Care Home: Orchard Hill

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What the care home does well The home is clean and has a homely atmosphere. The people and their families are encouraged to visit the home. One family member told us that their family member `is so happy here` and says `if not happy they would tell staff` but they had no complaints about the place. Comments received from a family survey stated `he has settled very well in the past year and regards Orchard Hill as his own real home which is very pleasing to us`. People who come into this home can be sure that they will be well looked after because the manager makes sure the staff have the right knowledge and training to make sure that they can look after the people properly. The people go on holidays and on day trips with staff which they enjoy. The menu in the home is varied and the people are involved in choosing the meals. All the people tell us that they like the food. The bedrooms seen were individualised to the people and those spoken to tell us `I like my room`. The people like the staff and say `staff help me do things. The staff tell us that they enjoy working at the home and one staff said what they enjoyed was `knowing that you are making a difference` and `getting people to do things with them`. It was also said that the `people were getting good care and its client centred`. The staff says the manager is `very good` and listens to them. What has improved since the last inspection? The home was decorated last year. The home separated the bath room from the toilet and added a wet room to the toilet last year. The company has appointed a qualified trainer for providing safe guarding (SOVA) training in house. The home provides more care plan training. The organisation has employed a Quality Director to look at the quality of the homes. What the care home could do better: The home should ensure all staff receives at least 6 supervisions per year to find out how they are working with the people in the home. Provide a training matrix in the home to show the training undertaken by all staff. Provide the service users guide, care planning documents, contracts, complaints procedure in a user friendly format that the people living in the home will be able to understand. Make some of the areas such as the garden, and laundry room pleasant for the people to use. Ensure the people`s money is monitored properly to ensure the balance calculated is correct. Key inspection report Care homes for adults (18-65 years) Name: Address: Orchard Hill 100 Orchard Hill Little Billing Northampton Northants NN3 9AG     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: Ansuya Chudasama     Date: 2 1 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 30 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Orchard Hill 100 Orchard Hill Little Billing Northampton Northants NN3 9AG 01604403602 01604403602 manager.orchardhill@tracscare.co.uk suehullin@tracscare.co.uk Compass Care Ltd care home 4 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 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No one falling within category MD, Mendal Disorder should be admitted into Orchard Hill unless that person also falls within the category LD ie dual disability The maximum number of persons to be accommodated at Orchard Hill is 4 Date of last inspection Brief description of the care home 100 Orchard Hill is a detached home, which provides personal care and support to 4 people who require care due to a Learning Disability, and some of whom may have an additional Mental Health Disorder. This is one of five homes run by the providers Compass Care and benefits from the support of a wider organisation. The home is situated near to a large shopping centre and has good transport links to other areas of Northampton. The provider gives information to prospective residents in the Statement of Purpose, and Service Users Guide. Information about the content of the Care Quality Commision Inspection reports is provided to the people verbally. The Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 4 4 Brief description of the care home current fees range from 1,600 to 2,000 per week with extra costs for personal items such as clothing. This information was supplied on the 5th June 2007. Care Homes for Adults (18-65 years) Page 5 of 30 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Care Quality Commission (CQC) policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. We looked at the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also looked at the information from the last key inspection and the records of any other visits that we have made to the home in the last 12 months. Information we have about how the home has managed any complaints and things that have Care Homes for Adults (18-65 years) Page 6 of 30 happened in the home, which are reported under notifications and are a legal requirement are also looked at. The report refers to we this is because the report is written on behalf of the Quality Care Commission. We last inspected this service on the 5th of June 07. This key inspection was carried out on the 21st May 09. The manager of the home helped out with the inspection process. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them to obtain their views on the service provided. We also spoke to all of the other people who live in the home. Documentation relating to staff recruitment, training and supervision, medication administration, complaints and health and safety were also examined. We had the opportunity to talk to some of the staff who were on duty. The Service User Guide states that the current fee is One thousand and six hundred pounds to two thousand pounds per week. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: The home should ensure all staff receives at least 6 supervisions per year to find out how they are working with the people in the home. Provide a training matrix in the home to show the training undertaken by all staff. Provide the service users guide, care planning documents, contracts, complaints procedure in a user friendly format that the people living in the home will be able to understand. Make some of the areas such as the garden, and laundry room pleasant for the people to use. Care Homes for Adults (18-65 years) Page 8 of 30 Ensure the peoples money is monitored properly to ensure the balance calculated is correct. 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 Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 coming to live at the home are properly assessed to ensure that their needs will be met Evidence: The people spoken to tell us that they had visited the home. One Family member told us that they looked at three choices and choose this home and they have no regrets. Another person said that I like the home and did not want to go any where else. The home has not had any new admissions for a while. The AQAA says, that the assessment process is extremely detailed and assesses all needs and wishes. The peoples files looked at showed that there were assessment admission details of the people being admitted to the home. All the people in the home have contracts and those seen were signed by them. These contracts could be provided in a user friendly format that the people in home would understand better. