Care Home: Nynehead Court

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What the care home does well Nynehead Court provides a high standard of care within a well maintained environment. It has a relaxed and welcoming atmosphere. Bedrooms are spacious enabling people to bring their own furniture and possessions to create homely bed sitting rooms. People living at the home continue to be in control of their day to day lives and it was observed that people were consulted on all aspects of their care. Throughout the day interactions between people living and working at the home were polite and friendly. All support was given in a discreet and respectful manner to maintain peoples dignity. Staff spoken with had a good knowledge of the needs and preferences of people and evidence was seen that peoples physical health is monitored. People have access to a range of health care professionals, according to their individual needs, and the home assists people to attend appointments outside the home. There is a strong management team who are committed to providing a very individualised service to each person. Some quality assurance systems are in place to seek peoples views and monitor quality within the home. The recruitment process is robust and minimises the risk of abuse to people. Staff seen during the inspection were well motivated and competent in their roles. Staff felt that they received good training which enables them to meet the varying needs of the people who live at the home. People living at home were happy with the care that they received and spoke highly of the staff who supported them. What has improved since the last inspection? Since the last inspection the home has continued to maintain the house to a good standard and ensure that facilities continue to meet the needs of people. Some areas have been redecorated and some new equipment has been purchased. Staff now receive a full induction programme and the number of staff with a National Vocational Qualifications in care has increased to 73%, well above the National Minimum Standard. A training matrix is now in place which clearly shows which training has been undertaken by which staff. Although care plans would benefit from further development, to ensure that they fully reflect peoples needs and give clear guidance for staff, they are now being regularly reviewed. Various changes to activities available have been made in line with peoples interests and abilities. What the care home could do better: One requirement has been made as a result of this inspection. The home encourages people to maintain independence with the administration of medication. Currently the home orders and receives medicines for people to administer themselves. To ensure that there is a clear audit trail they need to record the the type and quantity of medications given to people to self medicate. Some recommendations for good practice have been made these include; ensuring that care plans are fully reflective of peoples needs, involving people more fully in menu planning and providing a level access shower to give greater choice to people. Key inspection report Care homes for older people Name: Address: Nynehead Court Nynehead Court Nynehead Wellington Somerset TA21 0BW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jane Poole     Date: 0 5 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: Nynehead Court Nynehead Court Nynehead Wellington Somerset TA21 0BW 01823662481 01823665293 nyneheadcare@aol.com www.tssg.co.uk Nynehead Care Ltd care home 35 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Assessment of service users for Room 25B must include consideration of the use of the chair lift to the room. Room 22 must be used for mobile service users only. Date of last inspection Brief description of the care home Nynehead Court is a Grade II*, 17th Century Manor House set in thirteen acres of parkland with a 13th century church adjacent. The home is in the village of Nynehead and there are many links with the community. Nynehead Court has been owned by Nynehead Care Limited since 22nd January 2004. The home is registered with the Care Quality Commission to provide personal care for up to 35 people over the age of 65 years. The home is not registered to provide Nursing Care. Conditions of registration are identified above. Care Homes for Older People Page 4 of 28 Over 65 35 0 Brief description of the care home The registered manager is Mrs Diana Hathaway. All rooms have en-suite toilets and private telephone points. The majority of the rooms considerably exceed minimum space standards. The home and grounds are maintained to a very high standard. There is an emphasis on maintaining independence and individuality. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commissions Inspecting for Better Lives 2 framework. This focuses on outcomes for people and measures the quality of the service under four general headings. These are:- excellent, good, adequate and poor. This inspection was carried out by one inspector over a one day period. During this time we, The Commission, we able to speak with people living and working at the home, tour the building, observe care practices and view records. We were given unrestricted access to all parts of the home and all records requested were made available. Care Homes for Older People Page 6 of 28 Before the inspection the deputy manager completed an Annual Quality Assurance Assessment (AQAA) which gave details about the home and their plans for the future. The AQAA also gave us some numerical information. The management team were available throughout the day. 