Care Home: New Park House Nursing & Residential Home

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well The service has made improvements in all of the outcome areas as highlighted below. What has improved since the last inspection? The service has made improvements to all of the outcome areas since the last key Inspection was carried out. New care plans have been introduced and are now more individual and person centered. Personal risk assessments have been further developed and this ensures that people who live in the home are kept safe. People no longer have to wait to receive their medication over mealtimes. This means that meals are more enjoyable. The programme of activities and entertainment has improved. This means that people`s therapeutic and social needs are met. People are now more involved in the daily life of the home and are starting to take part in helping to choose new staff. The management of complaints has improved in that there are now documented outcomes to the complaints the service has received. People who make complaints are made aware of the outcomes of investigations including action taken to make improvements. There have been many improvements made to the environment. The home is now brighter and more welcoming. This is particularly noticeable in the entrance to the home, corridors and to the dining rooms, which are now brighter and more conducive to dining. The staff recruitment procedure has improved in that people who live at the home are now involved with this procedure. Staff training in Palliative Care has been developed further. This means that staff will have the skills and expertise to assist people in the last days of their life. The overall management of the home has improved since the last key Inspection and management accountability is now clearer. This is what a representative from Stoke On Trent Social Services told us "We have been very pleased with the improvements made at New Park House. I have being conducting monthly monitoring visits to the home following the issues last year. During this time the home have been co operative, willing to work with us and receptive to my monthly visits. We have received no complaints regarding New Park and we have had no major concerns raised regarding New Park House from our Social Work Teams". "We have also seen improvements at the home in the following areas: Care Planning and auditing of Care Plans Staff Training Standard of Record keeping Environmental Improvements" "We are confident in the new managements` ability to take the home forward". We also spoke with a health care professional who visits the home frequently from the Community Nursing Services and she told us that there have been improvements made at the home and that staff work well with them. She was keen to stress the importance of the service to continue with the Palliative Care training. What the care home could do better: The Quality Assurance programme now needs further development to ensure that the views of people who live at the home are taken into account. This will help to ensure that people continue to have a say in the running of the home. The dementia care unit should now be taken forward to provide a center of excellence. This is so that people who live on this unit receive care based on current best practice. People should be offered baths and/or showers as they would like them and preferably more often than once a week. This will help to ensure that peoples` personal care needs are met. People should have access to call bells at all times especially whilst they are in their bedrooms unless a risk assessment says otherwise. The risk assessment must also identify that peoples` safety is maintained and monitored. Key inspection report Care homes for older people Name: Address: New Park House Nursing & Residential Home New Park Chivelstone Grove Trentham Stoke On Trent Staffordshire ST4 8HN     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: Yvonne Allen     Date: 0 9 0 4 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 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: New Park House Nursing & Residential Home New Park Chivelstone Grove Trentham Stoke On Trent Staffordshire ST4 8HN 01782657664 01782644555 info@newparkhouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): New Park House Ltd Name of registered manager (if applicable) Nora Patricia Sandra Wilson Type of registration: Number of places registered: care home 95 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: The maximum number of service users to be accommodated is: 95 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 95 Physical disability (PD) 95 Dementia (DE) 95 Date of last inspection Brief description of the care home New Park House is a registered care home currently providing nursing and personal care for up to 92 older people with varying levels of dependency. The home is a large Care Homes for Older People Page 4 of 26 95 0 95 Over 65 0 95 0 Brief description of the care home detached property situated in its own spacious grounds in a residential area of Trentham, Stoke on Trent. The home has been extended over the years including a recent extension of a 29-bedded unit. The grounds are extensive and easily accessible and there is ample car parking facilities. Within the grounds of the home are 21 housing association supported bungalows for older people. An emergency care call system links each bungalow with the home and emergency support is provided by staff of the home. The home offers personal and nursing care for older people with varying physical limitations and needs. The home is also registered to care for people with dementia care needs, but is not registered to accept people with mental health needs requiring nursing care. The fees charged by the home range from 390 to 730 per week. Further information can be obtained from the manager of the home. Additional charges are incurred for hairdressing, toiletries, newspapers, magazines and transport. Care Homes for Older People Page 5 of 26 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 overall quality rating for this service is 2 Stars. This means that the people living at the home experience GOOD quality outcomes. This unannounced Key inspection visit took place over two days and was undertaken by one inspector. The inspection process