Care Home: Orione House

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What the care home does well People are happy living at the home. People who are Catholic have good support to follow their faith and can attend religious ceremonies every day. People of other faiths are also welcomed at the home. The home is well managed and the manager has worked hard to improve different areas of the service by listening to and working with others. Records are clearly organised and information is accessible and up to date. What has improved since the last inspection? The way in which people`s needs are recorded has improved and care plans are clear, detailed and give staff the information they require to support and care for people. People who live at the home have better information and more opportunities to contribute their ideas and opinions. There are more organised activities and people have tried new things. People feel that they have better support from the staff. The staff have had training to help them understand their roles and care for people better. The staff feel more supported and better equipped to do their jobs. What the care home could do better: The manager has identified different areas for improvement and has plans to further improve activities, staff supervision, information about meals and the environment. The manager also needs to make sure the staff respect people`s privacy and dignity at all times and follow infection control procedures in order to keep everyone safe. There were some health and safety hazards which we felt put people at risk and the manager needs to make sure people are always kept safe. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Orione House 12-14 Station Road Hampton Wick Kingston-upon-Thames Surrey KT1 4HG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sandy Patrick     Date: 1 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 29 Information about the care home Name of care home: Address: Orione House 12-14 Station Road Hampton Wick Kingston-upon-Thames Surrey KT1 4HG 02089770754 02089770105 manager.orione@sonsofdivine.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Sons of Divine Providence Trading As Orione Care care home 34 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Orione House is a purpose-built care home owned by the Sons of Divine Providence. They are a Catholic Missionary Order of Priests, Nuns and Brothers who welcome all faiths to their Homes. The home is for up to 34 people in single rooms. 0 0 0 Over 65 8 2 34 Care Homes for Older People Page 4 of 29 Brief description of the care home The home is situated in a residential area close to Hampton Wick Station and local shops. There is a large conservatory to the front of the home which leads to a garden and car park. At the rear of the house is an enclosed garden with flower beds, mature trees and a pond. A chapel is situated in the garden which is for use by anybody who wishes at Orione House. Fees range from £580 per week for a single room and £614 per week for a single room with ensuite facilities. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection included an unannounced visit to the service on 7th May 2009. We met people who live at the home, the manager, staff on duty and visitors. We looked at records, the environment and watched how people were supported and cared for. The inspection team included an expert by experience. This is a lay person who assists with the inspection process by speaking to people who live at the home. They write a report of their findings and this is used as evidence for the inspection report. We wrote to the manager and asked her to complete a quality self assessment. Care Homes for Older People Page 6 of 29 We wrote to people who live at the home, their representatives and staff and asked them to complete surveys about their experiences. Some of the things people said about Orione House were: They are all so nice here and treat me well, allowing me to keep independent. It is lovely here, all the staff are kind, patient and helpful, there is a nice atmosphere and the staff spend time with residents. Offers a friendly and supportive environment. What the care home does well: What has improved since the last inspection? 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 set out 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 8 of 29 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 9 of 29 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 who are thinking about moving to the home have enough information to help them with this. Their needs are assessed to make sure the home is the right place for them. Evidence: The organisation has created a guide of information for people who are interested in moving to the home which tells them about the facilities and services they are entitled to. The manager told us that they are in the process of developing a website. People are invited to visit and spend some time at the home before they make a decision to move there. People told us that they had enough information to help them make the decision. The manager or senior staff meet with people who are interested in moving to the home and discuss their needs and wishes. They make a recorded assessment which helps make sure the home is the right place to meet the persons needs. This Care Homes for Older People Page 10 of 29 Evidence: assessment is used to help create a plan of care. We saw evidence of written assessments. Care Homes for Older People Page 11 of 29 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 are given the care and support they require to meet their individual needs and the information about these needs is clear and detailed. People are given support to stay healthy and to take the medication they require. Sometimes the staff do not respect peoples privacy and sometimes they do not correctly manage or monitor medication and this can put people at risk. Evidence: Everyone has their needs recorded in a care plan which tells the staff about the things they should do to support people to meet these needs. The care plans are well designed. Information is clear and there is a good amount of detail so that staff can get to know about each person and their specific requirements. We saw that people had signed their agreement to what is written in care plan records. However they do not have a copy of their own care plans and should be offered this to keep in their rooms, so that they can refer to it whenever they want. People told us that they their needs were met and the staff were kind and caring. Care Homes for Older People Page 12 of 29 Evidence: We saw that the staff had made assessments of the risks people face and how they can be supported to do different activities without putting themselves or others at risk. Not all care plans and assessments had been reviewed monthly and these need to be to make sure information is up to date and correct. We saw that some plans had not been reviewed since January 2009. Everyone is registered with a local GP and other health care professionals. We saw that peoples health needs were recorded and monitored. We saw evidence that the information from health care professionals had been recorded in peoples care plans. Health care professionals who contacted us said that the staff worked well with them and listened to what they advised. The home has appropriate procedures and storage for medication. All staff who administer medication are trained to do so and assessed by the manager. Some people manage their own medication and we saw that risk assessments were in place for this. In general we found that medication was appropriately stored and audited. However, we found that some records did not show the correct amount of particular medication held at the home. Some records of administration were not correctly filled in. Some equipment used to support people to take their medication was not correctly labeled. One item of medication had passed its expiry date. We saw that staff assisting people to move around the home did this appropriately and showed them kindness, explaining what they were doing. All the staff have had training in moving and handling people. When we arrived at the home the staff were using the electric scales to weigh people in the main foyer. They had a list of different peoples weight left beside the visitors book. It is not appropriate to weigh people in the foyer of the home and the staff must do this in a more private place. It is also inappropriate to leave the list of peoples weight in a place which anyone can access and see. The staff need to be more mindful of peoples privacy and dignity. We saw some members of staff walking around the home wearing gloves which they had used to assist people with personal care. The staff need to remove and dispose of these gloves immediately after supporting someone and they must not wear the same gloves for other tasks as there is a risk of cross infection. Care Homes for Older People Page 13 of 29 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 are able to participate in organised activities but do not always get the support they need to pursue individual interests. There are opportunities for people to contribute their ideas for the running of the home. People like the food but are not given information about what they will be served. Evidence: The home employs an activities coordinator who plans and facilities organised activities. We spoke to this person. Since the last inspection she has introduced a number of new activities. These include caring for house plants, tasting different foods and sensory activities. The activities officer works only part time and the manager told us that the organisation was hoping to recruit a second person to organise activities at the weekends. We observed some people participating in organised activities on the day of our visit. Some people clearly enjoyed this and the activities officer was enthusiastic and kind. However, some people did not participate in the organised activities. The staff need to think about ways to support people to pursue individual interests. We felt that there needed to be more information about peoples individual interests and hobbies and the staff need to make sure people get the support they need. Care Homes for Older People Page 14 of 29 Evidence: The activities officer has organised meetings for people who live at the home so that they can raise any shared concerns and to give them information about things that are happening. Since the last inspection an information board has been created in the main foyer to show weekly activities, planned outings and events. There is a photo board of staff to help people identify the staff who support them. Name badges have been issued to all staff and the staff have ID cards which they carry with them when escorting people outside of the home. The home is run by a Catholic organisation. Not all the people living at the home are Catholic, but people who are can worship at a chapel in the grounds. There are daily services and special events for people who wish to take part in these. Priests who work for the organisation offer support to people and are present at the home each day. Visitors are welcome at any time. The staff told us that they help people to stay in touch with relatives through the telephone and emails. One person told us, the service gives good care to treat people individually, they get families involved and listen to what they have to say. The home employs a chef who choses the menu. There appears to be little menu planning in advance and people who live at the home are not consulted about the menu. On the day of the inspection we met the chef mid morning. He told us that he had not planned what to make for dessert at lunch time and none of the planned menu was on display. The menu choices were recorded on a board in the dining room shortly before the meal was served. People who live at the home told us that they generally liked the food, but they did not know what they would be served before they sat down for each meal. The manager told us that there were planned changes so that people would have more information and choice at mealtimes. These plans include photographic menus. Some of the things people told us about food were, there is always plenty of food, We dont get much choice but you can send it back if you want to, It is like being on holiday all the time, I dont have to cook and shop, I dont have to worry about meals anymore, and they always come with a smile. The cook, he doesnt smile much. Care Homes for Older People Page 15 of 29 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 are able to make complaints and procedures designed to protect them are in place. Evidence: The home has a complaints procedure and this is displayed. People told us that they knew who to speak to if they were unhappy about anything. Some people told us that they did not feel their complaints were dealt with satisfactorily. We saw records of complaints and action taken to investigate these. The way in which this information was recorded made it difficult to see each individual complaint and the records would benefit form better organisation to make them more accessible. The