Care Home: Mayfield Hall

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What the care home does well A tour of the premises showed that the owners continues to update and maintain the decoration of the home and upgrade the environment for the comfort of the people who live at the home taken into consideration. People are offered a choice of food to suit individual tastes and all food served is freshly prepared. Those who were able to stated the care and support provided by the home was very good. The home refers people to the IMCA (Independent Mental Capacity Advocacy) service when needed. Observation throughout the inspection showed the staff to be being kind gentle and very caring towards people living in the home. The home benefits from having a long serving staff team with joint owners working on site daily to promote continuity in care. One relative wrote in a survey returned to the Commission, "My relative is happy enough, she`s fed well and looked after well". What has improved since the last inspection? The owners have completed re-furbished the kitchen to include all new appliances, cupboards and work surfaces finished to a professional standard. The home has fitted a new call bell system throughout the home and has purchased new stand aids and a mobile hoist. What the care home could do better: All admissions to the home should have a completed, signed and dated pre-admission assessment in place. All odours should be eliminated for the comfort of people living in the home. No Requirements were made in this report. Key inspection report Care homes for older people Name: Address: Mayfield Hall 22 Bitton Park Road Teignmouth Devon TQ14 9BX     The quality rating for this care home is:   three star excellent 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: Kim Fowler     Date: 2 1 0 9 2 0 0 9 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 27 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Mayfield Hall 22 Bitton Park Road Teignmouth Devon TQ14 9BX 01626772796 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Amethyst Care Ltd care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Mayfield Hall is owned by Amethyst Care Limited and is situated close to the town centre of Teignmouth, and some of the upstairs bedrooms enjoy good views of the Teign Estuary. The home caters for 20 people who may suffer from dementia. The home has eighteen single bedrooms and one double bedroom. All of the bedrooms, except three, have an ensuite facility, which includes a toilet and a bath or a shower unit. Easy accessibility between the ground and first floor is provided by a passenger lift and there is also the provision of chair lifts to further aid accessibility where there are a few additional steps to negotiate to some rooms within the home. There is a large communal lounge, dining area and a pleasant sun lounge. A safe, secure patio area is also available for residents to enjoy and there is a small amount of parking facilities for visitors. The current weekly charge ranges between 391 pounds to 420 pounds but Care Homes for Older People Page 4 of 27 Over 65 20 20 0 0 Brief description of the care home may vary based on individual need. Care Homes for Older People Page 5 of 27 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: three star excellent 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: The inspection was unannounced and took place between 9:45am and 3:00pm on the 21st September 2009. The Registered Manager and joint owner, Mrs. Elaine Sampson and the second owner Mrs. Susan Hunt assisted throughout the inspection. The inspector made a tour of the building and spoke to most of the people living at the home and the staff on duty at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection surveys had been sent to the care home to allow people who live there to comment upon their experiences. Seven surveys were returned to the Commission along with four staff surveys. Any comments are in the relevant section of the report. Care Homes for Older People Page 6 of 27 What the care home does well: 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. Care Homes for Older People Page 7 of 27 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 8 of 27 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. The completion of pre-admission assessments would ensure that any prospective new admissions needs are known and will ensure that the home can meet their individual needs. Evidence: The files for the last 2 admissions were examined. It was found that one did not have a pre-admission assessment in place and the manager stated this was due to this person being an emergency admission. The home did have a completed care plan in place from the placing authority and the manager stated this was received on the date of admission for this person. The second file held a pre-admission assessment and the homes pre-admission assessment process and forms hold comprehensive information on individuals. Care Homes for Older People Page 9 of 27 Evidence: However this second pre-admission assessment had not been signed or dated on admission. Completed assessments ensure that the care staff were aware of peoples needs and the home is able to meet those needs. The staff on duty were spoken with during this inspection and they were able to provide information on people living in the home and this showed they were fully aware of the needs of each persons currently living at the home. This included several people who currently requiring additional support and attention. The manager stated that everyone is offered trial visits if possible and one relative confirmed they had visited the home on behalf of their relative. The homes AQAA returned to the Commission states, In depth pre-admission assessments are carried out on all admissions as well as obtaining shared assessments forms from