Care Home: Red Gables

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well All admissions to the home are planned and information sought to ensure that the home can meet the needs of people using the service. The standard of care records and care plans are well maintained. Each person has a care plan which is detailed and person centered. Any risks are noted and a clear plan provided for staff to manage the risk safely. The provision of activities has been developed and provides appropriate cultural, social and recreational activities for people using the service. People have the choice if the participate or not and all activities are recorded and used to develop further social interaction. People appear engaged and were seen to socially interact with each other. What has improved since the last inspection? The management of medications has been developed to ensure that there is a suitably qualified person on each shift who is able to safely administer medications. The management of meals has recently been variable but people using the service tell us that this has now improved and there is a more consistent dining experience. The management of recruitment has improved to ensure that people using the service are kept safe. All staff now have appropriate recruitment checks in place. The home is addressing areas of the environment which need to be improved. This includes some bedrooms and one bathroom. Further refurbishment is needed in two remaining bathrooms to ensure that they are suitable for purpose. The management of the home appears to be stable with the manager designate promoting a clear ethos and standard for staff. What the care home could do better: The registered person is required to ensure that all areas of medication practice are safe in that the controlled medication cupboard must be properly secured. We recommend that some areas of peoples independence be reviewed in that all people should have lockable facilities for their rooms and signage which would enable people to see which room was theirs. Two bathrooms and a shower room are required to be upgraded and completed to ensure that they are well furbished and suitable for purpose. The registered person must risk assessed radiators which do not have a low surface temperature restriction. Appropriate action must be taken to ensure that there is no risks of burns to people using the service. The responsible individual is required to provide the Commission with copies of Regulation 26 visits undertaken at the home. This will allow us to review the quality of care provided.Staff are recommended to be supervised regularly t promote and develop good quality care. Further staff training is recommended wherever shortfalls have been identified. The registered person is required to access a copy of the Cornwall Safeguarding Policy to enable staff to have clear guidance should an allegation of abuse be made. All policies in the home must be reviewed regularly and recorded when reviewed to ensure that current good practice is being followed. The registered person is required to register a manager with the Care Quality Commission .This is required to ensure that an appropriate person is in place to promote and develop the management of the service Key inspection report Care homes for older people Name: Address: Red Gables 59 Killerton Road Bude Cornwall EX23 8EU     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: Gail Richardson     Date: 2 0 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 29 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 29 Information about the care home Name of care home: Address: Red Gables 59 Killerton Road Bude Cornwall EX23 8EU 01288355250 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): leedifford@btconnect.com Ladybrook Care Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who may be accommodated is 32. 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 category:- Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Red Gables is a large detached house, standing in its own grounds, near the centre of Bude. It provides accommodation for 32 elderly people on two floors. A shaft lift and staircase connect the two floors. The majority of the bedrooms have ensuite facilities. There are a number of communal areas, including a lounge, a conservatory, and a dining room. There are seating areas outside the home, and a patio area. The home is within walking distance of the shops for anyone who is reasonably fit. Care Homes for Older People Page 4 of 29 Over 65 32 0 1 7 0 3 2 0 1 0 Brief description of the care home The current fee scale is (Correct at time of report) £308.00 to £400.00. This does not include hairdressing, chiropody, dental work and opticians. Some toiletries must also be privately purchased. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection, which took place over one day, on the 20th May 2010 by Compliance Inspectors Gail Richardson and Mandy Norton. For the purpose of this inspection the term We will be used when referring to the Care Quality Commission. The last key inspection took place on the 23rd September 2009. We have visited the home on three occasions to undertake random inspections, 04/12/09,08/03/10,17/03/10. A tour of the home took place and some of the bedrooms and all communal areas were seen. There were 21 people currently residing at the home. We spoke with ten people using the service, and four members of staff and observed the care being provided. The manager designate and quality manager were available throughout the inspection. We looked at records relating to care including four care plans, one staff file, complaints and health and safety records. The focus of this inspection visit was to inspect relevant key standards under the CSCI Care Homes for Older People Page 6 of 29 Inspecting for Better Lives 2 framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: The registered person is required to ensure that all areas of medication practice are safe in that the controlled medication cupboard must be properly secured. We recommend that some areas of peoples independence be reviewed in that all people should have lockable facilities for their rooms and signage which would enable people to see which room was theirs. Two bathrooms and a shower room are required to be upgraded and completed to ensure that they are