was commenced several weeks prior to the visit and included surveys completed by people who live at the home. All of the Key minimum standards were assessed and for each outcome a judgment has been made, based on the evidence we gathered. These judgments tell us what it is like to live at the home. Prior to this inspection visit the service had completed a self-assessment tool, which is known as the Annual Quality Assurance Assessment (AQAA). Completion of this assessment is a legal requirement and it enables the service to undertake a self Care Homes for Older People Page 6 of 26 assessment, which focuses on how well outcomes are met for people living at the home. This AQAA was very detailed and provided us with a lot of information about the service. The ways in which we gathered our evidence to make the judgments are as follows, We looked at any information we had received about the service since the last Key inspection. We spoke with people who live in the home. We spoke with some of the staff who work at the home. Discussions were held with the manager and Provider. We examined relevant records and documentation in the home. We walked around the home and visited all communal areas and some bedrooms. We observed staff interaction with people who live in the home. At the end of the inspection visit we discussed our findings with the manager and Provider. Since we carried out the last Key Inspection of this service the Registered Manager Mrs Wilson has left and has been replaced by a new manager Mrs Anne Cooke. Mrs Cooke is in the process of registering as manager with the CQC. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? The service has made improvements to all of the outcome areas since the last key Inspection was carried out. New care plans have been introduced and are now more individual and person centered. Personal risk assessments have been further developed and this ensures that people who live in the home are kept safe. People no longer have to wait to receive their medication over mealtimes. This means that meals are more enjoyable. The programme of activities and entertainment has improved. This means that peoples therapeutic and social needs are met. People are now more involved in the daily life of the home and are starting to take part in helping to choose new staff. The management of complaints has improved in that there are now documented outcomes to the complaints the service has received. People who make complaints are made aware of the outcomes of investigations including action taken to make improvements. There have been many improvements made to the environment. The home is now brighter and more welcoming. This is particularly noticeable in the entrance to the home, corridors and to the dining rooms, which are now brighter and more conducive to dining. The staff recruitment procedure has improved in that people who live at the home are now involved with this procedure. Staff training in Palliative Care has been developed further. This means that staff will have the skills and expertise to assist people in the last days of their life. The overall management of the home has improved since the last key Inspection and management accountability is now clearer. This is what a representative from Stoke On Trent Social Services told us We have been very pleased with the improvements made at New Park House. I have being conducting monthly monitoring visits to the home following the issues last year. During this time the home have been co operative, willing to work with us and receptive to my monthly visits. We have received no complaints regarding New Park and we have had no major concerns raised regarding New Park House from our Social Care Homes for Older People Page 8 of 26 Work Teams. We have also seen improvements at the home in the following areas: Care Planning and auditing of Care Plans Staff Training Standard of Record keeping Environmental Improvements We are confident in the new managements ability to take the home forward. We also spoke with a health care professional who visits the home frequently from the Community Nursing Services and she told us that there have been improvements made at the home and that staff work well with them. She was keen to stress the importance of the service to continue with the Palliative Care training. 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 9 of 26 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 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given information about the service which enables them to make an informed decision about whether the home will suit their needs. An assessment of individual needs is carried out by a representative of the home and people can be sure that their assessed needs will be met. Evidence: The AQAA is very detailed and tells us how the assessment process takes place and how people are given information about the service. This also tells us how people are welcome to come and visit the home and spend time there before making a decision to come into the home. People have a full assessment of their needs carried out before they are offered a place at the home. The manager of the service is responsible for carrying out the assessments and she told us that she will only accept people where she feels confident that their needs can be met at the home. The assessment of needs is documented in care plans and the manager plans to develop this document Care Homes for Older People Page 11 of 26 Evidence: into a full pre admission assessment. The Statement Of Purpose and Service User Guide are combined together as the brochure for the home. These are given to any body who is interested in coming into the home and copies are available at reception and in peoples bedrooms. These documents are kept updated to reflect any changes to the service. A copy of the most recent inspection report is also available at reception. People told us - First impressions are always good. The home is very happy and everyone here is always made to feel welcome. Care Homes for Older People Page 12 of 26 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 who live in the home can be assured that their care will be planned and delivered with dignity and respect. Evidence: There have been improvements made in this outcome area and the service are continuing to develop this. A new