Care Home: Little Barn Lane Care Home

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What the care home does well The atmosphere at the home was quiet and pleasant. People who live at the home appeared relaxed and contented.Staff are helpful to the people who live at the home. What has improved since the last inspection? There have been some changes to the accommodation as space for a quiet area has been created and there is a separate dining area from the television lounge area.The information form the provider called the (AQQA) informs us that the area to the back of the house has been modified so that in the summer months people will find it easier to move around the gardened area of the home.Grab rails have been fitted within the home.New gates leading to the back of the house have been fitted to make the environment more secure for the people who live at the care home. The dining room had been fitted with new non slip flooring to make it safer for everyone. What the care home could do better: For someone who may need admission to the hospital and has communication difficulties. A separate sheet could be provided with essential information as to how to increase the levels of understanding between both staff and the person receiving treatment.There are some minor errors in the area of medications.Recent changes in the management of the care home must be sent to the Commission in writing and the outcome with regards to recent issues should be confirmed. Key inspection report Care homes for adults (18-65 years) Name: Address: Little Barn Lane Care Home 4 Little Barn Lane Mansfield Nottinghamshire NG18 3JE 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: Lesley Allison-White Date: 2 3 0 6 2 0 0 9 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 35 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 35 Information about the care home Name of care home: Address: Little Barn Lane Care Home 4 Little Barn Lane Mansfield Nottinghamshire NG18 3JE 01623657547 F/P01623460707 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) : www.mencap.org.uk Royal Mencap Society care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: Date of last inspection A bit about the care home The fees for 2009 are £321.91 to £229.66 per week information regarding fees is available from the manager and from Mencap. Care Homes for Adults (18-65 years) Page 4 of 35 The home is in a residential area of Mansfield and close to local amenities such as shops and bus routes. The home accommodates up to five people with learning disabilities in single bedrooms. Two bedrooms are on the ground floor. There are adapted bathing facilities and up to two people with mobility needs can be accommodated. Care Homes for Adults (18-65 years) Page 5 of 35 It is homely and well maintained providing the people who live there with pleasant accommodation. There is access to a small private garden at the rear of the property ensuring people have access to fresh air. Care Homes for Adults (18-65 years) Page 6 of 35 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 35 How we did our inspection: This is what the inspector did when they were at the care home The focus of inspections undertaken by the Care Quality Commission is on outcomes for the people who use the service and their views of the service provided. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was a key unannounced inspection that took place in three hours. The Primary method of inspection used was case tracking. This involved speaking with the people who use the service provided, looking at one persons care plan and talking with them at the home. Another person also spoke with the inspector. Care Homes for Adults (18-65 years) Page 8 of 35 The inspection focused on checking existing records kept by Little Barn, looking at their service history and the Annual Quality Assurance Assessment (AQQA) completed by the care home. The inspection was assisted by the two staff on duty at the time. What the care home does well The atmosphere at the home was quiet and pleasant. People who live at the home appeared relaxed and contented. Staff are helpful to the people who live at the home. Care Homes for Adults (18-65 years) Page 9 of 35 What has got better from the last inspection There have been some changes to the accommodation as space for a quiet area has been created and there is a separate dining area from the television lounge area. The information form the provider called the (AQQA) informs us that the area to the back of the house has been modified so that in the summer months people will find it easier to move around the gardened area of the home. Grab rails have been fitted within the home. Care Homes for Adults (18-65 years) Page 10 of 35 New gates leading to the back of the house have been fitted to make the environment more secure for the people who live at the care home. The dining room had been fitted with new non slip flooring to make it safer for everyone. What the care home could do better For someone who may need admission to the hospital and has communication difficulties. A separate sheet could be provided with essential information as to how to increase the levels of understanding between both staff and the person receiving treatment. Care Homes for Adults (18-65 years) Page 11 of 35 There are some minor errors in the area of medications. Recent changes in the management of the care home must be sent to the Commission in writing and the outcome with regards to recent issues should be confirmed. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 12 of 35 If you want to speak to the inspector please contact Lesley Allison-White CQC East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel : 03000 616161 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 Adults (18-65 years) Page 13 of 35 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 35 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Admissions are made following a full assessment of an individuals needs. People are given information about life at the care home in this way they can then decide if they wish to accept a place at the care home. Evidence: A copy of a Service User Guide was seen for one person living at the care home. It was in pictorial form and related to the individuals needs and what facilities would be provided. This included details such as having their own bedroom, support when going out and what facilities would be shared with other people living at the home. Information about the fees was included and information about what the service can offer was available in a format that the individual could relate to. An assessment of needs was done by the local authority known as Social Services. The assessments included care and support to be monitored by the staff such as diet and weight control, continence needs, moving and handling needs of the person and if any equipment was needed. The service added further assessments to this such the need for Care Homes for Adults (18-65 years) Page 15 of 35 Evidence: one to one support when attending medical appointments or for trips out. Care Homes for Adults (18-65 years) Page 16 of 35 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. The care plan is written in a format that the individual can access and understand. In this way the individual is part of the planning process. Evidence: Each person has a care and support plan. Within this plan there are assessments for individual needs. These include the need for one to one support or two to one support for different situations. When in the home one to one support may be needed to provide assistance for bathing an individual or for supervising an activity such as making drinks. Extra support may be needed for an individual when they are unwell for example or two staff members may be required when someone goes out into the community.The care and support plan included the choices and preferences that the person makes with regard to their way of living. Pictures were used to describe what the choice was and further pictures were used to describe how this need would be met. This is useful for a person with communication difficulties to have so that they can show a member of staff the choice that they wish to make and be understood more easily. As the persons likes and dislikes are listed in this way it makes it easier for any new staff member to improve their Care Homes for Adults (18-65 years) Page 17 of 35 Evidence: understanding of the person in their care. Personal goals were included and activities were listed. Further assessments include if help is needed to cut food up when offered a meal or if an individual needs somewhere quieter within the home on occasions. In a review of care and lifestyle evaluation provided by the local authority one person had requested to have a short break away from the home. This process involved them being offered places to choose from, who they would go with and indicated that they were involved in the decision making process through the use of pictures from their care plan with their key worker. The key worker would be expected to ensure that the action plan was followed. In this way the choices that they were able to make were being listened to and included in their lifestyle choices. A key worker is a member of staff allocated to take a special interest in the person they support. They will help them to make and carry out the choices that they prefer. The AQQA provided by the provider states that people are taken shopping to enable them to have a choice of food. As part of the decision making process people are offered the opportunity to shop for their own clothes, where they want to visit, what television programme to watch when together and what and how they wish to dress or what time they want to go to bed or when to get up in the mornings. A key worker system is in place and people are encouraged to spend time taking part in activities together. As part of the risk management the specialist needs of the person is balanced with their aspirations. The care and support plan is used as a working tool that both staff and individuals use to achieve the desired outcomes. For example, people can choose who they want to go out with and the staff will organise when this can be done by agreement with the people involved. People with speech difficulties are assisted by the staff. The staff who assisted the inspection had a good level of understanding of each person who lives at the care home. Care Homes for Adults (18-65 years) Page 18 of 35 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Activities provided are age appropriate and people living at the home are encouraged to be part of the external community. Meals are provided that individuals can enjoy. Evidence: All the people living at this home are currently male. People at the home take part in activities outside of the home. As an example three people attend a day centre. One person goes out shopping for clothes as this is something that they enjoy doing. People are invited to go out with other people from the service and supported by a staff member. This is recorded in the care and support plan. People take part in activities in the local community and will go out on day trips and to places of interest to them. The AQQA states support plans detail the local facilities that available and that venues visited are checked for suitability and accessibility. People are encouraged to keep in contact with members of their family and staff help and Care Homes for Adults (18-65 years) Page 19 of 35 Evidence: support them to do so. Visits to relatives are listed in individual care records. One person liked to make their own drinks in the kitchen this was done under supervision and they had their own bedroom that he said he liked. Risk management has focused on keeping people safe and this is included in the persons care plan for when he chooses to work in the kitchen. Policies are in place to promote independence and to promote flexibility within the environment so that routines can ensure that activities are met. A tea time menu and meal was seen. However, the meal being cooked did not match what was written on the menu. Staff explained that although the menu did not match what was written on it the replacement