well furbished and suitable for purpose. The registered person must risk assessed radiators which do not have a low surface temperature restriction. Appropriate action must be taken to ensure that there is no risks of burns to people using the service. The responsible individual is required to provide the Commission with copies of Regulation 26 visits undertaken at the home. This will allow us to review the quality of care provided. Care Homes for Older People Page 8 of 29 Staff are recommended to be supervised regularly t promote and develop good quality care. Further staff training is recommended wherever shortfalls have been identified. The registered person is required to access a copy of the Cornwall Safeguarding Policy to enable staff to have clear guidance should an allegation of abuse be made. All policies in the home must be reviewed regularly and recorded when reviewed to ensure that current good practice is being followed. The registered person is required to register a manager with the Care Quality Commission .This is required to ensure that an appropriate person is in place to promote and develop the management of the service 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 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensures that people who are thinking about using the service, and/or their representatives, have the information they need to enable them to make an informed decision about the home. The home has assessment procedures in place to ensure that a place is only agreed for people whose needs can be met by the home. People have the opportunity to visit the service and decide if it suits them. Evidence: The home has a Statement of Purpose/Service User Guide. The document provides clear information for any prospective person . The Homes Annual Quality Assurance Audit (AQAA)states that We provide a comprehensive service user guide which contains full information on our staffing, services and facilities. Where necessary we can provide all the written information in Care Homes for Older People Page 11 of 29 Evidence: Braille, audio CD or in any of the major languages of the world. People who are coming to the home have a pre admission assessment by the manager designate to ensure that the home can meet their needs. We saw that whilst one persons family had chosen the room for them, they told us that they had received information about the home prior to admission. Another person told us that they had chosen the room they wanted and had also had the opportunity to visit the home to see if they like it. Staff training has been undertaken to ensure that peoples needs can be met. Seven out of the twenty five staff employed have undertaken dementia care training to support if needed. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each persons health, personal and social care is set out in an individual and detailed plan of care. Medication systems are well managed to support safe practice for people using the service. Evidence: We looked at four care plans for people using the service who had specific care needs. We found that were risks have been identified, they are assessed and an appropriate plan of care put in place to meet the risk safely. Care plans are detailed and person centered and showed a clear insight into peoples choices and preferences and were sensitive to peoples needs. One care plan needed to be updated to reflect recent changes in the persons condition. People using the service are involved in the update and review of their care plans and all contact with visiting health professionals is recorded. Daily records are maintained by care staff and record personal care given and activities undertaken. We spoke with ten people using the service, they were all complementary about the Care Homes for Older People Page 13 of 29 Evidence: staff. They told us that Staff are very kind and Nothing is too much trouble. We noted that a new admission to the home had received a welcome card from the staff. People appeared to be treated with dignity and respect. Staff were seen to knock on doors and ask permission to enter and addressed people in an appropriate manner. People appeared smartly dressed and well groomed. We looked at the medication practices of the service. The systems in place appear to be robust with checks being made of all medication received and dispensed. One person self administers insulin and there is a clear risk assessment and care plan in place to ensure that this is managed safely. The manager designate manages the audits of Medication Administration Records to ensure that all prescribed medications are correctly administered. Medication training has been undertaken by several staff. This means that there is always a suitably trained person on duty who is able to administer medications. We observed that the controlled drug cupboard was not fixed to the wall. This needs to be undertaken to ensure that the cupboard complies with the Royal Pharmaceutical Guidelines. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities are available and the home strives to meet the social and cultural needs of people using the service. Contact with the local community is encouraged. Mealtimes are a pleasant and sociable dining experience Evidence: Each persons care plan contains a history and includes how they spend their day and their likes and dislikes. These choices are noted and used to develop activities. The home does not employ designated activity staff, the manager designate and staff have undertaken to provide a range of recreational activities. These include visiting entertainment, arts and crafts, a trip out and a trolley shop. The home records in the persons care plan if they participated and enjoyed the activities provided to try and develop activities to be person centered. One person told us that they Walk into town most days and we saw people visiting the home throughout the day. The home is visited by local clergy to provide spiritual support. People told us that within reason , they could get up and go to bed when they wanted and were able to choose where they took their meals. Peoples rooms were seen to be decorated in a manner which reflected their personal Care Homes for Older People Page 15 of 29 Evidence: choices. The home does not currently have any means to identify each room. This may be confusing