Latest Inspection
This is the latest available inspection report for this service, carried out on 4th May 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Pendene House Residential Home.
What the care home does well The home is well managed and records necessary for the health and welfare of the people living there are maintained. Recruitment practices ensure that the necessary checks are carried out before a new member of staff commences work in the home. This protects the people living in the home from possible harm. The registered manager is both supportive and approachable and families and friends are strongly encouraged to be involved in the life of the home. There is a relaxed and friendly atmosphere within the home and staff go about their daily work in an unhurried and professional manner. Peoples` privacy and dignity is maintained at all times and people spoken with told us that they were well cared for and their care and support needs were currently being met. What has improved since the last inspection? There is now an on call person available during night time hours so that if a person gets into difficulty during the night, the night care worker can summon them for help. A new walkie talkie system has also been purchased, which means that the night care worker no longer has to leave someone alone in order to summon the on call person for help. A policy has been written regarding the new on call system and this has been read by all of the staff who work at Pendene to ensure that they are fully aware of the procedure to follow. Care workers now record when they have assisted someone with their hygiene needs throughout the day, this ensures that the people living at Pendene receive the care and support they need. Training in the Safeguarding of Vulnerable Adults has been organised for every member of the staff team and all bar one have been provided with up to date moving and handling training. The registered manager has recommenced staff supervision and staff appraisals were due at the time of our visit. One member of staff has completed an activity organiser training course and the registered providers have purchased a number of activities for use. The registered manager explained that the activities organiser is working hard to encourage the people living in the home to participate in a variety of different activities. A wet room has been created on the ground floor of the home and an ongoing decoration programme is in place. What the care home could do better: It is vital that the registered provider ensures that there are sufficient numbers of staff on duty at all times. People living in the home need to be protected by the numbers of staff available and be confident that their care and support needs will be met. The registered provider must provide appropriate training within the safe handling of medication. People must be protected by the medication administration systems that are in place and staff training that is provided. The registered manager should carry out a review of the training that care workers have completed to date. This will ensure that care workers, old and new, are appropriately trained and satisfy the registered manager that the Care Homes Regulations 2001 are being met. Key inspection report
Care homes for older people
Name: Address: Pendene House Residential Home 15 Pendene Road Stoneygate Leicester Leicestershire LE2 3DQ 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: Diane Butler
Date: 0 4 0 5 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home
Name of care home: Address: Pendene House Residential Home 15 Pendene Road Stoneygate Leicester Leicestershire LE2 3DQ 01162708911 01162708911 jweston5@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Pendene House Residential Home Limited Name of registered manager (if applicable) Mrs Janice Hill Type of registration: Number of places registered: care home 12 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: Service User numbers No person falling within categories MD(E) or DE(E) may be admitted to the home when 6 persons in total of these categories/combined categories are already accommodated within the home. Date of last inspection Brief description of the care home Date of last Key Inspection 26/09/2007 Date of last ASR 03/09/2008 Care Homes for Older People
Page 4 of 28 Over 65 6 3 12 0 0 0 Brief description of the care home Pendene House is a care home for older persons, providing accommodation and personal care for up to twelve people. It can also care for up to six older people with dementia and/or a mental disorder. It is situated in a quiet cul-de-sac in the Stoneygate area of Leicester and is within walking distance to the local amenities and close to a local bus route. Accommodation is on two floors, which can be accessed by a shaft lift. There is a large dining room and lounge on the ground floor, which are furnished and decorated to a high standard and further seating can be found in the entrance hall. There is a large well-maintained garden at the rear of the home accessed by the shaft lift, which goes down to garden level. All rooms are single, some of which are ensuite. Current charges range between £345.00 per week and £450.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the Statement of Purpose document (a document which provides relevant information about the service), which is given to anyone interested in living there. A copy of the latest Inspection report is available at the home, or it can be accessed via the CQC website: www.cqc.org.uk. Further information about the service is available from the registered manager. Care Homes for Older People Page 5 of 28 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use the service experience good outcomes. This key inspection took place over one day in April 2010. We (the Care Quality Commission or CQC) arrived at the home on Tuesday 27th April at 9.05am and completed the visit at 3.15pm. The inspection was unannounced and this means the service was not aware that we were coming. When undertaking key inspections CQC focuses on the outcomes for people receiving a service. In order to do this we case tracked two people receiving care and support. This means we checked records, spoke with them and their relatives, where possible and spoke to the care workers providing the care and support. Where communication was difficult observation was used to evidence whether care Care Homes for Older People
