Care Home: Homestead Care Home (Brownhills) Ltd

What the care home does well The service is located near to shopping facilities, and other venues including a hairdresser and public house. The people using the service have easy access to their warm and comfortable environment where they can relax and interact with staff. Arrangements were in place for the continued health care and consultant appointments from other professional agencies. We spoke to one of the visiting nurses who told us that` she had no concerns about the staff addressing any of the instructions she left`. The AQAA told us about the upgrading and refurbishment of the service. This was evidenced during the inspection with a well designed, light freshly decorated dining room. The service has numerous policies and procedures to ensure the safety of the people using the service. From details in the AQAA, records provided and confirmation from the staff and manager that training was a priority for the service.This has included the Mental Capacity Act, Deprivation of Liberties, Dementia, Diabetis, Challenging Behaviour, plus all the required mandatory training. The activity programme is based on the peoples needs and ability of concentration. Records we evidienced displayed a varied and interesting activity programme. We observed the manager arrange an area in the lounge for an individuals piano which, was delivered during the inspection. The menus provided the people with a daily choice, staff had undertaken a course for nutritional needs for older people. Menus showed a nutritional and well balanced diet. The service is operated by a committed, dedicated manager, who demonstrated to us that her priority was the people using the service. She had a good understanding of the National Minimum Standards and applied them to the service. Staff told us they felt well supported by the manager and her open door policy. What has improved since the last inspection? The AQAA told us that the service continues to be upgrades and decorated. Since the last key inspection the dining room has been totally refurbished and decorated. We evidenced this on the day of the inspection the area was bright and fresh with suffcient space for the people using the service. Noticable was the large tasteful pictures in this area and around the service. Further sun reflective film had been fitted to the windows. Further clear signage had been fitted to the doors within the service. New lounge chairs had been purchased, this was on going to include both lounges. New flat screen televisions and new music systems had been purchased. What the care home could do better: This report makes no requirements. To ensure that the weekly fire system is tested in sequence ensuring each point was operational. This will make sure that this equipment is in good working order at all times and make the service safer. To enusure that eye medication is dated when opened, this will protect individuals and prevent out of date medication being administered. Key inspection report Care homes for older people Name: Address: Homestead Care Home (Brownhills) Ltd The Homestead Care Home 208 Ogley Road Brownhills Walsall West Midlands WS8 6AN     The quality rating for this care home is:   three star excellent 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: Wendy Grainger     Date: 0 2 1 1 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: Homestead Care Home (Brownhills) Ltd The Homestead Care Home 208 Ogley Road Brownhills Walsall West Midlands WS8 6AN 01543360120 01543452144 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Homestead Care Home (Brownhills) Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 30, Mental disorder, excluding learning disability or dementia (MD) 30 Date of last inspection Brief description of the care home The Homestead care home provides personal care and accommodation for 30 older people suffering from past and present mental illness. It is situated in the Brownhills area of Walsall and within easy reach of bus routes into Walsall. There are two separate lounge areas, one being used for people who are frailer and more dependent and a day room that the home uses as a hair salon, and for holding reviews and Care Homes for Older People Page 4 of 27 Over 65 0 0 30 30 Brief description of the care home private meetings. There is a dining room on the ground floor. Bedrooms are located on both the ground and first floors. There is a well-kept garden for people who use the service use at the rear of the premises and parking facilities to the side of the home. The care charges (fees) are reviewed annually and people who use the service are notified one month in advance. The only additional charges to people who use the service are clearly laid out in the contract/terms and conditions of residency. The current fees charged at Homestead Care Home as of 1st April 2009 are: £377.82£395.64 per week. All people using the service pay monthly. Up to date information about fees is obtainable from the manager. 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: three star excellent 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 overall quality rating for this service is 3 star. This means that the people who use the service experience excellent quality outcomes. One inspector carried out this unannounced key inspection on one day between 7:30 and 15:00 hours. We used the National Minimum Standards for Older People as the basis for the inspection and outcomes for the people using the service. Prior to the inspection we had sent out an Annual Quality Assurance Assessment (AQAA) for the manager to complete, this was returned to us prior to the visit and within the timescale. The document was detailed and comprehensive about the service. The completion of the AQAA is a legal requirement and it enables us to see how well the service focuses on the outcomes of people to maks sure