Care Home: Madeline Mckenna Court

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What the care home does well They ensured that people`s needs and wishes were assessed before they moved in Madeline McKenna Court. This helped ensure that the home had the facilities to meet the individuals` needs. Individual Care plans documented people`s day to day needs. Systems were in place to help ensure that people received the medical support they required. The living environment provided a clean and comfortable home for people to live. People were supported by a staff team who knew them well. People told us there was always somebody to talk to if they were not happy. Systems were in place to protect people`s finances. What has improved since the last inspection? A list of activities available at the home was displayed. What the care home could do better: A detailed record of all complaints, complaint investigations and outcomes must be maintained. This is to ensure that complaints about the service can be monitored and acted upon. To help ensure that people receive the care and support they require detailed records of all care and support offered to people should be maintained. Guidance must be sought regarding current legislation relating to ascertaining people`s wishes regarding the use of resuscitation. When people are unable to request medication prescribed on an as and when basis, a record of signs and indicators of when to administer the medication should be supplied by the prescriber. To help people make a choice of what they want to eat and to help orientate people through their day, a copy of the menu should be made available throughout the home. A review of the information contained in the services safeguarding policy should take place to ensure that it contains up to date information and guidance for the staff team. Advice should be sought from Halton Borough Council`s environmental health department about providing appropriate smoking facilities that meets with current legislation. Accurate record should be maintained of all training undertaken by staff to demonstrate that staff are being given up to date knowledge and skills to carry out their role safely. Key inspection report Care homes for older people Name: Address: Madeline Mckenna Court Haddon Drive Widnes Cheshire WA8 9DY     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: Adele Berriman     Date: 0 2 0 3 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 29 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 29 Information about the care home Name of care home: Address: Madeline Mckenna Court Haddon Drive Widnes Cheshire WA8 9DY 01514951233 01514230057 doliver@arena-housing.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Arena Housing Association Limited Name of registered manager (if applicable) Mrs Diane Oliver Type of registration: Number of places registered: care home 23 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: 23. Date of last inspection Brief description of the care home Madeline McKenna Court is a residential care home providing personal care and accommodation for up to 23 people over the age of 65. It is run by Arena Housing Association, a not for profit organisation, and is situated in the Hough Green area of Widnes, approximately 2.5 miles from the town centre, in a modern housing estate, next to a school. There are public transport links near the home and car parking facilities available. There is a health centre nearby with churches and other amenities in the area. Care Homes for Older People Page 4 of 29 Over 65 23 0 Brief description of the care home The home is a modern purpose built single storey building with 23 single rooms with en-suite facilities, and sufficient dining room and lounge space, toilets and bathrooms. There are a variety of aids and adaptations to help residents. There are well-tended grounds with seating areas available for residents and their visitors to use. The cost of the service was between 350.00 and 395.17 pounds at the time of this inspection taking place. Care Homes for Older People Page 5 of 29 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: We carried out an unannounced visit to the home. The visit began at 11am and ended at 6.30pm. The visit formed part of a key inspection of the home in which all of the key standards were assessed. During our visit we spent time talking to people living at Madeline McKenna Court, two senior members of staff, the acting manager and an area manager for Arena Housing. We looked at the communal living areas and a selection of bedrooms and bathrooms. We looked at a selection of records, policies and procedures during the visit. These included care plans, staff files, medication records and daily records. Six people who live at the home completed a survey form, several with the assistance of their relatives. Five staff also completed survey forms in which they told us their thoughts on working at the home. Care Homes for Older People Page 6 of 29 Prior to our visit they completed an Annual Quality Assurance Assessment (AQAA). This document gave them the opportunity to tell us what they thought they did well, what they thought they could do better and what improvements they had made over the past 12 months. The AQAA contained on some of the information we asked for. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: A detailed record of all complaints, complaint investigations and outcomes must be maintained. This is to ensure that complaints about the service can be monitored and acted upon. To help ensure that people receive the care and support they require detailed records of all care and support offered to people should be maintained. Guidance must be sought regarding current legislation relating to ascertaining peoples wishes regarding the use of resuscitation. When people are unable to request medication prescribed on an as and when basis, a record of signs and indicators of when to administer the medication should be supplied by the prescriber. To help people make a choice of what they want to eat and to help orientate people through their day, a copy of the menu should be made available throughout the home. A review of the information contained in the services safeguarding policy should take place to ensure that it contains up to date information and guidance for the staff team. Advice should be sought from Halton Borough Councils environmental health department about providing appropriate smoking facilities that meets with current legislation. Accurate record should be maintained of all training undertaken by staff to demonstrate that staff are being given up to date knowledge and skills to carry out Care Homes for Older People Page 8 of 29 their role safely. 