meal was something that people living at the home had eaten before and liked. Later people at the home were seen enjoying their evening meal cooked by the staff on duty. Staff were available to assist people who needed help when eating and demonstrated patience in their approach. Care Homes for Adults (18-65 years) Page 20 of 35 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans include details of the support that an individual will need but there are situations that have not been identified fully within them that would not ensure that the individuals needs are met for all occasions. To ensure that medications remain safe for people to have the temperature of the room should also be considered. Evidence: Within the home are people with limited verbal communication skills. The care plan outlined how their care needs would be met. However the care and support plans did not include how an individual staying in hospital, would be provided with further help so that people helping them could improve their understanding of the individuals. The communication sheet had not identified this aspect of a persons care when needed. The AQQA tells us that aids and equipment has been provided where appropriate to meet each persons needs. Records are kept of appointments with specialists such as Psychiatrists, nurses or their local doctor. Staff who spoke with the inspector felt that they offered all the people living at the home emotional support. They felt that the role of the key worker was good as it allowed them to take a special interest in a person who the worker would then get to know the Care Homes for Adults (18-65 years) Page 21 of 35 Evidence: individual better. Staff who give out medications have been given training to do this. Medication sheets known as MARS sheets are provided for this home by the local Pharmacist who supplies medications for the people who live at the home. Medications are pre dispensed into a blister packet where individual medicines are dispensed from. Medication sheets were signed for when the medicine had been given. Staff said that they found the blister packet system of giving medicines easy to use and manage. However when medications in bottles that have specific life spans are opened, the date of opening the medicine is not always written on the medicine bottle and this could lead to medications being used that are past their preferred usage times. Medications that are sensitive to room temperature were stored in the locked medicine trolley but there were no records kept for the temperature of the room. This could lead to medicines deteriorating and losing their effectiveness. Certificates for staff trained to give medicines were seen for two staff members who gave medicines when on duty. Care Homes for Adults (18-65 years) Page 22 of 35 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 receive a service that does not fully ensure their safety. Evidence: The Care Quality Commission (CQC) has been made aware of a number of complaints that have been brought to the attention of Social Services. Due to the sensitive nature of this information this was not seen at inspection. This information is kept at the head office for the company. The complaints have been dealt with. There was no manager on the day of inspection and further information has been requested with regard to all staff training on the Protection of Vulnerable Adults at the home. We request that written assurances are sent to the Commission that establishes how the continuing support of both staff and the people who live at this care home are to be met on a daily basis. The inspector was told that an acting manager from another service within the organisation manages the service however a more permanent arrangement should be established to ensure continuity of care and management at the home. The organisation has policies and procedures about safeguarding people from abuse, these help to make sure that staff know what they should do if they have any concern in this area. Staff told us that they had received training in this subject. Staff were aware of the types of abuse that can occur and knew what their role was in reporting a concern. One person who lives at the home who spoke with the inspector was unable to explain Care Homes for Adults (18-65 years) Page 23 of 35 Evidence: how they would ask for help if they had a concern. The statement of purpose however has guidance on how an individual could do so using pictures to help them. The staff felt sure that the key worker for this person would be able to help him in this way. Other people at the home were busy watching television and did not want to be disturbed. They appeared relaxed in each others company. A picture of the complaints procedure was seen in a Service User Guide. This allows anyone to be able to have access to it and use it with help as required. Two peoples was seen. They included receipts and two staff signatures for any spending from each persons money. Small amounts of money is kept on behalf of each person at the home. It is stored in lockable facilities and each person has access to it and can ask staff when they need their money. Part of the individuals risk assessment included a lack of awareness of the value of money. In this way staff help people who live at the care home to manage their monies. Care Homes for Adults (18-65 years) Page 24 of 35 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. The home provides a physical environment that meets the needs of the people who live there. Evidence: Individual rooms are personalized and on inspection the home was clean and comfortable. The care staff will do the washing of clothes and cleaning of the home in between supporting individuals. This could mean that individuals have less time spent with them. On inspection the two staff on duty were busy in the afternoon preparing the evening meal. Peoples bedrooms have locks on them and the bathroom used has lockable facilities on it that works. In this way the need for personal privacy and dignity is met within the environment. The inspector was told that the use of rooms at the home has been