Care Home: Penns Mount

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What the care home does well Clearly written information about the home and the service provides is made available in a Statement of Purpose and a Service Users Guide. The initial needs assessment process is thorough and enables the home to gather sufficient information to determine whether or not the service will be able to meet prospective residents needs. The care planning process is individual and person centred and plans of care are regularly reviewed to ensure that the care provided continue to meet peoples needs. Penns Mount provides a very good range of activities to ensure that people have plenty of things to do to keep them occupied. People can invite their friends and families to visit them at any time and visitors are always made to feel welcome by the manager and staff. People are offered a choice of two set meals for dinner and for high tea and can request an alternative if they wish to. Complaints will be listened to and acted upon. Policies and procedures are in place to protect the residents from the threat of abuse. Penns Mount is a very well presented home. All of the rooms we saw were comfortably furnished, attractively decorated and clean. Some of the rooms have spectacular views of the river and of the moors. Some of the bathroom and toilet facilities have been designed for safe use by people with poor mobility. The large gardens provide an excellent area for people to exercise or relax in. The staff are well trained and the people who live at Penns Mount benefit from living in a well managed home. What has improved since the last inspection? Staff training has improved and now includes training in dementia care. What the care home could do better: Entries that are hand written on the medication administration record sheets should be signed by the person making the recording and by a second person to verify that the information has been recorded accurately. The address and telephone number of the Care Quality Commission needs to be updated in the Complaints Procedure. People using the bedrooms in the bungalow should be given to option of moving into the main house as and when bedrooms become available.The night staffing levels are low and should be kept under review to ensure that they are high enough to meet the residents needs. Key inspection report Care homes for older people Name: Address: Penns Mount Vicarage Hill Kingsteignton Newton Abbot Devon TQ12 3BA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Judy Hill     Date: 1 7 1 2 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 Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Penns Mount Vicarage Hill Kingsteignton Newton Abbot Devon TQ12 3BA 01626360274 01626364288 manager@pennsmount.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Penns Mount Limited Name of registered manager (if applicable) Mr Marcus Lyward Type of registration: Number of places registered: care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 22. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Physical disability (Code PD) Date of last inspection Brief description of the care home Penns Mount is registered to provide accomodation and care for a maximum of 22 people who have physical disabilities, people who are over 65 years of age and people who have dementia. The Home is situated on the outskitrts of Kingsteignton but is not Care Homes for Older People Page 4 of 27 22 0 22 Over 65 0 22 0 Brief description of the care home visable from the road as it is approach via a long driveway through a large garden. Local shops and facilities are within walking distance and there is a regular bus service to nearby Newton Abbot, which has a main line train service. Information about the home is made available in a Statement of Purpose and Service Users Guide, both of which are available from the home on request. Copies of inspection reports can be obtained from the home or from the CQC Website. The current fees range from £422 to £466 a week. This CSCI inspection report can be obtained upon request from the Proprietors and are available in the main hallway of the home in the Statement of Purpose. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection included an unannounced site visit that was carried out by one inspector on 17th December 2009. The information contained in this report was gained from an Annual Quality Assurance Assessment that was completed and returned to us by Marcus Lyward, who is the registered manager of Penns Mount and from the information we have on our service files, including previous inspection reports and notifications. During the site visit we met and spoke with the registered manager, the staff on duty and some of the people who live at Penns Mount. We also did a tour of the premises and looked at some records, including residents individual needs assessments and plans of care and staff recruitment, training and supervision records. We also looked at the arrangements made for storing the residents medicines and a sample of the medication administration record sheets. We looked at the menu plans and observed a Care Homes for Older People Page 6 of 27 dinner being served. We asked for and were given and were given copies of the Statement of Purpose and Service Users Guide and used these to help us write the report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Entries that are hand written on the medication administration record sheets should be signed by the person making the recording and by a second person to verify that the information has been recorded accurately. The address and telephone number of the Care Quality Commission needs to be updated in the Complaints Procedure. People using the bedrooms in the bungalow should be given to option of moving into the main house as and when bedrooms become available. Care Homes for Older People Page 8 of 27 The night staffing levels are low and should be kept under review to ensure that they are high enough to meet the residents needs. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may use the service and their representatives have the information needed to choose a home that will meet their needs. Evidence: We requested and were given a copy of the homes Statement of Purpose and Service User Guide. Both documents were found to be clearly written and to provide good information about what people considering moving into the home and their representatives can expect from the home and the service provided. The Statement of Purpose tells us that an initial assessment of peoples needs is required from the contracting authority, if people are wholly or partially funded by the local authority or carried out by trained staff if they are self funding. Irrespective of the funding arrangements prospective residents will be visited in their own home or in hospital to discuss what they need and what the home has to offer. Care Homes for Older People Page 11 of 27 Evidence: We looked at two peoples initial needs assessments as part of a process of case tracking. These provided sufficient information to enable the home to draw up a basic plan of care and to provide confirmation that the home would be able to meet the residents individual needs before they were offered a place at the home. The Statement of Purpose tells us that people are encouraged to visit the home before deciding if they wish to move in. All new admissions are made on a trail basis for the first month, although this can be extended, before people are asked to make a longer term commitment. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Care planning is individual and person centred and plans of care are regularly reviewed to ensure that the service provided continues to meet peoples individual needs. Daily records are kept by the care staff to feed into the reviews and the residents are encouraged to play an active role in the review process. Penns Mount is not registered to provide nursing care but the care staff monitor the residents physical and mental well-being and timely referrals are made to the professional health care services as and when necessary. People are provided with the help they need to enable them to maintain their personal hygiene. Some people require very little help but others, including people who are incontinent, require a high level of support. All of the residents that were seen during the site visit and all of them were clean and well dressed. Care Homes for Older People Page 13 of 27 Evidence: The Annual Quality Assurance Assessment tells us that fourteen of the current residents have dementia and the records of staff training tell us that dementia care is included in the staff training programme. Two of the current residents have physical disabilities and the home is well equipped to cater for their needs safely. The medication that is administered by the staff is stored in a locked cupboard and distributed using a purpose built drugs trolley. There is a controlled drugs cabinet for storing controlled drugs. One resident has chosen to manage her own medicines and a system of checks is in place to ensure she does so safely. The staff who handle the residents medication have received appropriate training to ensure that they do so safely. We spot checked the medication administration record sheets and found them to be clear and up to date. We did note that some entries had been hand written onto the sheets and although this is sometimes unavoidable, it would be good practice for handwritten entries to be signed and verified by a second person to ensure that the information recorded is accurate. During the site visit we observed the staff working with the residents. They were consistently attentive, polite and respectful and the atmosphere in the communal rooms was relaxed and friendly. People are able to use their bedrooms if they wish to be alone at any time they choose to do so. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The importance of providing people with plenty of opportunities to engage in stimulating activities is very well recognised at Penns Mount. The meals served provide the residents with variety and choice. Evidence: The service providers, manager and staff clearly demonstrated that they have an excellent understanding about the need to provide a variety of social, recreational and occupational activities for the people who live at Penns Mount to participate in if they choose to do so. The home produces a monthly Activities Diary and we were given a copy of one dated December 09. This told us that between one and three different group activities were scheduled to take place in the home every day. The range of group activities included art and craft sessions, quizzes, games, reminiscence, Animal Activities, listening to recorded and live classical music, watching videos chosen by residents, singing and exercise sessions to name but a few. A hairdresser usually visits the home twice a week, a chiropodist every four to six weeks and an aroma therapist every two weeks. The costs of these services are not Care Homes for Older People Page 15 of 27 Evidence: included in the fees. We met the Hairdresser during the site visit and she told us that she always enjoys working at Penns Mount because the home is so friendly. The home has a large and well landscaped garden and people are encouraged to use the garden for relaxation and exercise. People are able to invite their friends and families to visit them at any time and relatives that visited during the site visit told us that they are always made to feel welcome by the manager and staff. People are encourage to eat their meals together in the dining room but can have their meals served to them in their bedrooms if they prefer to eat privately. Breakfast is service between 8.30am and 9.30am and