and it is recommended that the home provide clear means for people to identify their own rooms. We also observed that not all rooms could be locked and would recommend that lockable facilities, with emergency access for staff, are provided for all people using the service. The AQAA told us Daily life is structured around the wishes and preferences of service users, their needs and expectations. Service users now get up and have breakfast at a time which suits them. Meals can be taken in private or in the dining rooms where all service users sit with people of their choosing. People told us that lately meals at the home had been variable. We know that there have been difficulties with the oven and a new one has been purchased. People told us that it also depended on who was cooking as to the quality of the meal provided. Generally people were satisfied. We observed lunch and observed that 13 people chose to eat in their rooms off a tray . The dining room is a pleasant room and tables were set appropriately. The meals were served hot and vegetables and gravy were served separately. Staff served these being guided by peoples choices and preferences. Staff told us that they have an extended role at evening meal time. They told us that the meal is prepared and served by them. This time means that they have less time to spend with people using the service and as numbers of people increases this area must be kept under review by the manager designate. Care Homes for Older People Page 16 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a policy in place for people to make complaints. Complaints have previously been managed by the head office. Records of this are not available. From now on wards the home will manage its complaints. Evidence: The home displays a complaints procedure which details the actions people can expect should they wish to raise a concern or complaint. The home has received two complaints and the Commission has received four complaints about service and care at the home. All of the complaints have been addressed. The home is required to keep a record of all complaints and action taken as a result of investigations. This audit trail of how complaints are managed was not available at the home. We were advised that this record was also not available from head office. It has been agreed with the management of the home that all future actions to address complaints will be managed and recorded by the manager designate to ensure accurate and full records are maintained and available for inspection. The manager designate has the appropriate information should anybody at the home want or need an independent advocate. The home has notices around the home which detail the homes approach to abuse Care Homes for Older People Page 17 of 29 Evidence: awareness. The manager designate and several staff have undertaken abuse awareness training and other staff training in this area is planned. The home does not currently have a copy of the local policy for safeguarding vulnerable adults. This is required to be accessed to ensure that all staff are aware of the correct procedures to be followed should an allegation of abuse be made. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a pleasant and clean place to live. Some areas require further development but there is good evidence of routine maintenance taking place. Evidence: The home is a large converted building with some areas being more recent conversions. Bedrooms are over two floors with communal space being on the ground floor. Access to the upper floor is by stairs and shaft lift. All bedrooms are decorated to reflect peoples personal tastes. Specialist equipment was seen were there was an assessed need , this included air mattresses and mobility equipment. The communal areas are well furnished and decorated and afford ample space for people to move around. One bathroom is currently being refurnished. A further two bathrooms require attention to make the suitable and safe for use. It was evident that the home is redecorating and refurbishing several bedrooms. It is noted that the management of the home have not yet addressed the need for radiator covers for radiators which do not have a low surface temperature guard already in place. Radiators throughout the home must be risk assessed and appropriate action Care Homes for Older People Page 19 of 29 Evidence: taken to ensure that there is no risk of burns to people using the service. The home appeared clean and fresh and people using the service told us that the home was always well cleaned. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels must be kept under review to ensure that there are sufficient staff to consistently meet the needs of people using the service. Staff recruitment, induction and training is in place to ensure the safety of people using the service. Evidence: During the inspection we spend time observing care provided, talking with people using the service and staff and looking at staffing records. On duty on the day of inspection were , the manager designate, the quality manager and four care staff. Also on duty were a cook and a cleaner. Staff and people using the service felt that staff were very busy and that staffing levels had been slightly reducing and extra domestic tasks, like making and preparing the evening meal, had been added. Staff told us that this meant that they did not have as much time as they liked to spend with people using the service. One person using the service told us, staff are too busy to sit and chat. The manager designate felt that staffing levels were sufficient to meet everyones needs. This must be kept under review by the manager designate to ensure that the dependency of the people using the service was consistently met by the current staffing levels. All the people using the service who spoke with us were complementary about the staff. They Care Homes for Older People Page 21 of 29 Evidence: all told us that the staff were caring and kind and would do anything to help them. We observed staff attending to peoples needs in a pleasant and courteous manner. Staff training is ongoing and a current staff training matrix has identified shortfalls in some areas. The quality manager has advised us that these shortfalls will be addressed. We spoke with a new member of staff who told us that when she started