Care Home: Meavy View

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Staff have a good knowledge of the individual service users and are able to meet their needs well. Relatives of service users are confident that there is good communication between them and the staff team, and that they are appropriately involved in discussions about the needs and progress of their relatives. Service users have good access to the full range of medical services in the community. Service users are helped to take their medication in a safe and reliable way. Staff ensure that service users have their privacy and dignity maintained. A range of activities are available, but service users are free to keep their own company if they wish. The provision of food is well prepared and plentiful. Service users are `safe` and are confident that any complaint they may have would be dealt with appropriately. Service users can personalise their bedrooms to their own taste. The home is clean and well maintained. Staffing is provided in sufficient numbers to meet the needs of the service users without significant delay. The staff team are well trained and well supported. The relatively low turnover of staff also means that service users receive care consistently. Comments from service users and visitors were all complimentary and included : "staff and owner are friendly " ; "all staff are helpful, right down to the cleaner"; "just like being at home, couldn`t be nicer." What has improved since the last inspection? All the requirements and recommendations made at the last key inspection had been addressed. Staff training has improved, with more people undertaking NVQ (National Vocational Qualification). New furniture has been bought and areas of the building redecorated. What the care home could do better: All assessments of service users should be recorded, including the date on which the assessment was done. In order to minimise the potential risk of errors in connection with medication, two staff should check any addition or amendment to the Medication Administration Records. The full employment histories of all staff should be recorded, together with the other information required for effective vetting. This is to ensure that the responsible person can demonstrate that all reasonable steps have been taken to only employ suitable people. Key inspection report Care homes for older people Name: Address: Meavy View 146 Milkstone Road Rochdale Lancashire OL11 1NX     The quality rating for this care home is:   two star good 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: Steve Chick     Date: 1 8 0 8 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 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) 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 28 Information about the care home Name of care home: Address: Meavy View 146 Milkstone Road Rochdale Lancashire OL11 1NX 01706861876 01706642639 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr David Fitton,Mrs Anna Christina Fitton care home 32 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 categories of service only: Care home only: Code PC, to people 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 people who can be accommodated is: 32. Date of last inspection Brief description of the care home Meavy View is a care home providing personal care and accommodation for 32 people aged 65 years and over. The three-storey building is purpose built and a passenger lift is provided to all floors. Twenty-eight single and two double bedrooms are provided. One single and one double room have en-suite facilities. The home is located approximately one mile from Rochdale town centre, close to a small shopping precinct and Post Office. A regular bus service to Rochdale passes the home. A patio area is provided to the rear of the home that is used by service users in the summer months. Ramped access is available to the front of the home. Care Homes for Older People Page 4 of 28 0 Over 65 32 Brief description of the care home Parking for approximately five cars is available at the front of the home, with some additional on-street parking at the side of the house. At the time of this inspection weekly fees were from 370.45 per week. The fees did not cover additional personal expences such as hairdressing, private chiropody, newspapers, dry cleaning and taxis. A copy of the Commission for Social Care Inspection?s latest report was displayed in the entrance hall. 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: two star good 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 quality rating for this service is two star. This means the people who use this service experience good quality outcomes. We (the Care Quality Commission) undertook a key inspection, which included an unannounced visit to the home. This meant that no one at Meavy View knew that the visit was going to take place. For the purpose of this inspection three service users were interviewed in private, as were two relatives of service users and three staff members. Additionally discussions took place with the one of the registered providers, who was present throughout the visit. All the key inspection standards were assessed at the site visit. Care Homes for Older People Page 6 of 28 We also looked at information we have about how the service has managed any complaints, what the service has told us about things that have happened in the service, these are called notifications and any relevant information from other organisations. Before the site visit, we asked for surveys to be sent out to some residents, and some staff, asking what they thought about the care at the home. 10 residents, and two staff returned their surveys to us. Some of the information from these surveys is included in the report. We also asked the management of the home to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA). This is a legal requirement. The AQAA told us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, some of these comments have been included in the report. We undertook a tour of the building and looked at a selection of service user and staff records as well as other documentation, including staff rotas, medication records and the complaints log. Since the previous inspection we have completed an Annual Service Review (ASR). The ASR does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection. The ASR did not make us change our opinion of the service. We have not received any complaints about the service nor any safeguarding concerns since our last Key Inspection. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: All assessments of service users should be recorded, including the date on which the assessment was done. In order to minimise the potential risk of errors in connection with medication, two staff should check any addition or amendment to the Medication Administration Records. The full employment histories of all staff should be recorded, together with the other Care Homes for Older People Page 8 of 28 information required for effective vetting. This is to ensure that the responsible person can demonstrate that all reasonable steps have been taken to only employ suitable people. 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 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 10 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. Service users are only admitted to the home after an appropriate assessment to ensure the staff team can meet their needs. Evidence: The proprietor had told us in the AQAA that a full assessment was done, by the home, before a service user was offered a place. This was to ensure that the physical environment and the skills of the staff could meet the identified needs of the service user. We looked at a selection of service user files. There was written evidence that the homes own assessment had been done to complement that of the community-based social workers. In one example seen the assessment was not dated which made it difficult to demonstrate conclusively that the assessment had been undertaken before the person had moved to the home. In another example there was no written assessment which could be located on file. The senior member of staff on duty and the Care Homes for Older People Page 11 of 28 Evidence: proprietor were confident that the pre-placement assessment process had been completed in both cases and the faults in the system were administrative. All staff, visitors and service users who we asked, were confident that service users living at Meavy View had their needs appropriately met. Meavy View does not offer intermediate care. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users health, personal and social care needs are met by the consistent implementation of policies and procedures. Staff practices also serve to promote the dignity of the service users. Evidence: The proprietor told us that care plans were written for each individual service user so that every carer knew exactly how to care for each service user. We looked at a selection of service users files. Each had a written copy of a care plan. The structure of the written records was comprehensive and included the use of some wellestablished and nationally recognised tools to aid the assessment and care planning process. For example pressure care screening (waterlow) and nutritional screening (MUST). Examples were seen which appeared to indicate that on occasions these tools were being used as a matter of routine rather than of assessment. For example the outcome of one waterlow assessment indicated a high risk which was not addressed on the care plan. Discussion with staff indicated that the care plan was more accurate for that individual than the outcome of the waterlow assessment. Care Homes for Older People Page 13 of 28 Evidence: However there was no record of why the decision was made to effectively ignore the screening tool, yet leave it on file. Staff who we spoke to were confident that other systems in place, including verbal handover at shift change and their own personal knowledge of service users, complemented the written care plans. The result of all these processes was that staff were confident that they were aware of the needs of each service user on a daily basis. Staff who completed the survey for us confirmed that up-to-date information regarding service users and the passing on of that information, usually worked well. One member of staff said, in response to a question about what the home does well, giving the service users the care that is needed. One member of staff who we spoke to cited as among the best things about the home, as the care and choices available and said I would live here. Service users who we spoke to were confident about the standard of care offered by the staff. Service users reported being very happy here and told us that the staff treat me very well indeed. All service users who returned a survey to us said that they received the care and support they needed either always (8) or usually (2). One person wrote theres always staff around that I can talk to and they help me all the time. Visitors who we spoke to confirmed that they were involved in discussions regarding the care needs of their relative. They also told us that they experienced good communication from and to the staff. One person appreciated, as an example of good communication, that staff always remembered to make sure their relative was ready to go out (if an outing has been planned with the family). There was good documentary evidence that service users have access to the full range of medical services available in the community. Service users who we are asked were confident that medical support was obtained for them in a timely manner if necessary. Similarly visitors were confident that their relative health needs were appropriately met. One visitor told us he was confident that a GP was called for his mother if there was anything untoward and that he was notified of this. Staff who we asked all told us that they were confident that medical support was called if necessary and that good relationships were maintained with medical personnel such as doctors and district nurses. The home has a medication policy and procedure which has been found to be appropriate on previous inspections and was not looked at again on this occasion. We Care Homes for Older People Page 14 of 28 Evidence: were told in the AQAA that these policies had been reviewed in June 2009. Medication presented as being stored securely and in an appropriate environment, including a dedicated fridge where the temperature was regularly recorded. We looked at a small number of medication administration records which presented as being appropriately maintained to demonstrate that the correct medication was being given to the correct service user at the correct time and in the correct dose. One medication administration record was seen for a relatively new service user which had been handwritten, pending the pharmacist providing a preprinted sheet. In order to minimise the risk of errors in this process it is strongly recommended that handwritten entries are checked by a second member of staff who signs to confirm they are correct. All service users, visitors and staff who we asked were confident that people were treated with