Care Home: Lea Green Court

What the care home does well Makes sure that people who wish to move into the home get good information and are properly assessed so that everyone is sure their diverse care and support needs can be met. Encourages and promotes the involvement of families and friends, welcoming them into the home and making arrangements for them to spend time privately with their relative. Provides care and support to residents in a calm, quiet and sensitive way whilst promoting their privacy and dignity. Provides home cooked meals and encourages the use of fresh products to make meals attractive, inviting and tasty. What has improved since the last inspection? A new manager is now in post and staff told us that they were happier and felt supported. He has already invested a considerable amount of time and effort in making changes and improvements at the home. The majority of requirements made at the last inspetion have been met in a timely way. Re-decoration and refurbishment continues to take place to bring the home up to a better standard for the people who live there. More staff have achieved a National Vocational Qualification at a minimum of level 2 to help them do their job. What the care home could do better: Make sure that care plans, risk assessments and supporting guidance are in place, regularly reviewed and that evaluations reflect in an outcome focused way the benefit a person has received from their care and support. Make sure that weight records are properly and regularly completed and that any weight loss is followed up with the appropriate professionals. Review the quality of Deprivation of Liberty assessments that have been carried out in the home. Make sure that staff follow the organisations and good practice guidance for the safe handling and dispensing of medication, so that residents receive their medication in a timely way. Carry out minor repairs and replacements identified during the inspection. Improve the standard of cleanliness and decoration in sluices and domestic stores throughout the home. Ensure that all records are fully completed, and are dated and signed by the person completing them. Key inspection report Care homes for older people Name: Address: Lea Green Court Kenton Road Gosforth Newcastle Upon Tyne NE3 3UW     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: Elaine Charlton     Date: 1 3 1 0 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 30 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 30 Information about the care home Name of care home: Address: Lea Green Court Kenton Road Gosforth Newcastle Upon Tyne NE3 3UW 01912851720 01912851960 lea_green.court@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 45 The registered person may provide the following category of service only: Care Home with Nursing - Code N, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Dementia Code DE, maximum number of places 45 Date of last inspection Brief description of the care home Lea Green Court care home provides nursing care for older people with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by Four Seasons Healthcare Limited a large provider of care services to vulnerable client groups. It is situated in Gosforth on the outskirts of Newcastle upon Tyne close to local shops and good public transport links. There are 45 single bedrooms located at ground or first floor levels, and there is a passenger lift to help people who may have difficulty with stairs. Most Care Homes for Older People Page 4 of 30 Over 65 0 45 2 5 0 6 2 0 0 9 Brief description of the care home bedrooms have en-suite facilities, those that do not have a wash hand basin and are close to bathroom, toilet and shower facilities. On each floor there are separate lounge and dining room areas, and a number of toilets and bathrooms. The home also has its own kitchen and laundry facilities. Fees in the home are between £454 - £616 per week. They are dependent on they type of service provided and whether the placement is privately funded or not. The home has a statement of purpose and service user guide that gives people information about the type of care and support they can expect to receive in the home. Copies of the Commissions reports are made available for people to read. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star, this means that the people who use this service experience adequate quality outcomes. An unannounced visit was made on the 13 October 2009. Two inspectors spent a total of five hours in the service. The manager was present throughout the inspection. Before the visit we looked at Information we have received since the last visit on the 25 June 2009. The Annual Quality Assurance Assessment (AQAA) that gives CQC evidence to support what the service says it does well, and gives them an opportunity to say what they feel they could do better and what their future plans are. How the service has dealt with any complaints and concerns since our last visit. The providers view of how well they care for people, and the views of people who use the service, their relatives, staff and other Care Homes for Older People Page 6 of 30 professionals who visit the service. We have also reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. During the visit we Talked with people who use the service, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around the building/parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since our last visit. We told the manager what we found. Care Homes for Older People Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: Make sure that care plans, risk assessments and supporting guidance are in place, regularly reviewed and that evaluations reflect in an outcome focused way the benefit a person has received from their care and support. Make sure that weight records are properly and regularly completed and that any weight loss is followed up with the appropriate professionals. Review the quality of Deprivation of Liberty assessments that have been carried out in the home. Make sure that staff follow the organisations and good practice guidance for the safe handling and dispensing of medication, so that residents receive their medication in a timely way. Carry out minor repairs and replacements identified during the inspection. Improve the standard of cleanliness and decoration in sluices and domestic stores throughout the home. Care Homes for Older People Page 8 of 30 Ensure that all records are fully completed, and are dated and signed by the person completing them. 