Care Home: Hollymead House

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What the care home does well There is a varied activities programme in the home including trips out. People confirmed that they enjoy a varied diet with plenty of choice. There is a residents meeting once a week chaired by a person who uses the service. Staff supervision is in place and is up to date. What has improved since the last inspection? Carpets have been replaced in some bedrooms. New lighting has been installed in the dining room. More staff are now enrolled on the National Vocational Qualifications in care. What the care home could do better: Pre admission assessment needs to be documented and maintained in the home to ensure that needs are assessed and the home can meet the needs of people wishing to use the service. Care plans need to be explicit in assessing and documenting all care needs to evidence that these needs are correctly met. This will be a requirement of this inspection. Staff must ensure that all medicines administered are actually taken by the person. This will be a requirement of this inspection. Advice needs to be sought on the correct lancing devices to be used for blood glucose monitoring. This will be a requirement of this inspection. The homes Safeguarding Adults policy need to be updated in line with the local Sussex wide multi agency policy. Staff need to be aware of these and staff training in safeguarding as well as all mandatory training need to be up to date. This will be a requirement of this inspection. Sufficient equipment and adaptations need to be in place to meet the assessed need and maintain the health and safety of all people who use the service. All pre employment checks to be in place place prior to commencement of employment. There were discrepancies in the monies held by the home for people who use the service. That monies are held accurately and audited will be a requirement of this inspection. Key inspection report Care homes for older people Name: Address: Hollymead House 3 Downview Road Felpham Bognor Regis West Sussex PO22 8HG     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: Sheila Gawley     Date: 2 4 0 4 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 29 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 29 Information about the care home Name of care home: Address: Hollymead House 3 Downview Road Felpham Bognor Regis West Sussex PO22 8HG 01243868826 01243870274 hollymeadhouse@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs June Catherine Martin,Mr Hugh Richard Reid Martin,Mr Michael James Martin care home 35 Type of registration: Number of places registered: 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 to be accommodated is 35 The registered person may provide the following category 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 category : old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Hollymead House is a privately owned care home registered to accommodate up to thirty five older people. The home is situated within the village of Felpham and is close to local shops and amenities. Accommodation is provided within thirty-three single rooms and one shared room over two floors with a vertical lift providing access. The home has several communal areas and a well maintained easily accessible garden. The registered manager is Mr Michael Martin and the registered providers are Michael Care Homes for Older People Page 4 of 29 Over 65 35 0 Brief description of the care home James Martin, Mr Hugh Richard Reid Martin, Mrs June Catherine Martin. The fees currently charged are £475. Care Homes for Older People Page 5 of 29 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: This site visit as part of the inspection process took place on 24th April 2008. Prior to the visit we looked at all documents held by the Care Quality Commission on the service. We had sent surveys to people who use the service, staff and some professionals. Information received in these surveys will be reflected in the report. The home had sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. During the visit people who use the service, relatives and staff were spoken with. Comments made by people spoken to were positive all expressing satisfaction on life in the home. Care Homes for Older People Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Pre admission assessment needs to be documented and maintained in the home to ensure that needs are assessed and the home can meet the needs of people wishing to use the service. Care plans need to be explicit in assessing and documenting all care needs to evidence that these needs are correctly met. This will be a requirement of this inspection. Staff must ensure that all medicines administered are actually taken by the person. This will be a requirement of this inspection. Advice needs to be sought on the correct lancing devices to be used for blood glucose monitoring. This will be a requirement of this inspection. The homes Safeguarding Adults policy need to be updated in line with the local Sussex wide multi agency policy. Staff need to be aware of these and staff training in safeguarding as well as all mandatory training need to be up to date. This will be a requirement of this inspection. Sufficient equipment and adaptations need to be in place to meet the assessed need and maintain the health and safety of all people who use the service. All pre employment checks to be in place place prior to commencement of employment. There were discrepancies in the monies held by the home for people who use the service. That monies are held accurately and audited will be a requirement of this inspection. Care Homes for Older People Page 7 of 29 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 29 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 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission of people to the home needs to be individualised, not process driven and pre-admission assessment needs to be documented. Evidence: Care plans inspected did not have evidence of a pre-admission assessment. One