Care Home: Lumb Valley Residential Home

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What the care home does well People using the service told us that liked living at Lumb Valley. One person said, "The staff are very nice." Another person said, "They look after us." Members of staff were observed attending to people in kind and friendly manner. Everybody we asked said the meals were good. One person said, "We get two choices for meals." Another person said, "we had a good dinner." People using the service told us the daily routine was flexible and they could choose when to get up and go to bed. They also told us that their family and friends were welcome to visit at any time. What has improved since the last inspection? The homeowner and manager have taken the following action in order to comply with the requirements and recommendations made at the last key inspection. Before anyone is admitted to Lumb Valley a detailed pre-admission assessment is carried out by the manager to make sure their health and personal care needs can be met at the home. Care plans identify the health and personal care needs of each person using the service and give directions for staff to follow to ensure these needs are met. Risk assessments for falls nutrition and the development of pressure sores are in place for each person. This enables staff to identify any risks and take appropriate action to effectively manage them. Records for the management of medication have improved to include records of medication received into the home, administered to people using the service and any unused medication returned to the pharmacy. A controlled drugs cupboard which complies with the law has been obtained. This ensures drugs that could be misused are stored correctly. Members of staff are also assessed to check that they are handling medication correctly. The homeowner and manager ensure that two written references and a Criminal Records Bureau check are obtained before any new members of staff start working at the home. this protects people using the service from the employment of unsuitable staff. The homeowner regularly visits the home to ensure it is managed correctly and people using the service are being cared for properly. He also provides the manager with a written report following each visit. The manager ensures that the Commission is informed of any incidents which affect the health and welfare of people using the service. This enables us to check that any issues are being managed correctly. What the care home could do better: To ensure members of staff know exactly what to do in order to meet the needs of each person using the service any changes to the care needed should be recorded in the care plan. To ensure people are cared for in the way they prefer people using the service or their relatives should be involved in care planning. It is essential that medicines are given to people as prescribed by the doctor because receiving medicines at the wrong time, the wrong dose or not at all can seriously affect a person`s health and wellbeing. To protect people from abuse all members of staff must be receive training in safeguarding vulnerable adults. Action must be taken to improve the bedrooms by cleaning or replacing all badly stained carpets. To promote privacy and dignity the ground floor toilet door must be made to fit properly so that it can be locked from the inside. To prevent injury and discomfort to people using the service the cracked bath hoist chair must be repaired or replaced. To ensure the care needs of people using the service are met during the night the number of staff who are on duty and awake should be increased. Members of staff must be given appropriate training in health and safety procedures such as first aid and food hygiene in order to promote the health and safety of people using the service. Key inspection report Care homes for older people Name: Address: Lumb Valley Residential Home 906/908 Burnley Road East Lumb Rossendale Lancashire BB4 9PQ     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: Susan Hargreaves     Date: 1 3 0 7 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Lumb Valley Residential Home 906/908 Burnley Road East Lumb Rossendale Lancashire BB4 9PQ 01706225027 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Waqar Hussain Name of registered manager (if applicable) Mrs Yvonne Shaw Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category 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 15 Date of last inspection Brief description of the care home Lumb Valley, formally a school building, is a residential care home registered to accommodate 15 older people. It is located on the main road in a semi rural area of Lumb in Rossendale. The home is accessible by public transport and is close to some local shops and a post office. Externally there is a small car park, from which a platform lift provides access to the main entrance. There is a patio area is to the front of the home, garden furniture is provided. The home has single and double bedrooms Care Homes for Older People Page 4 of 28 Over 65 15 0 0 4 0 3 2 0 1 0 Brief description of the care home on both the first and second floors. There is a stair lift to provide access between floors. The home has two interlinking lounge areas a separate dining room and a sunroom. Staff are available, to provide assistance with personal care and support, in response to individual needs and wishes. Written information about the services provided at Lumb Valley was available on request from the homes office. At the time of this inspection visit, the fees charged were £360 - £406 per week, there are additional charges for hairdressing. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: A key or main unannounced inspection, which included a visit to the home, was conducted at Lumb Valley Residential Home on 13 July 2010. As part of the inspection process we looked at all the information we have received about Lumb Valley since the last key which took place on 4 March 2010. This included an improvement plan which provided information about the action the homeowner and manager were taking in order to meet the requirements and recommendation made as a result of the last inspection. At the time of this visit eleven people were living at the home. A tour of the premises took place and we looked at staff files and care records. We also spoke to members of staff on duty and people who use the service. Discussions also took place with homeowner and manager regarding issues raised during the inspection. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: To ensure members of staff know exactly what to do in order to meet the needs of Care Homes for Older People Page 7 of 28 each person using the service any changes to the care needed should be recorded in the care plan. To ensure people are cared for in the way they prefer people using the service or their relatives should be involved in care planning. It is essential that medicines are given to people as prescribed by the doctor because receiving medicines at the wrong time, the wrong dose or not at all can seriously affect a persons health and wellbeing. To protect people from abuse all members of staff must be receive training in safeguarding vulnerable adults. Action must be taken to improve the bedrooms by cleaning or replacing all badly stained carpets. To promote privacy and dignity the ground floor toilet door must be made to fit properly so that it can be locked from the inside. To prevent injury and discomfort to people using the service the cracked bath hoist chair must be repaired or replaced. To ensure the care needs of people using the service are met during the night the number of staff who are on duty and awake should be increased. Members of staff must be given appropriate training in health and safety procedures such as first aid and food hygiene in order to promote the health and safety of people using the service. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A thorough admissions procedure ensured the health and personal care needs of people using the service were identified and met. Evidence: A copy of the statement of purpose and service user guide is available to people who are considering using the service and their relatives on request. These supply information about the care and facilities provided at the home. The manager or a senior member of staff visited people who were considering using the service in hospital or their own home before admission. The purpose of this visit is to assess the persons health and personal care needs to ensure they can be met at the home. We looked at the care records of a person recently admitted to the home. These records included a detailed pre-admission assessment which provided important Care Homes for Older People Page 10 of 28 Evidence: information for the development of their care plan. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were cared for in a manner which promoted their privacy and dignity. Deficiencies in the management of medication could affect the health and wellbeing of people using the service. Evidence: We looked at the care plans of two people using the service. These plans usually identified the health and personal care needs and provided directions for staff to follow to ensure their individual needs were met. This included details of peoples dietary likes and dislikes and the times they preferred to get up and go to bed. However, instructions given for the care of one person at a recent hospital appointment had been recorded in the daily report instead of the care plan. Having up to date care plans ensures that all members of staff know exactly what they need to do to in order to care effectively for each person. There was no evidence to suggest that people using the service or their relatives were involved in care planning. Involving people using the service and their relatives in care Care Homes for Older People Page 12 of 28 Evidence: planning helps to ensure their individual care needs are identified and met in the way they want. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Guidance for staff to follow about how to manage identified risks was also included in the care plans. A report about the care given to each person using the service was written during each shift. This ensures that all staff have up to date information about the condition of each person in order to ensure continuity of their care. There were records of the involvement of GPs and other healthcare professionals including the chiropodist, optician and district nurse in the care of people who use the service. People using the service told us they liked living at Lumb Valley. One person said, The staff are very nice. Another person said, They look after us. Personal care was carried out in the privacy of the persons own room or the bathroom. Members of staff were observed attending to people in a polite and friendly manner. As part of the visit a specialist pharmacist inspector looked at how medicines were being handled because we found some shortfalls on our last inspection. Overall we found significant improvements that meant medicines were now being handled in a much safer way. Our checks of the medicines stock and records showed medicines were usually being given to people correctly. Medicines stock was now better organised and the records of medicines received, administered and disposed of were usually accurate so accounting for medicines was simple and easy to do. We checked medicines stocks and records and found they were usually given to people correctly. We found some good improvements in the times regularly prescribed medicines were given. However, two recent courses of antibiotics that should have been given half to one hour before food were given with food. Staff had not properly read the medicines labelling and the information leaflet supplied with the antibiotic so they gave it at the wrong time. Taking medicines at the wrong time can be harmful because it can stop them working properly. We checked how controlled drugs, medicines that can be misused, were handled. A new cupboard for storing controlled drugs had been obtained and this appeared Care Homes for Older People Page 13 of 28 Evidence: compliant with the law. Stock levels were correct and the register used to make witnessed records was usually used properly. Secure storage and witnessed records of controlled drugs helps prevent them being mishandled and misused. Although we found some good improvements in many areas we continued to find some mistakes that showed there was not an effective medicines auditing system in place. One person went without their pain relief for four days because the stock had run out and staff did not act quickly enough to get new supplies. We saw some recording mistakes that meant the exact doses of some medicines were not accurately recorded and a strong pain relief patch was wrongly replaced every three days instead of every four. We discussed these mistakes with the manager and gave some advice about how to prevent them happening again. We saw some improvements in the way people were