Page 6 of 28 needs were being met. Surveys were sent to ten people living at the service and six members of staff to gather further views of the service provided. All had been returned prior to this report being written. Comments received from people living at the service included: Caters for residents individual needs and maintains a good relationship with family members. They keep my father well in a physical and social way. Clean clothes, good personal hygiene, someone always available to help in a practical manner and to talk to, but can be alone if he wants too. I have found that all the staff are polite, friendly and caring. The staff are wonderful, they look after my mum with care and kindness, they make sure that Pendene Home is homely and comfortable, they are helpful and listen to what your needs are. The meals are lovely and a good variety. Perhaps more daily stimulation is required. I would like to commend the manager at Pendene House, Jan. Shes wonderful so hands on and kind, I cant remember when I last met someone as dedicated to her job as Jan is. They look after all of us very well and keep the home nice and tidy, no smells. Mealtimes are good and the food is very nice. They could provide outings. They provide good home cooked food. Good reception for all visitors, excellent response to any personal accidents and provide good care and treat with respect. Comments received from staff working at the service included: Everything is well prepared; all needs are catered for very well for. The service users enjoy the monthly entertainment and the home is clean and well looked after. We try our best to provide a homely environment for the residents and everyone who visits the home. Pendene House is the best place to be. We make sure the residents are happy with everything, having enough food, always clean clothes, keeping their bedrooms clean and tidy. Care Homes for Older People
Page 7 of 28 I am very happy with my manager Jan, she is a very good and caring manager. They treat each service user as an individual, respect their rights, choices and beliefs. They also do activities such as playing games to stimulate their minds. They are well fed and their rooms are well kept and clean. Further planning for the site visit included checking the service history of the home and last inspection report and looking through the AQAA document (Annual Quality Assurance Assessment), which was submitted to the CQC prior to the visit. The AQAA document is the main way that providers inform us of how well their service is delivering outcomes for the people using it. We checked all the standards that the CQC has decided are key standards during this inspection.The information below is based only on what we checked in this inspection. We have kept details about individual people out of the report to make sure we respected their confidences. Care Homes for Older People Page 8 of 28 What the care home does well: What has improved since the last inspection? There is now an on call person available during night time hours so that if a person gets into difficulty during the night, the night care worker can summon them for help. A new walkie talkie system has also been purchased, which means that the night care worker no longer has to leave someone alone in order to summon the on call person for help. A policy has been written regarding the new on call system and this has been read by all of the staff who work at Pendene to ensure that they are fully aware of the procedure to follow. Care workers now record when they have assisted someone with their hygiene needs throughout the day, this ensures that the people living at Pendene receive the care and support they need. Training in the Safeguarding of Vulnerable Adults has been organised for every member of the staff team and all bar one have been provided with up to date moving and handling training. The registered manager has recommenced staff supervision and staff appraisals were due at the time of our visit. One member of staff has completed an activity organiser training course and the registered providers have purchased a number of activities for use. The registered manager explained that the activities organiser is working hard to encourage the people living in the home to participate in a variety of different activities. A wet room has been created on the ground floor of the home and an ongoing decoration programme is in place. Care Homes for Older People Page 9 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 10 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 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they move into the home. Evidence: A Statement of Purpose is available to anyone interested in living at Pendene. This document, which is displayed in the reception area, tells people about the services that can be provided, the facilities that are available, the current charges made for living there and what a person should do, should they have a concern of any kind. We looked at the copy displayed in the reception area and found that it was not fully up to date. We discussed this with the registered manager and were told following our visit, that this had since been replaced with an up to date copy. An assessment of need is completed either prior to, or on the day of admission to ensure that the persons needs can be met. The people we spoke with during our visit confirmed this, explaining that the registered manager had met with them to discuss
Care Homes for Older People Page 12 of 28 Evidence: their needs. One person explained, They went to see her in the hospital, another person added, they talked to us to find out what help we needed. People are strongly encouraged to view the home before they move in to make sure that it is the right place for them to live and a terms and conditions of residency is provided, so that they know how much they will be paying and which room they will be residing in. Everyone we spoke with confirmed that their care and support needs were currently being met. Comments received included: They look after us very well. They make the effort to help. We came and had a look around before she came in and as soon as we came, we liked what we saw. They showed us two rooms and we chose the one we wanted. Care Homes for Older People Page 13 of 28 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after well and their health and personal care needs are currently being met. Evidence: Care plans were in place for the people we spoke with. Although some sections were a little basic in content, they explained to the reader the persons needs and the actions to take to meet those needs. A comprehensive introduction is also recorded in the persons daily record sheet, this shows their likes and dislikes, personal preferences, such as what they wish to be called and any information relating to their current health care needs. This enables the care workers to get a really clear picture of the persons current needs. We looked at some records and found that people are able to access relevant services as they need them, these include district nurses, opticians, chiropodists and GPs, relatives spoken with also told us that the registered manager was very quick at contacting the GP etc, if she felt that someone needed their support.
