Care Home: Prospect Mount Road (101) - North Yorkshire County Council

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What the care home does well This home provides a good level of care in a homely and comfortable setting to three distinct groups of people requiring care. The home has three units which are inspected by CQC. The Homewards Unit, which is a rehabilitiative facility, the respite unit and the dementia unit. Care is based on a good knowledge of each person, good assessments and plans of care which are regularly reviewed. Good risk assessments help people to be as independent as possible. People are assisted with their health care in a caring and friendly manner. Complaints are well dealt with and people are protected from harm by well trained staff. The home is clean and well maintained. There is a safe ratio of staff to people, and staff are well recruited. The home consults people about practice and makes sure suggestions are acted upon. People made positive comments about 101 Prospect Mount Road. Some examples are: `They look after me well. They understand what I can do for myself and they have helped me to get going on my legs again.` Another person said: `I`m going home today, but I`ve had a lovely time. I really look forward to my respite breaks.` What has improved since the last inspection? Since the last inspection the staff are better trained to offer good care to those people who may have a dementia. Staff also have better assessments to work from and person centred care plans so that they can offer individualised care. Care plans are updated and kept under review and people benefit from well devised and updated risk assessments. Some environmental improvements have been made, including the introduction of pedal bins throughout the home, redecoration to a number of rooms and communal areas and updating of fire doors to comply with fire regulations. What the care home could do better: The home must ensure that medication is recorded accurately at all times so that people are protected from errors of administration. The kitchen in the dementia unit must be replaced or otherwise attended to in order to provide a facility that is hygienic and in a good state of repair. The manager of the home is good at recognising where improvements need to be made and the quality assurance system supports this process. Key inspection report Care homes for older people Name: Address: Prospect Mount Road (101) - North Yorkshire County Council 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW     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: Karen Ritson     Date: 1 5 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 26 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 26 Information about the care home Name of care home: Address: Prospect Mount Road (101) - North Yorkshire County Council 101 Prospect Mount Road Scarborough North Yorkshire YO12 6EW 01723366716 01723383429 ProspectMount.Road@northyorks.gov.uk www.northyorks.gov.uk North Yorkshire County Council care home 39 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 39 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, Dementia - Code DE. Date of last inspection Brief description of the care home This residential care home, 101 Prospect Mount Road, provides personal care and accommodation for up to 39 people. There is also a day unit for 12 people that opens for five days each week, Tuesday to Saturday. The home is divided into four units; the Homeward Bound unit that provides intermediate care, a dementia care unit, a unit that takes respite care and an EMI day unit. There are currently three long stay service users within the respite care unit. No further long stay admissions are planned. North Yorkshire County Council owns the home. The home is located on the outskirts of Care Homes for Older People Page 4 of 26 Over 65 0 27 12 0 0 9 0 2 2 0 0 9 Brief description of the care home Scarborough. There is a bus service from outside the home into the town centre. All the bedrooms are used as single accommodation. The home has accessible grounds, the EMI unit also has its own secure garden area. Fees for the home are dependant on the unit a person is staying in. There is a six week free stay in the Homeward Bound unit, and weekly fees are set between £350 and £375 per week. Residents are subject to a financial assessment to determine their contribution to the fees. Care Homes for Older People Page 5 of 26 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 inspection for this service took twelve hours. This includes time spent gathering information and examining documentation before and after a site visit and in writing the report. The home was visited on 15th December 2010. The manager was not on duty. Information for this inspection was gathered from the following: A tour of the premises, observations of care throughout the day of the site visit, speaking with people, case tracking people on the day of the site visit, examining policies, procedures and records kept at the home, examining information regarding the home on the file kept by CQC, considering comments made by relatives, health care and social services staff. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations -but only when it is considered that people who use services are not being put at significant risk of harm. Care Homes for Older People Page 6 of 26 In future, if a requirement is repeated, it is likely that enforcement action will be taken. All key standards were looked at during this inspection. The manager and acting manager were available at the close of the site visit for feedback. Care Homes for Older People Page 7 of 26 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 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 26 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 26 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 have their care needs well assessed, which means they may have their care needs met. Evidence: The home is divided into four units one of which, the day unit, is not inspected by CQC. Of the three units inspected, one provides permanent accommodation for people who may have a dementia, another specialises in respite care and the third provides rehabilitative care in the Homeward unit. There is still one permanent