that their needs are being met. The AQAA also gives us some numerical information about the service. Care Homes for Older People Page 6 of 27 Prior to the inspection we sent to the service surveys for the people using the service to complete. Surveys give us additional information about the service and care provided. We received three completed surveys from the people using the service. We collated the responses and information and used them for our inspection. We were provided with documents which included: care plans, risk assessments, training records for the staff, medication records, menus and activity records. We spent time with the people using the service, observing their interaction with the staff. We spoke to the staff on duty collectively and singularly, each one felt supported by the management, their training needs were met and each one was aware of the complaints process. We looked around the premises to see the standard of comfort and safety. We looked at the menus and spoke to the catering person about the nutritional and dietary needs. We spent time with the manager who operates the service to the best interest of the people using the service. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The AQAA told us that the service continues to be upgrades and decorated. Since the last key inspection the dining room has been totally refurbished and decorated. We evidenced this on the day of the inspection the area was bright and fresh with suffcient space for the people using the service. Noticable was the large tasteful pictures in this area and around the service. Further sun reflective film had been fitted to the windows. Further clear signage had been fitted to the doors within the service. New lounge chairs had been purchased, this was on going to include both lounges. Care Homes for Older People Page 8 of 27 New flat screen televisions and new music systems had been purchased. 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 9 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 10 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. People who choose to move into the service can be assured that their personal and health needs can be met following the assessment of their needs. People are provided with the information to enable them to make an informed choice ensuring that the service is suitable for them. Evidence: The completed AQAA was returned to us before the key inspection it was detailed and informative. Upon arrival we evidenced the Statement of Purpose, and service users guide in the entrance. The document contained information that the fees quoted were current and people were not expected to provide a top up to the cost. We evidenced from the draft that the brochure was being revamped to further promote the current information and service provided. We evidenced for the records the assessment of the person experiencing respite care. We were told that each person including a person for respite would be assessed fully Care Homes for Older People Page 11 of 27 Evidence: even if they wanted a weekend stay. The tool used for the assessment is the same document used for any permanent placement. The document used contained sections relevant for the staff to provide initial personal care, observe mobility needs, sleep pattern, communication, allergies, orientation and medical health. From the assessment and trial period a more formal care plan is constructed, within the plan we identified risk assessments. We were told that the manager had plans to introduce more of the staff in the assessment process this practice will ensure that the staff have a further insight and understanding of the process and the reason why some placements were not accepted. Prior to the inspection we had sent to the service surveys. Surveys provide us with feedback of the service. We evidenced from the surveys completed by the people who use the service was that they had received sufficient information to make a choice about the service. Care Homes for Older People Page 12 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. Arrangements are in place for the continued health and personal needs to be met. The medication system ensures that people receive their prescribed medication safely and correctly. Evidence: The AQAA told us that individuals are assessed based on their needs. We evidenced two care plans, which were detailed containing the relevant care needs of the people using the service. One plan detailed the delivery of care that was required before care and medication was offered. We observed this person during the inspection, it was obvious that he recognised the open door policy operated by the manager, when he like other people came to the office during the inspection. Risk assessments were formed based on individuals needs and calculated risks. We evidenced from the care plans that people had access to other professional agencies. This was confirmed by one of the people spoken with on the day. I see my doctor when I want. We evidenced the morning medication round, only the senior trained staff have this responsibility. A recent audit had been carried out by the pharmacy, which identified no concerns. The service has the appropriate storage for medication. We evidenced Care Homes for Older People Page 13 of 27 Evidence: the appropriate recording register for controlled drugs. Within the area used to store the medication the room contained a thermometer. This practice ensures the correct temperature for medication storage. The provider agreed to upgrade the facility of the small locked boxes used at this time to store controlled medication by purchasing the appropriate cupboard. We evidenced the controlled medication record for controlled drugs. We discussed the need to have when appropriate a written protocol for any medication required when required. We advised that any eye medication and creams