Care Home: Revelstoke Lodge

Similar services:

• The Vicarage
• Fairfields Country Rest Home
• 7 Hyde Road
• 5 Seafield Road
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home

What the care home does well People who use the service and their relatives have the information they need to decide whether Revelstoke Lodge is the right home for them to move into. The admission procedure shows that staff make sure they can meet the persons needs. People receive a good standard of personal and nursing care. Communication with health care professionals in the community is good. The care people receive is good and provided in a safe and respectful way. Medicines are generally well managed at the home by the nursing staff. Staff at the home ensure people see the doctor or other health care professionals when they need to. The care planning systems and documentation at the home are good and means that staff know how to care for someone in a safe and consistent way that meets their individual needs and preferences. People have access to a good programme of activities and are able to maintain contact with their family and friends. People enjoy the activities at the home. People generally tell us that the food is good at the home and any issues regarding dietary requirements, preferences or weight issues are sensitively managed. People who use the service and their relatives can be confident that their complaints and concerns will be listened to and acted on. People are safe at the home. Staff have had training to recognise signs of abuse and know how to report any suspicions or poor practice. Revelstoke Lodge is a safe and pleasant place to live and work. The manager and her staff group have the experience to care for people who require nursing and personal care. The home is well managed . What has improved since the last inspection? The home has worked really hard to improve the standards since the last inspection and the results are such that they should be very proud of what the have achieved. General care practice has improved, specifically, risk assessments and care plan reviews and blood sugar monitoring. Medication practice has also improved with now an audit taking place by the home on a monthly basis to check standards are still good. Activities are improved and now the home offers a better range for people to enjoy. Many improvements to the environment has taken place including a good start on the outdoor area. What the care home could do better: Whilst medication practice has improved generally one issue was identified as poor practice, medication which must be stored in the fridge was kept in the trolley, this is poor practice. Recruitment practice must be robust so that people are properly checked for their suitability prior to commencing work at the home, this will ensure that the people living at the home are cared for by suitable people. Key inspection report Care homes for older people Name: Address: Revelstoke Lodge Boringdon Road Plympton Plymouth Devon PL7 4DZ     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: Caroline Rowland-Lapwood     Date: 2 5 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 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) © 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 26 Information about the care home Name of care home: Address: Revelstoke Lodge Boringdon Road Plympton Plymouth Devon PL7 4DZ 01752343001 01752345575 revelstoke@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashbourne Homes Ltd Name of registered manager (if applicable) Mrs Janet Kirsten Stewart Smith Vacancy Type of registration: Number of places registered: care home 65 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 65. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Physical disability - Code PD Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Revelstoke Lodge is registered to accommodate a maximum of 65 service users. The home provides care for up to 55 service users of either gender over the age of 65 years requiring nursing or personal care with physical illness, disability or frailness and Care Homes for Older People Page 4 of 26 1 6 0 6 2 0 0 9 0 20 Over 65 55 12 Brief description of the care home a maximum of 20 service users aged 18-65 years with physical disability. Accommodation is provided on two floors, there is level access both internally and externally via ramps and a passenger lift. Bedrooms are mainly single though several doubles are available. Some bedrooms offer the added benefit of ensuite facilities. The communal rooms offer space for dining and recreation. A lounge room is provided for people living in the home who wish to smoke. The home is owned by Southern Cross Healthcare which operates a large number of care homes nationally. The current fees range from #300 to #900 dependent upon support needs. All people living in the home are issued with a contract breaking down the fees so people can see who is paying what. The service user guide and last inspection report is on display in the entrance foyer. 