organisation has procedures on abuse and whistle blowing. The home also has a copy of the local authority procedure on safeguarding adults. The staff have all had training in this area. The staff we spoke to demonstrated an understanding of this. Since the last inspection the manager has worked closely with the local authority and followed the safeguarding procedure to make sure any concerns were investigated and people are kept safe. Care Homes for Older People Page 16 of 29 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 adequate 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 generally pleasant and clean environment. Some areas of the building would benefit from improvements. There were some health and safety hazards which put people at risk. Evidence: The building has a small car park. There is an attractive and well kept garden with different seating areas. The staff told us that there were plans to extend the garden and create raised flower beds which people living at the home could be involved with planting and caring for. There are two lounges, a quiet room, a conservatory and a dining room at the home. These are pleasantly furnished and there are different areas for people to spend time and relax. At a recent meeting for people who live at the home, several people raised the issue that their bedroom doors were too heavy for them to operate themselves. The organisation should look at ways to enable people to access their rooms more easily. The manager told us that she is looking at ways to solve this problem. Areas of the building are showing some wear and tear and would benefit from refurbishment. These include chipped and damaged woodwork and doors. The Care Homes for Older People Page 17 of 29 Evidence: corridors have a wood covering which makes them appear rather dark. The manager told us that the organisation were considering replacing these with light paintwork, which would brighten the area up. One area of carpet in a corridor was frayed and people could be at risk of tripping. This should be repaired and must be made safe without delay. The manager told us that the organisation were hoping to liaise with dementia specialists to plan changes to improve the environment. These would include creating en suite facilities for all rooms. Only two of the people who live at the home have their bedroom doors labeled with their names. The manager had introduced a competition for staff to design attractive and original name plates. We saw that some staff had used pictures and photographs to create different designs but there were no name plates for the majority of people. The building may be confusing and difficult for some people to orientate themselves. The manager needs to organise for everyone to have their room labeled so that they can identify where they live. She told us that she has started to purchase memory boxes and name plaques which people can use to help with this. Some hot water pipes around the home are not covered. Others have a temporary covering on. These pipes could pose a risk of scalding to people and they must be appropriately covered without delay. We saw that the door to a sluice room was left propped open. People may be at risk from equipment and chemicals if they entered this room. The sluice room doors should be kept locked shut. In general the home was clean and fresh throughout. There was a slight odour in one communal corridor and the manager should take steps to eliminate this. Care Homes for Older People Page 18 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by well trained, appropriately recruited and supported staff. Evidence: We saw that the majority of staff were kind, supportive and caring. People told us that they liked the staff. Some of the things people said were, they are all very kind and the staff take care of me. The organisation carries out thorough checks on staff before they are employed, these include a formal interview, reference and criminal record checks. Staff need to complete an induction workbook when they start work at the home and are appraised on their performance. We looked at a sample of staff files and saw that these were complete. We saw evidence of staff training which had taken place and planned training. The staff have all had up to date training in essential areas. The manager told us that she has arranged for senior staff to have IT training. The manager said that dementia care workshops took place each month for the staff to learn skills and techniques for supporting and caring for people with dementia. She said that specialist trainers visited the house to provide this and the area manager supported staff to have a better understanding of best practice. One member of staff told us, the managers always make sure we have regular training to enable us to give a good service to Care Homes for Older People Page 19 of 29 Evidence: every individual. On the day of our visit the staff had a meeting. Records indicated that these were held monthly. We saw that staff were well informed at the meetings and given the opportunity to contribute their ideas and opinions. There are good systems for staff communication and for explaining each member of staffs roles and responsibilities. Care Homes for Older People Page 20 of 29 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. People live in a home which is well managed. There are systems to monitor quality and peoples satisfaction and there are plans to develop and improve the service in line with what people have said they want. Evidence: The manager has been in post since 2007. She is experienced and appropriately qualified. She has a good knowledge of the service and the individual people living and working there. Since she started work at the home the service has improved in all areas and she has shown a commitment to continuously monitoring and improving things. The people living at the home and staff told us that the manager was approachable and supportive. They said that they were able to express their ideas. One member of staff said, management listen and act upon concerns straight away. Some staff said that they felt there was a bad atmosphere amongst the staff team. The manager told us that this had been a problem in the past but that they had worked hard to resolve Care Homes for Older People Page 21 of 29 Evidence: this by talking to staff and taking action to eliminate poor performance where there were problems. The manager said that she hoped the issues were now resolved. The staff who have concerns should share these with managers through appropriate channels so that any issues can be