resident living in the respite unit. We looked at the records for two people who were using services in each of the units in the home. Pre-admission assessments are completed by a social care co-ordinator or social care assessor from the local authority assessment team. Each file we saw contained a copy of this original social care assessment. These assessments have been reformulated and now are of limited use to the home as they leave out some Care Homes for Older People Page 10 of 26 Evidence: basic required information regarding contact details and GP for example. However, the home has developed its own assessment of care needs since the last inspection. This is to comply with CQC requirements and to provide a fuller understanding of the care needs of each person. It is particularly important that the written information for people having short term stays is accurate and detailed as staff do not have long to get to know each person. The homes assessments for the respite unit are detailed and give good information about the care required for each individual. This means peoples needs are well understood by staff. The assessment for those people in the Homewards unit concentrates upon areas of self care to build independence. Each assessment is tailored to reflect the particular needs and risks involved in the care of each person. This means staff have good information in order to write plans of care. The assessments for those people in the dementia care unit are person centred and specific to each individual. Each one is written in the first person to reflect the way each person needs to be cared for. For example, one assessment included the following: I need someone to tell me what I am doing and give me time to take in what has been said. This means staff have the information they need about what is important for each persons care. Care Homes for Older People Page 11 of 26 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 have their care needs well assessed and met. People are treated with respect. Evidence: Six care plans were looked at overall; two from each unit inspected. In the Homewards Unit the emphasis is upon the promotion of independence and most people prepare to return home from here. Each care plan is individualised and written in detail to include any specialist involvements. In the respite unit, care plans are detailed and specific to each individual with clear records of any specialist involvement. In the dementia unit, care plans are written in a narrative style whilst retaining good detailed information about care needs. Care plans in the dementia unit are written in the first person along the lines of the assessment and show insight into and sensitivity about particular cognitive and behavioural requirements. Observations in the dementia unit confirmed that staff are patient and kind with people and spend time in their communications with them. Care plans for the dementia unit are regularly updated so that staff can respond to peoples changing needs. Two people were spoken to on the Homewards and respite units. One said: They are very good in here. In fact I look forward to coming because they understand what I need help Care Homes for Older People Page 12 of 26 Evidence: with. Another said: Ive been helped to get my confidence back and I cant wait to get back home now. Healthcare professionals such as the district nurse, physiotherapist and occupational therapist attend the Homeward unit every day and multidisciplinary meetings take place on a weekly basis. This means staff regularly pool their knowledge about the progress of each individual so that the most appropriate care can be offered. Other health care professional visits are recorded separately so that staff can easily navigate to a persons medical history when planning care and speaking with health care professionals on the telephone. One social services care manager said: Ive placed some very vulnerable people here and the staff have been marvellous with them. Medication is kept separately for each of the units. There are two different methods of storing and administering medication in the home. The dementia unit uses a Boots blister pack method and the other units have a Nomad system. In the dementia unit, there were two gaps noticed in administration records. Staff must be sure they record medication clearly and accurately when it is given. Errors in medication administration could place people living on the dementia unit at risk. Medication in the other units was accurately recorded. Controlled medication across all units is well handled and accurately recorded. The manager said that it was sometimes difficult to get correct information about medication for people who were admitted onto the respite and Homewards Unit. Social care professionals sometimes needed to admit people in a hurry and did not have time to check which medication was current. The manager said that medication sometimes came into the home without proper instructions. This caused problems if it was late at night and the relevant surgery not easily contacted. Social care professionals and the staff of the home need to discuss the best way of resolving this problem as it could lead to errors in medication administration. Throughout the day of inspection staff were seen treating people with respect and regard for their dignity. The home has a policy and procedure on privacy and dignity and staff said this was covered in their induction training. This ensures people are treated in an appropriate and friendly way. Care Homes for Older People Page 13 of 26 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 who live in or visit the home for short stays are able to join in a variety of activities and social events and enjoy varied, nutritious food at meal times. Evidence: In the information sent to us before the inspection, the home stated that staff promote a flexible approach to life at 101 Prospect Mount Road. This was apparent throughout the day of the inspection with people spending time where they wanted, with whom they wanted, doing things they liked. People who are in the Homeward Unit have tailor made activity plans to enable them to retain and build on daily living skills to prepare them for going home. People who are staying on respite can join in