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: This unannounced inspection took place as part of the normal programme of inspection. It was undertaken by one inspector and an Expert by Experience over one day. During the visit to the home we (the Commission) spoke with or observed the majority of people living here. We looked closely at the care, services and accommodation offered to 3 people living here. This is called case tracking and helps us to make a judgment about the standard of care overall. It also helps us to understand the experiences of people living here. We looked at the care and attention given by staff to these people and we looked at their assessments and at their care planning records. We looked at the environment in relation to their needs and how their health and personal care needs are met. We also spoke with visitors to the home, with staff and with the owners. We visited the Care Homes for Older People Page 6 of 26 majority of bedrooms and saw all service and communal areas of the home. We looked at records relating to accidents and incidents, staff training, staff recruitment, medication and some policies. Prior to the inspection the owners sent us their Annual Quality Assurance Assessment (AQAA) which gave us information about the home and its management and about the needs of the people living here. This document asks for evidence in relation to what the home does well and what they think they can improve upon. We sent surveys to people living here, asking for feedback and comments 8 were returned. We also sent surveys to staff and 3 were returned, and to health and social care professionals who visit the home and one was returned. Feedback and comments are included in the report. 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: Whilst medication practice has improved generally one issue was identified as poor practice, medication which must be stored in the fridge was kept in the trolley, this is Care Homes for Older People Page 8 of 26 poor practice. Recruitment practice must be robust so that people are properly checked for their suitability prior to commencing work at the home, this will ensure that the people living at the home are cared for by suitable people. 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 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 10 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. The home provides good information to people, which enable them to make a choice about whether the home will suit their needs. Good systems are in place to ensure that peoples needs are assessed and can be met prior to moving into the home. Evidence: There is a guide to the home, the statement of purpose, which gives people an idea of what to expect prior to admission, this is reviewed regularly. People returning CQC surveys told us they had received enough information about this home before they moved in, helping to ensure it was the right place for them.They welcome prospective residents and their families to visit at anytime, with or without an appointment. They also encourage short stays, including respite, as a possible prelude to a longer or permanent stay. People spoken with during this visit told us they were happy living at the home, one said, I was pleasantly surprised, its very good, another said I like it here I get Care Homes for Older People Page 11 of 26 Evidence: everything I need. The home uses an assessment as a way of getting information about peoples needs and preferences before they move to the home. This helps to ensure that individual needs can be met. We looked at three assessments, all gave good information about peoples abilities, needs, usual routines and preferences to enable staff to plan and deliver care appropriately. Social care professionals told us in surveys that assessment arrangements always or usually ensure that accurate information is gathered and that the right service is planned and given. The home provides care for those people requiring intermediate care, these people are mainly admitted via from the local Care Trust, the staff assist in enabling many of these patients to return home. Care Homes for Older People Page 12 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. The home has a satisfactory care planning system, which provides the staff team with the information needed to enable them to support people in a way they prefer. Peoples health needs are well met; the management of medication is generally good but some aspects must be improved to ensure peoples safety. Evidence: People responding to CQC surveys told us they always received the care and support needed. One wrote, I am happy they care for me well During our visit people told us they were happy with the care they received, comments included, The staff are very nice and I am happy enough. Each person has a plan of care, these detail his or her individual care needs, wishes and preferences. Staff were aware of peoples needs and could describe the care delivered.Care plans are available to all families and other professionals, with the permission of the resident. Care plans are reviewed and revised regularly. Risk assessments were in place and generally reflected behavior or situations, which Care Homes for Older People Page 13 of 26 Evidence: may cause harm to people, for example poor mobility, falls, aggression and the use of equipment. Moving and handling assessments and plans, skin care and continence assessments were in place and generally provided staff with the instructions needed to deliver care. Staff were observed to assist people with manual handling needs in a competent and sensitive manner, using the correct equipment and giving gentle instructions and reassurance to people as needed. Staff were given information at shift handovers about some peoples particular needs any changes to their needs, who was to be offered a bath, or needed encouragement with drinks or food. Staff surveys showed they were always given up to date information