Care Home: Lindisfarne

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well The management and care staff remain committed in providing residents with appropriate care and support in a friendly and sensitive manner. Resident’s rooms are individually presented and personalised to reflect the person’s wishes and preferences. Staff receive regular support and ongoing supervision. The Expert by Experience commented; “All in all I think this was a nice friendly home with friendly staff, the residents seemed happy”. What has improved since the last inspection? New flooring has been laid in two bedrooms and new carpets have been laid in the hallways. The medication cabinet has been re-sited in the office and all staff spoken with commented on how this had greatly improved the safer administration of medication in the home. What the care home could do better: LindisfarneDS0000057383.V376456.R02.S.docVersion 5.2Although some improvements have been made to the care planning process it is recommended that risk assessments are stored in one file to avoid unnecessary duplication. A wider range of activities must be in place to meet the needs of residents both in the home and wider community. It is recommended that the projects in the gardens be completed to potentially provide further interest for residents. It is recommended that the organisation ensures that the application to register the manager with the Care Quality Commission is appropriately completed. Key inspection report CARE HOME ADULTS 18-65 Lindisfarne Church End Leverington Cambridgeshire PE13 5DB Lead Inspector Andy Green Key Unannounced Inspection 7th July 2009 10:00 Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 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 home adults 18-65 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. Lindisfarne DS0000057383.V376456.R02.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 Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindisfarne Address Church End Leverington Cambridgeshire PE13 5DB 01945 464817 01945 464817 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) Caretech Community Services Ltd Manager post vacant Care Home 10 Category(ies) of Dementia (3), Learning disability (10), Physical registration, with number disability (10) of places Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three named service users with dementia under 65 years of age Date of last inspection 11th July 2008 Brief Description of the Service: Lindisfarne is a large bungalow situated at the edge of the village of Leverington, which is near to the market town of Wisbech. The home provides care and support for 10 adults with learning and physical disabilities. There are ten single bedrooms and a large lounge and dining room. There are two shower rooms shared by two bedrooms. The remaining bedrooms have their own ensuite m toilet and washbasin. There is a kitchen, laundry room and two further bathrooms as well as an office and staff changing room. There are gardens to the front and rear of the property. There is a large parking area at the rear and the home has two vehicles, one of which has disabled access. The home is close to the village shop and the church. Peterborough is a half an hour drive away, giving residents a wider range of shopping and leisure facilities. Residents fund their own social activities including admission for their carer if required. They pay for their own holidays, any extra day services beyond those as part of their care plan, personal clothing and hairdressing. Fees are from £1200 to £1600 per week according to the level of care and support that is required. Care Quality Commission reports are kept in the office and are available to service user representatives on request. Lindisfarne DS0000057383.V376456.R02.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 2 star. This means the people who use the service experience good quality outcomes. We, the Care Quality Commission, carried out a key unannounced inspection on 7th July 2009. We inspected a number of records including care plans, training records, health and safety records and staff files. A tour of the building and grounds was also undertaken. We were assisted by an ‘Expert by Experience’ who met a number of residents and staff during the inspection. Comments from the Expert by Experience are included throughout this report. As the majority of residents have very limited verbal abilities it was not possible to fully gain their views regarding the support they receive in the home. However, it was clear from observations that they continue to receive a committed and supportive input from the staff team. A number of staff were interviewed to gather their views regarding the service, training and support they receive. The Annual Quality Assurance Assessment (AQAA) was completed by the manager of the home. This a self assessment process that focuses on how outcomes are being met for people who use the service. What the service does well: What has improved since the last inspection? What they could do better: Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 6 Although some improvements have been made to the care planning process it is recommended that risk assessments are stored in one file to avoid unnecessary duplication. A wider range of activities must be in place to meet the needs of residents both in the home and wider community. It is recommended that the projects in the gardens be completed to potentially provide further interest for residents. It is recommended that the organisation ensures that the application to register the manager with the Care Quality Commission is appropriately completed. 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. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 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 manager ensures that appropriate information is sought prior to a resident being admitted to the home. EVIDENCE: There were seven residents living in the home at the time of this inspection and there have been two admissions in the last year. Both residents were admitted on a temporary transitional basis whilst they were awaiting a permanent move to a supported living scheme. Both have successfully moved on as planned. Comments, seen in a card sent to the home from parents of one of the residents, were positive and complimentary about the care and support that had been provided. There are three vacancies in the home at present and the organisations marketing department is encouraging local authority area teams to make referrals. The manager carries out a pre admission assessment and medical and social reports are also received where appropriate from a variety of healthcare professionals. Prospective residents and their family/relatives are encouraged to visit as part of the assessment process and when they move in to the home. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 9 There have been no changes made to the assessment procedure since the last inspection. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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): 6,7,9 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. Residents receive personal care and support to meet their assessed needs. Some care planning processes need to be reviewed to avoid duplication. EVIDENCE: Four care plans were inspected and they contained up to date and detailed information. The care plans are written in a style that incorporates the resident’s choices and preferences as much as possible. Social support and personal care needs are clearly recorded and any appointments with healthcare professionals are separately documented. Daily notes were seen and detailed events and appointments, which have occurred during the residents’ day. There was evidence that reviews of care plans have recently taken place. The care planning process has been reviewed since the last inspection and one ‘working file’ is used on a daily basis which contains the current care plan and risk assessments and daily notes. Another file kept in the office also contains Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 11 care planning information, placement reviews, annual/monthly summaries and risk assessments. It was noted however, that risk assessments in the files kept in the office file did not correspond to those kept in the ‘working file’. It is recommended that risk assessments are kept in one file rather than being duplicated elsewhere which are confusing and unnecessary. Members of the care team spoken to were unclear as to why information was duplicated and found this to be confusing and unnecessarily complex. There continues to be an individual person centred file for each resident, which is in a pictorial format using photographs showing how individual residents engage in the life of the home and also personal activities. The ‘Time to Talk’ section of the care plan also records significant discussions with residents about choices in their daily life in the home. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 11,12,13,15,16,17 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff provide support to ensure that residents have access to activities appropriate to their needs however improvements are need in this area. EVIDENCE: Residents continue to have access to a variety of activities. Examples given included shopping, hairdressers, daytrips to local resorts, and regular trips out with relatives. Three residents continue to attend local day services. Two residents have been on holiday and there are plans for two other residents to have a holiday this year. Residents are free to spend time in their own rooms if they wish and a number of bedrooms showed that personal preferences are promoted including sensory areas, music and television. Residents also have access to television and DVD’s in the main lounge. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 13 . However it was noted that there were few organised activities in the home and since the decision not to use the local day service a programme of daily activities to meet the resident’s needs must be organised. Staff members spoken with commented that more organised activities need to be in place for residents. The Expert by Experience commented; “Staff said the home has a variety of activities like swimming, horse and cart, trips to the beach or forest, holidays and shopping, but these all depend on the weather: they may not happen as much as they should do. Therefore, I do not think there are enough activities in the home. I feel there should be at least 2 days every month for day trips and 3 times a week for shorter trips out. I think that if the residents cannot go out on trips they should have other activities at home like playdo, drawing, painting and watching TV. The residents were going to a social club but they weren’t doing a lot there, so this has stopped. They now have no access to other social clubs; I feel this is something that is important for residents to go to”. “Residents have their own laundry boxes and can sit and watch the staff do the laundry. Resident’s can choose the decorations in their rooms and can use picture books, if needed, to choose what they want. Residents can choose when to get up in the mornings as long as it’s not too late, as this is a waste of their day. The times residents get up do vary. Residents can choose what they have for breakfast” Residents also have access to television and DVD’s in the main lounge. Residents continue to take part in the daily life of the home with staff assistance including laundry, cleaning and food preparation where possible. Meals are all home cooked and individual preferences and dietary needs are catered for. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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): 18.19.20 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. Personal care is provided appropriately in the home to ensure that the residents’ assessed needs are met EVIDENCE: Residents have regular access to a variety of healthcare professionals and are assisted to attend outpatient appointments as required. Health and personal care is documented in individual care plans and visits from healthcare professionals are recorded as appropriate. Weight charts were in place along with nutritional assessments. The deputy manager stated that the home had a very good relationship with the local surgery and there was frequent input from members of the local learning disability team including psychology, physiotherapy, occupational therapy and psychiatric input. Individual risk assessments are recorded and there was evidence that they are regularly reviewed so that residents are protected from potential harm. Four resident files were inspected and risk assessments were in place. Examples included bathing, eating, using transport and accessing the Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 15 community. As previously mentioned it is recommended that risk assessments are stored in one file to avoid unnecessary duplication. Medication records were accurate and up to date. The deputy manager and two members of senior staff monitor administration and ordering of medication. Since the last inspection the medication cabinet has been re-sited in the office which is located centrally in the home. All staff spoken with commented on how this had greatly improved the safer administration of medication as the previous arrangements were inappropriate and potentially unsafe. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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): 22,23 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 home has a complaints process to ensure that residents have their complaints and concerns listened to and acted upon properly. Residents are protected from abuse. EVIDENCE: The home has a complaints procedure so that all complaints are fully investigated and appropriately dealt with. The home has received two complaints since the last inspection both of which have been satisfactorily dealt with. Evidence of correspondence was seen The care staff spoken with confirmed that they received ongoing safeguarding training and it was clear from conversations that they would have no hesitation in reporting any incidents or allegations of abuse. It was clear through observations that the care team remain enthusiastically committed to the care of residents and were observed talking to residents in a sensitive and friendly manner. The Expert by Experience commented; “A member of staff said that residents can put their grumbles and ideas across at anytime. They also have a talk book that is kept in the dining room which they can put any idea or complaints into, they can also talk with their key worker at anytime”. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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): 24,30 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. The environment of the home provides residents with a safe, comfortable, clean place to live. EVIDENCE: Since the last inspection new carpets have been laid in the hallways and new flooring has been laid in two bedrooms. Two further bedrooms will be having new flooring in the next few weeks. The room previously used to store medication is now being for staff lockers which were previously in the front reception area. Resident’s artwork continues to be displayed around the home and it was positive to see there continues to be an attractive display on the wall in the reception area. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 18 The Expert by Experience made the following comments “I saw residents’ art on the walls and thought this was nice. The kitchen was clean and tidy and had a low table for wheelchair users; I thought this was good as I haven’t seen this in a home before. I saw that two of the bedrooms had bathrooms attached; these were generally nice and clean. Residents who wanted pictures on the walls of their bedroom could have them. The lounge was nicely decorated and all the residents could use it”. “There is a gardener that comes in but I still felt like the garden was a bit of a maze and a bit dangerous especially as the residents have to go through the back door, around the house by the road, to reach the garden. I also saw there was a bench that was broken in the garden; this is something that needs fixing”. “The home was very tidy and clean. The home appeared to be safe for residents as they had a safety-gate by a set of stairs although I didn’t like that the front door was unlocked this could be very unsafe”. A sensory area and pond in the garden had been started, which would potentially provide further interest for residents. However this project has not been fully realised/completed and it is recommended that the home actively seeks advice and practical help to effectively complete this piece of work. Members of staff also stated that the installation of a ramp near to the front door is still awaited. This would aid residents to access the front gardens instead of the current arrangement. The operational manager later confirmed that the maintenance department were planning to complete this work in the next few months and the Commission would be informed when this work is finished. The kitchen is due for a total renovation including a new cooker in the next few weeks. A new fridge and freezer have been purchased since the last inspection. The Commission will be informed when this work has been completed. There is an ongoing programme of decoration and bedrooms are redecorated as necessary. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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): 32,34,35,36 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 home’s recruitment and training processes ensure that residents safely receive care and support from competent staff. EVIDENCE: The home is fully staffed. There were four carers in the morning between 7.15am and 2.45pm and four carers in the afternoon /evening between 2.15am and 10.15pm. There are two waking night staff. There is also one staff member on a middle shift from 11.30am to 6pm. The organisation’s personnel department continues to deal with all recruitment to ensure a consistent approach. The home receives a staff information document, which confirms that all recruitment checks have been made Three staff files were inspected and they contained appropriate recruitment information. References are not kept in the staff files in the home. It should be noted that Care Tech has an agreement with Care Quality Commission that recruitment documentation is kept in the organisation’s personnel department and can be made available upon request. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 20 Members of care staff spoken with stated that they received regular ongoing training throughout the year in both mandatory health & safety issues and care related topics. Examples in the training records included updates in moving and handling, Safeguarding Adults, infection control, fire safety and medication administration. NVQ training courses continue at both levels 2 & 3 to meet nationally agreed standards. The Expert by Experience made the following comments; “One member of staff said he had done a lot of training but none in the past 6 months. His training was all up to date but felt he had to go very far to get his training. He also said that he would like to be trained in Makaton. Another staff member said she had been working there for 3 years and feels her training needs updating. She already has her NVQ2 but would like to study for her NVQ3”. Care staff confirmed that they received recorded supervision on a monthly basis to monitor their performance and development needs. A supervision record sheet is kept to record dates and the names of supervisors. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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): 37,39,42 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 home is well managed to ensure care and support is safely and consistently delivered. EVIDENCE: The manager continues to provide an inclusive and supportive management style in the home. This was confirmed by the staff spoken to during the inspection who stated that they felt supported by the manager and the senior staff in the home. The Expert by Experience commented; “All in all I think this was a nice friendly home with friendly staff, the residents seemed happy” Following the last inspection, the manager did submit an application to become Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 22 registered with the Care Quality Commission. However the process was not completed and a new application is being re-submitted. The operational manager confirmed that the application process will be completed and resubmitted to the Commission by the end of August 2009. Weekly alarm, monthly emergency light testing, fire drills and health and safety records were inspected and they are recorded accurately. Contracts for the regular testing of equipment and services are up to date. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 x 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 2 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.2 Page 24 Lindisfarne DS0000057383.V376456.R02.S.doc 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 YA12 Regulation 16(m,n) Requirement A programme of activities must be organised to meet the individual needs of residents both within the home and wider community. Timescale for action 30/10/09 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 2 Refer to Standard YA9 YA24 Good Practice Recommendations It is recommended that risk assessments are stored in one file to avoid unnecessary duplication. It is recommended that the projects in the gardens be completed to provide a wider range of interest for the residents. It is recommended that the organisation ensures that the application to register the manager with the Care Quality Commission is appropriately completed. 3 YA37 Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@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. Lindisfarne DS0000057383.V376456.R02.S.doc Version 5.2 Page 26 - 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!