supported to look after their own medicines. The care plan for one person that was managing some of their medicines had been updated and this highlighted how staff were to support them to do it safely. We advised the manager to record when new supplies were given to this person so that staff could easily monitor whether they were using their medicines properly. Since our last visit all relevant staff had received further medicines handling training provided by the community pharmacist. The manager said she had stopped some staff from handling medicines because she felt they did not have the right skills to do it safely. The manager also said she had formally assessed all staff to make they were competent in handling medicines but she had not made a record of this. We gave some advice about how to record this and how to improve the recording of medicines audits because regular audits, good training and effective competency assessments help make sure staff have the necessary skills to handle medicines safely. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples choices were respected but the range of leisure activities provided did not meet the needs of some people. Meals were wholesome and appetising and people enjoyed them. Evidence: Discussion with people using the service and members of staff confirmed that some activities were organised at the home. These included, dominoes, bingo, ball games, arts and craft, sing-a-longs and quizzes. We were also told that a few weeks ago some people were taken out for a meal at a local restaurant. However, one person said, Im fed up, I just get up in a morning and sit and then go to bed. Another person said, They told us we were going to do bingo but dont know if they will. This person also told us that they used to play dominoes but had not done so recently. People using the service and members of staff said that visitors were welcomed into the home at anytime. One person told us that her relative was sometimes offered refreshments. The daily routine was flexible in order to meet the needs and preferences of people using the service. People told us they could choose when to get up and go to bed. Care Homes for Older People Page 15 of 28 Evidence: All the people asked said the meals were good. One person said, We have two choices for meals. The meal served at lunchtime was chicken and chips or sausage and mash and vegetables. Lunchtime was unhurried allowing people time to chat and enjoy their meal. The manager told us that alternatives to the menu were also readily available. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate 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 felt confident to express their concerns. Some members of staff had not received the training necessary to ensure they understood the principles of safeguarding vulnerable adults. Evidence: A copy of the complaints procedure was included in the statement of purpose and service user guide and displayed in each bedroom. One person using the service said they felt confident to make a complaint should this be necessary. The homeowner told us that no complaints had been made since the last inspection. A new form had been devised for recording the details of any complaints including the investigation and any action taken. This will ensure that complaints are taken seriously and appropriate records of how the issues have been resolved are available. Discussion with three care workers confirmed that they had received training in safeguarding vulnerable adults last year. They all said they would report any concerns immediately and knew the procedure they must follow in order to ensure action is taken to protect people from abuse. However, one of the domestic staff we asked had not received any safeguarding training and did not know what to do if she witnessed abuse taking place. Being aware of and understanding safeguarding policies and procedures helps to ensure that people using the service are protected from abuse. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Communal rooms are comfortable and homely but some areas of the home would benefit from refurbishment in order to promote the wellbeing of people using the service. Evidence: A tour of the premises confirmed that communal rooms were clean, tidy and well maintained. This provided a homely and comfortable environment for people using the service. However, the carpets in most of the bedrooms were badly stained and urgently needed to be cleaned or replaced. There were chests of drawers in the bedrooms but a number of drawers had handles missing which meant they could not be used. Having stained carpets and unusable drawers does not promote the wellbeing of people using the service. In one bathroom the bath seat had several cracks with rough edges. Although we were told this was covered with a towel when used it could cause injury to people using this equipment. The door to a toilet on the ground floor did not close properly and therefore could not be locked. This means that privacy and dignity is not promoted for people who use this toilet. People using the service were encouraged to bring personal items for their bedrooms to make them more homely. These included, ornaments, photographs and pictures for Care Homes for Older People Page 18 of 28 Evidence: the walls. The grounds and gardens were well kept and accessible to people using the service if they wished to sit outside when the weather permitted. Gloves and plastic aprons were available throughout the home for members of staff to use in order to protect themselves and people using the service from infection. All the laundry was done at the home. A suitable equipped laundry room ensures clothes are washed promptly and returned to people using the service. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Training for members of staff was encouraged but staffing levels at night might not be sufficient to meet the needs of people using the service. Recruitment procedures are thorough Evidence: The duty rota provided details about the grades and number of staff on duty for each shift. The manager explained that at night when two care workers were on duty one of them was a sleep in duty and that carer was only disturbed if necessary. She also explained that where people using the service needed help with positional changes at night these were carried out by one care worker. However, it was clear from the care plans of two people using the service that they needed the assistance of two care workers for personal care and positional changes. These people required frequent changes of position throughout the night in order to prevent the formation of pressure sores. Having insufficient staff available for moving and handling procedures increases the risk of injury to people using the service and members of staff. It could also mean that peoples personal care needs are not being fully met. We looked at the files of three members of staff appointed since the last inspection. These files indicated that all the required information had been obtained before they had started working at the home. These included two written references and a Criminal Records Bureau check. These checks ensure that people using the service are Care Homes for Older People Page 20 of 28 Evidence: protected from the employment of unsuitable staff. Discussion with the manager and members of staff confirmed that training opportunities were available. This included induction training for new employees and training for National Vocational Qualifications in health and social care at level 2 or 3. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The views of people using the service are considered when decisions about the care and facilities provided at the home are made. A lack of training for staff in some areas of health and safety could affect the wellbeing of people using the service. Evidence: The manager has several years experience of caring for older people. She has completed the NVQ Registered Managers Award and uses the internet and reads care journals to help keep herself up to date with current practice. Members of staff interviewed during this visit told us the manager was approachable and supportive. However, the manager has not kept up to date with some of the training required by care home staff including a current first aid certificate. This means that in the event of an accident or medical emergency when the manager would be expected to take a leadership role she may not know the correct action to take. Discussion with the manager and homeowner confirmed that they were committed to running the home in the best interests of the people living there and had achieved the Care Homes for Older People Page 22 of 28 Evidence: nationally accredited Investors in People Award. The people using the service and their relatives were asked to give their views about the home by completing anonymous satisfaction questionnaires every six months. The most recent ones were completed in March this year. Meetings with people using the service were also held regularly to enable them to discuss any aspect of their life at the home. As a result of listening to their views craft activities were introduced following the meeting in March. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place in which to live and work. However, it was clear from the training records and discussion with the homeowner, manager and members of staff, that staff had not received the required training to ensure they were kept up to date with health and safety procedures. This meant that a member of staff qualified to administer first aid was not always on duty on each shift, fire training had not been updated since 2008, none of the staff had received training in infection control and staff who were responsible for cooking meals in the absence of the regular cook did not have an up to date food hygiene certificate. It is the responsibility of the homeowner and manager to ensure that all members of staff receive the required training in order to promote the health and safety of people using the service Fire alarms were tested weekly and a fire drill was held monthly. Although records showed that emergency lighting had been serviced last year the manager was advised to check these more frequently to make sure they were always in full working order. We looked at the records of routine servicing of equipment. These included up to date electrical installation and gas safety certificates and evidence that the testing of small electrical appliances was carried out annually. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Medicines must be given to people as prescribed. This is important because receiving medicines at the wrong time, wrong dose or not at all can seriously affect a persons health and wellbeing. This requirement was set at the last inspection, but has still not been met. 16/08/2010 2 18 13 All members of staff must be 27/08/2010 given training in safeguarding vulnerable adults. This will help to protect people using the service from abuse. 3 19 23 The bath hoist chair must be 10/09/2010 repaired or replaced. The ground floor toilet door must be made to close properly. Care Homes for Older People Page 25 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This will prevent injury to people using the service. This will promote privacy and dignity for people using the service. 4 26 23 The badly stained bedroom carpets must be cleaned or replaced. This will ensure people live in a clean, pleasant and homely environment. 5 38 13 Staff must be given the necessary training in health and safety procedures including first aid, fire prevention, food hygiene and infection control. This will ensure that the health and safety of people using the service is promoted. 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 30/09/2010 30/09/2010 1 7 Details of any changes to the care needed for a person using the service should be written in the care plan as well as the daily report. This will ensure that all members of staff know exactly what to do in order to meet the needs of each people using the service. People using the or their relatives should be involved in Care Homes for Older People Page 26 of 28 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations care planning. This will ensure that people are cared for in the way they prefer. 2 9 When medicines are received into the home staff should make sure information about how they should be safely administered is properly recorded to help make sure they are given to people correctly. An increased range of leisure activities should be offered to enable more people using the service to have a fulfilling lifestyle. It is strongly recommended that the number of staff on duty at night who are awake be increased. This will ensure that peoples needs are met and moving and handling procedures are carried out safely. The manager should make sure that she keeps up to date with the required training in order to promote the health and safety of people using the service. 3 12 4 27 5 31 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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