Care Homes for Older People Page 14 of 28 Evidence: One persons records showed that they had lost a considerable amount of weight over a two month period, this was discussed with the registered manager who informed us that it had been mentioned to the GP, further discussion took place regarding a possible referral to the dietician to ensure they were given as much support as possible. People are supported to take their medication and relevant records are in place to ensure that this is carried out safely. Medication is appropriately signed into the home and staff sign the relevant charts to confirm that the medication has been given at the right time. We asked what training care workers had received around the administration of medicines and were told that the senior carer had received formal medication training, whilst the care workers who currently dispense medication, had received in house training from the manager. People told us that they were looked after well and staff treated them with respect. They told us: They are very kind and very caring. The staff are wonderful, they look after my mum with care and kindness. Overall, it is excellent. The staff are good and helpful, they make it so that I feel like I am at home, they are very kind and nothing is too much trouble. 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 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 relaxed atmosphere within the home and visiting is strongly encouraged. Evidence: People are offered choices throughout the day including, what time to get up or go to bed, whether to join in an activity that is offered or what to eat at meal times. We were told that the meals provided were very good, well presented and appetising. A menu board is displayed in the reception area showing what is being served each day and an alternative is always available, if the main meal is not to someones liking. The meal served during our visit offered sweet and sour chicken for the main course and cherry pie and custard for pudding. We were told: The food is beautifully presented. Breakfast is excellent, lightly boiled egg and a slice of toast, it couldnt be better. Care Homes for Older People Page 16 of 28 Evidence: We have what we want and it suits us fine. A member of the care team has completed a course in activity organising and she spends time with those living at the home encouraging them to join in activities. Comments in surveys received prior to our visit highlighted that some people felt that people could benefit from more activities being provided. Comments received included: Perhaps more daily stimulation is required. They could provide outings. One relative spoken with during our visit also told us that they felt that their could be a little more stimulation for those living there, but understood that their relative doesnt always want to join in. This was discussed with the manager who explained that the providers had recently purchased a number of activities and the activities organiser was working hard to encourage people to get involved. Visiting is strongly encouraged and we were told that visitors were made extremely welcome. We were told: They always offer a refreshment and our visitors always say how welcome they are made. They always ask if we want a cup of tea. The staff are lovely, its very nice to walk in and see a lovely smile on their faces. 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. People feel safe and know how to raise a concern if they are at all worried about anything. Evidence: People are made aware of how to raise a concern or complaint when they move into Pendene and a copy of the procedure to follow is displayed. Those we spoke with told us that they knew who to talk to should they have a worry of any kind and all were confident that any issues would be dealt with appropriately. They told us: I would talk to Jan, [registered manager] Jan would deal with any issues. Jan went through the complaints process, we were quite happy with it. I know if I have a concern, it would be taken seriously. One safeguarding investigation has been carried out in the last twelve months and the registered provider and registered manager have worked hard to ensure that any shortfalls that were identified have been addressed. This includes providing further training for care workers in the safeguarding of vulnerable adults and providing sleep in cover, who can be called on in an emergency.