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 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. People have their needs assessed before they move into the home to ensure that their needs can be met. Evidence: We saw that a pre admission assessment was carried out prior to a person making a decision to move into Madeline McKenna Court. The purpose of the assessment was to ensure that the staff were aware of peoples individual needs and to ensure that the home had the facilities to meet these needs. We saw that the information gained during pre admission assessment process was recorded on a set format. It gave the opportunity to records peoples care and health needs within their day to day life. The document was also used as an initial care plan for when people initially moved into the home whilst their detailed care plan was being developed. Pre admission assessments were present on the care plan files that we saw. Care Homes for Older People Page 11 of 29 Evidence: They told us that people considering moving into the home were encouraged to visit for the day to meet and spend time with the residents and staff. The majority of people who completed a survey form told us that they received enough information to help them decide if the home was the right place for them before they moved in. Madeline McKenna Court does not provide intermediate care facilities. Care Homes for Older People Page 12 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning considers peoples needs, wishes and health conditions. This helps ensure that peoples needs are met by the staff team. Evidence: We saw that each person had their own file that contained their personal information, pre admission information and their care plan. We looked at four peoples care plans. We saw that the care plans contained information about peoples day to day needs and wishes. We saw that care plans contained information regarding peoples specific health care needs and conditions. Staff told us that this information was useful when they are supporting the individual. All five staff who completed a survey form told us that they are always given up to date information regarding the needs of the people they support. Daily records were maintained by the staff team. We saw that the information written Care Homes for Older People Page 13 of 29 Evidence: in the records varied in detail. For example, some records were brief and stated fine, slept well and all care given. To help ensure that people receive the care and support they require detailed records should be maintained of all care and support offered and provided to people. We saw that records of bathing, showering and personal care were maintained in one book. A staff communication book was in use that identified people by name. In order to protect peoples information, individual records should be maintained for each person. We saw that risk assessments specific to individuals needs formed part of peoples care plans. We saw risk assessment relating to moving and handling, pressure area care, continence and the environment. We saw records that demonstrated that people had regular access to local health care professionals. People who completed a survey form told us that they always receive the medical support they require. Whilst visiting the home we saw an optician visiting several people. During the visit we observed staff supporting people in a manner that respected their dignity and privacy. The majority of people who completed a survey form told us that staff always listen and act on what they say. One person told us that staff are cheerful, helpful and polite. We saw that they had a policy and procedures for the management of peoples medication. The policy contained information about the appropriate administration of medication prescribed on an as and when basis (PRN). The policy stated that staff should only administer PRN medication to people who have the capacity to request the medication. We saw that people unable to request medication had been prescribed PRN medication. A review of the homes medication policy regarding PRN medication should take place to ensure that the policy meets the needs of the people using the service who are prescribed PRN medication. We saw that the where possible medication was dispensed from the pharmacy in monitored dosage systems which was stored appropriately in lockable cabinets and a fridge. Staff recorded medication that they had administered on medication administration records (MAR). We looked at a selection of MAR sheets and saw that the majority had been completed appropriately. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were given choices within their day to day lifestyle. Evidence: They told us in their AQAA that they have daily activities for people. During our visit they told us that staff support people with activities on week day afternoons. They told us that they did not have a set activities programme as people decide on the day what they wished to do. The activities available included chair exercises, quiz, bingo, beauty afternoons and the hairdresser visits on a weekly basis. Outside entertainers visit the home occasionally. People told us that they had a choice of what time they got up in a morning and what time they went to bed. One person told us that they had brought several of their own personal effects with them when they moved into the home and that this had made her room feel homely. One person told us in their survey form that you are always listened to when questions are asked. Care Homes for Older People Page 15 of 29 Evidence: We saw that two people received daily national newspapers and local newspapers were also seen around the home for people to read. People who completed a survey form told us that the home usually arranges activities that they can take part in. One person wrote that they that the home could do better by providing more social activities. They told us that a minister from a local Roman Catholic church and a representative from a local Methodist church visit the home on a regular basis to support people with their religious preferences. They told us that visitors were welcome at any time and people confirmed that their relatives were able to visit them at any time. People were able to meet with their visitors in their own bedrooms, the communal lounge or one of the quieter seating areas