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: One requirement has been made as a result of this inspection. The home encourages people to maintain independence with the administration of medication. Currently the Care Homes for Older People Page 8 of 28 home orders and receives medicines for people to administer themselves. To ensure that there is a clear audit trail they need to record the the type and quantity of medications given to people to self medicate. Some recommendations for good practice have been made these include; ensuring that care plans are fully reflective of peoples needs, involving people more fully in menu planning and providing a level access shower to give greater choice to 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People wishing to move to Nynehead Court have opportunities to visit and have a short stay before deciding to become a permanent resident. Everyone wishing to move in has their needs assessed to ensure that the home is able to meet their needs and expectations. Intermediate care is not provided. Evidence: Each person moving into the home receives a residents handbook and user guide. This clearly sets out information about the environment, the staffing and management and the core values of the home. It also includes details about what is included in the fee. The home also has a website that gives information about the facilities and activities. Care Homes for Older People Page 11 of 28 Evidence: People who wish to move in have their needs assessed to ensure that Nynehead Court has the facilities and staffing to meet individual needs. People are encouraged to visit the home and the majority of people spoken with during the inspection said that they had stayed at the home before deciding to move in. People said that this had given them a chance to sample the home to make sure that it met their expectations and needs. One person said that staying on a trial basis had helped them to make the transition from their previous home before making the decision to move in on a permanent basis. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good knowledge of peoples needs and abilities although this is not always reflected in individual care plans. Personal health is monitored and people are able to access health care professionals according to their individual need. People are treated with respect and dignity at all times. Evidence: Everyone asked during the inspection felt that they were well cared for. One person said that the assistance that they received was wonderful another said that the care was second to none. People seen during the inspection were well presented and clean. One person said that although they liked to be independent with their personal care the staff were always happy to assist them. It was observed that people who required prompting or assistance were supported in a very discreet manner. Care Homes for Older People Page 13 of 28 Evidence: People said that they were treated with dignity at all times and that their privacy was respected. It was observed that people were able to spend time socialising in communal areas or in the privacy of their room. Throughout the day interactions between people living and working at the home were friendly, warm and polite. Everyone has a care plan that is personal to them. As part of the inspection 4 care plans were looked at. All contained basic information about the needs of the individual, including social needs and preferred routines. There are some people living at the home who have pronounced memory difficulties but care plans seen did not give guidance for staff to assist people with these difficulties. Staff spoken with were able to demonstrate that they had a good knowledge of each individual and their needs. People are registered with local doctors and other health care professionals according to their individual needs. The home assist people to attend appointments outside the home and all appointments are recorded in the persons care plan. The home is not able to provide nursing care but district nurses visit anyone who requires nursing input. The home has some pressure relieving equipment, which is available to people who are assessed as being at risk of pressure damage, and other equipment can be accessed through community services. At the time of this inspection one person was seen being cared for in bed. An appropriate pressure relieving mattress was in place and the person appeared very comfortable and content. The majority of people are weighed on a regular basis and records seen showed that people were generally maintaining a stable weight. One person has a care plan that states that they should be offered a food supplement drink. The care plan does not state how often this should be offered and there are no records of when the supplement has been taken. The manager stated that they are planning to purchase sit on scales to enable everyone to be weighed regularly. As part of the inspection we observed the handover meeting between staff. This demonstrated that staff had a good knowledge of peoples needs and abilities. It was apparent that health care needs were being monitored and referrals made to appropriate professionals. Care Homes for Older People Page 14 of 28 Evidence: The home uses a monitored dosage system for medication and there is adequate storage facilities. Medication is administered by staff who have received training in this area and those spoken with said that they were confident that they had the skills and knowledge that they required. Medication records seen showed that all medicines are signed into the home and signed for when administered by staff, or refused, giving a clear audit trail for these medicines. Some people self administer medication, their medication is ordered by the home and passed to the person to self administer. There is no record of the quantity of the medication passed to the person. Controlled drugs records were sampled and these records correlated with stocks held. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a wide range of activities and social functions organised for people who live at the home. People remain in control of their day to day lives and continue to make lifestyle choices. Visitors are always welcome and the home plays an active part in the local community. Evidence: There is a warm and relaxed atmosphere in the home. People said that they were able to make choices about their day to day lives and could continue with their preferred routines. There are no set times to get up or go to bed and people are able to choose how they spend their day. At the time of the inspection it was observed that people came to the dining room for breakfast at a time that suited them and other people had breakfast in their rooms. There is a monthly activity programme which is given out to everyone so that they can plan which activities they would like to attend. The activities programme for the Care Homes for Older People Page 16 of 28 Evidence: month is also available on the website. Activities are arranged on an individual and group basis. People spoken with were very complimentary about the activities in the home saying that there was always something to join in with if they wish. The home also arranges holidays away for people. There are two vehicles which enable people to access local facilities and go out on trips. Throughout the day it was apparent that people remained in control of their day to day lives and continued to make decisions about their care and their lifestyle. People are able to bring their own furniture and possessions with them when they move in. This enables them to create a comfortable personal room. We observed people being offered choices throughout the day and being consulted on a variety of subjects. The chef creates a monthly menu which gives a wide variety of food. The menu for the day, and following day, is displayed outside the dining room. The chef said that the menu is compiled in line with peoples known likes and dislikes. The majority of people said that the food in the home was good but two people said that they found the meals monotonous. The home uses fresh produce where possible, with much of the produce coming from the homes own vegetable garden. The kitchen was well stocked with good quality products. The main meal of the day was seen. People were offered choices of food and there was a selection of alcoholic and non alcoholic drinks to choose from. Lunch was a relaxed and pleasant occasion and people who required assistance were supported in a sensitive and discreet manner. Nynehead Court is very much part of the local community and there is an active Friends group who visit regularly, arrange social activities and run a small shop for people living at the home. Some people said that they still attended clubs outside the home. Visitors are always made welcome in the home and many people said that as well as trips out with staff they enjoyed regular outings with family. The AQAA states that the home is able to provide meals and accommodation for visiting friends and family. 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. There are systems in place to ensure that people are able to raise concerns or make a complaint. Evidence: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Many of the staff have undertaken training in the protection of vulnerable adults as part of their National Vocational Qualification training. There is a complaints procedure which is available in the home and in the service user guide. People spoken with said that they would be comfortable to raise any worries or concerns with the manager or a member of staff. All felt that any concern would be taken seriously and would be addressed. The AQAA states that the home operates an open door policy and people are always able to speak with the manager, deputy or senior on duty. No formal complaints have been received by the home since the last inspection. Throughout the day people were seen to move freely around the home with unrestricted access to all communal areas and their personal rooms. Care Homes for Older People Page 18 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Nynehead Court provides very comfortable and spacious accommodation for the people who live there. Individual rooms are large and people are able to personalise them to their own tastes and needs. Standards of cleanliness are excellent. Evidence: Nynehead Court is a grade II* listed Manor House set in 13 acres of parkland and formal gardens in the village of Nynehead. All areas are fitted with a fire detection and call bell system. Accommodation is set over three floors and there is a passenger lift giving access to most areas. Some bedrooms can only be accessed by stairlift. The home retains its character and period features but has been adapted to meet the needs of the people who live there. Adaptations include grab rails, ramps and assisted bathing facilities. Other equipment has been put in place to meet individual needs. There is no level access shower meaning that many people are unable to make a Care Homes for Older People Page 19 of 28 Evidence: choice whether to shower or bath. One person spoken with said that they missed being able to have a shower. There is a variety of communal areas that people are able to use to relax and socialise. All areas seen were comfortably furnished and decorated in line with the needs of the people who live there and the style of the building. At the time of this inspection all bedrooms were being used for single occupancy. Bedrooms are large and provide comfortable sleeping and living accommodation. People are encouraged to personalise their rooms with their own furniture and possessions to create very individual rooms. Everyone asked was very happy with the accommodation provided and many commented on how much they enjoyed the gardens and surrounding grounds. All areas are centrally heated but due to the severe weather conditions at the time of the inspection additional electric heating had been provided to ensure that all areas were comfortably warm. The main drawing room has a well guarded open fire and during the inspection many people were socialising in this cosy room. There is a commercial style laundry which is well equipped to meet the needs of the home. All areas of the home seen were well maintained, clean and fresh. Care Homes for Older People Page 20 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 living at the home are supported by a competent and well motivated staff team. Staff receive adequate training to ensure