Care Home: Reminiscence Neighbourhood

What the care home does well The organisation produces good information to people thinking of using the service and encourages people to visit to sample the atmosphere prior to making a decision to move in. The plans for people contain detail of their past lives so that staff get to know them as individuals. The home is clean, tidy, and comfortably furnished with aids and adaptations to meet the needs of the people who live there. There is plenty of communal and private space. There are a number of items for people to pick up and use independently, i.e. rummage boxes, `dressing up` clothes, desk, typewriter and games. These offer an interactive and stimulating environment for people who experience dementia. There is a good variety of activities led by staff and people are encouraged to participate. People are provided with a good variety of meals which are well presented and served in pleasant surroundings. Staff receive training which is appropriate to their role. What has improved since the last inspection? The care plans have been improved so that they contain more detail and improved risk assessments. There are better arrangements for the auditing of medication so that people are better protected. Staff have received more training so that they are better prepared to provide people with the support they require. What the care home could do better: The provider needs to submit an application to CQC for the registration of a manager for this service. Staff need to be more diligent in completing records so that these can demonstrate whether or not people`s needs are being met. Managers and staff need to be more proactive in auditing their practice so that they address shortfalls before these are raised by people outside the service. Key inspection report Care homes for older people Name: Address: Reminiscence Neighbourhood 5 Church Road Sunrise Senior Living Edgbaston Edgbaston Birmingham B15 3SH     The quality rating for this care home is:   one star adequate 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: Christine Lancashire     Date: 1 9 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 28 Information about the care home Name of care home: Address: Reminiscence Neighbourhood 5 Church Road Sunrise Senior Living Edgbaston Edgbaston Birmingham B15 3SH 01214508930 01214556689 edgbaston.rc@sunriseseniorliving.com www.sunrise-care.co.uk Sunrise Operations Edgbaston Limited care home 25 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 Additional conditions: The maximum number of service users who can be accommodated is: 25 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 categories: Dementia (DE) 25 Date of last inspection Brief description of the care home Reminiscence Neighbourhood provides residential care for up to 25 older people with dementia and other related memory disorders. The Home can accommodate two people with dementia who are younger than 65 years of age. Nursing care is not provided at this home. Reminiscence Neighbourhood is located on the second floor of the Sunrise Senior Living Of Edgbaston Community and the living environment is safe and secure. Assisted living care is provided on the ground and first floors of the building, under a separate registration. The home is purpose built. It is situated in Edgbaston on a main road close to central Care Homes for Older People Page 4 of 28 Over 65 0 25 Brief description of the care home Birmingham and benefits from being close to public transport links. There is ample off road parking at the front of the building. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate 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: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see if the home had met the requirements of the last report and how the home is meeting key National Minimum Standards. Before the visit we had received information from the acting manager, in an Annual Quality Assurance Assessment (AQAA) form, which tells us about the running of the home and the plans for development. At the inspection we spoke to the acting manager, several members of the staff team and several people who live in the home. We looked round the communal areas of building and into two bedrooms. We looked in detail at the records for three of the people in the home and at other records which the home is required to keep. These included menus, staff rotas, medication, staff recruitment and training, health and safety records, complaints and minutes of meetings. We looked in detail at three staff files. We looked at the systems which the home has for monitoring its performance and at the results of questionnaires Care Homes for Older People Page 6 of 28 completed by people who live there. We used this information to write this report. Care Homes for Older People Page 7 of 28 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. Care Homes for Older People Page 8 of 28 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into this home are provided with good information so that they can make an informed choice. Assessments and visits to the home ensure people know, before they move in, that their needs can be met by the home. Evidence: The organisation has a Statement of Purpose and service user guide which contain information about what the home is like, the staff team and the services provided. The Statement of Purpose and service user guide are available in the main reception area of the home which ensures easy access for people who are considering living there. In addition, the home has web pages which provide similar information and a means of contacting the organisation for further information. There are regular open events which provide people with an introduction to the home. The manager explained that people considering whether the home is the right place Care Homes for Older People Page 11 of 28 Evidence: for them are able to visit. Some choose to sample a meal or a social event and many are accompanied by their relatives. We sampled three files for people who live in the home and these contain preadmission assessments which have been completed prior to the persons admission. In addition to assessments made by relevant professionals, the manager had been out to assess peoples needs. The manager told us that a request is made to families and or representatives to complete personal profiles of people who are moving in to the home. These provide staff with information about the persons life, achievements, relationships, interests and hobbies. The manager told us that people initially come to live at the home on a trial period of 30 days to give them the opportunity to decide if they would like to move in on a permanent basis. The home does not offer intermediate care but respite stays are welcomed. This is where people come to live at the home for short periods of time, such as convalescence, to have a break and or give their carer a break from their caring role. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social needs are set out in a care plan so that they can be met by staff. However, in order to be sure that peoples health needs are being met, staff need to be diligent in completing monitoring records and charts. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: We sampled four files and saw that each person has a written care plan and in this home they are referred to as Individual Service Plans (ISP). This is an individualised plan about what the person is able to do independently and states what assistance is required from staff in order for the person to maintain their needs. These plans have been formed using the information gained in the original assessment of the persons needs and have been reviewed and updated on a regular basis. We noticed that the most recent plans are more detailed and provide better information for staff then those which are older. The manager told us that she is in the process of updating all files. Care Homes for Older People Page 13 of 28 Evidence: We found some good information about peoples personal care needs and preferences so that people should receive care in a manner they need and prefer. Care plans describe peoples skills so that they remain as independent as possible. We saw that risk assessments are undertaken for falls, nutrition and skin. We saw details of peoples health needs in their files and the records show that people have been supported to receive treatment from a range of health professionals such as specialists and district nurses, when appropriate. As at the previous inspection wellness nurses are employed at the home in an advisory role; they do not undertake any direct nursing duties and are a supplementary service provided for people who live at this home. All individuals receive a monthly Wellness check, during which they are weighed and their health care needs are reviewed. There are other monitoring tools in peoples files, such as bowel charts, records of food intake and turning records where people have been assessed as being at risk of pressure sores. However, we looked at these for the people whose files we sampled and found that there were days when they had not been completed so there was no full picture of the persons health. For example, bowel charts had not been completed for several people for several days. Looking at the charts for these people, it appeared that they had a problem in that area, but the lack of entries could have been due to the chart not being completed. In the case of a person who had developed a sore, there was no evidence that turning had taken place some days. It is important that, where it has been noted that monitoring of a persons health is needed in certain areas, the records need to be completed consistently and accurately in order to ensure that the person continues to have their health needs met. The medicine management has improved since the last inspection. We saw that records have been completed in the right way and there are good facilities for the secure storage of medication. The home has a quality assurance system to check the administration and recording of medication. Random audits are undertaken for residents medicines and medication administration charts on a regular basis and a full monthly audit is also carried out. This should ensure that people are protected by the homes practice in this area. We observed staff using individuals preferred names and introducing people to the inspectors in a respectful manner. Peoples preferred names are documented in the care records that we sampled. Care Homes for Older People Page 14 of 28 Evidence: People may have their own telephones in their rooms at an additional cost or a mobile telephone can be provided for people to use in the privacy of their own room. People may hold their own room keys, should they wish to do so. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples lifestyles in the home match their preferences and suitable activities are arranged. People are encouraged to maintain significant relationships with people in the community and they receive a choice of nutritious meals. However, more consistent record keeping would help to make sure that people are receiving a diet which meets their needs. Evidence: We saw that people are offered a wide choice of activities, including newspaper discussion, dominoes, card games, progressive mobility, crosswords and word search challenges, craft activities and painting and colouring. The programme is displayed on notice boards within the home and in the lift area for people to refer to as they choose. We were told that events and festivals are celebrated, such as Christmas, St. Patricks Day and Burns Night. On the day of our visit we observed people doing jigsaws and craft activities. There were visiting musicians in the afternoon. We saw records which show that people are supported to undertake a range of activities of their choice. The records show that there are visits to church services for those who wish to attend and people are able to have their newspapers and magazines delivered so that can Care Homes for Older People Page 16 of 28 Evidence: continue to read articles, which interest them. Some newspapers are also supplied by the organisation. People can go out with their families as they choose and this encourages their independence and assists them to maintain links with the community. The home has an open visiting policy and this enables people to see their visitors as they choose, enhancing their