other care professionals. The home does not provide an intermediate care service. Care Homes for Older People Page 10 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff and manager provide good personal support to people who live at the home therefore ensuring the promotion of privacy and dignity at all times. Evidence: Four files were examined during this inspection and all were found to hold completed care plans holding comprehensive details in place. Each file examined of people living at the home contained an individual care plan based on care needs and how the home would meet these needs. This included information on an individual night time routine and times of getting up and going to bed. The daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. These care plans give detailed instructions to all staff as well as information to new staff to ensure intimate personal care is being provided in a manner that meets with Care Homes for Older People Page 11 of 27 Evidence: the approval of people receiving the care. This is particularly important where people have limited communication. Each care plan has comprehensive risk assessments in place including details of the risk of falls, information on how best to prevent future falls and a manual handling risk assessment. Each risk assessment in place gave clear guidelines for staff to follow on the prevention of falls. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. One care plan held information on a persons IMCA (Independent Mental Capacity Advocacy) and held a completed Mental Capacity Assessment. As well as this persons Life History so staff are aware of this person previous history and included careers, families and pets. The home has benefited from the purchase of stand aids and a bath hoist to assist with peoples mobility. The registered Manager, Mrs. Elaine Sampson is a qualified nurse and has provided detailed information in each persons care plan on their health care needs and how best to meet these needs for individuals. The care plans hold a Medical Visit form and this form holds information on which professional visited the individual as well as the treatment carried out and any further action required by the home. Evidence was recorded into these forms of the referrals to the District Nurse team and the frequent visits by the district nurse when needed. All people living at the home have access to all health care services and this information was recorded into individual files examined. These files recorded that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. One person is currently bed ridden and the bedroom held observation sheets for the staff to record fluid and food intake and the forms examined showed they had been completed in full. One relative wrote, under what the home does well, in a survey returned to the Commission, Acts fast if unwell. The manager of the home talked through the medication procedure for the home. The home uses the blister pack system for administration. The manager confirmed that the Care Homes for Older People Page 12 of 27 Evidence: staff had attended medication training. It was evident from these discussions that manager and some staff spoken with that they understood the medication procedure that included administration, storage and disposal of medication. Staff members were able to confirm they had completed medication training and certificates were held on staff files. The home has a small treatment room were they house the medication. This includes a fixed lockable cupboard, and there is also a lockable controlled medication cupboard. The medication system was examined and showed that the home uses the blister pack system to dispense medication and staff were observed administering medication. The medication system was checked and found to be well recorded and documented. The Controlled drugs were also examined and showed a clear audit trial of receipt, administration and record keeping. The inspector spoke to many of the people living at the home and a few were able to comment directly about their experiences of living at the home. Those who were able to clearly state that they were well cared for and that their dignity and privacy was maintained. The inspector observed people who were confused being treated respectfully by the care staff, staff knocking on bedroom doors and staff assisting people with meals. Several people said they were assisted promptly. It was observed that people who chose to wander freely through the home were able to. One person said, The staff are lovely. The homes AQAA returned under what we have improved over the last 12 months states, Improve our nutritional assessment. One person living in the when asked agreed that the staff shut their bedroom door to aid privacy and dignity. Care Homes for Older People Page 13 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Mayfield Hall offers a wide range of social activities for the enjoyment of all. The food served is always freshly prepared with individual choice taken into consideration. Evidence: The people living in the home were observed moving freely around the home and some people choose to remain in their own bedroom. The staff were able to confirm that people who remained in their own room were visited often. Staff were seen interacting with people and discussing everyday topics and included assisting individuals when needed showing staff were aware of the needs of people living in the home. There was a notice board in the lounge area for everyone to see and this showed a weekly timetable of activities planned. This included on the day of the inspection a hairdressing session booked and later in the day observation showed people enjoying having their hair done. Other activities booked for the week included a visiting singer and a Tranquil Moments session booked. Care Homes for Older People Page 14 