person spoken with could not say what information she had been given on admission. A relative of another person using the service was spoken to and he was very impressed with the home and confirmed receiving a service user guide. We were informed that this is carried out but the documentation is destroyed. An admission enquiry form for a person considering using the service was seen and it indicated that a visit to this person had taken place but it did not have any documentary evidence of assessment of need to indicate that the home could meet the individuals needs. Care Homes for Older People Page 10 of 29 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. Care needs are not met in a person centered way. Not all risk is assessed and medicines are not administered according to prescription. The use of an inappropriate lancing device poses a risk to the health and safety of people who use the service. Evidence: Four people who use the service were case tracked their care plans were inspected as were their daily notes and they were spoken with where possible. The care plan for one person had recorded that the person is wheelchair bound and stands with a zimmer frame. This person has a nursing bed with bed rails. There was not any assessment in place indicating why bed rails were needed. This person is catheterised. There was not any care plan in place for catheter care. It was noted in the care plan Please check feet for circulation, there was not any record of his feet being checked. There were daily records but there were gaps in these. A recent admission who has been unwell of late had an entry in her care plan by a staff member Find care giving difficult as cannot get hoist around corner. The deputy manager stated that there are three rooms that they cannot get the hoist into and that they plan to get a new stand hoist which will be accessible to these rooms. When Care Homes for Older People Page 11 of 29 Evidence: asked if this person could move to another room which would be accessible to a hoist the deputy manager stated that this would be done today. Slide sheets and transfer boards are available in the home. The care plan for another recently admitted person using the service was inspected and she was spoken to. This person has lost all sight. Although initially expressing a desire for talking books, this person now states that she does not want these. This person was spoken to and appeared to be subdued expressing a desire not to do anything. The deputy manager stated that the home has not as yet accessed any information from vision organisations or charitable bodies to seek advice or resources in meeting her needs. Not all parts of the care plan were completed as yet as this is a fairly recent admission, personal hygiene, dressing, continence and mobility needs were assessed and it was noted she required assistance in these areas. There was not any direct reference to dealing with her visual need in the care plan. Another person case tracked was in bed today, there was a fluid and food monitoring chart in place. This was untidy and difficult to follow. Fluid was not being totaled. The deputy manager stated that the chart was for general monitoring purposes only and not to keep an accurate fluid balance. Personal care needs and mobility were noted. There was a risk assessment for falls. No weight recorded due to lack lack of suitable scales. There are daily notes made on people but these had gaps. The deputy manager stated that new care plans are to be put in place. The AQAA stated that the home has implemented a daily care sheet in to each service users room. These were not available in all rooms. The care plans are not person centered, they did not all have a risk assessment in relation to self medication. The deputy manager stated that the home tends not to have people who self medicate and therefore they do not universally do this risk assessment. There is a bath rota based on room number, not name, when asked the deputy manager stated that people who use the service could have a bath at other times if they wish. There is a daily communication book which hands over problems, this also identified problems under room number. The weight of all people who use the service cannot be monitored as the home does not have a sit in weighing scales. There is medical and community nurse support from a local medical centre. A chiropodist visits every eight weeks and general practitioner visits are recorded. Staff were observed speaking to and offering care in a respectful manner and they knocked before opening doors. People who use the service and relatives spoken to spoke highly of the care they receive and stated that the staff are kind. There are policies and procedures in place for the safe handling of medicines. The home has recently changed its supplying pharmacy who have been into the home to do a training session for staff. Medicines are received and stored correctly. Medicine Care Homes for Older People Page 12 of 29 Evidence: administration charts inspected were up to date, however, for one person who uses the service her medication which had been signed for had not been taken by the person. Both the dose for the previous morning and the morning of the inspection were still on her table at 2pm. This was discussed with the deputy manager who stated that it was common practice to leave this medicine on the table as this person takes several tablets in the morning. This person is blind therefore would be unable to take the medicine without assistance. The room was checked again at 4 pm and the medicines were still on the table. The need for medicines to be given at the prescribed time was discussed with the deputy managerand will be a requirement of this inspection. Some medicines for a deceased person were still in the trolley. There are six people who use the service with diabetes. Blood glucose monitoring and devices to be used should be discussed with the diabetes nurse specialist team or the community nursing team. The Medicines and Health care Product Regulator has issues four alerts to care