should be dated when opened. To include on the medication records sheet where creams were to be applied. We were told by people about one of the male carers he is so nice. One of the staff informed the senior person about her concerns about a person using the service who was not as she always is she seems different. The senior person attended to the concerns immediately. We observed staff including the night staff and catering staff interact with the people during the inspection. Their approach to individuals needs were based on their knowledge of the person. We were told by people that I am well looked after, they are good to me. Staff interaction during the day was very positive to care and stimulation. People using the service responded to the attention in a relaxed manner. We spoke to one of the nurses that attend the service, We were told the staff do what is expected of them, they do not hesitate to call us if they have any concerns, which is proactive for us we can then treat any problem fast. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be assured that their lifestyle will be supported by the manager and staff. Meals presented on the day offered choice and a balanced diet. Evidence: The AQAA told us that the service consults with the people who use the service to establish their preferences for their daily lifestyle and meals. This was evidenced during the inspection with the catering person asking peoples choice for lunch and from the meetings recorded with the people. Menus displayed a balanced and varied diet including hot and cold choices for tea provided to individuals. We evidenced from the staff training records that staff had taken a course on nutrition and the importance it is to a persons health. The catering person told us that she took a trolley to the people in the afternoon with fresh fruit, home made cakes and biscuits. Fresh fruit is available at any time of the day. Individuals that require a more personal diet are catered for, From the menus there was written evidence of an intolerance and what food would trigger off a reaction. The service has a registration to offer care to people with a dementia, based on this the social activity for the service is based of the peoples different needs, while respecting their dignity. Care Homes for Older People Page 15 of 27 Evidence: We evidenced from the display in the lounge, a number of cards made with the activity person. Activities take place five afternoons each week, peoples interests and hobbies are promoted. Staff were seen to sit and socialise with the people, this practice is promoted by the manager. During the inspection as previously arranged with the manager a relative brought in his mothers piano. We had heard the manager tell the person it would be arriving. It was obviously very important to the person who started to play before her relative left the service and continued during the inspection. The service were prepared to accommodate a piano to support this person in her chosen interest. We spoke to her relative who had high praise for the service and the care and support his relative received. He told us I was very impressed with the home when I came to look, I felt welcome from day one, I observed no odour and the staff were very friendly and helpful at a difficult time. External outings include two people going to the local hairdresser, Sutton Park and strawberry picking. The provider who is at the service daily takes the people out in the mini-bus. We evidenced from the records that people are stimulated and offered alternative forms of activities. Displayed in photographic evidence were outings to a garden centre for tea and coffees. The service has a positive approach to activities ensuring that people are stimulated and supported to be independent. 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. People can be assured their concerns will be taken seriously and addressed. Evidence: We evidenced in the Statement of Purpose, service users guide and notices within the service information enabling people using the service and visitors to raise a concern with the management. We spoke to a relative who confirmed that he would feel comfortable speaking to the management if he had a concern. People spoken with told us that they would speak to the staff or manager. The surveys we received from people using the service also confirmed they were aware of the process. People using the service are encouraged to use the complaints and suggestion procedure. This was seen by the service to maintain the openness and comfortable relationship. Any complaints would be dealt with in a constructive manner by the management. Staff spoken with were aware of the process and action to take if they observed any concerns about the conduct of other staff. We were told that the safe guarding of the people was most important. Staff told us they would not hesitate to implement the process not withstanding the status of the person employed at the service. There had been three referrals to the safe guarding team since the last key inspection, we had been informed by the safe guarding team and the manager. Each issue was Care Homes for Older People Page 17 of 27 Evidence: dealt with in-house. People using the service had been vocal in expressing themselves and or leaving the service. The results were to the satisfaction of all concerned including families. The last complaint was recorded in 2008, it was dealt with by the manager, the person responsible spoken with. 