system of care planning has been introduced which focuses more on individual needs and preferences and is more person centered. The new care plans contain individual risk assessments with a care plan developed to meet each identified need. These are then reviewed regularly and people and/or their representatives are encouraged to participate in the review of their care plans. People receive personal and nursing care according to their plan of care. However we identified that people do not always receive a bath/shower as specified in this plan of care. One person told us that she had not had a bath for nearly two weeks. Also some people may prefer a bath or shower more often and the service will need to demonstrate that people are asked about this and that their wishes are upheld. Care Homes for Older People Page 13 of 26 Evidence: Staff are trained to meet peoples individual needs and people told us that staff are caring and supportive. People are assisted to take their medication by the nurses who work in the home. The times of medication rounds have been altered to fit in with the dietary needs of people. This means that people do not have to sit and wait for their medication when they have finished their lunch. People have access to health care professionals including doctors, dentist, chiropodists and opticians. The Tissue Viability Team of nurses are called on to give support and advice where needed. This helps to ensure that individual health care needs are met. Staff were observed to interact well with people and treat people with dignity and respect. People who live in the home confirmed this to us. The new unit which was added to the home recently has specialized in providing residential dementia care. We observed that this care is good and that people are cared for with dignity and respect. However this unit could now be further developed into providing a center of excellence. This is so that people who live on this unit receive care based on current best practice. The staff are currently undertaking training in Palliative Care. Some staff have already specialized in this area. This will help to ensure that people are able to spend the last weeks of their lives in the home and will receive specialized care from highly trained staff. We spoke to one of the health care professionals who has been involved with training staff and she said that she hopes that staff training in this area will continue to develop. People told us -Care is excellent. Always clean and tidy. Staff very helpful at all times. Nurses always available if any concerns. I have been a resident at Newpark House for two and a half years. I always feel safe and the staff and care is wonderful. Care Homes for Older People Page 14 of 26 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 will find that the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. Evidence: Improvements have been made to the provision of activities and entertainment within the home. There is an extensive programme of activities and entertainment. This includes trips out in the minibus to local places of interest. There are now two full time activities coordinators employed by the service who oversee the planning and delivery of the activities programme. People have their individual social and therapeutic needs assessed and their preferred hobbies and interests are promoted wherever possible. We observed people bieng helped to exercise their preferred interests and people who live at the home are now encouraged to assist with the planning and implementation of daily life and activities in the home. Choices and preferences are documented in care plans and, wherever possible, these are upheld. This includes choices of meals and mealtimes. There are set mealtimes but these are flexible and people can also take meals in the privacy of their own room if they wish to. Special diets are catered for and assistance to eat meals is given Care Homes for Older People Page 15 of 26 Evidence: where necessarry. People undergo assessment of their dietary and nutritional needs and this is monitored and people are weighed regularly. We received some comments which indicate that meals should be reviewed I feel that the home needs to improve its meals and its waste management Meals could be improved. More fresh veg would be better The manager told us that they are in the process of auditing meals and this will include obtaining the views of people. The spiritual needs of people are assessed and people are helped to practice and uphold their beliefs and religious practices. Regualr Church services are held within the home and clergy from diferrent denominations visit the home. People who live in the home are listened to and have a voice and are encouraged to mainatin their autonomy and independance wherever possible. People told us - I feel that the home needs to improve its meals and its waste management More activities needed Meals could be improved. More fresh veg would be better Care Homes for Older People Page 16 of 26 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 who live in the home, their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People who live in the home are protected from abuse. Evidence: The service has a formal complaints procedure in place. This is displayed in the home and contained in the Service User Guide. People who live in the home are aware of this process and know who to speak to if they have any concerns. Peoples concerns are listened to and formal complaints are investigated by the manager and action is taken to make improvements where necessarry. These are recorded and each complaint received has an outcome. People are also encouraged to express their views during meetings and there is a suggestion box in reception at the entrance to the home. The manager stated that she runs an open door policy and that people are encouraged to come and speak to her in person. We, the commission, have received two complaints about the service since the last Key Inspection and one of these was investigated by the manager. Care Homes for Older People Page 17 of 26 Evidence: This is what a represenattive of Stoke On Trent Social Services told us about this outcome area We have received no complaints regarding New Park and we have had no major concerns raised regarding New Park House from our Social Work