Care Home: Lady Spencer House

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well The way that the staff look after small amounts of monies on behalf of the people living at the home is good. They make sure that they keep separate records for everyone and keep receipts for any purchase; this means that people feel that their money is safe and that staff will manage their finances in their best interests. People at the home spoke of how much they enjoyed the food. Several people commented that the food always tastes nice and they always have plenty to eat. One person said, “I’ve eaten every meal since I’ve been here and let me tell you if it weren’t alright I wouldn’t eat it”. This means people feel that their personal preferences relating to their diet are met. People living at this home feel that the staff are friendly and kind. One person said,” l came here about a year ago and they made me feel so welcome”, another person said, “ the staff are so kind, they really are”. People feel supported and they feel at ease talking to the staff at the home, with many Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 describing them as providing them with the support that they need in their day to day lives. What has improved since the last inspection? We had made a requirement when we last inspected that the Acting Manager at the time submit an application to be Registered. The manager had done this and was successful in becoming the Registered Manager. What the care home could do better: There are several areas that still need to improve, these include: There are risks that should be re assessed by staff at least once each month and this should be recorded. These include the risk of falling or developing pressure ulcers for example. This is important as it shows any changes in a persons needs very quickly and this means staff can alter the care provided or seek medical attention for the person if needed. This had not been done for everyone in the home. A care plan is needed for every assessed need that a person has, this document provides the clear guidance to staff so they know how a person should be supported. In having this plan consistency in care delivery and a person centred approach is possible, this is a requirement. However the care plans were inconsistent in their standard, some people did not have one for each assessed need and some entries were not valid. One example was one person had been seen by a General Practitioner, food supplements had been prescribed and fluid balance charts started as the person had significant weight loss, yet the monthly review of the plan said, “No change in management needs or dependency profile”. This entry bore no relation to the actual condition of the person or what was happening, and the care plan was not updated. We observed the lunch time meal and noted that everyone was given plastic beakers to drink from. For some of the people this was not necessary and it would be more appropriate for them to be offered the use of a glass to drink from.Lady Spencer HouseDS0000014923.V378258.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Lady Spencer House 52 High Street Houghton Regis Bedfordshire LU5 5BJ Lead Inspector Katrina Derbyshire Key Unannounced Inspection 29th October 2009 10:55 DS0000014923.V378258.R01.S.do c Version 5.3 Page 1 This report is a review of the 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. 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. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 2 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 Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lady Spencer House Address 52 High Street Houghton Regis Bedfordshire LU5 5BJ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01582 868516 01582 868516 Resicare Homes Limited Rehana Ali Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (24) Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th October 2008 Brief Description of the Service: Lady Spencer House is a residential home for older people. The home is situated within walking distance of the centre of Houghton Regis, and also provided easy access to the town’s amenities and to Dunstable. It is a modern, purpose built house over three floors; it offers accommodation in 24 single rooms. The communal space includes two lounges, one on the ground floor and has a conservatory added and one on the first floor. A lift is used for access to the first and second floor. A number of toilets and washing facilities are located throughout the building. There are parking spaces behind the building that provide limited spaces for staff and visitors. The home also has a small back garden. Fees for this service range from £497.00 - £525.00 per week depending upon the room, these figures were supplied by the Registered Manager on 29th October 2009.. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced key inspection carried out on the 29th October 2009. The care of three people was looked at in detail and this is known as case tracking. Tracking people’s care is the methodology we use to assess whether people who use social care services are receiving good quality care that meets their individual needs. Through discussion, observation and reading records, we track the experiences of a sample of people who use a service. During the visit the communal areas of the home were seen alongside some of the individual rooms. Time was spent with many of the people who live at the home in one of the sitting areas. Observations of care practice and communication between the people living at the home and staff was also made at the inspection. The management’s submission of documentation was also considered prior to the site visit. The focus of this inspection was to look at the key standards. What the service does well: The way that the staff look after small amounts of monies on behalf of the people living at the home is good. They make sure that they keep separate records for everyone and keep receipts for any purchase; this means that people feel that their money is safe and that staff will manage their finances in their best interests. People at the home spoke of how much they enjoyed the food. Several people commented that the food always tastes nice and they always have plenty to eat. One person said, “I’ve eaten every meal since I’ve been here and let me tell you if it weren’t alright I wouldn’t eat it”. This means people feel that their personal preferences relating to their diet are met. People living at this home feel that the staff are friendly and kind. One person said,” l came here about a year ago and they made me feel so welcome”, another person said, “ the staff are so kind, they really are”. People feel supported and they feel at ease talking to the staff at the home, with many Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 6 describing them as providing them with the support that they need in their day to day lives. What has improved since the last inspection? What they could do better: There are several areas that still need to improve, these include: There are risks that should be re assessed by staff at least once each month and this should be recorded. These include the risk of falling or developing pressure ulcers for example. This is important as it shows any changes in a persons needs very quickly and this means staff can alter the care provided or seek medical attention for the person if needed. This had not been done for everyone in the home. A care plan is needed for every assessed need that a person has, this document provides the clear guidance to staff so they know how a person should be supported. In having this plan consistency in care delivery and a person centred approach is possible, this is a requirement. However the care plans were inconsistent in their standard, some people did not have one for each assessed need and some entries were not valid. One example was one person had been seen by a General Practitioner, food supplements had been prescribed and fluid balance charts started as the person had significant weight loss, yet the monthly review of the plan said, “No change in management needs or dependency profile”. This entry bore no relation to the actual condition of the person or what was happening, and the care plan was not updated. We observed the lunch time meal and noted that everyone was given plastic beakers to drink from. For some of the people this was not necessary and it would be more appropriate for them to be offered the use of a glass to drink from. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.2 Page 7 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. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, 3 4, & 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pre admission assessments are sufficient so staff can ensure that they have the required information to know if they would be able to meet the person’s needs. EVIDENCE: The care files examined included pre-admission assessment. Assessments included information from visiting the person wherever he or she was living prior to admission. The information given was recorded on documents that had varying sections including physical, social, emotional and psychological needs of the people, the service used a system named the standex system. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 10 Copies of the terms and conditions of residency were seen alongside contracts. These gave an outline of fees, responsibilities and notice periods. These had been signed by the person or their representative. The statement of purpose was examined. The document provided information on the staffing, accommodation and services available at the home. People had been offered a copy of this. However this document contained inaccurate information and needs to be reviewed and changed. Examples of inaccuracies include: ‘The homes staffing levels as agreed by the Commission for Social Care’, the regulator does not agree specific staffing numbers for any service. The amount of hours needed within a home are changeable according to the current needs of the people living there, there is a tool available on our website that can guide managers on how to calculate this and this statement must be removed. In addition it states that unresolved complaints should be referred to CSCI, and the includes details under ownership of a person who is no longer a partner. Intermediate care is not provided at the home. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Good management of medication ensures people receive their medication when they should. However inconsistencies in the management of care planning and risk assessment of health needs place some people at risk of not receiving the care that they need. EVIDENCE: The care documentation seen in most instances for the people selected for case tracking did not show sufficient detail of some of the individual needs, entries were also inconsistent in their standard. As detailed within the previous section the home used the standex system for recording, one person had no care plans written in accordance with this system. The manager advised that a document known as ‘service users long term assessment’ was being used, Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 12 however in each section of this document it states ‘please refer to care plan’ but there wasn’t any. Another person did have a care plan in place for eating and drinking, their condition had changed and they had seen a Doctor as they had lost a significant amount of weight, yet the care plan did not reflect this and stated on its review that there had been ‘no change in the persons needs or dependency profile’. In addition other documents were not of a sufficient standard, one person had no entries within their life history and no key worker input at all. Documents and people living at the home confirmed that health care professionals did visit when they needed them to. District nurses keep records of their input within the home and these are available for inspection. However risk assessments undertaken by staff at the home were inconsistent. One person had no moving and handling risk assessment, another person who had significant weight loss had a MUST in place but steps 1 to 5 were not completed, a fluid and urine chart had no entries made for two days. Medication storage in the home was noted to be satisfactory as was the ordering of medicines. The recording of medication stocks and balances were sufficient so an audit of the medication systems was possible. The medication administration records were seen to contain the signature of staff and showed that medication had been given as prescribed. All balances that were checked were also noted to be correct. People said that staff treated them with respect and maintained their privacy. Everyone spoken to had positive comments to make about most of the staff, people felt that the manager and seniors were especially friendly and courteous to them. During the lunch time meal it was observed that everyone who had a drink was only offered a plastic beaker to drink from, this was not needed or appropriate for everyone and people should also be given the option to drink from a glass. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People living at this home feel that the choice of meals provided are sufficient to meet their tastes and preferences. EVIDENCE: A board on a wall in the main lounge showed a programme of activities available, entries included music and exercise, arts and crafts and memory lane. The manager and some people living at the home confirmed that there had been a trip earlier in the year. In addition staff would take people out for a walk if they wished to. Several people spoke of the activities available to them in the home and one person commented “ l like it when l get my hair done”. People were seen to receive visitors. Everyone spoken to confirmed they were able to receive visitors when they wished and many would chose to see them Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 14 in the privacy of their own rooms. Entries were also seen within people’s care records that demonstrated that the staff at the home would contact the nominated next of kin if there had been a change in their well being, one example of this was following an accident and the contact details had been recorded by the staff member. Options available to people in maintaining control, independence and choices in their lives included, choice of meals, voting, choice of clothing, access to a complaints procedure and access to community healthcare support. People living at the home and records confirmed that the choices associated with people’s daily lives were available to them whilst living there. All the people spoken to stated that they enjoyed their meals. An observation of a meal was undertaken most people had chosen to eat this in the dining area. People had been offered two choices and their selection had been written down on a menu sheet. The most recent environmental health inspection found that there were sufficient standards in this area being maintained. In addition nutritional risk assessments were seen to have been undertaken for the people living at the home, although not all were up to date. People when they move into the home are encouraged to bring in their personal belongings to personalise their room. When rooms need decorating people are given a choice as to the colour scheme they would like. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People using the 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 training of management and staff is sufficent to ensure they have a satisfactory level of understanding of the safeguarding protocols to protect the people living at the home. EVIDENCE: Records examined showed that staff had undertaken training in the safeguarding of adults. On interviewing staff they demonstrated a sufficient level of knowledge on the types of abuse including physical and psychological. In addition the homes procedure in this area was examined, it’s reflected the local guidance. The management had sought a copy of the local protocols and these were seen. The management and staff at the home did demonstrate through discussion an understanding of the need to refer any allegation or suspected abuse. Complaints received at this service had been kept alongside documents to show the investigation carried out, response and any recommendations made following the investigation. Three people asked the specific question on making a complaint indicated that they knew who to speak to if they were unhappy and would feel comfortable doing so. Within the homes statement of purpose Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 16 there was details on how you could complain and to whom. Staff who were spoken with gave satisfactory responses on their responsibilities if they were to receive a complaint and this matched the guidance within the homes own procedure. However the complaints procedure does need to be revised to ensure that it is accurate as CQC are not a complaints agency they have no statutory powers to investigate complaints. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. People using the 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 general standard of the environment is good and provides an appropriate environment for everyone living at the home. EVIDENCE: The premises are purpose built over three floors. Accommodation available to people is across all floors at this time. The furnishings, fittings and décor in these areas is of a good standard. All people who were seen spoke highly of their environment and felt that the home catered very well for their needs. Rear garden areas provide spaces to sit out in the warmer months. Individual rooms contained personal items of the person to assist in creating a homely atmosphere. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 18 All areas visited were noted to clean, tidy and free of odours. Staff were observed to wear suitable protective clothing when carrying out certain activities. Cleaning schedules were in place and clinical waste was disposed of in an appropriate manner. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Training is sufficient to provide staff with a foundation level of knowledge to meet the needs of the people living at the home. EVIDENCE: Training records that were available and plans were examined. These showed that staff had received statutory training and staff updates. Information supplied by the service stated that there is a rolling training programme to support learning and development, with the assistance of this programme training will be more readily available and accessible for staff. The homes recruitment policy and procedures as previously assessed are clear and comprehensive. Examination of three staff files was undertaken to look at recruitment practices in the home. Evidence of an application form and Criminal Records Bureau check was seen in all files alongside the relevant references. However the manager must ensure updates on people’s eligibility to work is maintained within the files. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 20 People spoken to as previously assessed felt that staff would respond to them when they needed assistance. Everyone spoken with described feeling confident in their abilities and felt the owner and manager were especially friendly and courteous to them as they were always asking if they were alright. Observation showed that positive relationships had been established between the people living at the home and staff. Conversation flowed freely with engagement between them evidencing that this was a usual pattern as previously assessed. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. People using the 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 quality assurance systems in the home are good and they help to identify any shortfalls in service delivery to improve standards for the people living at the home. EVIDENCE: A requirement was made at the previous inspection for the manager to submit an application to be registered, this had been done and she had been successful in her application. Both people living at the home and staff were Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 22 complimentary when they described the manager, comments included, “such a lovely woman” and “she supports all the staff and always listens”. Resident and relative surveys to influence the running of the home was noted to have been sent out in March 2009. Returned surveys were examined. The home has a policy on how peoples monies managed on their behalf should be administered. Only senior staff have specific responsibility in this area and their practices were seen to follow the guidance within the home policy. All records, receipts and other information seen were of a good standard and provided a clear audit trail. All balances checked were noted to be correct and receipts of any expenditure are kept. The home has a Health and Safety policy. There was evidence within the training records that staff had undertaken fire, manual handling, food hygiene and first aid training. Risk assessments had been undertaken and were seen within care files. Records evidencing that maintenance and checks were undertaken relating to fire prevention and electrical and gas equipment was seen. Staff were observed to follow safe practice in the following areas, moving and handling, risk assessment, first aid, food hygiene, infection control and COSHH. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 Requirement Timescale for action 31/12/09 2. OP7 15 3. OP8 13 The statement of purpose must be made available for people living at the home and must only contain information that is accurate so people are not mislead as to the services available to them. A care plan containing sufficient 15/12/09 information that is clear must be in place for each assessed need and kept up to date when changes occur, to ensure people receive the care and support that they require. A specific assessment regarding 30/11/09 the nutritional needs, tissue viability and moving and handling of all people must be undertaken, to ensure the correct care is provided and risks associated with these areas are reduced. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP10 Good Practice Recommendations Consideration should be given to offering people glasses to drink from, not always plastic beakers. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 26 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Lady Spencer House DS0000014923.V378258.R01.S.doc Version 5.3 Page 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!