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 30 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 30 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 wish to move into the home have their differing and diverse needs fully assessed so that everyone is sure they can be met. Evidence: The organisation has its own assessment tool, the Care and Health Assessment (CHAP). This is completed as part of the homes assessment of a persons level of need. Limited use continues to be made of the section where additional information can be recorded. We saw assessments from local authority, healthcare professionals and hospital based staff that had been provided before the person moved into the home. We looked at the records for two people most recently admitted to the home. The CHAP document had been completed for both people. The scoring section had been completed but little additional information was recorded. Care Homes for Older People Page 11 of 30 Evidence: Professionally recognised assessment tools continue to be regularly used to record the level of care and support a person needs when moving about the home, with pressure area care, continence, nutrition and any deteriorating or enduring mental health issues. The home had made urgent contact with the tissue viability nurse on the same day that one person had been admitted to the home with a serious pressure area. No documents had been provided to the home detailing the pressure area, its severity or the treatment the person had previously been receiving. For one person a moving and handling assessment did not include the name of the person who had completed it, and a dependancy assessment for the same person was not signed. The manager told us that his usual practice was to review the records for each new admission 72 hours after they arrive in the home. This is good practice. The home does not provide intermediate care. Care Homes for Older People Page 12 of 30 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. People living in the home are asked how they wish their personal care to be provided and by whom but some records that contain this information are not always legible or complete which could place people at risk. Evidence: We looked at the records for four people who live in the home. Records are kept in a standard way with information being found in the same place in each file. We were told that the deputy manager has been given time to review the format of care plans and how they are being kept. In each of the records we looked at we saw documents that were not fully complete, dated and signed. This included a review, dependancy assessment and moving and handling plan. As well as incomplete documents we saw weight charts that were contradictory and that did not include any evidence of follow up actions for a person who had lost 4.8 Care Homes for Older People Page 13 of 30 Evidence: kilograms between May and September 2009. We saw that care plan evaluations are still repetitive and not outcome focused, and not all records were complete, dated and signed. A new system for recording skin irritations, tissue damage, infections, injuries and safeguarding issues has been introduced. Staff are not clear about what they should be recording and when. For one person five body maps had been completed for the same area of skin irritation, and for another person three had been completed to record an outbreak of scabies. One body map we saw was dated 2 November 2009, when the inspection was being carried out on the 13 October 2009. Staff were seen talking to residents, helping them move around the home and to enjoy their meals in a sensitive, quiet but professional way. However, when we were looking around the premises in the middle of the morning we found one lady had been left in the first floor dining room. The doors were closed and the lights turned out. She was sitting in her night clothes, resting her head on the table. We were told she was waiting for a shower. The organisation has good policies and procedures covering all areas of medicine management. The new manager told us that he had already identified an issue with prescriptions being sent to the pharmacy too late for them to be able to provide the new months medications in blister packs. The medications just received were in their original packets, in paper bags which had the residents room number on. Staff involved in the ordering, receipt, recording, administering and disposing of medication are being reminded of the organisations policies and procedures. Their competency in these areas is also being reviewed. We did not carry out a review of medication in the home. The upstairs medication storage area is being refurbished to provide a treatment room. Care Homes for Older People Page 14 of 30 Evidence: Records had been updated to show that people living in the home had seen a range of healthcare professionals as and when they needed. This included the dentist, chiropodist, urology nurse, speech and language therapist and district nurses. Care Homes for Older People Page 15 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to use all areas of the home as they wish and relatives are encouraged to visit and join in events. Activities and social opportunities are increasing and a new activities person has been appointed meaning people who live in the home are living more interesting and stimulating lives. Evidence: A new Personal Activities Leader (PAL) has been appointed and has started to make changes to the activities taking place