respect and that their privacy and dignity was maintained. Care Homes for Older People Page 15 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. An appropriate range of activities was available for service users and visitors are welcome in the home, which enhances service users fulfilment and social stimulation. The provision of food to maintain service users health and well-being is good. Evidence: The proprietor told us that a range of activities was provided in the home which were publicised on the noticeboard. We were also told that staff were encouraged to remind service users of activities which were taking place. Service users who we spoke to confirmed the availability of different activities and also told us that there was no pressure to take part. One person told us that amongst the best things about the home was that there was plenty of company if you want and quiet if you want. Another person told us that they preferred to spend time in their room and that this was never a problem. Service users also told us they could get up and go to bed when they wanted, use any of the communal lounges or their own bedrooms as they chose. Staff also confirmed that this was the ethos at Meavy View. Activities included occasional outings to local places of interest, such as to Hollingworth Lake. The proprietor told us that the management of activities had been altered following a consultation exercise with service users and other interested Care Homes for Older People Page 16 of 28 Evidence: parties. All service users, visitors and staff who we spoke to told us that there were no unreasonable restrictions on visiting and that visitors were made to feel welcome. Visitors themselves made comments such as welcomed all the time and they always ask if you want a brew. During this visit one meal was sampled which was pleasantly presented and tasty. Service users who we spoke to said that they liked the food that there was a choice and that there was plenty of it. One person told us that the food was among the best things about the home. Visitors told us that they believed the provision of food was good with variety and choice at each meal. Staff believed the food to be good with one pointing out that I eat it. Service users who returned a survey to us were predominantly positive about the food with 7 saying they always liked it, one saying they usually liked it but 2 saying they sometimes liked it. One service user told us that although supper is provided at around 9 p.m., there is never a problem if you wish to come down in the night for a snack. Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected from abuse or exploitation by the homes policies and practices and are confident that any complaints they may have would be dealt with appropriately. Evidence: The proprietor told us in the AQAA that there was a robust and easy to use complaints procedure and that each service user and access to a copy of that procedure. We looked at the complaints log which did not have a recorded complaint since February 2008. The proprietor told us that this was an accurate record of formal complaints received. Service users and visitors who we spoke to were confident that any complaints would be listened to and appropriately investigated by the staff and management at the home. One service user told us that they felt any complaint would be dealt with immediately. All service users who returned a survey to us said that they knew who to speak to if they were not happy and that they knew how to make a complaint. All staff who we spoke to and those who completed a survey, said they knew what to do if there were any concerns and were confident that any complaint or allegation would be appropriately dealt with. Care Homes for Older People Page 18 of 28 Evidence: We were told in the AQAA that all staff had received training in the protection of vulnerable adults. This was borne out by discussion with staff and looking at a sample of training records. Staff who we spoke to were aware of the need to remain vigilant about the possibility of abuse or exploitation of the service users. They were also aware of the whistleblowing procedure and their responsibilities to ensure that any concerns were thoroughly investigated. All service users who we spoke to said that they felt safe living in the home. One said staff treat me very well indeed another said he had experienced no animosity from staff and told us that Dave [ the owner] is 101 a gentleman who will go out of his way to help. Visitors who we spoke to were also confident that service users were safe. We have not been aware of any complaints or safeguarding allegations made since the last key inspection. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately maintained, decorated and cleaned to enable service users to live in a pleasant, safe and hygienic environment. Evidence: The proprietor had told us that they provided a safe and well maintained home for the service users and their policies and procedures on infection control had been updated. At this unannounced inspection visit we undertook a tour of the building. This included communal areas and a selection of service users bedrooms. There was clear evidence that service users were able to personalise their own rooms. Similarly, subject to health and safety considerations, they were able to bring in their own furniture, ornaments and photographs etc. We were told that service users can keep keys to their own bedrooms although most choose not to. The home presented as being clean and tidy with no unpleasant smells. All service users, staff and visitors who we asked confirmed that this was the usual state of the building. One visitor commented that there were, very occasionally, smells but these were dealt with swiftly. All service users who returned a survey to us said that the home was fresh and clean either always (8) or usually (2). We had been told in the AQAA that plans for improvement in the home included specific infection control training to try to combat the effects of the expected flu virus. Care Homes for Older People Page 20 of 28 Evidence: We were also told that 22 out of the 23 care staff had already received training in infection control. This was also evident from the training matrix and staff who we asked. No remedial issues were identified in connection with the environment provided for service users. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The numbers and skills mix of staff on duty promotes the independence and wellbeing of service users. Evidence: The proprietor had told us in the AQAA that adequate numbers of staff were provided to meet the needs of service users and that staffing levels were constantly monitored and adjusted where required. We were also told that there was a low rate of staff turnover which helps to provide continuity of care. The proprietor told us that usually there would be five carers on between 08:00 and 13:00, four carers between 13:00 and 21:00 and three between 21:00 and 08:00. We were given a copy of the staff rota for the week beginning 10/08/09 which confirmed that these figures were usually achieved. All service users who returned a survey to us said that staff are available when needed either always (9) or usually (1). Visitors who we spoke to told that they thought they were usually enough staff on duty, that staff were quick to respond to calls for assistance and that the staff knew the service users well. Care Homes for Older People Page 22 of 28 Evidence: We were told that 15 of the 24 care staff held NVQ II or above, which is a higher percentage than the national minimum standards require. NVQ (National Vocational Qualification) is a nationally recognised qualification intended to improve the knowledge, skills and competency of the staff. We looked at a small sample of staff files to confirm the information which had been given to us about NVQ sucess. A range of other training opportunities were also made available to staff. This was confirmed by looking at training records and talking to staff. All staff who we asked told us that they were encouraged and supported to undertake training opportunities. Staff were also confident that they would get appropriate support from colleagues and management if they were unsure as to how best to deal with a situation. All staff who returned a survey to us confirmed that appropriate training was provided. Staff who we asked told us that supervision and annual appraisals were used to identify any outstanding training needs they may have. We were told in the AQAA that all pre-employment checks were undertaken on new staff. Staff who returned a survey to us also confirmed that pre-employment checks were undertaken. We looked at a small selection of staff files relating to people recruited since the previous key inspection. These indicated that most of the minimum required checks were appropriately undertaken and recorded. However examples were seen where a full employment history had not been obtained, or recorded. It is necessary for a record to be kept of all the information required by law so that the registered person can demonstrate that they decision to employ a specific individual was taken reasonably. Staff who we spoke to told us that the staff team get on well with each other and that they had confidence in the competence of their colleagues. All service users and visitors who spoke to were positive about the approach and competency of the staff. Visitors, when asked what the best thing about the home was, said the staff and owner are friendly ... if we asked them to do anything they will do it and 24 hour professional care. Staff were also described by visitors as very helpful and friendly. Service users comments about staff included: very friendly, very nice and very helpful staff are nice, cant fault it at all and the staff are excellent. Care Homes for Older People Page 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management is competent to run the home and use the quality audit systems and implement the health and safety procedures for the benefit of service users and staff. Evidence: Shortly before this key inspection the registered manager had left the home. As an interim measure the proprietor told us that he was acting as manager having had considerable previous experience of managing a home. We were also told that plans to recruit a permanent replacement manager were underway. The proprietor was aware of the relatively new Deprivation of Liberty Safeguarding process. We were told no applications in connection with this had needed to be made. We were told in the AQAA that the home operated a robust and easy to follow quality assurance system which included requesting the views of service users, staff, relatives and other people in interest in the running of the home. These questionnaires had recently been turned the home and the proprietor told us that action in connection Care Homes for Older People Page 24 of 28 Evidence: with activities been taken as a consequence. We were told by the proprietor, that money was not held on behalf of service users. If items or services were purchased on behalf of a service user they were individually invoiced on a monthly basis. We were told that receipts were obtained to ensure an effective audit trail. We were told in the AQAA that equipment in use in the home was regularly serviced according to the manufacturers instructions and other health and safety requirements. We looked at the hoist and lift maintenance records to substantiate this. They presented as being appropriately maintained. We also looked at records relating to the fire protection and alarm systems which presented as being appropriately maintained up to the beginning of August. We were told that the person who normally undertook the task had left and that whilst the routine tests and checks had been undertaken they had not been effectively recorded. The training records and discussion with staff, indicated that health and safety and moving and handling training had been supplied as recorded on the training matrix. Staff confirmed that personal protective equipment such as disposable gloves and aprons, to minimise the risk of cross infection were always available and used. Care Homes for Older People Page 25 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 26 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 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 3 The registered person should ensure that all assessments are recorded with the date of the assessment. A system of auditing assessments by a second member of staff should help to minimise administrative oversights. The registered person should ensure that if staff are adding information about medication onto a medication administration record the accuracy of this is checked by another member of staff. The registered person should ensure that a record of all the required information relating to staff, including a full employment history, is maintained. This is to allow the registered person to demonstrate that the decision to employ the person was made reasonably. 2 9 3 29 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. 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 28 of 28 - 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!