available around the home. Meals were served in the dining room. We saw a sample of the four week food menu in use. It demonstrated that a set menu was available for lunch and teatime meals. An alternative menu was available for people did not want to eat the food available on the set menu. We saw that neither of the menus were displayed around the home. To help people to make a choice of what they want to eat and to help orientate people through their day the days menu should be available throughout the home. The majority of people who completed a survey form told us that they always liked the meals at the home. One person wrote that the home could improve by having more variations on meals they told us that residents know whats for dinner by what day it is. Care Homes for Older People Page 16 of 29 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 were aware of who to speak to if they had a concern; a more robust recording system is needed for complaints to ensure that they are monitored. Evidence: We saw that information relating to the homes complaints procedure was available in all bedrooms. We saw that the procedure did not inform people of the timescales in which complaints would be managed. They told us that when they receive a complaint an incident report form was completed. We saw that there was no system in place to record the complaint investigation outcome or any action taken as a result of a complaint investigation. This information should be recorded and monitored at all times. People who completed a survey form told us that there was always someone to speak to informally if they were not happy and all were aware of how to make a formal complaint about the service. We looked at the homes policy procedures for the protection of vulnerable adults. We saw that the document contained information about how to record concerns, preserve evidence and what constitutes abuse. We saw that some information within the document were in need of reviewing and updating. For example, the information referred to legislation that is no longer used and did not consider current legislation. Care Homes for Older People Page 17 of 29 Evidence: In addition, the document failed to refer directly to Halton Borough Councils safeguarding procedures and the need for all incidents of actual or suspected abuse to be report under the local joint agency safeguarding procedures. To help ensure that all safeguarding situations are reported appropriately up to date information about the reporting procedures must be available to staff at all times. Training information that they gave us demonstrated that five staff had completed safeguarding awareness training within the last three years. All staff should receive awareness training in local safeguarding procedures. This will help ensure that any incidents that occur would be managed appropriately. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and comfortable environment. Evidence: The home is situated in a residential area close to the local public bus services. A garden and courtyard were available for people to sit. They told us in their AQAA that they had purchased wooden garden furniture for these areas and over the next 12 months they intend to put plants in the garden to improve the look of the area. We looked at several peoples bedrooms and saw that they were personalised with their personal belongings and effects. Communal areas were comfortably furnished and several small seating areas were available around the home for people to have quiet time and spend time with visitors. We saw that two of the communal bathrooms were being used as storage rooms. Alternative storage facilities should be sought in to enable people to have a choice of all of the bathing facilities available around the building. We saw that one bathroom was being used as a smoke room, which took away peoples access to that particular bathroom. The manager should seek advice from the local councils Environmental Health department about providing appropriate smoke room facilities that meet current legislation. Care Homes for Older People Page 19 of 29 Evidence: The environment was clean and tidy. People who completed a survey form told us that the home was always fresh and clean. Comments included always very clean and the cleanliness of the home cannot be faulted. We saw that the home had been awarded an excellent rating for hygiene by Halton Borough Council in November 2009. Care Homes for Older People Page 20 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Madeline McKenna Court are supported by a team of staff who know them well. Evidence: We saw that two carers, a senior carer, a cook and a domestic worker were on duty to meet the needs of the 19 people in residence. The acting manager was also on duty. People who completed a survey told us good things about the staff team. These comments included staff, cheerful, helpful and polite and staff are very committed and are always very professional and caring. One person told us that the home does well as staff look after everyone who is there, it is a happy home. We observed staff enabling people in a caring and supportive manner. The two senior staff who we spoke to demonstrated a good awareness of peoples needs. We looked at the recruitment files of four members of staff, three of which had been recruited since we last visited. We saw that the majority of files contained the information required. We saw written references, application forms and that Criminal Record Bureau (CRB) disclosures had been applied for. We saw one application form that had not been completed in full and many of the photocopies documents on the files were of poor quality print and many were unreadable. The service should ensure Care Homes for Older People Page 21 of 29 Evidence: that all application forms are completed in full and that all documents are legible. This will help ensure that the service us able to demonstrate that appropriate recruitment procedures are being used. All staff who completed a survey form told us that their employer carried out CRB and reference checks before they started to work at the home. We saw that few records were available at the home to demonstrate what training staff had undertaken. They told us that they had recently introduced training passports for all staff to record their training. We saw that little information was written on the passports. Accurate records should be maintained and accessible of all training undertaken to help demonstrate that staff are being given the up to date knowledge