Care Home: Millington Springs

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What the care home does well People who live at the service told us that the staff are very good and they feel safe and well cared for. Relatives told us that they are always made welcome and have confidence in the care their relatives receive. One person said "My relative would not be alive today without the care and attention given to them at Millington Springs." Another comment made to us was "My relative is treated with patience, respect and dignity at all times." "I can talk to staff about how my relative is and I feel supported by staff when I visit." A member of staff told us that their induction had been very thorough and they feel supported to undertake training. What has improved since the last inspection? Two requirements were made at the last Key Inspection. One was that the appointed manager should register with the Care Quality Commision. This has taken place and the manager of the service is now registered with the Care Quality Commission ensuring that the service is managed by a person who has the necessary skills and is assessed as being suitable to undertake this post. The second requirement was that staff receive an induction when they commence their employment. Staff we spoke with told us that they have had an induction and felt that it covered all the information and training they needed to work effectively. Staff then added that support and training continues wherever necessary. Evidence we saw supported both the above and we consider these requirements to have been met. Four recommendations were made and we also considered that steps had been taken to meet these although the pre-admission assessments do require more detail and this recommendation has been repeated. A relative we spoke with told us "The environment has improved." Another relative said "The new manager is very good." "I visit every day and feel that staff morale has greatly improved." What the care home could do better: We have made a requirement regarding the administration of medication. This asks the service to ensure a robust auditing system to ensure that all staff responsible for medication administration sign all necessary documentation. Pre-admission assessments must be completed for all people wishing to move to Millington Springs and they would benefit from being more thorough, providing detail and information to ensure that their identified needs can be met by staff. More staff available to assist at meal times would make the experience much better for people who require assistance with eating. A relative we spoke with told us "Staff always seem hurried and sometimes are assisting more than one person at a time." Key inspection report Care homes for older people Name: Address: Millington Springs Portland Road Selston Nottinghamshire NG16 6AN     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: Angela Starr     Date: 1 8 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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: Millington Springs Portland Road Selston Nottinghamshire NG16 6AN 01773581114 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Elder Homes Midlands Ltd Name of registered manager (if applicable) Mrs Julia Marianne Williams Type of registration: Number of places registered: care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Dementia - over the age of 55 years (DE) 10 Dementia - over the age of 65 years DE(E) 10 No more than 10 persons should be accommodated at Millington Springs in the DE or DE(E) category when there are aready 10 persons accommodated in the individual or combined categories of DE or DE(E) Millington Springs Care Home is registered to provide care with nursing to male and female service users whose primary care needs fall within the following categories:Physical Disability over the age of 50 years (PD) 5 Physical Disability over the age of 65 years PD(E) 5 No more than 5 persons falling within the categories PD or PD(E) should be accommodated in Millington Springs Care Home when there are already 5 persons accommodated in the individual or combined categories of PD or PD(E) Old age, not falling within any other category (OP) 42 The maximum number of persons to be accommodated at Millington Springs Care Care Homes for Older People Page 4 of 28 10 0 5 Over 65 10 42 5 Home is 42 Date of last inspection Brief description of the care home The manager said that the current weekly fees for the home are £300 for residential care up to £383 for nursing care high dependency needs. A further payment of £15.00 per week may be charged at the managers discretion. Rates are dependant upon needs and are further discussed during the preadmission procedure. The fee does not cover the cost of hairdressing and chiropody. The most recent inspection report is available in the reception area. Millington Springs is a purpose built home with 32 bedrooms, sited on Portland Rd, Selston, Nottinghamshire. The home provides personal care with nursing for older people and the home can also cater for physically disabled people and ten people with dementia care needs. The home has 3 lounges, 5 bathrooms, all with shower facilities, 1 walk in shower facility and 14 WCs. One bedroom has en-suite facilities and one bedroom has a shower cubicle. A garden area is provided at the rear and adequate car parking facilities to the front of the building. The home was purchased by Elder Homes Midlands Ltd and has undergone some refurbishment. 