activities on offer or arrange their own social lives as they choose. One person said: I often pop into town while Im here on the bus, which is fine so long as I let them know where I am going. A programme of Jackies Craft Sessions was advertised. These take place each week and there are advertised activities available for every other week day. There are trips out in the warmer weather to places of interest which people living at the home have suggested. The home employs a person for twenty hours a week to carry out activities with the people in the dementia unit. This is clearly improving the quality of life for Care Homes for Older People Page 14 of 26 Evidence: those people in the unit. Daily notes showed that people were involved in day to day social and other activities and were enjoying what they did. There was a diary sheet for each month of the year telling people about bank holidays, birthdays and interesting events that have taken place in this month in other years which was an interesting idea. North Yorkshire County Council has produced a guide for staff entitled Equality and Diversity in Social Care. This covers disability, race, gender, sexual orientation, age and fatih. It also introduces staff to legislation that supports equality, diversity and equal opportunities for people and identifies good practice areas. The guide includes useful information about celebrations, food and religion, festivals that different people celebrate and dress codes. Visitors are welcome at all reasonable hours. People said they enjoyed the food in the home. One person said: The food is great. I look forward to coming here and eating well for a week or two. Drinks and snacks are available at all times. Menus were available and showed a good variety of nutritious options. Specialist diets can be catered for. People have a choice at lunch and tea times which includes a hot option, and breakfast is toast or cereal with the choice of a cooked breakfast one day a week. Main meal times are set but people can have breakfast when they decide to get up in the morning and if people go out for trips over a meal time then the food is kept for them. People are enabled to eat in the dining room or in their own rooms as they prefer. People from the dementia unit eat in their own unit most of the week but regularly join the rest of the people living at the home for a meal in the main dining room. This gives people a small outing and different people to talk to. A midday meal was observed while the people from the dementia unit were present in the main dining room. The conversation was relaxed and there was a sociable atmosphere. The tables were nicely set and members of staff sat with people whilst they ate their meals to chat with them. This means people have a pleasant eating experience. The kitchen is very spacious and commercial in style, with areas clearly defined for food preparation and washing up. Care Homes for Older People Page 15 of 26 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 live in the home are protected by policies, procedures and staff training in complaints and safeguarding adults. Evidence: The local authority has comprehensive policies and procedures in place to promote the receipt, recording and investigation of complaints and safeguarding allegations. There is also a whistle blowing policy. Most staff have received safeguarding of adults training to protect those people they are caring for from exposure to abuse or risk of harm. Many have also received Deprivation of Liberty training to ensure that people living at the home have choices as appropriate about the way they live their lives. Staff are employed in accordance with the General Social Care Council (GSCC) Code of Conduct, and have to have a Criminal Records Bureau (CRB) check carried out at an enhanced level to make sure they are able to work with vulnerable people. Care Homes for Older People Page 16 of 26 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. People live in a home that is warm and comfortable and that gives them access to space where they can spend time privately or with others. Good hygiene routines were observed promoting the health and wellbeing of residents. Evidence: We looked around the home. This included some bedrooms, all communal areas, the kitchen, laundry and treatment room. The majority of the ground floor is used by the day centre that is not inspected by CQC. The dementia unit is also on the ground floor but has its own entrance at the opposite end of the home. Everyone who lives or stays in the home has their own bedroom and there are two bedrooms that could be used for a couple. These were previously double rooms that are no longer used in this way. Each bedroom has its own wash hand basin. Communal bathing, toilet and shower facilities are located close to bedrooms on each floor. The dementia unit is secure and people can move around freely within it, they also have access to an enclosed garden. There is a kitchen, dining room and lounge on this unit although the latter is quite small. The kitchen for this unit is due to be replaced and is showing clear signs of wear and tear. Care Homes for Older People Page 17 of 26 Evidence: The top floor provides a nine bedded rehabilitation unit known as the Homeward Unit. There are practice areas for kitchen skills and for practicing stairs in this area. Several bedrooms on this level have been redecorated and the home is looking reasonably well maintained. The first floor is used for the respite service but one person still lives on this floor on a permanent basis. There is lots of communal space where people can spend time. The main kitchen is also on this floor. A gas ventilation system has been fitted in the kitchen and intumescent fire strips and new fire doors have been fitted following the requirements of the latest fire authority visit. A fire detection system has also been fitted in every room. There is a well organised laundry where staff have access to washing machines that can be used on different programmes including sluice, three dryers and a large railed area where delicate or woollen items can be hung to dry. All areas of the home were seen to be clean and tidy and no odours were apparent at any time. Swing bins throughout the home have been replaced with foot