Care Homes for Older People Page 18 of 28 Evidence: The registered manager is also completing safeguarding train the trainer training, which will enable her to provide ongoing, updated training in this subject. Everyone we spoke with told us that they felt safe living at Pendene, one person explained, Yes we feel safe, its reassuring that there is someone there and they always come when we ring the bell, another person stated, she [their relative] is very safe here. Care Homes for Older People Page 19 of 28 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accommodation within the home is good, providing people with a comfortable and homely place to live. Evidence: The areas seen during our visit were well decorated and appropriately maintained. We were invited to look at two rooms, both of which included the persons own belongings. We were told that they were able to choose their room and invited to bring their own things in. A new wet room has been created on the ground floor and a number of rooms have been decorated. A shaft lift serves the garden as well as the two floors in the home enabling access to the well maintained garden at the rear of the home. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the recruitment processes that are in place. Lack of appropriate numbers of staff on duty could potentially place people at unnecessary risk. Evidence: We looked at the staff rota to check the numbers of staff working on each shift. Currently there are two care workers and the registered manager on each morning shift, two care workers on the afternoon shift and one waking night care worker and one care worker sleeping in each night. We spoke with two care workers who told us that they thought that the staffing levels were adequate and they were able to look after those in their care without feeling rushed. On talking to both staff, and the registered manager, it was identified that there were currently four people who, due to their poor mobility, needed the assistance of two care workers. The rota showed us that between the hours of 3:00pm and 10:00pm only two care workers were on duty. This means that when any one of the four people identified as needing the assistance of two care workers are being supported, there is no other care worker available to assist the remaining ten people currently living at
Care Homes for Older People Page 21 of 28 Evidence: the home. We checked the recruitment records for the two most recent members of the staff team to be employed and found that the relevant checks had been carried out. These included references and police checks. New care workers are provided with both an in house induction and a formal induction, to ensure that they have the knowledge and experience to care for and support, those in their care. On checking the training records for the care workers there was little evidence of any recent training being offered apart from moving and handling training and safeguarding training. One care worker spoken with explained that on occasions, she would be responsible for administering medication, no formal training in the safe handling of medicines had been sourced, though the registered manager had provided in house training in this area. None of the care workers employed in the last twelve months had received any training in dementia care, even though people with dementia are able to live at the home, the registered manager explained that training in this area was being looked into. Records showed that all but one care worker had completed their NVQ (National Vocational Qualification) level 2, and the senior care worker and registered manager had completed their NVQ 3. We were told that the registered manager was in the process of sourcing NVQ training for the remaining care worker. 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. People benefit from the overall ethos of the home, which the registered manager provides. Evidence: The registered manager has many years experience in care and has completed her NVQ level 3. Evidence was also seen of her completing a number of other training courses to update her knowledge and skills, these include Deprivation of Liberty training and Continuing Care training. Everyone we spoke with told us that the registered manager was approachable and always available should they have a query or a concern. Comments received include: Jan is always on call, so if we need anything at all she is always there. Care Homes for Older People Page 23 of 28 Evidence: Overall, it is excellent and Jan is very good. We are really satisfied and Jan will always tell me if there are any problems. People are consulted with regard to how the home is run, the registered manager meets people both on a one to one basis and as part of larger meetings and satisfaction surveys are sent out. The registered manager has recently provided facilities for the safe storage of money and accurate records are kept to ensure that peoples finances are protected. Supervision sessions and appraisals for all care workers have recommenced and the registered manager told us that it was her intention to provide these on a regular basis. It was noted that the most recent care worker to be employed had yet to have any accredited moving and handling training, although instruction on moving and handling principles had been provided by the manager, who has completed her manual handling risk assessment and kinetic handling training for trainers course. We were told that this training would be sourced. 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 registered person must 31/05/2010 ensure that those responsible for the administration of medication receive formal training in the safe handling of medicines. People living at the home must be confident that staff administering their medication are appropriately trained and that there are robust systems in place for the administraion of medicines. 2 27 18 The registered person must 14/05/2010 ensure that at all times suitably qualified and competent persons are working at the home in such numbers as are appropriate to meet the health and welfare needs of those living there. People need to be confident that there are enough care Care Homes for Older People Page 26 of 28 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 workers on duty to be able to meet their individual care and support needs when needed. 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 30 The registered person needs to review the current training records to ensure that care workers have been provided with the relevant training to enable them to meet the needs of those in their care and meet current regulations. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!