Teams. The systems adopted by the service help to ensure that people are safeguarded from abuse. Staff receive training in this area and have the knowledge to be able to recognise and report poor practice. The manager is familiar with local safeguarding procedures. The service has policies and procedures in place to help keep people safe. Care Homes for Older People Page 18 of 26 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 safe, well maintained environment which is clean, pleasant and hygienic. Evidence: There have been many improvements made to the environment since the last Key Inspection. Internally the home has been made brighter and there is a rolling programme of redecoration and refurbishment in place. The environment is adapted to meet the needs of people living in the home. The environment of the residential dementia care unit should be further adpated in order to provide more help with orientation and stimulation. This is so that people who live on this unit receive care based on current best practice. People were observed using all of the communal areas. These include large lounges as well as smaller more private sitting areas. People can receive visitors in one of the more private areas if they wish. The home benefits from extensive grounds and outdoor garden space is being developed with the help of people who live in the home. This will provide attractive enclosed gardens for people to enjoy. Care Homes for Older People Page 19 of 26 Evidence: The service have employed a new housekeeper as the previous one had retired. She provided us with information about cleaning schedules for the home and staff training and supervision. The home appeared clean and hygienic at the time of the visit. Care Homes for Older People Page 20 of 26 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 who live at the home can be sure that they are cared for by a staff team who are safe and have the skills and training to be able to meet their needs. Evidence: There is a formal staff training and development plan in place at the home. Staff members confirmed that they are supported with their training needs. Training courses are geared around meeting the needs of the people who live in the home and staff are updated so that they have the skills to be able to meet peoples needs. Staff are carefully selected to work at the home and checks are carried out to ensure that staff are safe to work with vulnerable people. We spoke at length with a new starter who confirmed the above and that there is a good staff induction training programme in place. This helps to ensure that staff have the skills required to meet the needs of people. There was a good skill mix of people on duty at the home at the time of the inspection visit and discussions with staff and people who live there confirmed this. Staff are also supplied in sufficient numbers to meet the needs of people living in the home. This is closely monitored by the home manager to ensure that the changing needs of people are met. Care Homes for Older People Page 21 of 26 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 home is well managed and is run in the best interests of the people who live there. Evidence: The overall management of the home has improved since the last key Inspection and management accountability is now clearer. The new manager is in the process of registration with CQC and has the necessary skills, experience and qualifications to manage the service effectively. We observed that people interact well with the manager and they told us that they feel supported by her. The service is continuing to make improvements in all of the outcome areas and the manager is overseeing this. She is assisted by the deputy manager, the financial manager, the administrator and the provider. There is now an effective management Care Homes for Older People Page 22 of 26 Evidence: structure in place with clear directives of where the service is heading. There is a Quality Assurance programme in place where outcome areas are audited. The service now needs to develop this programme further in order to ensure that people who live at the home are included and that their views are taken into account. The service provides a secure facility for the safekeeping of monies and valuables and records are maintained effectively for this. The maintenance is open and transparent and allows for audit trails to be carried out. The service has a Health and Safety policy statement in place and staff receive training and support in this area. The service complies with relevant Health and Safety legislation. Both generic and individual risk assessments are undertaken and reviewed on a regular basis. Some of the people living in the dementia care unit did not have access to a call bell in their bedroom as these were missing from the wall. This means that these people would be unable to call for assistance. People living at the home must have access to a call bell unless a risk assessment says otherwise. The service must ensure that people without call bells have risk assessments in place, are monitored regularly and kept safe. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 7 People should be offered a bath/shower more regularly than once a week and preferences documented in care plans in respect of this should be upheld. This will help to ensure that peoples personal care needs are met. The dementia care unit could now be further developed into providing a center of excellence. This is so that people who live on this unit receive care based on current best practice. The environment of the residential dementia care unit should be further adpated in order to provide more help with orientation and stimulation. This is so that people who live on this unit receive care based on current best practice. The service now needs to develop the Quality Assurrance programme further in order to ensure that people who live at the home are included and that their views are taken into account. People living at the home must have access to a call bell unless a risk assessment says otherwise. The service must ensure that people without call bells have risk assessments in place, are monitored regularly and kept safe. 2 8 3 19 4 33 5 38 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 26 of 26 - 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!