Care Home: Lea House

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What the care home does well Lea House is a small family owned and run home and employs a stable and committed team of staff. The home is situated in an attractive location with a homely environment. The atmosphere is relaxed and family orientated. People benefit from freshly prepared and cooked meals each day. People`s choices are respected. People have the opportunity to spend their time as they choose. The home encourages and supports people to be as independent as possible and to maintain contact with family and friends in the wider community. People are happy living at the home. People`s comments about the home included `its lovely, we`re like one big family`, `it suits me fine, the foods good, the atmosphere is good and I have a lovely room and outlook`, `its home from home, the staff are kind and the food is OK`, `no complaints at all` and `its very nice and you can have a joke with the staff`. Staff` are also happy working at the home. Their comments included `it`s welcoming and people are understanding` and `its small, run like a family and all the residents know the staff and can talk to them`. What has improved since the last inspection? People are further protected against fire in that some doors have been fitted with fire guards and close on the sound of the fire alarm. People`s contracts of terms and conditions have been expanded and agreed with individuals living in the home. Accident reports are now stored to ensure everyone`s information is confidential. The kitchen and a bedroom had had new flooring fitted. There have been some improvements to the medication system to ensure safety, although further are required. What the care home could do better: People must receive written information about the home to ensure they have full information before making a choice to move in. Peoples complex needs must be reflected in their care planning to ensure needs are met and consistently. Medication systems must be further strengthened to fully protect people. Action must be taken to ensure people live in a well maintained, clean and hygienic environment. Staff recruitment procedures must be improved to fully protect people. Management must have quality monitoring systems to ensure the home runseffectively meeting national minimum standards and people have opportunities to voice their views. Other areas for improvement are mentioned in the text of the report. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lea House Lea House Rest Home 40 Terminus Avenue Bexhill on Sea East Sussex TN39 3LZ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sally Gill     Date: 2 9 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Lea House 40 Terminus Avenue Lea House Rest Home Bexhill on Sea East Sussex TN39 3LZ 01424220968 01424848907 shona2@onetel.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sadna Seesarun,Mr Baldeo Seesarun care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Additional conditions: 0 The maximum number of service users to be accommodated is 15 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Lea House is registered to provide accommodation for up to 15 older people. The owners also own another local residential home. Mrs Sadna Seesarun (one of the owners) is also the registered manager and is in day-to-day control of the home. The premise is a detached property. The property has front and rear gardens with lawn, established flower beds and shrubs and a beach driveway which can be used for parking. Accommodation is on two floors. All bedrooms are singles and are situated on the ground and first floor. All rooms have an ensuite toilet and wash hand basin. People have the use of two bathrooms, one which has an assisted bath. The home has Care Homes for Older People Page 4 of 28 1 6 0 9 2 0 0 8 Brief description of the care home a main lounge with television and a separate quiet lounge plus a reception/dining area. The home is suitable for wheelchair users. The home is non-smoking. The home is situated on a quiet residential street. The town centre with its shops and access to bus and rail services is approximately one mile away and local amenities are a short walk away. There is on street parking available. The staff compliment consists of the owner/manager and carers who also undertake cooking, laundry and cleaning duties. Carers work a rota that includes a minimum of two staff on duty during the day and one on wake night duty. Previous inspection reports are available from the home or can be viewed and downloaded from www.cqc.org.uk Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The previous inspection took place on 31st July 2007. A random inspection (short focused inspection) took place on 16th September 2008. This inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.40am and 4.05pm. The owner/manager and staff assisted during the visit. People that live in the home and staff were spoken to. Observations were made during the day. Nine people were living at the home on the day of the visit. Surveys were sent to the home for the owner to distribute to residents, staff and Care Homes for Older People Page 6 of 28 health and social care professionals. None were returned at the time of writing this report. The care of two people was tracked to help gain evidence as to what its like to live at Lea House. Various records were viewed during the visit and a part tour of the home undertaken. The home sent their annual quality assurance assessment (AQAA) to the Commission within the required timescale. The AQAA is a self-assessment picture of how the owner thinks they are doing against the national minimum standards. At the time of the visit current fees ranged between 315 - 400 pounds per week. Additional costs would include toiletries, hairdressing, chiropody, newspapers and magazines. What the care home does well: What has improved since the last inspection? What they could do better: People must receive written information about the home to ensure they have full information before making a choice to move in. Peoples complex needs must be reflected in their care planning to ensure needs are met and consistently. Medication systems must be further strengthened to fully protect people. Action must be taken to ensure people live in a well maintained, clean and hygienic environment. Staff recruitment procedures must be improved to fully protect people. Management must have quality monitoring systems to ensure the home runs Care Homes for Older People Page 8 of 28 effectively meeting national minimum standards and people have opportunities to voice their views. Other areas for improvement are mentioned in the text of the report. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their representatives do not have the full written information to inform their choice about moving in. Full information about peoples assessed needs has not always been obtained putting decisions in question that these needs can be met. Evidence: People do not have access to written information about the home in order for them to make an informed decision about where to live and what they can expect from the home if they move in. The owner advised that a statement of purpose and service user guide is in place and that this information is discussed with people as they visit the home prior to moving in and during the initial assessment. During this time people have a great deal of information to take in and it is a requirment to give people a copy of the service user guide. A requirement is made. Care Homes for Older People Page 11 of 28 Evidence: People are protected by contracts of terms and conditions. Contracts between the home and individuals were examined. They now contain all the information as per the national minimum standards (see later comments regarding the complaints procedure). Those examined were signed as agreed by the individual although one was not signed by the home. The latest copy of the contract states the condition which a placement may be terminated will be specified in the contract between the party paying for the placement at Lea House the contract was with a privately funded individual and these were not stated and should be. Peoples needs are assessed. The owner advised that under usual circumstances she would visit an individual in their own setting and undertake an assessment. However on Christmas Eve she accepted a placement from the local hospital without seeing the individual and without obtaining a copy of the social workers assessment. She did discuss the individuals needs over the phone. The owner confirmed to date a copy of the social workers summery assessment has still not been obtained. Assessments for two other people were examined. These contained sufficient detail although one was more informative than the other. People and their relatives or friends have the opportunity to visit the home prior to moving in. The owner talked about people visiting and looking round the home before moving in. People spoken to confirmed that they or their families had visited the home prior to moving. Intermediate care is not provided but short term care can be vacancies allowing. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning could be better used to manage peoples more complex needs. People could be better protected with improvements to the medication system. Peoples privacy and dignity is respected. Evidence: People have their basic health, personal and social care needs identified in a care plan. Three care plans were examined. One was signed by the individual as agreed another was not although the person seemed to have the ability to understand their care plan. People spoken to felt they are well looked after and their needs are met. People are encouraged to remain independent in their personal hygiene. Staff are very caring but where there is a complex care need this is not always managed. When a concern is being managed day to day neither the concern nor the action being taken is recorded in the care plan. For example there is a concern over the frequency that one person changes their continence pad but this has not been explored with the person and the management of this agreed as part of the care plan. In another instance an individual has a skin problem but this is not recorded in their care plan nor is the management of Care Homes for Older People Page 13 of 28 Evidence: this concern. Another issue with the frequency an individual will allow the cleaning of their room and en-suite requires management and agreement within the care plan. It is commendable that the owner ensures people have choices but they also have a duty of care to that individual and others. A requirement in relation to care plans is made. Peoples health care needs are met. People confirmed that they are healthy and home calls a doctor when they are unwell. Appointments and check ups are recorded in the daily notes which do make it difficult to track. Evidence was seen that people have access to hospital appointments, district nurse visits and chiropody. People are weighed if there are any concerns or periodically which is recorded. People could be better protected with improvements to the medication system. The medication system was examined. It is supplied mainly in a monitored dosage system. Some prescribed creams were stored in en-suites and there was no risk assessment in place for unsecured storage and must be. Two prescription creams for people no longer at the home were evident in the bathroom and the owner advised were used for people living in the home. Medicines are the property of the individual person and must not be used for others. These should be returned to the chemist. Over the counter creams must be purchased for an individual and used in line with the homes homely remedies policy. Some sachets of medicine were stored loosely on a shelf in medication cupboard with no prescription instructions as the box had been discarded. The Medication Administration Records (MAR) charts were in good order except handwritten entries should be dated signed and witnessed and there were four entries where a code or signature had not been entered. The home should consult their pharmacist to ensure policies and procedure in place protect people. A requirement in relation to medication is made. The owner advised that storage of the key to the medication cupboard is now more secure. The owner advised staff that administer medication have received training. Seven staff are currently also undertaking safe handling of medicines a distance learning course. Photographs were being added to medication records on the day of the visit which is good practise. People feel their privacy and dignity is respected. Observations through the day confirmed people are treated with respect. The bulk purchase of toiletries such as bubble bath and shampoo would be enhanced if people had their own individual bottles. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices about their lifestyle. Social, recreational and cultural activities meet individuals expectations. Evidence: People are able to spend their time as they wish. One person is independent and goes out into the community and another goes out with friends to a local church group a couple of times a week. People were seen to spend time in their rooms or come down to the dining room and lounge. One peson said I love it here I can just sit and enjoy the garden. The television was on although it was evident people were watching the programme on. Two people have a daily paper delivered. Activities include walks out, cards, puzzles, knitting, scrabble and television. Records could better reflect how people spend their day. The owner advised that group activities have been tried but people prefer to have individual activities so staff spend time playing scrabble etc. People are encouraged to be as independent as possible and maintain contact with their family and friends. The home operates an open door policy and people are able to spend time with their guests in their rooms or in one of the lounges. Visitors were observed being welcomed into the home during the inspection. Most people handle Care Homes for Older People Page 15 of 28 Evidence: their own finances. People enjoy their meals. Everyone spoken to confirm the food is good or lovely. Breakfast of cereals, toast, fruit or juice is taken on trays in peoples bedrooms at a time of their choice. Lunch is the main meal; the menu is based on peoples choice and reflects good home cooking. People choose to have this in their room or come down to the dining room. Lunch on the day of the visit was beef casserole and dumplings followed by rice pudding and fruit. Supper is a light meal or sandwiches and people are asked their choice each day. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have informal opportunities to express their concerns and are protected from abuse. The written complaints procedure must be clearer so people are aware of the procedure which will be followed. Evidence: People have informal one to one opportunities to voice their views and concerns. One person spoken to said they would speak to the owner should they have a concern another did not know who they would speak to. The owner advised the home do not hold resident meetings as she feels individuals are not confident to speak up in a group setting. However the owner spends one to one time with each person at least weekly. Records could better evidence this opportunity for people to voice their views on the home and any concerns they have. Discussions confirmed that the owner is committed to addressing any concerns and keen to listen to suggestions for improvement. The home has a complaints procedure which forms part of peoples contracts of terms and conditions. However this does not detail timescales for investigating complaints or responding to the complainant and must. The home has not received any complaints in the last 12 months. The Commission has received one. A visit was made to the home as a result. Requirements were made and addressed by the home. People are protected from abuse. The AQAA indicated that policies and procedures are Care Homes for Older People Page 17 of 28 Evidence: in place to protect people living in the home. The owner advised that all staff have undertaken some safeguarding training. Most have completed a distance learning course others it has been covered in their induction. A staff member spoken to demonstrated an understanding of the routes to report any abuse. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home where the communal areas are pleasant and homely. Peoples own rooms varied and some require improvements to ensure everyone has a pleasant, homely, clean, hygienic and comfortable home. Evidence: People are happy with their own rooms and benefit from homely shared space. However some improvements are required. The home has two lounges one at the front of the house, the other a quieter lounge at the back. Both are well presented and contain comfortable furniture. The front lounge has a large television and this area and the dining table in the reception area were noted to be the hub of the home. Peoples own rooms all have en-suite toilet and wash hand basins. These rooms reflect peoples personal interests and hobbies with displays of their own knick knacks and photographs etc. Some concerns were raised during a part tour of the home and these need to be addressed in order that people have clean, safe, hygienic and pleasant home. This included a cracked wooden toilet seat, rusty toilet frame, lack of liquid soap and paper towels in shared toilet/bathrooms, trailing wires, missing wardrobe and chest of drawer handles, odour of urine in one bedroom, black/mouldy patch on an en-suite Care Homes for Older People Page 19 of 28 Evidence: ceiling, unhygienic toilet brush, missing curtain hooks, broken shower curtain pole and cobwebs in bedrooms. A requirement is made. Generally bathrooms and en-suites could be more homely. The owner advised that new flooring has been laid in the kitchen that morning and a new raised flower bed had been built in the front garden. Generally the grass areas of the garden were maintained and the gardens looked good at a distance however on closer inspection the flower beds they were not well maintained. The rear garden is not at present suitable to be accessed by people living in the home as areas are not maintained or suitable for people unsteady on their feet although the home does have plans to improve this area. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a small staff team that are trained and qualified. To ensure people are fully protected staff working long hours must be reviewed and recruitment practices improved. Evidence: The owner advised there is a minimum of two staff on duty during the day. This is in addition to herself who is usually in the home every day. Care staff are also responsible for cooking, cleaning and laundry tasks. A concern was discussed in relation to peoples health and safety when it became apparent that one member of staff works 42 hours of waking duty with only a six hour break every week. The manager is satisfied this is safe practice. People are not fully protected by the homes recruitment practices. Staff files for two staff recruited since the last inspection were examined. Application forms should meet current employment legislation. Several gaps in employment history were evident on both application forms examined and yet no explanations had been recorded which they must be. For one member of staff the last employer had not been contacted for a reference even though this was a care provider and they must be under the regulations. One member of staff was working on a Protection of Vulnerable Adults (POVA) 1st check and the other had a Criminal Records Bureau (CRB) check in place. Care Homes for Older People Page 21 of 28 Evidence: Although evidence of this was not held at the home but had to be brought during the visit from the owners other home. No written contracts of terms and conditions were in place. A requirement is made in relation to recruitment. People receive a service from a staff team which is trained and qualified. An induction training programme to Skills for Care specification has now been implemented. All staff are trained in safeguarding adults and fire, seven are trained in first aid, moving and handling and infection control. Five are trained in food hygiene. The manager advised that training is up dated regularly and those not trained at present would receive it. Training records held in the home are not good. Some information regarding training is held in diaries and the managers head. Good practice would have system for recording individuals training dates and when updates are due. Seven staff are qualified in National Vocational Qualification (NVQ) level 2 or above and another two are currently undertaking this. This is commendable. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are happy with the service they receive and the home day-to-day from a service users prospective works well but it is at risk of being over reliant on informal systems, as people are not safeguarded by robust records, policies and procedures. Evidence: People live in a home which is run and managed by a person who is committed to providing a family orientated home. The manager is a registered nurse and in addition has obtained a Registered Managers Award (RMA). She has years of experience running the home and during the visit it was apparent she has developed good relationships with both people that live in the home and staff. She is very aware of what is happening day to day in the home. The atmosphere within the home is very relaxed. Staff including the manager work hard day to day and are committed to providing a quality service. However there is a lack of management to ensure the home is meeting Care Homes for Older People Page 23 of 28 Evidence: legislative requirements and that records and information required to be in place are easily accessible. The home is also left vulnerable when situations are not managed properly through the homes procedures. For example admitting a person without proper assessment over the holiday period and trying to manage complex care needs day to day instead of through proper care planning with the individual. There are no clear management systems in place to monitor and highlight shortfalls. There has been no formal quality assurance such as questionnaires since 2007. Any informal opportunities people have to voice their views are not evidenced. The owner must keep herself abreast of legislation and changes such as the Care Homes Regualtions and Amendments and national minimum standards. The home returned their AQAA within the required timescale. It was comprehensive and gave a good picture of the home. Some minor data was missing. At times information contradicted with findings during the visit. For example on admission everyone is given a statement of purpose and we have good quality assurance and quality monitoring in place. Our annual satisfaction survey of service users and other interested parties is very successful. Peoples financial interests could be better protected. The home holds a small amount of savings for one person. These records were checked and the balance agreed with cash held. Currently records are maintained on the back of an envelope, some receipts are obtained and money is stored in an unlock cupboard. Records and the storage of money must be improved. Peoples health and welfare are generally promoted. Accidents are recorded and storage of reports is now appropriate. Information in the AQAA indicates that the home has serviced equipment appropriately. As previous mentioned doors were wedged open and advice should be sought from the fire safety office to ensure peoples safety. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 The registered provider shall 29/06/2009 supply a copy of the service user guide to each service user To ensure people have the information they need to make an informed choice about moving in and what they can then expect from the home. 2 7 15 The registered person must ensure peoples care needs are reflected in their care plan including information relating to the management of their needs To ensure people receive support from staff in a consistent way which will meet all their needs 29/06/2009 3 9 13 The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal 29/06/2009 Care Homes for Older People Page 26 of 28 of medicines received into the care home. To ensure people are protected by the homes policies and procedures for dealing with medicines. 4 19 23 The registered person shall 29/06/2009 ensure that all parts of the home are kept in a good state of repair, are clean and well maintained. To ensure people have a safe, clean, hygienic, well maintained and pleasant home in which to live. 5 33 24 The registered person shall have effective quality monitoring systems to ensure records and procedures meet all requirements of legislation To ensure people receive a safe service 29/06/2009 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 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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