of 27 Evidence: A few of the people spoken with were able to confirm that there is regular activities provided and these activities were either organised by the staff or by visitors to the home. One person confirmed that they had gone out the previous day to have a fish and chip lunch. All family visits and contact is recorded into individual files and daily records examined showed recent family visits for several people living in the home. Visitors are welcome at any reasonable time and can visit their friends or family in the privacy of their own room. Two visiting relatives were spoken with during this inspection and both were able to confirm they were able to visit at any reasonable time. Also one visitor confirmed that they always see their visitor in the privacy of their own room. One relative wrote in their survey returned to the Commission, Always offered a cup of tea. A few of the people spoken with agreed and felt that they were able to make individual choices about everyday issues in their lives. These choices also included choosing food from the daily menu on offer and times of going to bed and getting up. All bedrooms visited contained personal possessions and items and one relative of a person living in the home said that the home encouraged them to bring in items from home for their relative. One of the home owners is currently undertaking the role of cook and confirmed that they purchase local foods to ensure fresh products are used. A few people were able to make positive comments about the food provided. The home has a 4 weekly menu and displays the daily meal and choices available in the main lounge area for peoples convenience. It was evident from the food seen served at lunchtime, savory mince or homemade fish cakes served with fresh vegetable and potatoes that the food was home cooked using fresh products. This was followed by a choice of home made desserts including tapioca. Other menus showed that the home offers a varied choice and many fresh products used. The meal was well presented and freshly prepared. Staff were observed assisting people with their meals in a relaxed and sensitive way. And one person asked for and received a different meal to the two on offer. The comments received from people living at the home about the food provided included, The food is very good and well presented and a relative stated, My relative enjoys their food. Care Homes for Older People Page 15 of 27 Evidence: The homes AQAA returned to the Commission stated, The home holds a well documented pocket money system for each resident, this allows them to make their choices about purchases for example on the visiting clothes show and often relatives enjoy assisting the residents with this. Care Homes for Older People Page 16 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Mayfield Hall and their relatives can be confident that any issues of concern or complaints would be taken seriously and dealt with promptly. Evidence: Displayed on the main hallway was the homes current compliant procedure and supporting this was the homes Statement of Purpose holding the complaints procedure and complaints forms for people to access at any time. The home has not received any complaints and neither has the Commission. Only a few people living at the home were able to confirm that they were aware the home had a complaints procedure but have never needed it. One person said they would talk to their family if they had any concerns. This family member visiting confirmed that their relative would speak to them and that they were also aware of the homes complaints procedure but has never needed to use it. One other relative spoken with also confirmed they were aware the home had a complaints procedure and had raised a minor issue sometime ago and felt it had been dealt with and went onto say the owners are available most days to discuss any concerns. The home had received a Safeguarding alert and the home held clear records of the Care Homes for Older People Page 17 of 27 Evidence: issue raised and this included the full details of the investigation and outcome for the home. This safeguarding issue was unsubstantiated and also recorded was information from the placing authorities care manager praising the home for keeping clear and updated records. Both owners confirmed that most staff has completed the safeguarding training and other still need to do so. One staff confirmed they had not received Safeguarding training but would raise any concerns with either of the owners. Most staff confirmed that the owners are in the home most days and would deal with any issue raised straight away. The homes AQAA records under what they do well, Respond to complaints in a professional manner and goes onto say, Staff attend training sessions on POVA(Protection of Vulnerable Adults). Care Homes for Older People Page 18 of 27 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. Mayfield Halls owners continue to maintain a clean and suitable environment for its stated purpose and the people who live at the home can be assured that they will live in comfortable home that is regularly maintained. Evidence: The home is safe and well maintained and suitable for its stated purpose. It is very comfortable, warm and light home. Several people living at the home confirmed this is usual. One relative commented that the home is, Always clean and another relative stated that at times their were odours noticeable around the home and the, Decor was not good. A tour of the building confirmed that the home was clean and tidy, however several bedrooms did have offensive odours. The owners stated that due to the current needs of some of the people living in the home this was a problem and they were in the process of trying to find a solution. This included involvement with the local continence adviser. Individual bedrooms and communal