that the 2 staff count the remaining balance. Medication stocks for this drug did not tally with the amount in the pharmacists bottle and the manager said this was due to medication being carried over from a previous month. A monthly stock check of this medication is carried out by a member of staff. The homes written procedures for controlled medication need to be reviewed as there are 2 differing copies, one copy refers to procedures not carried out in a residential home, one copy refers to a controlled drug register which the home does not have, reference is made to inappropriate procedures for disposal of unused medication, and the procedure does not include reference to two staff counting the remaining medication each time the drug is administered. Care Homes for Older People Page 15 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. Residents benefit from regular social contact with staff and have a range of activities thatthey can take part in. Residents are able to exercise choice in how they spend their time. A nutritious diet is provided. Evidence: The home carries out an assessment regarding individual residents social needs. This was not completed for one person. Records are maintained of activities that each individual takes part in. Two staff have completed a course in providing activities. At the time of the visit one of the staff was playing a musical instrument with a resident. The resident said how much he/she enjoyed this. Residents confrmed that they take part in evening activities of such as dominoes, cards and other board games. One person said that he/she enjoys the activity but was not informed that they take place and only found out by chance. Care Homes for Older People Page 16 of 28 Evidence: One person said that he/she enjoys the fact the there is always someone to talk to in the home and there is a good sense of community. A relatives resident said that the home has a homely and welcoming atmosphere. There is a large selection of books and other literature in the home. A mobile library visits the home on a regular basis. Two people said how much they enjoy reading and that the mobile library allows them to always have a good stock of books. Residents can also have a daily newspaper which some do. Some of the residents have their own telephone line in their bedroom. Numerous personal possessions have been brought by residents to the home so that bedrooms are personalised. Residents were observed receiving visitors. One person said that he/she likes the location of the home as it is near the village centre and close to the church, which he/she uses. Any religious preference is recorded in individual records and the deputy manager said that in the past arranagements have been made for relgious services in the home. Outings are arranged for the residents, but comment was made that this could be improved. Residents said that they are able to spend their time as they wish. The food was described by the residents as good. One person said, There are lots of puddings and fruit is available. You can ask for something different if you want. The home is very accommodating. Another person said that the portions are good and another person said that the food is good, but that it was sometimes too hard. The midday meal menu was written on a board in the dining room of pork casserole, new potatoes and vegetables plus a dessert. Care Homes for Older People Page 17 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. The home has an effective complaints procedure and takes steps to protect residents from possible harm. Evidence: Residents confirmed that they are aware of the homes complaints procedure, which they said had been provided to them. The manager described how the home had dealt with a complaint which resulted in the care planning being reviewed and updated. The home provides in house trainig to staff in safeguarding procedures. This was confirmed from discussions with a staff member, the manager and from training records. Each member of staff who returned a survey said that they know what to do if someone has a concern about the home. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is generally clean and reasonably maintained, although improvements are needed to update the decor and the lack of bathing facilities does not promote residents independence and dignity. Evidence: Communal areas consist of a dining room and 2 lounges. One of the lounges has a television. There is a ramped access to the home for those with mobility needs. All bedrooms are single with the exception of 1 double bedroom. 6 bedrooms have an en suite toliet and one of these is an en suite bathroom. Furniture in bedrooms is intact and the home is generally clean, although it was noted that carpet was stained in one area in one of the bedrooms. Residents said that they like their bedroom and one person added that the home have helped by adding furnishings to accommodate his/her personal belongings. Bathroom facilities consist of a bathroom on each floor. At the time of the visit, and at another visit 4 weeks before, the ground floor bathroom was being refurbished meaning that it cannot be used. The manager explained that this was due to delays Care Homes for Older People Page 19 of 28 Evidence: caused by the company carrying out the work. A resident said that the only complaint he/she has about the home, is that the ground floor bathroom cannot be use. Consequently, he/she has to go the bathroom on the first floor, which requires help from staff to negotiate the two stairlifts. The deputy manager explained that the lay out of the first floor bathroom means that residents are not able to easily use the bath hoist. At the time of the visit, there were no confirmed dates for completion of the refurbishment of the ground floor bathroom. One staff member said that the homes approach to maintaining the environment needs to be improved and 2 other staff said that the decoration would benefit from updating. Each of the residents who returned a survey state that the home is fresh and clean. The home was found to be clean with the exception of the carpet in one bedroom. There was an absence of any unpleasant odours. Staff receive infection control training which is either provided by the homes management or by an external provider. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides sufficient numbers of well trained staff to meet residents needs although records do not always show this. Recruitment checks do not always fully protect the residents. Evidence: The home aims to have at least 2 care staff on duty at any given time. There are times when there are more staff than this on duty. At the time of the visit the there were 2 care staff, the deputy manager and the cook on duty. The rota showed that there would be 3 staff on duty from 2pm to 9 pm. The staff duty roster showed that on numerous occassions only one staff member was on duty, including 5 shifts for the week starting 28/06/09. The manager stated that she worked as the second person during these periods but had not recorded the hours worked. Residents and staff report that there are enough staff on duty to the needs of those who live in the home. Training and supervision records are maintained for staff but this found to be not the case for one person where there were neither records of training or supervision. Records of induction were only partly completed. Each staff member who returned a survey states that he/she received an induction which prepared them for the job. One Care Homes for Older People Page 21 of 28 Evidence: staff member said that the training he/she received was good and that the home supports staff to complete National Vocational Qualifications (NVQ) in care levels 2 and 3. In addition to this, the staff member states that he/she has also attended training courses in medication, fire safety, health and safety, food hygiene, and dementia. 4 of the 7 care staff have NVQ level 2 and each of thse is currently studying for NVQ level 3. The deputy manager has NVQ level 4 and also has the Registered Managers Award. The deputy manager has completed several Train the Trainer courses with Hampshire County council allowing her to train staff in specific subjects. Staff training records are maintained. Recruitment procedures were looked at for 2 staff who have started work since the last inspection. The home had obtained all the required checks such as criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks plus 2 written references. It was noted that one person started work before the POVA check had been obtained and for the second person there was no record avaialble of the date the POVA first check was obtained so it was not possible to tell if this check had been obtained before the person started work. A requirement has not ben made for this as the home has obtained the checks. Each of the staff who returned a survey said that CRB and references were checked before they started work. Residents described that staff as helpful and kind. Staff were observed interacting with residents. Staff appeared motivated in their work. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes management is in a period of transition and there are a number of areas where daily management and record keeping need to improve so that the home is being run in the best interests of the residents and that their welfare and independence are promoted. Evidence: The registered manager is Mrs. Colato. The deputy manager is in the process of applying for registration with the Commission and is currently sharing management responsibilities with Mrs. Colato. Surveys received by the Commission from 3 of the 7 staff state that they do not feel supported by one of the owners and went as far to say that this has had a detrimental effect on the running of the home. The homes management uses systems to monitor its own performance and these include questionairres to residents to ask their views on the service provided by the Care Homes for Older People Page 23 of 28 Evidence: home, such as meals and activities. The deputy manager uses a system to monitor staff supervision, staff meetings and care plan content. A checklist is used to monitor the residents rooms. The home does not hold any residents monies or valuables for safekeeping. The home was inspected by the local Environmental Health Service in January 2009 and a number of requirements and recommendations were made that the deputy manager says have been addressed. 3 staff are trained in first aid and five staff have completed a health and safety course. Food hygiene and infection control training is also provided for staff. Records show that staff are trained in moving and handling with one exception. The deputy manager states that this person is not involved in moving and handling. Care Homes for Older People Page 24 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 25 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 1 7 15 Residents needs must be assessed and a care plan recorded for moving and handling. So that staff have clear guidance on how to support residents with mobility needs. 28/08/2009 2 9 13 The homes written procedures, especially for controlled medication, must be reviewed and amended to show consistent procedures which follow guidelines of the Royal Pharmaceutical Society. So that staff have clear guidance to follow when handling, storing and administering medication. 28/08/2009 3 9 13 Medication that is classed as 28/08/2009 a controlled drug for storage must be stored in a cupboard as required by the Care Homes for Older People Page 26 of 28 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 Misuse of Drugs (Safe Custody) Regulations 1973. So that medication is safely stored. 4 21 23 The ground floor bathroom must be fit for purpose so that residdnts are able to access adequate bathing facilities. So that residents can access bathing facilities. 5 27 17 A duty roster must be maintianed of the actual care staff hours worked. So that the home can demonstrate that suffcient staff are on duty to meet residents needs. 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 17/08/2009 10/08/2009 1 9 Where medication is classed as a controlled drug for storage purposes it is recommended that 2 staff witness the administration of the medication and that both staff record their signature and count and record the remaining balance of medication. 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). 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