operated bins to promote good hygiene routines and infection control. Care Homes for Older People Page 18 of 26 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 staff who are properly recruited and trained to help them do their job, promoting the health and wellbeing of residents. Evidence: The staffing rotas showed that there are enough staff on duty each shift to meet the needs of people living at the home. Staff said that there was sometimes a problem if there was sickness , one member of staff said there had been times when he was left alone on a floor to manage the care of a number of people. He felt at times there were too few staff to have the time for such things as stopping for a chat. The local authority has rigorous policies and procedures for the recruitment and selection of staff. This includes an application form, interview, references, checking evidence of a persons identity and CRB records. We were shown a list of CRB checks. These are renewed every three years. This is good practice. The records for three members of the staff were seen. All recruitment information was seen for the three members of staff, including references and CRB check numbers. Staff induction records were seen. These follow Skills For Care guidelines. Records of up to date foundation training were seen on computer. These were well organised and clearly showed which training had taken place and what was due. Staff working in the dementia unit are able to meet twice a year, away from the unit, to look at training Care Homes for Older People Page 19 of 26 Evidence: and support needs. This is also very good practice. Care Homes for Older People Page 20 of 26 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 that is run in their best interests, in an open and inclusive way. Records and risk assessments promote their health, safety and wellbeing. Evidence: The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was detailed and gave us information about what the service feels it does well, how they would like to improve and what changes they have made since the last inspection. The registered manager is qualified and experienced to carry out her role. There is an acting manager in post at the moment whilst the registered manager is seconded to another post on a temperary contract. The manager had prepared a file of evidence so that staff and the inspector could access all the information they needed even if she was not on duty. The acting manager was not on duty during this inspection and the file proved very useful. Staff said that the management structure of the home worked well and that team leaders and the manager were approachable and sympathetic. Care Homes for Older People Page 21 of 26 Evidence: Staff meetings are held monthly and everyone is expected to attend at least 6 in 12 months. Minutes of the meetings are signed to say that people have read them and an attendance sheet is kept for monitoring purposes. The manager said that people usually attend more that the required six meetings. Regular staff meetings allow staff to have a say about the running of the home and to offer ideas on improvements to care. Resident and family meetings are also held on a monthly basis. There is a questionnaire for people who have short stays in the home that covers the quality of their bedroom, cleanliness, food, menu choices, the standard of care, attitude of staff and whether they knew who to speak to during their stay if they had a concern. Although the results of the questionnaires are used to improve care practices, a difficulty arises when people in the Homeward and respite units are making suggestions for areas such as food or trips out which will not affect them. The manager takes notice of the comments and draws general learning points from the information collated. This is fed back in staff and service users meetings. There is also a Service Improvement and Development Plan for the home covering 2009/2010 All monies kept on behalf of people staying in the home are checked twice a day at staff handover. We saw that receipts and individual payment sheets are kept. Financial records are also audited bi-monthly by staff from outside the service. The money of one person living at the home was checked and there were no discrepancies. This means that peoples money is kept safely. Residents all have a locked draw in their bedroom where they can keep any valuables or personal items safe and secure. There are quality checks carried out in-house and by staff visiting from another home. The internal quality audit is aimed at meeting National Minimum Standards. The information sent to us by the home before the inspection listed all required safety checks were being carried out on the building and that environmental risk assessments were in place. This ensures peoples safety. The annual visit by staff from another home is an opportunity to get feedback on areas of good practice and improvement. Throughout the inspection staff were helpful and able to provide all the information we requested, they spoke about the people they care for with warmth and sensitivity and had a good knowledge of their needs and wishes. Care Homes for Older People Page 22 of 26 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 23 of 26 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 12 Medication records must tally with medication remaining in blister packs. To ensure people receive medication as prescribed. 08/01/2010 2 19 23 The dementia unit kitchen must be attended to. In order to provide a kitchen facility that is well maintained, hygienic and in a good state of repair. 01/02/2010 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 Social care professionals and the staff of the home should discuss the best way of resolving the problem of bringing medication into the home safely and well labelled as the present system for emergency admissions could lead to errors in medication administration. The management of the home should consider the arrangements for cover if there are staff shortages due to sickness or holiday so that the social wellbeing of people Page 24 of 26 2 28 Care Homes for Older People 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 living at the home is not compromised. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!