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The home has a Service User Guide and a statement of purpose. The AQAA says that the guide could be provided for more clients in appropriate formats. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. All the people have care planning documents to ensure that the staff have the information needed to meet the peoples needs. Evidence: We looked at two peoples care planning in detail and discussed their care needs with staff on duty. The staff showed that they had very good understanding of the care needs of all the people. The plans were being reviewed with the people. One person spoken to said that they had seen a care plan and they were happy with this. We were told that the staff had attended the person centred planning (PCP) training provided by Northampton County Council. It was said that this PCP was going to be incorporated when the care plans are being reviewed. The AQAA says to provide copies of care plans to all clients in appropriate formats. We observed that the people were able to make decisions about what they did each day and this included the activities and social events that they attended. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: There was information on review meetings and we were told that the staff have key worker meetings with the people every eight to twelve weeks. This is where the person can discuss their goals, and any changes made to the care plan is recorded and person signs this meeting record to agree to the changes made. A range of risk assessments are in place that enables the people to take risks as part of an independent lifestyle. The peoples information was kept secure in the office and staff have training on maintaining the peoples confidentiality. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people undertake activities to develop their independent living skills Evidence: The people in the home were observed getting on very well with each other. One persons family member told us that their family member is so happy here and said that they were unhappy at the other place. It was said from their observation, the staff were good and the food provided looked good and their family member liked the food. This was also confirmed by all the people spoken to at the home. The AQAA says that activity planning is much more detailed and incorporates all care plan goals. It is our aim that we can use this information to assess how clients are getting on with activities at each monthly care plan review. The home had a client meeting book and had a sheet of paper with pictures of Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: activities such as bowling, cinema, and sailing, horse riding, and card games. The meeting dated the 28th of April 09 had comments such as the people are happy with meals. There is also information about suggestions given by the people for food that they would like and activities that they would like to do. One person in the home has a laptop and does some work for the staff. We were told that all the people can get involved in preparing menus and meals. Another person spoken to said that they go shopping, help with washing up and drying up after meal times. We were told that the other activities included going to college, cooking and doing laundry with staff, laying the table, doing gardening and enjoying working with the pigs. Some of the people also go to the gym, the cinema, church, shops, and eat out. One person was observed caring for his pet rabbits and they informed us that they enjoyed doing this. The person was very good with looking after the rabbits. The people told us that the staff are nice and the manager is always nice. We were told by staff that they give people choices by asking them what they would like to do for activities. The people also go on holidays and enjoy this. Most of the people in the home maintain contact with their families and friends. We were told by one family member that they visit regularly and says that their family member is doing well. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. The peoples health and personal care needs are being met. Evidence: The people spoken to told us that if they did not feel well, they would tell the staff. We were told that the staff went with them to see the doctor. We observed staff talking to people in a respectful manner and were careful to preserve their dignity. People spoken to told us that they did their personal care and if they needed help, the staff would help them. The care plans had information about how a persons care needs were being met by the home. Evidence in the care plans showed that people are offered support for their physical and emotional health needs. There were records of district nurses, general practitioner, and hospital appointments, and people have access to the opticians, dentists, and other health care professionals. The home had Health Action Plans, which explained the persons health needs in detail. The AQAA says we have robust procedures in place for all aspects of medication. We were told that all the staff who gave out medication had received the accredited training in administering medication. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: This was confirmed by talking to staff. There were medication profiles for each person. The medication records looked at showed that these were being stored, administered and recorded properly. We were told that the peoples medication is reviewed by the consultant psychiatrist to make sure that the medication is right for them. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff have good understanding of the peoples behaviours to ensure they are protected from any abuse. Evidence: The home has a complaints policy, and a complaints procedure is displayed in the home. We were told that this is also explained to the people when they come to live at the home. The home received one complaint and this was dealt with appropriately. A safe guarding referral was made to Social Services and the proper procedures were also undertaken. The AQAA says that they have appointed a qualified trainer for POVA training in house. She has developed a training pack for all staff. The staff spoken to told us that they had completed the protection of vulnerable adults procedure training. They had good understanding of this and understood the peoples behaviours to know if they were unhappy or not feeling well. Examples of these were given of some of the people in the home. The people spoken to inform us that that they would tell staff if they were not happy. They also knew how to make a complaint. The recruitment procedures were being completed properly Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: The peoples finances were inspected and the balance was incorrect. The manager stated that he would sort this out by putting in robust monitoring checks to ensure staff were doing this right. Care Homes for Adults (18-65 years) Page 20 of 30 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. The home is clean and has a homely atmosphere but some areas needed improving to meet the peoples needs. Evidence: The AQAA tells us that an infection control policy is in place and staff training takes at induction. A tour of the home showed that the place is clean and homely. There is no smoking in the home. We were told that the place was decorated last year. The colour scheme in the home was pleasant and provided a