in the home and the social opportunities open to residents. Monthly PAL meetings are held and these rotate around the different homes in the group so that PALs can share good practice and new ideas. An experienced PAL leads these meetings and is responsible for producing the minutes. A small lounge on the first floor is being transformed into an activities room. Chef has embraced the new menus and has made some local changes to meet the particular likes and dislikes of the residents. A lot of home cooking and baking is included in the menu and one lady we spoke to about the food said Mmmmm is Care Homes for Older People Page 16 of 30 Evidence: lovely. We sampled the lunchtime choices on the day of the inspection. The soup was home made, there were jacket potatos with cheese or beans and salad, or fish mornay and broccoli. Pudding was a crumble and custard. Each of the choices were tasty and nicely presented. For tea there was a cornbeef hash. Supper was a choice of sandwiches, home made soup and teacakes. Staff on duty overnight are able to get snacks for residents if they want. Residents and their visitors were seen moving around the home as they wished. Everyone can spend time privately or with others as they choose. Care Homes for Older People Page 17 of 30 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 who live in the home are protected from harm through policies, procedures and staff training in complaints and safeguarding adults. Residents and/or their relatives know who to speak to if they are unhappy or wish to make a complaint and can be confident that issues will be properly dealt with. Evidence: The organisation has policies and procedures in place to promote the acceptance, recording and investigation of concerns, complaints and allegations. Monthly summaries of complaints and compliments are sent to the Regional Manager. These are also checked as part of the providers Regulation 26 visits. All staff have now completed training in the Protection of Vulnerable Adults (POVA). This has brought their practice and understanding of safeguarding issues up to date. There is a whistle blowing policy in place that encourages staff to disclose any poor practice they may witness. The home had received one complaint since the last inspection. Staff are required to have a Criminal Records Bureau (CRB) check carried out at an enhanced level before they are able to work in the home, and management are aware of the need to report people who may be considered unsuitable to work with Care Homes for Older People Page 18 of 30 Evidence: vulnerable people to the register. Regular checks are carried out to make sure that nurses working in the home have a current registration with the Nursing and Midwifery Council (NMC). We found that the registration for one person had lapsed as they had not told the NMC about a change of address. The manager arranged for this to be dealt with immediately and was resolved by the end of the inspection. Nurses should be reminded to keep the NMC up to date with any changes in their circumstances and not to leave the renewal of their registration until the last minute. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is warm, comfortable and clean, where they can spend time in private or with others as they choose. They can move around safely both inside or outside in the enclosed garden to the side of the home. Evidence: During the inspection we walked around the home. We also looked in a selection of bedrooms to make sure they were clean, tidy and safe for the people who live in the home. Residents have access to both communal and private areas where they can choose to spend their time. An activities room has been created in the small lounge next to the dining room on the first floor. New furniture has been ordered for this room. Everyone has a private bedroom, most of which also have en-suite facilities. Lighting in all the corridors has been renewed making the areas much brighter and welcoming. Sticky handrails identified during the last inspection are being sanded down and treated with a new non-sticky finish. Care Homes for Older People Page 20 of 30 Evidence: We were shown evidence of planned improvements to the home which includes the conversion of a bathroom to shower room, refurbishment of the treatment room on the first floor and the replacement of a shower room floor on the first floor that is very smelly. In addition, 10 sets of new bedroom furniture and 15 coffee tables have been ordered. The latter are due for delivery on the 14 November. Some carpets have been replaced since the last inspection and flat screen televisions have been fitted to the walls in the lounges to make the rooms more comfortable and safe for residents. The manager was made aware of minor repairs/replacements identified during the inspection that need to be carried out. These include - repair/replacement of mechanical ventilation units throughout the home; decoration/cleaning of sluices and domestic rooms in the home; secure light fitting in the store cupboard on the first floor; ensure the door identified during the inspection closes to the rebate; make sure that all toilet door locks are easy to use. Laundry staff have limited access to guidance about the temperatures different items of clothing/bedding etc should be washed at. It appeared that everything is being washed at 40 degrees centigrade. Apart from the areas identified above, the rest of the home was generally clean, tidy and odour free. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are protected through recruitment and selection procedures that are properly followed and staff training that helps them understand how they should carry out their job. Evidence: The company has policies and procedures in place the proper recruitment and selection of staff. We looked at records for the only person employed in the home by the new manager. Two nurses and six care assistant are on duty between the ours of 08:00 and 20:00 each day. Overnight there are two nurses and two care assistants. The care team is supported by the manager, administrator, PAL, chef, kitchen, laundry, domestic assistants and a handyman. The records we saw showed that interview procedures had been properly followed. We saw an application form, copies of references and identification, and a CRB check had been carried out at an enhanced level. All new employees are issued with a statement of terms and conditions, and the organisations handbook. Care workers are employed in accordance with the General Social Care Council (GSCC) code of conduct and nurses have professional Care Homes for Older People Page 22 of 30 Evidence: responsibilities linked to their registration with the Nursing and Midwifery Council (NMC). Twenty four per cent of care staff have achieved a National Vocational Qualification (NVQ) at a minimum of level 2. By the end of October 2009 this will have increased to 49 and 10 more staff are due to sign up for training in November. A new training matrix has been put in place. Staff have completed all the mandatory training and dates have been identified on the training matrix to identify when their refresher training is due. Care Homes for Older People Page 23 of 30 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. People benefit from living in a home that is being run in an open and inclusive way, promoting their best interests, safety and well being. Evidence: The new manager has only been in post for a short period of time but has made a considerable number of improvements and changes in the home. He is experienced and qualified but has not yet completed the registration process with CQC. Staff told us that they felt things had improved since the manager took up his post. We were provided with a copy of the homes Annual Quality Assurance Assessment (AQAA) when we asked for it earlier in the year. We looked at the fire log and accident records for the home. These were up to date and properly completed. A new programme of staff supervision and meetings has just started. Minutes were Care Homes for Older People Page 24 of 30 Evidence: also available for the qualified and care staff meetings that the manager had held recently. He told us that initially it is his intention to hold monthly supervision with staff until he is confident that they have the knowledge and skills to carry out their job. Maintenance and servicing contracts were seen and the home has an up to date certificate of insurance. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 8 12 Clear guidance must be provided for staff who are supporting people who display behaviours that may challenge daily routines. This will help to keep people who live in the home and staff safe and well. 25/08/2009 2 37 17 All records must be kept up to date and be legible. This will mean that people using the records can easily read the information provided. 25/11/2009 Care Homes for Older People Page 26 of 30 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 12 Care plans must be regularly 13/12/2009 reviewed, including risk assessments and weight charts so that they are up todate and reflect in an outcome based way what has been done to resolve issues, and the benefit to the person receiving the care and support. This will mean that staff have access to the latest information and that it is clear what has been done to follow up issues with healthcare professionals helping to keep people who live in the home safe and well. 2 8 12 Staff must make sure that people waiting for showers and/or personal care and not forgotten. 13/11/2009 Care Homes for Older People Page 27 of 30 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 This will mean that people are treated in a respectful and dignified way at all times. 3 9 13 Staff must follow the organisations and good practice guidance for the safe handling of medicines. This will mean that people who live in the home get the medicine they are prescribed at the right time helping to keep them safe and well. 4 19 13 All minor repairs and replacements identifed during the inspection must be carried out. This will mean that all areas of the home are safe and clean, promoting the health and well being of people who live and work in the home. 5 26 13 Laundry staff must be provided with guidance about the use of suitable washing programmes. This will mean that clothes, bedding and towels are properly wash promoting good infection control in the home. 13/11/2009 13/12/2009 13/11/2009 Care Homes for Older People Page 28 of 30 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 6 26 13 Sluices and domestic storage areas must be cleaned and redecorated. This will promote good infection control throughout the home. 13/12/2009 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 8 Staff should be given clear guidance about how they record irritations, tissue damage, inuries and safeguarding incidents on body maps. This will mean they complete only the relevant forms and it is clear to everyone what the problem is/has been. The home should continue to promote an increase in opportunities for people to take part in activities and social events. This will mean that residents live more interesting and stimulting lives. Nurses should be reminded to keep the NMC up to date with any changes in their cirumstances and not to leave the renewal of their registration until the last minute. This will mean that their registration remains current and is not allowed to lapse. The manager should complete his registration with CQC to become the registered manager of the home. Staff meetings should continue to be held regularly so that staff have access to the most recent and up to date information. This will mean they have all the information they need to do their job. The programme of staff supervision should continue at a frequency that will meet the National Minimum Standard of six sessions per year. This will support staff to do their job. 2 12 3 18 4 5 31 36 6 36 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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