homes in the past five years on the use of lancing devices, the deputy manager did not know if the device in the home was designed for multiple use or not. This poses a risk to the health and safety of people who use the service and will be a requirement of this inspection. Care Homes for Older People Page 13 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lifestyle in the home meets the expectations of the people who live there. Evidence: People who use the service spoken with on the day expressed satisfaction with the lifestyle experienced in the home. We received surveys from seven people who use the service and all spoke highly of the home, comments such as they look after us very well and I feel cared for, always plenty to eat and drink There is a well developed activities programme in the home. This includes trips out twice a week. a shop visits monthly, the mobile library visits monthly, there is music for health and a clothes show is planned. In the afternoons there are in house activities such as skittles, crafts, manicures, bingo, quizzes, exercises. There is letter writing one afternoon when staff help those with difficulty in writing to write letters to family and friends. There are links with the local church and there is communion every Sunday. Visitors are welcome in the home and visitors spoken with on the day express satisfacyion with all aspects of the homw. One relative stated that there is good communication from the home and that there is nice food. The cook was spoken with and there is a varied menu in place. There is a list of Care Homes for Older People Page 14 of 29 Evidence: peoples likes and dislikes in the kitchen. Fresh fruit and drinks were available in the sitting and dining rooms. Home made puddings and cakes are made daily. Fresh vegetables are delivered from a local farm shop. People are offered a hot supper in the evenings. Lunch was served in the dining room in an unhurried manner. Staff spoke to and treated people with respect and knocked before entering rooms. People who use the service spoken to confirmed that they have choice in their daily lives, they can use a key to their rooms if they wish. One person speaking about the food stated food is very good, they know what I dont like. Another stated staff are very helpful, I enjoy music, exercises and bingo. We all got an Easter bunny and the food is very good. Care Homes for Older People Page 15 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are listened to. Safeguarding adults training needs to be put in place to fully protect the people who use the service. Evidence: There is a complaints procedure in place and it is on display. It does not have the timescales in which a complaint will be responded to and resolved. This was discussed with the registered manager and this will be rectified. People who use the service spoken with stated that any concerns they have are listened to and recified. The homes safeguarding adults policy is out of date and does not reflect current language. Three staff spoken with could not explain clearly the procedure for making a safeguarding adults alert in the event of an allegation. None stated the need to refer to West Sussex Adult Services. The deputy manager stated that she would investigate, document and get witness statemens from staff which The West Sussex Safeguarding Adults Multi Agency policies and procedures does not advise. Safeguarding adults training is not up to date for all staff. Staff files inspected did not have evidence of up to date safeguarding training. The deputy manager last had safeguarding training in 2005. She stated that the training for this year is not planned as yet. This was discussed with the registered manager and will be a requirement of this inspection. Subsequent to the inspection The registered manager told us that safeguarding Care Homes for Older People Page 16 of 29 Evidence: training took place in May 2008 but evidence of that was not shown on the day. Care Homes for Older People Page 17 of 29 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. People live in a comfortable well furnished home but the purchase of lifting and weighing equipment would enhance the way the home could meet all needs Evidence: The premises was neat, clean and free from offensive odours on this occasion. All but three bedrooms have en suite facilities, radiators are covered and there are grabrails throughout. There are comfortable well decorated communal facilities, domestic in style. There is a sitting room, a dining room and a conservatory. There is an accessible well maintained garden. Hoists are in place but there are three rooms where it is not possible to access with a hoist. The deputy manager stated that they intend to buy a new stand hoist which will fit around the corridor to these rooms. Slide sheets and transfer boards are available in the home. Some upstairs windows are not restricted. This was discussed with the registered manager who was unaware that the windows did not have restrictors. Bedrooms are personalised according to peoples wishes and were neat and clean. Some vanity units are worn which poses a risk of infection. This was discussed with the registered manager and they are to be included on the maintenance list. There are Care Homes for Older People Page 18 of 29 Evidence: suitable laundry and kitchen facilities. A new kitchen floor has been laid. Care Homes for Older People Page 19 of 29 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. There are sufficient staff on duty to meet the needs of people who use the service. Recruitment procedures need to be more robust and staff training must be in place and up to date Evidence: Staff rota show the numbers of care and ancillary staff on duty to meet the needs of people who use the service. Nine of the nineteen care staff have attained the National Vocational (NVQ) Level 2 in care and five otherstaff are working towards level 2 and Level 3. An NVQ assessor was in the home today and she was spoken to. She has been coming in to the home for some years to assess care staff doing this