relaxing atmosphere. The bedrooms seen were individualised to the people and those spoken to tell us I like my bedroom. We were told that arguments are caused when a person wants to go to the toilet and the shower/toilet upstairs and the toilet downstairs is occupied. The staff also use these toilets. The small toilet down stairs is situated near the outside door leading into the kitchen. We were told that this toilet gets very cold in the winter time and it is not big enough for people who are large build. There are two steps that the people have to use to get into the toilet and kitchen area. The steps are slippery in the wet weather. The people tell us that they go to the sister home near the home and they say that they want nice things that this sister home has. The bath and wet room were Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: completed last year. The kitchen was domestic in character. We were told that the dining table was being replaced with a better one in a few weeks time. To use the laundry room, the people have to go up two steps to get in to this room. This room needed decorating and the floor was worn out. The room does not have a sink but it has one washing machine and one dryer and a freezer. The door does not lock properly. To get to the office, the people and staff have to go through the laundry room to get to the office. We observed one person struggling to get up the stairs to get to the office. One of the people in the home is partially sighted and at present their room is at the top of the stairs and they are able to manage the stairs. However we were told that in the near future it will become unsafe for them to use the stairs. This was discussed with the manager and one of the solutions was to have an extension downstairs. This is so a bedroom with en suite facilities could be build. We were also told that the people would like to have a quiet room where they could sit and read or do other activities. The rear garden was not pleasant for the people to sit in at present but this was being landscaped with a sensory garden being put in. Care Homes for Adults (18-65 years) Page 22 of 30 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 homes recruitment procedures are robust to protect the people from any potential harm. Evidence: The staff recruitment files were looked at in detail. Evidence showed that the relevant checks and references were being obtained when recruiting staff at the home. One new member of staff spoken to state that they had completed the induction training and said this was good. It was also said that they shadowed a member of staff for two weeks before they worked on their own. They had done training on studio three for working with people that have challenging behaviours, food hygiene, medication, safe guarding procedures, fire safety and epilepsy. They had completed health and safety training with another company. The staff spoken to told us that they were doing NVQ level 2 training in care. The AQAA says in what they could do better is to achieve NVQ targets by providing more practical support. The staff comments from the survey stated that they worked well as a team and this was confirmed by talking to staff on duty who stated that they were good team players. It was also said that they enjoyed working at the home and with the people. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: Staff say that they are getting supervision but this was not happening at least six times per year. We were told that there were enough staff on duty. The home was retaining a core of their staff and this provides continuity to the people. However they did have a high turnover of staff last year. We were told that this being addressed. We are told that team meetings take place regularly and they discuss the peoples needs and other issues about the home. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 run in the best interest of the people to meet their needs. Evidence: The manager of the home has been working at the home for 18 months. The manager has applied to become the registered manager for the home. The manager has over five years experience in working in care and has NVQ level 3, and 4 in management. He has also completed the Registered Managers Award. The staff tell us that the manager is very supportive and gives advice. This was also confirmed by the people who told us that the manager was good. The accident and incident records show that these were being recorded appropriately. The organisation carries out regulation 26 monitoring visits of the home to find out how the peoples needs are being met. The home undertakes family and staff questionnaire surveys and one was undertaken in March 08. The analysis from the family was very positive about people living at the Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: home. Comments received from a family survey stated he has settled very well in the past year and regards Orchard Hill as his own real home which is very pleasing to us. Positive comments from the staff were also received. There were no questionnaire surveys carried out for the people. We were told that this was being completed in July 09. The home used the peoples meetings and review meetings to get their feedback about the home. The home sends in regulation 37 notifications to CQC to inform them of incidents that adversely affects the well being of the person. Monthly emergency lighting and weekly fire alarm testing was done. There was general risk assessments of the home in a file. Fire drills were undertaken and the people were involved in this procedure. The last fire drill was carried out on the 17th of February 09. The staff carry out safe working practice training to ensure the people are kept safe. Care Homes for Adults (18-65 years) Page 26 of 30 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 Adults (18-65 years) Page 27 of 30 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 23 17 There must be systems put in place to monitor the peoples finances. This is to ensure that management takes the responsibility to check that the balances are correct to protect the peoples money. 31/07/2009 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 24 The home should consider having another toilet in the home to meet the needs of all the people in the home. Make the garden pleasant for the people to use safely. Ensure that the steps leading to the laundry room and to the kitchen area is safe for the people to use in the wet weather Ensure that the laundry door is repaired so the door can be locked properly. Page 28 of 30 2 3 24 24 4 24 Care Homes for Adults (18-65 years) 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 24 Ensure that the laundry room is decorated and the flooring is replaced and there is a wash basin for the people to wash their hands after handling dirty laundry. This is so the people live in a pleasant environment and are kept safe from infection control. Ensure the home has over 50 of the staff with NVQ level 2 or above training in care or health to meet the peoples needs Provide a staff training matrix to show the training carried out by staff. Ensure staff receive six supervisions per year to monitor their practice. 6 32 7 34 8 36 Care Homes for Adults (18-65 years) Page 29 of 30 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. 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