dealt with. People living at the home are asked to complete quality satisfaction surveys for the organisation and the information from these is used to plan changes for the future. Their needs are regularly reviewed and they have the opportunity to contribute their ideas at regular meetings. The organisation do not manage any ones finances and people are expected to make their own arrangements. However, there are facilities for leaving small amounts of cash for safekeeping. We looked at these and saw that there were accurate records of all money and expenditure. Records at the home are well organised and information is clear and accessible. The manager and senior staff meet with other staff to carry out individual supervision meetings. We saw that records of these indicated that they did not happen as often as they should. The manager told us that some recent meetings had not been recorded. The manager needs to make sure all staff have regular planned supervision meetings to discuss their work performance with their line manager. These must be recorded and records should be up to date. There are procedures for keeping good health and safety. We saw evidence of regular checks on health and safety, including fire equipment. The building has been risk assessed and information is up to date and clear. We saw that a packet of dishwasher tablets was left in an area accessible to everyone and we felt that some people could be at risk if they were confused and had access to this potentially harmful substance. Care Homes for Older People Page 22 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 121516 The Registered Person needs 31/08/2008 to make sure individual interests, hobbies and social needs are recorded and that people are supported to meet these needs. 2 25 23 The Registered Person needs 31/08/2008 to make sure all hot water pipe work is boxed in. This requirement has been partly met Care Homes for Older People Page 23 of 29 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 7 12 The registered person must make sure people are offered a copy of their care plans so that they can keep this in their rooms if they wish. Because people need to be able to see what is written about them and their needs without having to request this information. 31/07/2009 2 9 13 The registered person must make sure there are arrangements are in place for the recording,handling, safe keeping,safe administration and disposal of medication received into the home. Because people may be at risk if their medication is not safely handled and adminsitered. 30/06/2009 Care Homes for Older People Page 24 of 29 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 3 10 13 The registered person must 30/06/2009 make sure staff remove and dispose of protective gloves immediately after they finish supporting someone. Because people are at risk from infections if the staff do not practice safe infection control procedures. 4 10 12 The registered person must 30/06/2009 make sure the staff respect peoples privacy and dignity at all times. People must not be weighed in public places and information about their weight must not be displayed for others to see. Because people have the right to have personal and sensitive care in private. 5 12 16 The registered person must 31/08/2009 make sure people have support and opportunities to pursue individual interests and hobbies. Because people should be supported to do the things that they want to do as an individual as well as participating in group activities. 6 15 12 The registered person must make sure menus are planned in advance and 30/06/2009 Care Homes for Older People Page 25 of 29 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 people who live at the home are able to make choices about these and are informed in advance about what they will be having to eat. Because people need to be able to plan their own choices about what they would like to eat and they can only do this if they have information in good time. 7 19 12 The registered person must 31/07/2009 make sure people have their bedroom doors labeled in a way which helps them identify their own room. Because people need to be able to find their own room whenever they want. 8 19 24 The registered person must make appropriate repairs to the frayed carpet on the ground floor corridor. Because people may be at risk if they tripped on the loose carpet. 9 19 13 The registered person must make sure the sluice room doors are kept locked shut. Because people may be at risk if they accessed this room without support. 30/06/2009 30/06/2009 Care Homes for Older People Page 26 of 29 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 10 19 13 The registered person must make sure all hot water pipes are appropriately covered. Because people are at risk from scalding if they touch or fall against exposed pipes. 30/06/2009 11 26 24 The registered person must make sure all areas of the home are fresh and unpleasant odours are eliminated. Because people have the right to live in a home which is always fresh and clean. 30/06/2009 12 36 19 The registered person must make sure all staff have regular planned individual supervision meetings with their manager and these must be recorded. Because the staff need regular opportunities to discuss their work performance and any concerns with their manager. 31/07/2009 13 38 13 The registered person must make sure all COSHH products are locked away securely. Because people may be at 30/06/2009 Care Homes for Older People Page 27 of 29 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 risk if they have unsupervised access to potentially harmsful substances. 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 Because peoples needs may change and the staff need to check that information written about these needs is correct and up to date, otherwise people may not get the right care and support.The registered person must make sure care plans are reviewed each month. The registered person must make sure people who make a complaint feel that this has been investigated fully and that detailed feedback is given to the complainant so that they can understand what the outcome of the investigation is. Because people need to feel confident that the complaints procedure will be followed and that any concerns they have will be addressed. The registered person must look at ways they can support people to access their rooms independently. Because some people find the fire doors too heavy to operate and cannot move these on their own. 2 16 3 19 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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