1 6 0 3 2 0 0 9 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 focus of Inspections undertaken by the Care Quality Commission is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We ask managers to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. This inspection took place earlier that previously planned and therefore we had not recieved this from the manager at the time of our visit. We reviewed all the information we have received about the service since we last visited and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us Care Homes for Older People Page 6 of 28 selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and four relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. 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: We have made a requirement regarding the administration of medication. This asks the service to ensure a robust auditing system to ensure that all staff responsible for medication administration sign all necessary documentation. Pre-admission assessments must be completed for all people wishing to move to Millington Springs and they would benefit from being more thorough, providing detail and information to ensure that their identified needs can be met by staff. More staff available to assist at meal times would make the experience much better for people who require assistance with eating. A relative we spoke with told us Staff always seem hurried and sometimes are assisting more than one person at a time. Care Homes for Older People Page 8 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to live at the service have a pre-admission assessment completed to ensure that their needs can be met. People are given information about the service that is provided. There is no provision for intermediate care, therefore this standard was not assessed. Evidence: In preparation for this site visit, we sent a number of questionnaires to people who live at Millington Springs. Four were completed and returned to us. The information provided in these told us that people did receive enough information to assist them in making the decision to move to the home. We looked at the service user guide and the statement of purpose and found these to be satisfactory. Care Homes for Older People Page 11 of 28 Evidence: As part of our case tracking process we looked at files for four people who live at the service, including the last person to be admitted. We saw evidence that people had been given information about the service and also that people had a pre-admission assessment completed to ensure that their needs could be met. However, the assessments were lacking in detail and did not provide information about the persons likes and dislikes. People we spoke with told us that they could remember talking to someone about their needs but not in great detail. People also told us that they did visit Millington Springs before moving there and were made to feel very welcome. One person said they had chosen the home because it was recommended by someone and a relative told us that they chose the home because it was near enough for them to visit every day. 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. People living at the service have their personal and health care needs and any identified risks, assessed and met. Evidence: As part of our case tracking process we looked at the care files for four people living at the service. These did contain care plans outlining any areas where a person required assistance and how that help should be given. They also included some information in relation to peoples choices and preferences, emotional needs, dignity and respect. There was evidence that care plans are reviewed regularly and changes made to ensure the care remains appropriate. We saw risk assessments that had been completed about any identified areas of risk including, mobility, nutrition, infection, falls and continence. It was also evident that Mental Capacity Act assessments had been completed. These were also reviewed on a regular basis and amendments made where necessary. Care Homes for Older People Page 13 of 28 Evidence: Records showed us that people had accessed community Health Care services such as Doctors and opticians and some of the people we spoke with told us that they had seen an optician recently. One person living at Millington Springs told us They always get the Doctor to see me if Im not well. A person we spoke with told us The care I get is very good. Nothing is too much trouble. A relative said My relative is always clean and even though they are reluctant to be washed and bathed, the staff are very good and patient with them. I can always talk about how my relative is and the staff do know about them. Another relative told us The staff always talk to my relative when they are doing anything, even though they cant talk to them. The care and attention they give is excellent. No one living at Millington Springs at the time of this inspection, was responsible for administering their own medication but each person had been assessed to see if this was a safe option for them. The system for the ordering, storage and administration of medication was observed to be appropriate. We looked at the Medicines Administration Record sheets (MAR) and observed that these had some gaps where staff had failed to sign them. We discussed this with the acting manager and she assured us that the staff responsible for these errors would be spoken with and training and monitoring would be provided as soon as possible. We checked the storage and recording for controlled drugs and found that these were correct in numbers but a member of staff had failed to record the balance of the stock. The acting manager assured us that this would also be discussed with the staff member and training/monitoring would address this. At the time of writing this report, we spoke with the acting manager and she confirmed that the staff responsible for the errors had been spoken with and that a robust monitoring system is now in place to ensure that these errors do not re-occurr. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People mostly experience a flexible lifestyle which is in accordance with their needs, abilities and preferences. Evidence: Three of the completed questionnaires we received from people living at the service tell us that there are always activities that people can be involved in. One person who is cared for in bed declined to comment. Staff that responded to our questionnaires tell us that they believe people are supported to live the life they choose wherever possible. We spoke with a number of people who live at the service and to some relatives. We were told People are well occupied with activities. The social side of the home is very good. We have entertainers that visit regularly and are very good. We have religious services. An activities co-ordinator is employed and she plans a programme of activities based on the wishes of the people living at the home. A relative told us The activities lady is marvellous. Care Homes for Older People Page 15 of 28 Evidence: A hairdresser visits regularly and there is a hairdressing salon within the home. One person said I love coming here to get my hair done. I dont have to go out but it feels like I am at the hairdressers. We observed people having lunch and found it to be very flexible and quite relaxed even though it was a very busy period for the staff. We saw that people were offered a choice and people that required assistance were supported by staff in a discreet and respectful manner. However, we did observe that staff were assisting more than one person at the same time indicating that there could be a need for more staff to be on duty at meal times. A relative we spoke with told us that they assist their relative when they are visiting and they dont think there are enough staff at meal times. We observed people enjoying their lunch and the food did look appetising. People told us The food is lovely. The food is very good, we get a variety of things and a choice. Its always good quality. Relatives told us that they can have a meal if they wish. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and have confidence that any concerns would be acted upon and responded to. People living at the service are safeguarded from harm and abuse. Evidence: We looked at the services policy and procedure regarding complaints and protection and found it to be detailed enough to advise people how to make a complaint. A copy of the complaints procedure was clearly displayed in the entrance of the home. The surveys that were returned to us from people who use the service all said that they know how to make a complaint and who to speak to if they are not happy. People we spoke with told us that they would always tell any problems to the manager or the staff and they were confident they would be listened to. Relatives we spoke with said Ive always been happy with the home. I have no cause for complaint but would feel confident to discuss anything that concerned me. I trust them completely. I visit every day and can always talk to someone about my relative. One relative told us that they do have some concerns and had complained about staff losing their relatives toiletries. They told us that they now keep her things in a toiletry bag but this is sometimes left in the bathroom. Care Homes for Older People Page 17 of 28 Evidence: We spoke with the acting manager about the above and she said she would emphasise with staff that they must return peoples belongings to their rooms. We discussed complaints and concerns with the acting manager and she told us that as soon as anyone raises an issue it is addressed and wherever possible, is resolved without the need for people to make formal complaints. We have received one formal complaint since the last Key Inspection and records we looked at showed us that this had been investigated and resolved within the required timescale. Staff told us that they pass on any concerns that people raise with them and added that the manager is very proactive in sorting things out for people. As part of our case tracking process we looked at the files of three staff members. We saw evidence that the staff have had training in Safeguarding Adults and staff we spoke with demonstrated that they understood and worked within this. Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. Discussions we had with staff informed us that they were aware of their responsibilities. They talked about how they would protect the person and immediately report any problems to the manager and described how they would deal with any issues if the manager was unavailable. Staff were aware of the homes policy about Whistle blowing and said that they would not hesitate to report anything and would feel protected to do so. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. People we spoke with told us that they felt safe I am alright here and safe and comfortable. A relative told us My relative wouldnt be alive today without the care and support given to them here. We looked at records of financial transactions for peoples personal monies and saw Care Homes for Older People Page 18 of 28 Evidence: that they are stored securely and records are well maintained. Two signatures are used at all times to maintain the records, minimising the risk of financial abuse. 