work at the home she worked extra to the staff to learn her role and has subsequently been undertaking an induction training program which is in line with the Skills for Care Common Induction Standards. We have previously made requirements about the recruitment procedures at the home. We looked at the most recently employed staff and found that all appropriate recruitment checks were in place prior to her starting work at the home. Care Homes for Older People Page 22 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is evidence that the current management of the home is having a positive effect of the lives of people using the service. Most health and safety management is in place to ensure the safety of people using the service. Evidence: The manager designate is not yet registered with the Care Quality Commission. The home is required to register a manager to promote and develop the management of the service. The home appears to be benefiting from the current management structure with the manager designate being supported by the quality manager for the company group. The home has also promoted two senior care staff to promote a supportive management structure. The home has not undertaken any external quality review and plans to implement this in the near future. This is recommended to ensure that people are happy with the Care Homes for Older People Page 23 of 29 Evidence: service being provided. The manager designate undertakes internal quality audits of the home by inspections around the home followed up by staff updates. We have previously requested that the homes responsible person Stephen Difford supplies the Care Quality Commission with a copy of the monthly Regulation 26 review to enable the Commission to monitor the service provided. This has not yet been provided. It is concerning to note that this is because these monitoring visits have not been undertaken. The responsible individual is required to visit monthly and review the quality of the service, and to not do so is in breach of Regulation 26 of the Care Homes Regulations 2001. Should this requirement not be addressed we will consider further enforcement action. Staff supervision is not up to date and it is recommended that this be addressed to ensure that staff are supported to develop best practice . The management of peoples monies was not inspected as this was seen to be well managed at the previous inspection. Accident are recorded and reviewed as part of the care planning process. All other areas of health and safety appear to be well managed. The review of the fire log book highlighted that some checks had not been undertaken. We have been advised since then that these checks have now been undertaken. The registered person is recommended to ensure that all radiators which do not have low surface temperature restrictions are risk assessed and the appropriate actions taken to ensure that there is no risks of burns from hot radiator surfaces. We noted that the policies and procedures used by the home for staff training and regular practice are not recorded when updated. This is recommended to enable the home to update and reflect current good practice. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person must 23/04/2010 ensure that there is a suitably trained staff member on duty who has the skills and competence to administer medication. Appropriate on call arrangements must be in place until such a time that the home has a competent medication administration staff available in the home. This is required to ensure the safety and well being of people using the service. 2 21 12 The registered person must ensure that all bathrooms and washing facilities are safe and in good repair. Ay repairs/ refurbishments need must be undertaken to ensure the safety of people using the service. 27/11/2009 Care Homes for Older People Page 25 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The Controlled medication cupboard must be securely fixed to a solid wall. The positioning and fixing of this cupboard must be in line with the Royal Pharmaceutical Guidelines. 01/07/2010 2 16 12 The registered person must 02/07/2010 ensure that a copy of the Safeguarding policy for Cornwall is available for staff reference. This must be in place to ensure that staff what action to take should an allegation of abuse be made. 3 31 8 The registered person must ensure that a person undertakes to be registered with the Care quality Commission as Registered Manager for the service. This is required to ensure that an appropriate person 30/07/2010 Care Homes for Older People Page 26 of 29 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action is in place to promote and develop the management of the service 4 33 26 The responsible individual is required to supply the commission with monthly regulation 26 reports. This will enable the commission to monitor the development of the service. 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 30/06/2010 1 14 The registered person is recommended to ensure that all people using the service have a lockable facility for their room which is working. These locks must be accessible by staff in an emergency. The registered person is recommended to have some form of signage for people to be able to clearly identify their own bedroom. The registered person is recommended to monitor staff training to ensure that staff have received training in all mandatory training areas. The registered person is recommended to ensure that staff receive regular supervision no less than six times a year to ensure the development of good practice at the home. The registered person must ensure that all policies and procedures used by the home are reviewed regualarly and recorded as updated. this will ensure that current good practice is maintained. The registered person must ensure that all routine fire safety checks are undertaken and recorded to ensure that peoples are kept safe. 2 14 3 29 4 36 5 37 6 38 Care Homes for Older People Page 27 of 29 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 7 38 The registered person is recommend to ensure that all radiators which do not have low surface temperature restrictions are risk assessed and the appropriate actions taken to ensure that there is no risks of burns from hot radiator surfaces. Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!