Care Home: Longford

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What the care home does well We found the atmosphere in the home to be relaxed, comfortable and informal. Staff were able to demonstrate a good knowledge of each individual person`s preferences and choices about their daily lifestyles and watching staff at work gave a good indication of their commitment to providing people with a comfortable home life. People really enjoyed the meals cooked by the chef and were happy that there was enough food and they had choices in the meals they wanted. The chef consulted with people on a regular basis to find out what they thought of the meals and to give people a chance to make suggestions for new meals and choices. People spoken to told us "We have good meals every day" and "The cook knows how to cook, that`s the main thing".LongfordDS0000072944.V375259.R01.S.docVersion 5.2 What has improved since the last inspection? This was the first inspection of this new service. What the care home could do better: Where pre-admission assessment paperwork requires the signature of the person who will be using the service and/or their representative it is important that these signatures be obtained to show that people have been fully involved in the assessment process and their opinions and choices have been sought and appropriately recorded. Although each person had a care plan in place, not all details of the plan had been fully completed. Lack of completing such important information could mean that the individuals` needs are not being fully met. Key inspection report CARE HOMES FOR OLDER PEOPLE Longford 37 Edge Lane Chorlton Cum Hardy Manchester M21 9HF Lead Inspector John Oliver Unannounced Inspection 30th April 2009 09:30 DS0000072944.V375259.R01.S.do c 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 homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Longford Address 37 Edge Lane Chorlton Cum Hardy Manchester M21 9HF 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) 0161 881 2743 0161 834 0623 Inspirit Care Limited Mrs Patricia Mary Keogh Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 40 Date of last inspection Brief Description of the Service: Longford is a residential care home offering accommodation and personal care for up to 40 older people and is part of Community Integrated Care (CIC) also known as Inspirit Care Limited. The home is a purpose built two-storey building. Bedroom accommodation is provided in 34 single and four double bedrooms located on both floors. None of the bedrooms have en-suite facilities. All are fitted with a washbasin and vanity mirror. Ample toilet and bathing facilities are located on both floors. At the time of this inspection visit work was being carried out to update and refurbish parts of the home such as corridors, bathrooms, toilets and bedrooms. Longford is located close to Stretford and Chorlton town centres and public transport links into Manchester City Centre The home is set in mature gardens with a large lawned area. Car parking is provided to the side of the building. The current fees charged are £382. 88 – £455.00 Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Care Quality Commission) in relation to the home prior to the visit. Before visiting the home, we asked the manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they considered they needed to do better. This helped us to determine if the management of the home viewed the service they provide the same way that we assess the service. To support the inspection process and to complete the report we may have used additional information supplied to us by the manager such as notification of any incidents that have taken place in the home and any concerns or complaints received. During the inspection visit time was spent talking to a number of people using the service, observing how staff work with people and talking to the manager and staff on duty. Documents and files relating to people and how the home is run were also seen and a partial tour of the building was made. What the service does well: We found the atmosphere in the home to be relaxed, comfortable and informal. Staff were able to demonstrate a good knowledge of each individual person’s preferences and choices about their daily lifestyles and watching staff at work gave a good indication of their commitment to providing people with a comfortable home life. People really enjoyed the meals cooked by the chef and were happy that there was enough food and they had choices in the meals they wanted. The chef consulted with people on a regular basis to find out what they thought of the meals and to give people a chance to make suggestions for new meals and choices. People spoken to told us “We have good meals every day” and “The cook knows how to cook, that’s the main thing”. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 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. People’s needs are assessed before admission into the home to ensure that identified needs can be met. EVIDENCE: Any person considering coming to live in the home was only admitted following a pre-admission assessment undertaken by the referring agency. The manager or a member of the senior team would then visit the person in his or her own environment to carry out a pre-admission assessment on behalf of Longford. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 9 In the information returned to us in the Annual Quality Assurance Assessment (AQAA) the manager told us, “All potential clients have full needs assessments carried out prior to admission. This is carried out in their own setting or hospital….Opportunities to spend time and have meals at the home before deciding allows potential clients to see what they think” and “Adequate information is given in person to the potential client and their family”. It is important that people considering coming to live in Longford have his or her needs fully assessed in order to feel assured that these will be met. We looked at the files of four people admitted to the home. All had preadmission documentation in place carried out by the referring agencies and the staff at the home. Although this information was in place, none of the preadmission assessments carried out by the home had been dated or signed by the person or their representative. It is important that signatures are obtained wherever possible to show that people have been fully involved in the assessment process and their opinions and choices have been sought and appropriately recorded. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 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. People at Longford have their needs met and their care is provided in a manner that protects their privacy and dignity. EVIDENCE: Each person had their own individual file and care plans that were based on information gather from the relevant assessments and through knowledge gained by staff as they get to know the person. We saw that the care plans in place concentrated primarily on the interventions needed to reduce risks and the general health and personal care of the individual. The manager told us that the organisation was in the process of reviewing the care plan format with a view to changing it. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 11 From talking to the manager, staff and observing how staff work with people it was shown that the knowledge that staff have in how they work with and support people was not fully reflected within the individual care plans and support interventions. For example, one care plan examined stated, “I sometimes need assistance from staff with personal care”. There was no indication within the plan has to how the assistance was to be offered/given although watching staff assisting the person whose care plan it was indicated they knew how this should be done. It is important that information in care plans fully reflect the support and assistance needed by person to ensure that wherever possible, independence is maintained and all identified needs are appropriately met. Care plans sampled were inconsistent in the way in which they were written and in some, not all details of the care plan had been completed. For example, in one care plan the following sections had not been fully completed, “Going to the toilet”, “My skin, hair and nails”, “Food and drink”, “Occupying my day”, “Getting out and about”, “Comfort, rest and relaxation” and “My emotions”. Lack of such important information could mean that the individuals’ needs are not being fully met. Although the manager told us that all care plans were reviewed on a monthly basis there was no written evidence to confirm this. Care plans need to be reviewed on a regular basis to ensure that information is up to date, relevant and guides staff in meeting people’s needs in the most appropriate ways. Input from health care agencies, such as the District Nursing Service, General Practitioners and others were recorded in the individual’s files. We also saw that people who required support with specific health conditions such as diabetes, continued to be supported to access the relevant community health services, such as chiropody and opticians. We spoke to the relative of one person using the service who told us, “Everything seems fine; dad’s been here since ….. Staff seems really good, always asking residents if they are alright or need anything”. The way in which medicines were administered in the home was examined. Staff with the responsibility for administering medicines to people using the service did so using a monitored dosage system and the manager confirmed that all staff had received relevant training. Medication administration records were sampled and found to be mostly accurate except for some where medication not in the monitored dosage system did not balance. Where medication is to be given as and when required or has a fluctuating dosage it is important that an accurate balance is recorded in order that a clear audit trail can be maintained and to minimise any risk to people using the service from errors in administration occurring. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 12 At the time of our visit two people were being administered a controlled drug and on checking, balances and records of this medication was found to be correct. It was recommended that regular competency assessments be carried out to ensure staff with the responsibility of administering medicines continues to do so safely. We spoke to two people using the service who both confirmed that they received their medicines when they should and comments included “Tablets morning, noon and night, yes I get them regularly” and “The girls are very good, I always get my pills when I need them, especially pain killers”. We watched staff working and interacting with people using the service and saw that they treated people in a positive way whilst respecting their privacy and dignity. People using the service told us “The girls look after us well”, “We are not treated like children” and “My visitors come and talk to me in my room – it’s private there”. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 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. People using the service had opportunities to participate in stimulating and meaningful activities. EVIDENCE: In the information supplied by the manager before we visited the home were told that activities do take place and “we have an activity organiser who works 20 hours per week”. At the time of our visit the activity organiser was on duty and we had the opportunity to speak with her about the activities available in the home. She told us that various activities took place throughout the week and that she kept a record of those activities and who participated in them. She also told us “Not all residents will join in with activities, some you have to ask and Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 14 encourage” and “For those who cannot verbally communicate we observe body behaviour and get them to join in when appropriate”. She also confirmed she worked 20 hours per week, working every other week-end. People were encouraged and supported to keep contact with their families and visitors were welcome at the home at any reasonable time. We observed a main meal being served at lunchtime and people had various options to choose from. Choice was offered by showing people the different options available which seemed to make it easier for people to choose. After the meal was finished we spoke to three people using the service who told us “That was really good”, “We have good meals every day” and “The cook knows how to cook, that’s the main thing”. During the meal time we did see one member of staff take a nearly full plate of food away without offering encouragement or enquiring if the person would like something else, the member of staff just said “Have you finished?” It is important, especially for those people with various forms of dementia, to be encouraged to eat meals on a regular basis to ensure their nutritional intake is appropriately maintained. This was discussed with the manager at the time. We spoke to the cook who was from an agency but had worked at the home for nearly 12 months. He was very clear about his understanding of the nutritional and dietary needs of people using the service and told us “The managers keep me informed of any special dietary needs”. He also said “The manager supports anything I need” and “We have plenty of food stocks, no problems at all”. On the day of our visit, new gas cookers were being installed. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The policies, procedures and staff practices were present to protect vulnerable people from abuse and protect their wellbeing. EVIDENCE: The formal Complaint Procedure set out the stages, timescales and the procedures for people to follow if they want to make a formal complaint. The procedure was made available and was also on display in communal areas. Details in the procedure needed updating to show the name and address of the new organisation that is now running the service and to list the correct name and address for the Care Quality Commission. We looked at the complaints register and saw that eight complaints had been recorded since November 2008. All complaints had been made by people using the service or relatives and all appeared to have been satisfactorily concluded. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 16 The Adult Protection Policy and procedure set out the role of the management and staff in protecting people. The manager was aware of the process to follow in the event of an allegation or incident of abuse. Staff spoken to were also aware of their role in protecting people and what they would do if they had any concerns and also confirmed that they had received training in the Protection of Vulnerable Adults (POVA). There had been two safeguarding referrals since November 2008. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 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. The home was reasonably well maintained but further work was needed to make the home more comfortable and safe for people using the service. EVIDENCE: At the time of our visit to the home some work was being carried out to upgrade the environment, including upgrading facilities such as toilets and bathrooms and new lighting was to be installed on corridors as well as redecoration of these areas. This meant that areas such as the main corridor near the office was being worked on whilst people living and working in the Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 18 home still needed access to the area. People whose rooms were on this corridor were unable to access them during the day without the support of a member of the staff team in order to minimise any potential risk to the individual whilst building work was being carried out. The Property Surveyor for the organisation was spoken to and confirmed that thorough risk assessments had been completed for all the work being carried out and the manager also confirmed that all staff were aware of the risk assessments in place for each person using the service and how to support each person during the upgrading of the home. Not all staff spoken to were aware that risk assessments were in place. It is important that when such work is being carried out, full and detailed risk assessments are in place and available to all staff to help minimise any potential risk to people using or working in the service. We carried out a limited tour of the home and saw that bedrooms had been personalised and in some, new flooring had been laid. Seven bedrooms had been fully refurbished and the manager confirmed that eventually all bedrooms would be refurbished. At the time of our visit there was seven rooms vacant and the manager said that these would be used to move people currently using the service into whilst their bedrooms were being upgraded. It is important that forward planning takes place when carrying out such work in order to minimise any potential disruption to those people using the service and to maintain their safety. The laundry was situated on the ground floor and a laundry assistant was employed specifically for this purpose. The laundry area was suitable for purpose and new flooring had recently been laid. Hand washing facilities were in place and the manager confirmed that the majority of staff had completed Infection Control training. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 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. People were supported by sufficient numbers of appropriately qualified and experienced staff. EVIDENCE: The manager and deputy manager covered the management of the home across the week supported by senior team leaders and on the day of our visit enough staff seemed to be available to meet the needs of the people using the service. The manager told us that the organisation has recently increased staff hours for the home by and extra 42 hours per week to use in the evenings. Further discussion with the manager confirmed that whilst refurbishment work was being carried out she would monitor rotas to enable enough staff to be deployed throughout the home to ensure the safety of the people using the service at all times. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 20 Within the Annual Quality Assurance Assessment (AQAA) returned to us before the inspection took place the manager told us “All staff receives mandatory training. Over 60 of staff (are) trained to NVQ 2”. Samples of files for a number of recently employed staff were seen and found that they all contained the required documentation and checks including reference to the enhanced Criminal Record Bureau certificates. It is important that procedures relating to the employment of new staff are closely followed to make sure that only suitable people are recruited to work in the home. We saw that new staff had undertaken some basic induction at the start of their employment in line with Skills for Care Induction modules based on the Common Induction Standards. This information was not consistent on all staff files examined and it was difficult to see if all new staff had fully completed their induction training. It is important that all new staff receive consistent and approved induction training in order to meet the changing needs of people who use care services. Each file contained some evidence of the training that had been undertaken by the individual member of staff and staff spoken to during the visit confirmed this. Comments included “We have had lots of training in the past but not so much lately” and “I have done medication training, moving and handling and protecting vulnerable people”. The manager confirmed that a new training system was shortly to be introduced by the organisation that would give all staff more opportunities to access regular, ongoing training and would aid their personal development. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was run and managed by a person who was fit to be in charge. EVIDENCE: The manager of the home was experienced in the role and had achieved the Registered Manager Award (RMA) and was supported by a deputy manager who holds a National Vocational Qualification (NVQ) at Level 2. They both Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 22 continued to update their knowledge and skills by attending most training courses arranged for staff. To assist in monitoring the service delivered to people living in the home the management team sent out questionnaires to both residents and their families and all comments would then be collated and action taken where required. At the time of our visit the organisation was in the process of reviewing and updating all policies and procedure including the Service User Guide and Statement of Purpose. Regular monthly visits were being made to the home by the lead transitional manager from the organisation that also carried out one to one supervision with the home manager. The organisation has responsibility for a number of residential homes and in order to maintain a consistent approach in monitoring standards and service delivery, managers carry out monthly visits to each others home to carry out a ‘service audit’. The manager told us that she did not deal with any finances on behalf of people using the service. Where small amounts of money were managed on behalf of a number of people this was usually brought in by relatives for things such as hairdressing, newspapers and other small items. Records were kept and receipts obtained. Within the AQAA the manager told us that the maintenance and servicing of equipment used in the home was carried out on a regular basis. We randomly selected a number of records to check and found these to be in order. Visual checks were made of fire equipment, means of escape and the fire alarm was regularly tested. Fire drills were being carried out. Longford DS0000072944.V375259.R01.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x X X X X x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP7 OP9 Good Practice Recommendations It is important that all relevant details are included in care plans in order to minimise the risk of identified needs not being met in the most appropriate way. It is recommended that regular competency assessments are carried out with those staff with the responsibility for administering medicines. This should help to minimise the risk of errors occurring when medicines are administered. It is recommended that the complaints procedure be updated to show the correct name and address of the new organisation running the service and the correct details for contacting the Care Quality Commission. It is recommended that whilst refurbishment work is being carried out in the home regular reviews of individual risk assessments take place to keep staff up to date and to minimise potential risks to people using the service. It is recommended that induction training for new staff employed in the home is clearly identified within their DS0000072944.V375259.R01.S.doc Version 5.2 Page 25 3 OP16 4 OP19 5 OP30 Longford personnel files and is fully completed to show this training has taken place. Longford DS0000072944.V375259.R01.S.doc Version 5.2 Page 26 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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