quality of life. On the day we visited we observed family members and friends visiting people who live at the home. The home has a four week cyclical, seasonal menu in place and people who live in the home can have their own individual copies. We also found a copy available in the lift area. We ate lunch with people in the dining room. The tables were well presented, with menus to show the meal for the day. There was a choice at each course and staff brought plates of food to each person, so that they could make a choice about which meal they preferred. Staff showed patience and offered to change food even when people had made a choice two minutes before and then changed their minds. Staff provided a choice of drinks and topped these up during the meal. We observed people being assisted with their meals where required with dignity and respect. The food which we were served looked attractive and was tasty. People at the table obviously enjoyed their meals. Staff asked people if they had finished their meals before they removed the plates. Since the last inspection the staff have started to maintain records of peoples food intake and this should help to make sure that people receive a balanced diet which meets their needs. However, we looked at these records and saw that they have been completed on a sporadic basis, so that there are often periods when there are several days missing. If records are kept, then they need to be kept on a regular basis, to provide accurate information about peoples nutrition, so that the home can be sure that peoples needs are being met. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements to ensure that people living in this home are protected, including the arrangements for handling complaints. Evidence: The home has a comprehensive complaints procedure for people living in the home and their representatives to use if they need to make a complaint. This is on display in the home and is included in the statement of purpose, service users guide and contracts of residency. Another good forum for discussing any complaints and or suggestions is the residents and family meetings that are held monthly at the home. We looked at the record of issues which have been raised in relation to the care provided and saw that the manager has kept a good record of the action which has been taken in response to these. We spoke to several staff and people who live in the home, who all confirmed that they would know how to make a complaint should this be necessary. The home has an adult protection policy and we saw that the local multi agency guidelines are available for staff to follow. This ensures that staff know what action to take in the event of any situation occurring. We were told the majority of staff have received training in the Protection of Vulnerable Adults (POVA) and this is documented on the training tracker. This should ensure that staff have the knowledge to safeguard people who live in this home from harm if an allegation should arise. Care Homes for Older People Page 18 of 28 Evidence: Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, clean and safe environment which meets their needs. Evidence: Sunrise is a large and prominent building. It has a large parking area to the front of the building and access to the home is via the main reception which is on the ground floor. A person is seated in this area, known as a concierge and they ensure that people are greeted when they come into the home. A signing in and out book is provided so that peoples safety is promoted. The external grounds include terraced patio areas and an abundance of plants and decorative ornaments. The reminiscence unit is situated on the second floor of the building and provides residential care to people who have dementia or varying levels of memory loss. We looked round the communal areas of this floor and into the suites of two people who live there. Corridors are wide and people were seen moving around the home as they chose to. We could see that there had been a lot of thought in respect of providing and an interactive environment for people with dementia to make it more meaningful. For example, within the wide corridors there are black and white photographs, a dressing up space with dressing table, clothes and costume jewellery and an area with objects which people may like to feel. There is a sensory room with light and sound effects Care Homes for Older People Page 20 of 28 Evidence: and sensory items where people can relax. Toilet doors are colour coded and door signs are in a large print with Braille for residents with sight impairments and this assists in orientating residents living at the home thus promoting their independence. Push button locks, which can be overridden in the event of an emergency are fitted on to the communal bathroom doors so that individuals privacy is respected whilst maintaining their safety. Corridors are wide and suitable for both independently mobile residents and wheelchairs users, handrails are provided and the home is well lit. There are lounges and smaller seating areas where people can choose to be quiet and read or watch the world go by as they wish. Chairs have been arranged to promote social interaction as far as possible. All of the areas we looked at including the dining room are decorated and furnished to a high standard. Personalised memory boxes, containing personal items relevant to individuals lives are situated outside peoples bedroom doors. These are used as an aid to assist people to identify their own rooms. They also highlight to staff and other people who live in the home what is important to individuals to provide stimulating conversations. Bedrooms can accommodate single or double occupancy and have kitchenettes. There are also walk in shower rooms and people may choose to have a spa bath. People are encouraged to bring in their own possessions in order to have familiar items around them to make their rooms as homely as possible. If people who live in the home would like lockable facilities then they are able to request this. There is an outdoor area on this floor with patio furniture and good views over the grounds and beyond. It is sheltered. The manager told us that people make good use of this in the warmer weather. All areas which we saw looked clean and there were no offensive odours. The environmental health officer has undertaken a visit and awarded the home five stars for cleanliness and hygiene; this is the highest rating that can be given. This means that the home has good hygiene procedures in relation to food handling and this will minimise the risk of any cross contamination occurring. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good 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 in this home are cared for by sufficient numbers of staff who are well trained. People are protected by the homes recruitment practices. Evidence: The rotas show that there are adequate numbers of staff on duty at all times. We saw staff engaging with people and they did not appear to be rushed. The company has a standard recruitment procedure and this includes taking up references and making checks through the Criminal Records Bureau on all staff prior to starting work. We sampled four staff files and found that this procedure had been followed and there is evidence that the necessary checks have been carried out. This means that people living in the home are protected by the homes practice in this respect. The manager told us that staff undertake induction training prior to working with people on their own. They also shadow more experienced staff. We saw that staff have received mandatory training together with more specialist training, for example, food hygiene, health and safety, first aid, infection control, moving and handling, fire training, medication training, knowledge of dementia and adult protection. The information provided by the manager confirms that over 60 of staff have completed National Vocational Qualification (NVQ) Level 2 and others are receiving this training. Care Homes for Older People Page 22 of 28 Evidence: This should ensure that skilled and knowledgeable staff support people living in the home to meet their identified needs. We spoke with staff who seemed to have a good understanding of their role. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home where there are policies and procedures to ensure that it is run in their best interests and where there are good systems for maintaining the quality of care. Their health, safety and welfare is promoted and protected by these. However, staff would benefit from regular formal supervision. Care needs to be taken to monitor records more closely to check that staff are folllowing procedures so that people can be sure that their needs are being met. Evidence: There is currently no registered manager for this service, which is being managed by the registered manager of the other registered service on the same site. This manager told us that a new manager has been appointed and will start work the week after the inspection. The provider will need to submit an application to CQC for her registration. Information supplied by the home prior to our visit in its Annual Quality Assurance Assessment (AQAA) informs us that internal monitoring systems for quality assurance include an annual quality inspection, a Gallup Poll and monthly Regulation 26 visits. In Care Homes for Older People Page 24 of 28 Evidence: addition questionnaires to gain the views of residents, relatives and staff are sent out. We saw the results of these checks. The most recent Regulation 26 report highlighted several areas where improvement was needed. Action had been taken by the manager to remedy these. However, the manager and staff need to be more proactive in checking and ensuring that high standards are maintained, instead of relying on areas for improvement to be pointed out before action is taken. As at the previous inspection the homes staff do not manage the personal finances of people who live there. However there is a facility for the safe keeping of small amounts of residents money should they choose to use this facility. We saw that there is a plan for dates for the formal supervision of staff. In sampled staff files we saw that this is not yet happening on a regular basis, although there are annual appraisals for staff. The manager told us that the plan will be implemented once the new manager is in post. It is recommended that staff receive formal supervision as a minimum six times per year and the plans in the home indicate that this should happen in the future. Formal supervision ensures that staff are given the appropriate support they require and identifies any training which may be required in order to meet the needs of people living in the home, individually and collectively. This is important due to the shortfalls in record keeping which have been mentioned earlier in this report. We saw that health and safety and maintenance checks have been undertaken in the home to ensure that the equipment is in safe and full working order. Also monthly health and safety meetings take place which ensures the home is well maintained and all equipment is in good working order. Regular fire checks of the system and fire doors are undertaken to ensure that they are in full working order. Fire drills are undertaken regularly and the names of staff attending are recorded to ensure that all staff attends two fire drills per year. These measures help to ensure the safety of all people who use the building. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 8 Where it has been noted that monitoring of a persons health is needed in certain areas, the records need to be completed consistently and accurately in order to ensure that the person continues to have their health needs met. Staff should make sure that records of peoples food intake are completed on a consistent basis, so that the home can be sure that peoples nutritional needs are being met. The manager needs to monitor records more closely to check that these are completed accurately and consistently so that people can be sure that their needs are being met. The manager needs to make sure that staff receive regular, formal supervision to make sure that they follow procedures in a consistent way. 2 15 3 32 4 36 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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. 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