about peoples needs. Peoples personal care was well attended to; people were smartly dressed, and well groomed. Everyone spoken to advised that they rose and retired at a time of their own choice. People told us their medical needs were always or usually met; Health professionals responding with CQC surveys told us the home always or usually sought advice and acted on advice. Records show that people have access to a variety of health professionals including GP, district nurses, optician and other specialists and out patient clinics. We looked at the way the home stores and administers medicines. Medicines at the home are generally managed safely. Medicines are stored in a trolley which is securely locked, the medicines inside were stored well but medication that required refrigeration was also stored in there instead of in the fridge. The fridge used to store medicines is lockable and temperatures of the fridge are kept. Other storage was satisfactory, including the arrangements for storing of controlled medicines. Daily records were complete.We discussed medication management with the manager and she told us that she had just conducted a drugs audit and had also found issues which she was in the process of addressing. During our visit staff were seen and heard to be polite and friendly when delivering care or assisting people with their daily activities. Staff were heard to address people in a respectful manner and their approach was pleasant and caring with good humour. Care Homes for Older People Page 14 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 living at Revelstoke are encouraged and enabled to take part in activities of their choice outside the home. This means their personal preferences and choices are promoted and facilitated by the staff team where possible. Meals are well balanced and nutritious; choices are available to all. Evidence: We spent time with people living at the home and asked them how they like to spend their day; Whilst some people said that they preferred to remain in their room watching television or reading others enthused about joining in the activities downstairs. A ninety year old person living at the home said, I was nervous when I first came here and stayed in my room but now I join in everything. Currently there are two staff engaged in organising activities on four weekdays. During the morning of the visit 6 ladies were variously making greetings cards, knitting blanket squares, reading a current newspaper or making jigsaw puzzles. The room had a real buzz with lots of chatter and good-humoured banter. Outside entertainers visit on a regular basis and there is the occasional trip in the unlettered minibus to local attractions such as Paignton Zoo and the Eden Project. Some people already receive private visits from clergy and arrangements have been made for the local Vicar to provide a monthly Care Homes for Older People Page 15 of 26 Evidence: Service for all who wish to attend. During the morning a hair stylist was busy in the well equipped salon and the handyman took a resident to the local Post Office to collect her pension. A resident assists the gardener with the flower troughs and bedding plants. A monthly Leisure Entertainment and Occupation diary is published for residents and relatives. In fine weather the residents have been encouraged to sit in the sheltered quadrangle. At Christmas all but three service users joined the festivities in the dining room. People that spend most of their day in bed are visited by staff regularly to check on them; one person we saw was in bed with a local pop music station playing very loudly, this was not too her liking and suggested it was put on by staff. Care plans did not state clearly the needs of these people and how best they can enjoy some entertainment to their liking. Opinions about the food varied from, Lovely, Adequate, Variable, Not too bad, Fine, Lovely pies, to Awful, tasteless, needs the addition of herbs and spices to pep it up, poorly presented. A couple of people commented that the meat is sometimes very tough. Everyone said that they received sufficient food. On the day of the visit 10 people ate in the dining room with the remainder choosing to eat in their bedrooms. The lunch consisted of either lasagne or cottage pie both with a choice of carrots, peas and chips being offered as well. The dessert was either fruit salad or rice pudding. One diner was given an alternative of fish and chips. The food is transported in a heated trolley to the dining room where it is plated by the carers. At teatime there is a wide choice of hot or cold food. Everyone said that they felt that visitors were made to feel welcome and were offered refreshments. A visitor confirmed this view. A few people thought there were just about enough staff but the majority of respondents said they could do with a couple more staff and they always seem short staffed at the weekends. Call bell response time was variable. One person was sat on his bed waiting for assistance with washing and dressing when we were introduced to him at 10:50 AM and when we returned to his room nearly an hour later he was only then being washed. Everyone was of the opinion that they rose and retired at a time of their own choosing either at a fixed time or when they called the staff for assistance. Staff were seen and heard to knock on bedrooms doors and wait before entering. No evidence was seen of personal care being given with doors open. People were pleased that they could have a bath or shower