that they have the skills and understanding to carry out their roles. Evidence: The home employs 26 care staff, 19 (73 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. This exceeds the National Minimum Standard of 50 . In addition to care staff there is a team of ancillary staff. There is a clear staffing structure in the home meaning that lines of responsibility and accountability are clear. There is always a senior member of the care staff team on duty who leads the shift and offers support and guidance to less experienced staff. People living and working at the home felt that there was always enough staff on duty to meet individual needs. At the inspection it was noted that requests for assistance were responded to promptly and staff assisted people in an unhurried manner. Since the last inspection the home has developed a training matrix. This shows that all staff have received training in health and safety matters and subjects relevant to the Care Homes for Older People Page 21 of 28 Evidence: care of the people who live there. Staff spoken with were very happy with the training opportunities available. At the time of the inspection some staff were attending a first aid course. Two recruitment files were viewed at this inspection and both gave evidence of a robust recruitment procedure which minimises the risks of abuse to people. Some minor amendments to the application form and reference application format were suggested to ensure that they give clear information and are in line with current legislation. The staff team on duty at the time of the inspection were well motivated and competent in their roles. Staff said that teamwork and communication within the home was good. Without exception people living at the home were very complimentary about the staff who assisted them. Comments included staff are very helpful and nice Staff are very very good and Staff are super and so good about helping me. One person praised the staff for the way they had adapted to meet the persons changing needs saying They never make me feel embarrassed about not being able to do the things I used to do, infact they seem pleased to help. People commented that staff were happy in their work which created a happy relaxed atmosphere. Care Homes for Older People Page 22 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. There is a strong management team who are committed to providing a high standard of care. The home, and equipment in it, is well maintained to minimise the risks to people who live and work at the home. Evidence: The registered manager is Diane Hathaway, she has many years experience in the care of older people and care management. She has a National Vocational Qualification in management at level 5 and has managed Nynehead Court for six years. In the last 12 months a new deputy manager has been appointed who also has many years experience and appropriate qualifications. The director of the company that owns the home, is very involved in its running making a strong and effective management team. As previously stated there is also a team of senior care staff. Care Homes for Older People Page 23 of 28 Evidence: All three members of the management team were available on the day of the inspection. All demonstrated a good knowledge of the people living at the home and their needs. There is an obvious commitment to providing a high quality service that is tailored to each individual. People living at the home spoke highly of the management and everyone appeared very comfortable in their presence. The home has various ways to seek the views of people which include quality assurance questionnaires, informal chats and the director holds regular meetings and coffee mornings with the people who live at the home and their representatives. People living and working at the home said that they were comfortable sharing opinions and views with the management team. The home does not act as a power of attorney or financial appointee for anyone. Where requested, the home manages small amounts of monies on behalf of people. A selection of records relating to transactions and balances were checked at this inspection. Records seen correlated with monies held. The AQAA states that all equipment in the home is regularly serviced and a sample of records seen confirmed this. The home employs full time maintenance staff to ensure all areas are safe and well maintained. A fire risk assessment has been completed and fire detecting and fighting equipment is regularly tested and serviced. The training matrix shows that although all staff have received training in fire safety some have not received refresher training for over a year. Records seen showed that all lifting equipment in the home is regularly serviced by outside contractors. Any accidents in the home are recorded. Up to date certificates of registration and insurance are displayed in the home. The home informs the Commission of all significant incidents at the home. Care Homes for Older People Page 24 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 25 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 home must ensure that 08/02/2010 the quantity and type of medication passed to people to self administer is clearly recorded. To ensure that all medications coming into the home is clearly accounted for. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 7 15 18 Care plans should contain details of the assistance people require because of their memory difficulties. The home should ensure that people are actively involved in menu planning. It is recommended that all staff receive training in the protection of vulnerable adults and are familiar with the local policy. The home should consider installing a level access shower to enable people to choose between a bath or shower. 4 21 Care Homes for Older People Page 26 of 28 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 5 38 All staff should receive training in fire safety at least annually. 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. 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