reorganized and the spaces within the home allow for quieter areas that anyone can use. Maintenance records were not seen. Information sent in by the provider in the Annual Quality Assessment (AQQA) states that Fire equipment and fire training for staff is up to date. The AQQA tell us that various improvements within the home have been made. The Care Homes for Adults (18-65 years) Page 25 of 35 Evidence: environment was comfortable. Care Homes for Adults (18-65 years) Page 26 of 35 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Individuals are supported by staff who know them well. In this way they can support people to live in a way that will meet their needs. Evidence: A training profile for staff that work at the home has been requested as it was not available at inspection. Copies of different training certificates in care was seen for two staff members. Information relating to the Criminal Records Bureau (CRBs) (check of staff names against a national police record data base) and references was telephoned through by the acting manager for the care home. However this information will need to be sent through as previously staff records have not been seen as a result of being stored at Head Office. Again as staff files are stored centrally at Mencap head quarters neither references or supervisions could not be confirmed at inspection. At a later date the acting manager supplied dates of information as required. There were no records of Regulation 26 visits at inspection. There were no records of residents meetings or of staff meetings. A copy of the such records is requested and a copy of the staff rota for the month of May and June is requested for the Commission to see. Care Homes for Adults (18-65 years) Page 27 of 35 Evidence: Staff said that they meet individuals needs by providing support for trips out, and through the key worker system. Staff said that they felt the atmosphere at the home was happier now for everyone. The inspector spoke with a social worker who had recently visited someone who lives at the home. They confirmed that a holiday was being planned for that person and that life at the care home had improved for the people who live there. Care Homes for Adults (18-65 years) Page 28 of 35 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 service that does not have sufficiently stable management to ensure their needs continue to be met. Evidence: People living at the care home appeared happy and relaxed. The staff also said that they felt that there had been some good improvements and that the acting manager on loan from another service had changed things about but that the individuals and staff felt less restricted and that choices had been reintroduced. The inspector spoke with a senior manager of the company who has said that she will update the Commission in writing of the situation within the management structure of the care home to ensure that the continued safety and well being of the people who live at the care home is maintained. The Annual Quality Assessment (AQAA) sent in to the Commission by the provider also stated that Health and Safety was up to date. However until the information as requested is sent to the Commission it is difficult to make a full assessment in this area. Care Homes for Adults (18-65 years) Page 29 of 35 Evidence: The registration for the Care Quality Commissions certificate was seen at inspection and also a current copy of the Employers Liability. This is displayed in the office. Care Homes for Adults (18-65 years) Page 30 of 35 Are there any outstanding requirements from the last inspection? Yes  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 Care Homes for Adults (18-65 years) Page 31 of 35 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 Description 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 Description Timescale for action 1 7 15 23/08/2009 Unless it is impracticable to carry out such consultation, the registered person shall, after consultation with the service user, or a representative of his, prepare a written plan (the service users plan) as to how the service users needs in respect of his health and welfare are to be met. This should include any methods of assisting in the communication process with the person should they become ill and need hospital treatment or admission. 2 23 13 (6) The registered person 23/08/2009 shall make arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or Care Homes for Adults (18-65 years) Page 32 of 35 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 Description Timescale for action abuse. A copy of recent training for all staff working with these service users must be provided for the inspection. 3 34 17 The registered person shall 23/08/2009 maintain in the care home the records specified in paragraphs (1) and (2) (3) (b) are at all times available for inspection in the care home by any person authorised by the Commission to enter and inspect the care home. As records for inspection are currently not kept on the premises the organisation must satisfy this requirement in an alternative way that will verify that the records are satisfactory. 4 43 39 The registered person shall 23/08/2009 give notice in writing to the Commission as soon as it is practicable to do so if any of the following events takes place or is proposed to take place- a) a person other than the registered person carries on or manages the care home. Feed back on the issues Care Homes for Adults (18-65 years) Page 33 of 35 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 Description Timescale for action surrounding aspects of management at the care home are required in writing to the Commission. 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 7 The Service User Guide should also include any methods of assisting in the communication process with the person should they become ill and need hospital treatment or admission. All medications should be dated and checked for the room storage temperatures. 2 20 Care Homes for Adults (18-65 years) Page 34 of 35 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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