qualification and she stated that the carers are attentive and committed. Recruitment files for two people employed in July 2008 were inspected. They showed that staff are commencing work prior to receipt of Criminal Records Bureau clearance. POVA first had not been applied for. There was not access to the training matrix the deputy manager said she was working on as the computer was down. She stated that the training has not been booked as yet and therefore did not have any receipts or confirmations from training bodies. There were not any up to date training certificates in three staff files to indicate that they had up to date mandatory training including moving and handling, first aid, Care Homes for Older People Page 20 of 29 Evidence: infection control. fire safety and safeguarding adults. One further file looked at did have POVA training 09/08/05, moving and handling training 17/06/08 and fire training 17/06/08. Care Homes for Older People Page 21 of 29 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. Although people spoken with feel well cared for and staff feel that the management is supportive there are shortfalls in practices, policies and training that could be detrimental to the health and safety of people who use the service if not addressed. The management of the home has declined since we last visited the home. Evidence: The registered manager is also one of the registered providers. Surveys received from people who use the service all indicated that they are happy living there and that they feel well looked after. Surveys received from staff and comments from staff spoken to on the day indicated that the management in the home is open and friendly. There are quality assurance measures in place such as annual surveys, soon to increase to twice annually. There is a residents meeting each week chaired by one of the residents. The deputy manager attends this meeting once a month and actions any requests such as a recent request for more lighting in the diniing room. It is the intention that the deputy manager who is a registered nurse and who has done the Registered Managers Award will apply to the Commission for registration and will then take over the Care Homes for Older People Page 22 of 29 Evidence: registered managers post. Some shortfalls were highlighted during this inspection and these were discussed with the deputy manager and the registered manager. Pre admission assessment needs to be documented and kept in the home. Care plans need to be explicit in assessing and documenting all care needs to evidence that these needs are correctly met. Risk assessment needs to be in place for the use of bed rails. Staff must ensure that all medicines administered are actually taken by the person. Specialist advice needs to be sought in relation to testing blood glucose and the equipment used. The homes Safeguarding Adults policy need to be updated in line with the West Sussex multi agency policy,and procedures. Staff need to be aware of these and staff training in safeguarding as well as all mandatory training needs to be up to date. Sufficient equipment and adaptations need to be in place to maintain the health and safety of all people who use the service. This includes ensuring all first floor windows are restricted and that suitable hoists and weighing scales are in place to meet the diverse needs of all people who use the service. All pre employment checks such as two written references, criminal records bureau clearance and a check against the POVA list and if neccessary POVA first must be in place prior to commencement of employment. The home holds monies for people who use the service. These are kept in a secure place. However there were discrepancies in the monies inspected. The money for eight people was inspected and there were discrepancies in three of these. One record in particular was confusing with no clear audit trail of expenditure and amounts owed to petty cash. That monies are held accurately and audited will be a requirement of this inspection. Staff supervision is in place. Contracts are in place for lift and hoist maintenance and for utilities maintenance. The Care Homes for Older People Page 23 of 29 Evidence: home takes measures to prevent risks from Legionella. Water temperatures are tested and less used showers are run weekly. Care Homes for Older People Page 24 of 29 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 29 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 The registered person must ensure that all people who use the service have an individual plan of care that covers all aspects of health, personal and social care needs are met. To ensure need are assessed, recorded and met thereby maintaining optimum health. 30/06/2009 2 8 13 The registered person to seek professional advice on the correct equipment for the the monitoring of blood glucose levels for all individuals requiring this. To prevent the spread of infection between individuals. 31/05/2009 3 9 13 The registered person must ensure that medicines are taken as prescribed. 31/05/2009 Care Homes for Older People Page 26 of 29 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 To protect the health and welfare of people who use the service. 4 18 13 The registered person must ensure staff training in safeguarding adults is in place and is up to date. To ensure that abuse is recognised and reported correctly. 5 29 19 All pre employment checks such as two written references, criminal records bureau clearance and a check against the POVA list and if neccessary POVA first must be in place prior to commencement of employment. 30/06/2009 30/06/2009 To protect the health and safety of people who use the service 6 35 13 Monies for people who use the service must be held, and suitably recorded and audited to ensure their accuracy. To prevent the risk of financial abuse. 31/05/2009 Care Homes for Older People Page 27 of 29 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 Care Homes for Older People Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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