areas were pleasantly decorated. Currently bedrooms are not fitted with door locks however these would be fitted if people requested and were able to manage the locks. Care Homes for Older People Page 19 of 27 Evidence: Since the last inspection the home has continued to update some areas where needed and the home has benefited from a newly fitted kitchen and a new call bell system in place. This has included painting the doors a different colour to assist people in finding their bedroom. The homes AQAA records under, what we could do better, Hasten renewals and refurbishments and goes onto say, Use dementia care environment guidelines when refurbishing for advice. Staff had access to disposable gloves and aprons to help prevent the risk of cross infection. One staff file checked held a certificate on a Infection control course completed. And all areas of the home were found to be clean and tidy. Care Homes for Older People Page 20 of 27 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. Staff training is encouraged and this enables people who live at the home to receive the best possible service. People living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Evidence: The homes rotas and the staff spoken with confirmed that there is sufficient staff employed to care for the number of people currently living at the home. On the day of the inspection there were 19 people living in the home and on duty were both Registered Providers, one also being the Registered Manager, 4 care staff and a cleaner. Therefore providing evidence that the home had sufficient staff to support people currently living in the home. Some of the staff on duty during the inspection were spoken with and some confirmed that they hold a NVQ qualification. The manager confirmed 5 of the 10 staff employed within the home currently hold this qualification. Examination of staff files showed that most staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Care Homes for Older People Page 21 of 27 Evidence: Many of the care staff employed at the home are long serving staff members having worked at the home for a number of years therefore have a great deal of experience working with older people. Several people living in the home and 2 relative were able to confirm that the care they received is very good. Several staff members were interviewed during this inspection and were able to confirm that regular training is offered. Recent training included Manual Handling, Food Hygiene and Medication training. The homes AQAA states, Induction has become more organised and streamlined. One staff member said, Good staff team and one person living in the home said of the staff, They are lovely and a family member said of their relatives care, The staff are lovely with another saying, The staff and care is excellent. A survey returned to the Commission said, Have full confidence in the staff at Mayfield Hall and another said, Great staff, great attitude. A staff wrote on their survey under what the home does well, Updated training, Staff, hard working and providing the needs of the residents at all times. Care Homes for Older People Page 22 of 27 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. The owners, manager and the staff team strive to provide a homely, stimulating environment that respects and protects people who live at the home. Evidence: Two of the owners were available throughout the inspection. One being the Registered Manager, Mrs Elaine Sampson, and both have many years experience in care. Mrs. Sampson is also a qualified nurse who maintains her Registration with the nursing professional body (MNC) and continues to update her training regularly. Mrs Sampson is in the process of completing the Registered Managers Award. The owners are currently looking at additional Dementia Care training for themselves and the staff team. Both owners has a good relationship with the people living in the home, the staff team and family visiting the home. This helps to ensure that the home is run in the best Care Homes for Older People Page 23 of 27 Evidence: interest of people living in the home. The yearly completed Quality Assurance surveys were held in the home and all showed positive comments. This included the following comment from a visiting professional, The home is brilliant, I would have no hesitation in recommending it. Staff and management are very dedicated to their jobs, well done! The manager confirmed that the home only holds a small amount of money for day to day expenditure and receipts are records are held. The home encourages the family members or the people living in the home were possible to manage their money themselves. The money was not checked on this occasion. The AQAA states under what we could do better, Manager and other active owner to completed RMA (Registered Manager Award). Staff files showed that supervision and yearly appraisals were carried out and several staff members spoken with were able to confirm this. One staff survey returned to the Commission recorded, Staff like me are given opportunity to share my ideas or contribute to the efficient running of the home. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and records examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into peoples daily records with appropriate action taken when needed. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Older People Page 24 of 27 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 27 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 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 2 3 26 All new admission should have a completed pre-admission assessment in place. All odours should be eliminated for the comfort of people living in the home. Care Homes for Older People Page 26 of 27 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. 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!