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. People using the service were provided with a warm, comfortable and homely environment. The plans to undertake more refurbishment will further enhance the environment for the people using the service. Evidence: The AQAA told us that the service had a continuous rolling programme for the refurbishment and upgrading of its environment This was to ensure that people using the service had a home maintained to a high standard. Located near to the shops and local town the people using the service can access the community independently. Extended over a period of time the home had parking space at the side and near to the large garden, which can be safely accessed by the people using the service. We looked around the premises and sampled bathroom, toilets and other areas. We identified a well maintained home. The new signage on doors has proved to be useful for the people using the service. Bedrooms were decorated and seen to contain personal possessions to suit individuals. The decoration of the bedrooms had been completed tastefully. One person told us that she did not object to us looking into her room, she told us that she liked her room she could go there at any time to rest. The dining room had recently been totally refurbished and decorated. We observed throughout the service large tasteful pictures in the communal areas. The front entrance was bright, of a good size and had the facility for people to relax Care Homes for Older People Page 19 of 27 Evidence: in. During the look round of the premises we identified that the hygiene was a credit to the housekeeping staff. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service were protected by the robust recruitment process. Staff were trained, knowledgeable and competent to safe guard the people using the service. Evidence: The AQAA told us that the service continues to develop staff with an equal opportunity to access training and development within the company. Staff were seen during the inspection to interact and stimulate the people, responses were different but people were relaxed and comfortable. The service has a commitment to ensure that staff have the appropriate tools to deliver good care practices. Staff were spoken with confirmed their training, which included the Mental Capacity Act, Deprivation of Liberties, Diabetes, Adult Protection, Epilepsy, Roles of Responsibilities, Challenging Behaviour,Dementia, combined with the mandatory training and the National Vocational Qualification (NVQ) This training package was confirmed in the AQAA and from the staff training records. We were told that future training was to include care with people with Parkinsons. We looked at two staff files, each contained the required checks Criminal Records Bureau (CRB) Protection of Vulnerable Adults(PoVA). application form, health checks, induction record. We were told by one person that You do an induction in one day, then learn other basics on a daily basis. Staff spoken with told us they felt well supported by the manager, who operates an open door policy, any issues can be discussed during supervision. Care Homes for Older People Page 21 of 27 Evidence: We were told by one person Its nice to live here we dont have any rules and the girls are good to me. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is operated and managed by a very competent manager and staff to the best interest of the people using the service. Evidence: The AQAA told us that the service had again received the Investors in People and ISO 2000 award, these awards are based on the service and care provided supported by the relevant documents. The awards include all the people using the service staff and management. The completed AQAA was detailed, comprehensive recognising the core elements, informing us how the service will be moving forward. This included staff training relevant to their roles of care. This practice will ensure that staff have the knowledge and understanding to provide quality care practices. Meetings are a regular process with the people using the service, records were provided and comments from people recorded. The management holds minimal amounts of finances for the people using the service. Care Homes for Older People Page 23 of 27 Evidence: Each transaction is recorded with two signatures, The AQAA told us about the audit of finances completed monthly by the management who are the only people that can access the locked facility. Transactions are supported by receipts held on individuals records The manager had been in the caring profession for a number of years, her qualifications include the Registered Managers Award, National Vocational Qualification level 4, she has a teaching qualification and a generic management level 4 qualification. Her skills and knowledge are maintained by training relevant to her role. The manager operates an open door policy for the people using the service and the staff, which was evidenced during the inspection. Staff came to seek advice, people using the service came, some just to sit down in the office, others to pass the time of day. It was obvious to us that the manager was respected by the staff, her style of management was relaxed with a democratic approach. We evidenced regular audits of the building, fire, medication health and safety, care plans and risk assessments. The service has a number of fire safety notices within the service. The contingency plan in the event of an emergency was to be reviewed to ensure that all the people can be accommodated in safety. We evidenced the fire records, it is the responsibility of one of the senior care staff, we recommended that the weekly tests were done in sequence. This will ensure that each point in turn is operational and further protect the people. 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 9 To ensure that medication is administered according to the instructions it is advised that any eye medication is dated when opened. This will prevent any out of date medication being administered. To up grade the present facility for controlled medication with the appropriate storage cupboard. This will ensure the safe custody of any prescribed controlled medication. 2 9 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!