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. People live in a clean, safe, comfortable and reasonably well maintained environment which meets their needs. Evidence: We conducted a partial tour of the home and looked at the communal areas, the bathrooms and some peoples bedrooms. The areas we saw were clean and well maintained and some benefitted from redecoration and new floor coverings. The environment was clean and fresh and people we spoke with told us that the home is always clean and tidy. A handyman is employed for fifteen hours each week and he told us that this is usually enough time for him to complete any tasks that require his attention. Maintenance records are kept and show that the handyman responds quickly to any problems that are identified and recorded by staff. Two people are employed as domestic assistants and there is a schedule in place to ensure that all areas are kept clean and tidy. People we spoke with said that they liked their bedrooms and that they were kept clean. Relatives confirmed that they felt the service was kept clean and well maintained. Care Homes for Older People Page 20 of 28 Evidence: Staff we spoke with said they felt there were enough cleaning staff on each shift and we observed cleaning staff during the day, carrying out their duties. There were no unpleasant smells in any areas of the service that we inspected, showing us that the staff are managing the cleaning well. People told us that their laundry was done to a satisfactory standard and they had no complaints or concerns. 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. People are supported by experienced and competent staff in sufficient numbers to meet their needs. Evidence: As part of our case tracking process we looked at files for three staff members. Each contained evidence of recruitment checks carried out before employment commenced and they had two references, Criminal Records Bureau checks, and application forms as well as evidence of identity in place. Three staff members returned the questionnaires that we sent out before our visit. All three said they had received an induction when they commenced employment. We saw evidence of training that staff had received, including challenging behaviour and administration of medication. Staff we spoke with confirmed that they had received this training as well as a number of other courses including Safeguarding Adults. Staff also said they had regular supervision with the manager which they found to be useful and supportive. Supervision records were seen and showed us that this takes place on a regular basis. Care Homes for Older People Page 22 of 28 Evidence: Staff told us that they feel supported by the manager and that they feel part of a good staff team. People who live at the service told us that the staff are Lovely Very good and I get on with all of them. The service has exceeded the 50 target for all staff to be trained to National Vocational Qualification Level 2 or higher. This ensures that there is a suitably qualified work force to meet the needs of the people living at the service. 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 service is well managed and is being run in the best interests of the people who live there. Evidence: The registered manager for the service was absent at the time of this inspection visit. The acting manager was present and we found that she was very knowledgable about all areas of the service and provided us with a lot of useful information. We had received a number of completed surveys from people living at the service and from staff and the information provided in these was considered at this visit. People told us that the manager is very approachable and that she actively seeks peoples opinions about the service they receive and if any concerns or problems are raised, she immediately takes appropriate action. People we spoke with commented that the manager is lovely and easy to talk to. Staff we spoke with said that they feel very well supported by the manager who is Care Homes for Older People Page 24 of 28 Evidence: available whenever they need her. They told us that she is approachable and is dedicated to the home. Staff and people living at the service added that the measures put in place to cover the registered managers absence are effective, telling us that the acting manager is maintaining the strategies put in place by the manager. Staff files showed us that staff receive supervision two or three monthly and an annual appraisal. Staff told us that they find this useful to look at career development and progression but reinforced that the manager is always around if they have a problem. As part of our case tracking process, we looked at the financial arrangements for some people whose money is managed by the service. Records were accurate and the recording was clear, telling us that peoples monies are managed safely. We found that the Health and Saftey testing and servicing has been undertaken as required and staff told us that they consider their Health and Safety is well protected as well as the people living at Millington Springs. They told us they are up to date with all statutory courses and this was confirmed by training records. Records we saw showed us that two accidents had occurred since the last key inspection and these had been recorded correctly and appropriate actions taken. The Care Quality Commission have received 19 regulation 37 notices since the last Key Inspection, demonstrating that the manager communicates all relevant information with us.(Regulation 37 is a regulatory process which informs us of any reportable incidents that occur at a service.) 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 1 9 13 The registered person shall make arrangements for monitoring the recording of medication administration. To ensure that staff responsible for administering peoples medication, sign the record sheets, therefore ensuring that peoples medication is administered correctly. 24/02/2010 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 Manager to ensure that each prospective resident has a full and thorough pre-admission assessment completed and the offer of a place at the service, made in writing. Meal times would benefit from an increase in staff numbers to enable staff to provide assistance to one person at a time. This would be more discreet and sensitive to peoples individual needs. 2 15 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!