and skills to carry out their role safely. Following our visit the acting manager supplied us with a training matrix. The information demonstrated that the majority of staff had completed training in food hygiene, moving and handling and first aid in 2009. A number of staff had completed health and safety and medication training. They told us that all staff were in the process of completing training in Equality and Diversity. They told us that all care staff had completed induction training recommended by Skills for Care and that the majority of staff had completed an National Vocational Qualification (NVQ) level 2 or above for their role. All staff who completed a survey form told us that they were being given training that is relevant to their role and that keeps them up to date with new ways of working. The majority of staff told us that they always feel they have enough support, experience and knowledge to meet the different needs of the people who live at Madeline McKenna Court. One staff member told us if you have any problems, excellent seniors to speak to and manager. Care Homes for Older People Page 22 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems, policies and procedures were in place to help ensure that peoples health and safety is protected. Evidence: At the time of this inspection the registered manager for the service was on a secondment to another of Arena Housing services. An acting manager was in place for the day to day management of the home. They told us that the registered manager was in regular contact with Madelaine McKenna Court and that they were supported by an area manager from Arena Housing. The acting manager demonstrated a good awareness of the needs of the people living at the home. Prior to our visit they had completed an Annual Quality Assurance Assessment. This document gave them the opportunity to tell us what they did well, how they had improved in the last 12 months and their plans for improvement over the next 12 Care Homes for Older People Page 23 of 29 Evidence: months. The information contained in the AQAA and did not tell us much information. In order to gain the views of the people living at the home they told us that they held monthly residents meetings. The area manager from Arena Housing visited the home on a regular basis. They told us that they felt they could improve on how they monitor their quality assurance within the home. We saw that procedure were in place to safeguard peoples financial interests. We saw that records and receipts were maintained for all transactions. We saw that accidents were being recorded and the records were being stored appropriately. We saw that the service had policies and procedures in place for the health, safety and welfare of people. The policies and procedure were developed and maintained by Arena Housing. They told us in their AQAA that all policies and procedures had been updated within the last 12 months. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 29 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 7 12 Guidance must be sought regarding current legislation with regards to people making a decision about the use of resuscitation. This will help ensure that people rights and best interests are considered. 31/05/2010 2 16 22 A record of all complaint 31/05/2010 investigations and outcomes must be maintained by the registered person. This is to ensure that complaints about the service can be monitored and acted upon. 3 18 18 The safeguarding policy for the home should be reviewed and updated to ensure that it contains information on current legislation, information relating to the local authority safeguarding procedures and guidance to 31/05/2010 Care Homes for Older People Page 26 of 29 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 inform staff that all safeguarding concerns and allegations must be reported to Halton Social Services under their safeguarding procedures. This is to help ensure that staff have access to up to date information of local safeguarding procedures. 4 18 18 All staff should receive 31/05/2010 awareness training on safeguarding adults that includes information relating to local authority safeguarding procedures. This is to ensure that all staff are aware of how to manager safeguarding concerns appropriately. 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 Detailed records of all care and support offered and provided to people should be maintained. this will help ensure that people receive the care and support they require. In order to protect peoples information, individual records should be maintained for each person. The medication policy and procedures should be reviewed to ensure that the guidance on the administration of PRN medication meets the needs of the people living at the 2 3 7 9 Care Homes for Older People Page 27 of 29 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 home. 4 12 To help ensure that people continue to have activities available to them of their choice, regular review and consultation should take place with people to ensure that activities of their choice are available and accessible. To help people make a choice of what they wish to eat at mealtimes and to help orientate people throughout their day, a copy of the menu should be made available throughout the home. The complaints procedure should be reviewed and updated to include the current name of the person to contact in the event of people wishing to make a complaint and the address of the Care Quality Commission. Advice should be sought from the local councils Environmental Health department regarding the provision of smoking facilities under current legislation. Alternative storage should be sought so that people can choose to use any of the bathrooms available throughout the home. Recruitment files should contain legible information to demonstrate that appropriate recruitment procedures are being used. Accurate records must be maintained and accessible of all training undertaken to demonstrate that staff are given upto date knowledge and skill to carry out their role safely. The Annual Quality Assurance Assessment should contain detailed information about how the home supports people well, how they have improved over the last 12 months and their plans for improvement over the next 12 months. 5 15 6 16 7 19 8 19 9 28 10 30 11 31 Care Homes for Older People Page 28 of 29 Helpline: 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. © 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. 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