people can choose what they would like to eat. Lunch is the main meal of the day and on the day of the site visit the residents were offered a choice of either steak and mushroom pie with cabbage, carrots and mashed potatoes or a jacket potato with salad. This was followed by either bread and butter pudding or a fruit crumble. We spoke with the cook who told us that alternatives to the set meals would be offered on request. Three of the residents have special dietary needs and the cook told us that she had not experienced any problems in meeting their needs. We observed lunch being served and saw that only one person needed assistance to eat her meal. This help was provided by a member of staff. High tea is served between 5pm and 6pm and was to be pork pie or a salmon sandwich, followed by home made cake and fresh fruit. People are offered hot drinks and biscuits mid morning, mid afternoon and in the evening, but can ask for a drink or snack at any time. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a complaints procedure. Policies and procedures are in place and the staff are trained to protect people from the threat of abuse. Evidence: A copy of the Complaints Procedure is displayed in the entrance hall and details of how people can make a complaint are included in both the Statement of Purpose and Service Users Guides. This information is provided in a clear and well written format, although the address and phone number of the Care Quality Commission does need to be updated. The registered manager told us that he had not received any complaints in the past twelve months and we have not received any allegations, complaints or concerns about this service in the past twelve months. The AQAA tells us that up to date policies and procedures are in place to protect people from the threat of abuse and during the site visit we saw that these are accessible to the staff. The home requires all of the staff to attend training on the Protection of Vulnerable Adults as part of the training programme and the records of training show that all of the staff, with the exception of a recently appointed member of staff, have attended Care Homes for Older People Page 17 of 27 Evidence: this training. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, well decorated and comfortably furnished throughout. The communal areas are light and spacious and the landscaped gardens provide additional space for the residents use. Evidence: Penns Mount is a large detached house that is set in a large garden on the outskirts of Kingsteignton. Although the home is conveniently close to the dual carriageway that links Exeter to Newton Abbot, you cannot see the main road from the home and some of the rooms have outstanding views of the river Teign, all the way down to the coast at Teignmouth and Sheldon. Other rooms enjoy attractive views of Dartmoor. The 2.5 acre garden is a main feature of Penns Mount. This has been carefully landscaped to provide a variety of walks and seating areas where people can rest and relax either with companions or alone. The layout of the home has been design to make the most of the homes setting and the communal rooms are on the first floor, as these are the rooms that have the best views. A very large landing area has been converted into a spacious sitting room which has direct access to both the main lounge and the dining room. All of the communal rooms are spacious, well decorated, comfortably furnished and homely. Care Homes for Older People Page 19 of 27 Evidence: All of the residents are offered a single bedroom, although there is one double bedroom, which is currently being used by a married couple. A television set is provided in all of the bedrooms but these will be removed if they are not wanted. All of the bedrooms have a lockable facility in them to enable people who store their money or other valuables and bedrooms have been fitted with suitable locks, which enable people to lock their bedroom doors from the inside and out if they choose to do so. As a security measure the staff can override the locks and enter a bedroom if they need to do so. There are call bells in all of the bedrooms and bathrooms so people can call for staff assistance if they need to. Some of the bedrooms have en-suite facilities, but where these are not provided toilet facilities are located close by. There is a passenger lift to enable people with poor mobility to access all areas of the home and bathroom and shower facilities which have been designed to enable people with poor mobility to use safely. The managers office is located close to the main entrance to the home and desk for the staff to store the records that they need to access on a daily basis has been discretely incorporated into the outer sitting room. The kitchen is adequate for the needs of the home, as are the laundry facilities. In addition to the bedrooms in the main house there are two bedrooms in a bungalow located in the grounds of the home. Each of these bedrooms has private en-suite bathing facilities. Between the bedrooms there is a small kitchenette, so that people who use the rooms can make themselves hot and cold drinks and snacks if they choose to do so. The bedrooms in the bungalow are linked to the call system so that the people who use these rooms can call for staff assistance whenever they need to. The people who live in the bungalow can access the communal areas within the main house any time they choose to do so. The bungalow provides an excellent opportunity for the home to offer people who want to maintain a higher level of independence than they would be provided with in the main house. However, one of the people who lives in the bungalow said that she would like to be offered the opportunity to move into the main house when a suitable room becomes available. During our unannounced site visit we found all areas of the home to be well maintained, clean and well presented. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Penns Mount can be confident that they will be looked after by competent and well trained and well managed staff. Evidence: During the site visit we looked at some of the staff recruitment records and saw that safe practices are being used to recruit new staff. The registered manager told us that all new staff are appointed on a one month probationary, which can be extended if additional time is needed to ensure that the new member of staff is suitable for the home. All new staff must complete a programme of induction training and all of the staff are expected to attend training courses in Manual Handling, Food Hygiene, Health and Safety, First Aid, the Protection of Vulnerable Adults and Fire Safety. We saw records of the dates that these training courses had been provided to each member of staff and dates when refresher courses would be required. All of the staff who handle the residents medicines have received training to ensure that they know how to do so safely. The records showed us that some of the staff had completed training courses on Infection Control, Dementia Care, The Mental Capacity Act, Parkinsons Disease, Skin Care, Sensory Deprivation, Falls, Care of the Dying and Continence Care. Care Homes for Older People Page 21 of 27 Evidence: Five of the care staff have completed a National Vocational Qualification in Care at Level 2 and three have completed their NVQ at Level 3. A further member of staff is currently working towards gaining an NVQ at Level 2 and four are working towards gaining an NVQ at Level 3. Informal group supervision is provided daily and formal one to one supervision is provided for each member of staff six times a year. The staff rota tells us that there are three care staff on duty from 8am to 8pm every day, This includes a senior care worker on every shift. In addition to this the home employs a cook from 8am to 2.30pm every day and a housekeeper from 9.30am to 2pm on weekdays. This appears to be adequate to meet the needs of the residents. There is only one person on waking night duty, although a second member of staff is employed on a sleeping in basis and is on-call throughout the night if needed. Given that the home provides care for twenty-two people and is currently caring for fourteen people who have dementia the night staffing levels do seem a little low. However, we could find no evidence to suggest that the current arrangements are not meeting the needs of the residents. During the site visit we spoke with some of the staff on duty and received very positive feedback from them about the way that the staff worked together, the quality of care provided for the residents and the standard of management. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Penns Mount benefit from living in a well managed and well maintained home. Evidence: When the last key inspection was carried out in February 2007, one of the company directors was the registered manager of Penns Mount. She is now registered with us as the responsible individual and oversees the management of the home, and Marcus Lynwood has been appointed and registered as Manager. Marcus has over twenty years experience of managing care homes and has completed his Registered Managers Award and National Vocational Qualification in Care at Level 4. He has also kept his practical skills up to date by attending relevant training courses. A quality assurance system is in place which uses surveys to gain feedback on the Care Homes for Older People Page 23 of 27 Evidence: service provided from the residents and their relatives. The home also hold Residents Forums, which relatives may also attend. This enables the people who use the service and those closest to them to comment on the quality of the service provided and put forwards suggestions about how the service could be improved. The home does not help people to manage their financial affairs and if help is needed people are advised to seek support from a member of their family or a legal representative. If people do not want to manage their personal spending money themselves, out of pocket expenses, such as Hairdressing, Chiropody and items of a personal nature can be paid for by the home and included on their monthly bills. If people wish, small amounts of personal spending money can be kept in the safe in the office. The manager told us that individual records are kept of any money kept in the safe for residents. We checked these records and found them to be clearly recorded and up to date. The AQAA told us that all of the policies, procedures and codes of practice that we recommend or require the home to keep are kept at the home and are regularly up dated. Some of the policies and procedures are reproduced in a staff handbook which is given to all of the staff. Other policies and procedures are kept in a lockable desk in the outer lounge so that the staff can access them at all times if they need to. The premises are well maintained and the heating systems, lift, hoists, gas appliances, Fire detection and fire fighting equipment and emergency call systems are serviced regularly to keep them safe and in good working order. Care Homes for Older People Page 24 of 27 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 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 Entries that are hand written on the medication administration record sheets should be signed by the person making the recording and by a second person to verify that the information has been recorded accurately. The address and telephone number of the Care Quality Commission need to be updated in the Complaints Procedure. The night staffing levels are low and should be kept under review to ensure that they are high enough to meet the residents needs. 2 16 3 27 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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