more or less on demand.Just one of the residents choosing to eat in the dining room required Care Homes for Older People Page 16 of 26 Evidence: assistance and this was given in a sensitive manner on a one to one basis from a carer sat alongside them.People said that the staff were always helpful and polite although a little communication difficulty had been experienced initially with carers for whom English was not a first language. They said they liked the staff and got on well with them although one person said There are a couple I dont like but that is life. A visitor said, I work at a nearby three star residential home and I am very pleased with the care being given to my mother who is here for a few weeks respite care. In one bedroom the resident was sat in a chair but the call bell was still at the bedside some eight foot out of reach. Another resident said, I would prefer the pendant, Piper type call bell as I would always have it with me when I fall. All people seen were clean and dressed in clean clothes. No unpleasant odours were present. The bedrooms visited were very clean, and personalised to varying degrees. The communal areas were welcoming, well decorated and appeared to be in a good state of repair. Care Homes for Older People Page 17 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 can be confident that their complaints will be listened to and staff understand the principles of adult protection, which helps to protect people from abuse. Evidence: All people responding with CQC surveys knew how to make a complaint and knew who to speak with should they have any concerns. People felt the manager was approachable and would listen to them. Outside professionals were confident that complaints or concerns were responded to appropriately. The Commission has received two complaints about this service since the last inspection, this was investigated by the home in a professional and timely way and was found to be unsubstantiated. Training records showed that staff receive adult protection training to ensure they are aware of the issues and know who to raise any concerns with. People spoken with confirmed that they were happy living at the home and all said they felt safe. Care Homes for Older People Page 18 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. The environment within the home is good providing people with comfortable surroundings, which are maintained to a good standard. Evidence: The premises inside appeared homely, and well maintained. There is a programme of routine maintenance and re-decoration in place, two people are employed to undertake this work. Many bedrooms have been redecorated and had new carpets laid; the home has purchased new beds and a new hoist in able to prooperly meet peoples needs. A new bathroom has also been fitted. All new fire doors have been fitted throughout. The outside of the home has much improved with lots of work being undertaken to make the garden look more attractive and be more assessable for people to use. Individual bedrooms seen were personalised with sentimental items, photographs and small pieces of furniture, including a fridge. People told us they were happy with their accommodation. All radiators are covered to reduce the risk of burns to people and water temperatures are controlled by thermostatic valves to reduce the risks of scalding. Care Homes for Older People Page 19 of 26 Evidence: The home has a dedicated team of cleaners and the housekeeper takes pride in ensuring that the home is clean and free of offensive odours. The home was very clean, people responding with CQC surveys said that the home was Always or Usually fresh and clean. Staff spoken with had a good understanding of infection control; All staff were seen to wear gloves and aprons when providing personal care. Alcohol gel is freely available to promote infection control measures. The laundry facilities are old but generally well organised. Staff demonstrated a good knowledge of their responsibilities. There is a system in place for dealing with soiled laundry, which reduces the risk of infection. Care Homes for Older People Page 20 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. Staffing levels are adequate meet peoples needs.Experienced and friendly staff support people well.People are generally protected by the recruitment practice followed at the home but this practice must be robust to ensure peoples safety. Evidence: People living at the home told us in their surveys that staff were either always or usually available when they needed them. Staff we spoke with on the day said that generally there were enough staff on duty. Some comments made on the day include, The staff are generally very good and They do everything for me . People who we spoke to during the inspection all told us that staff responded to requests for help and that the bell was answered fairly promptly. Staff has had up to date training in mandatory areas such as Moving & Handling, Protection of Vulnerable Adults, Fire and First Aid. Other training such as dementia training care planning, COSHH, and nutrition is also provided. We looked at the homes recruitment procedures for three new staff. Two files were complete containing references, police checks, application form, proof of ID and former employment details etc, one had only one written reference. Care Homes for Older People Page 21 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. The home is well managed, with good systems in place to ensure that peoples views are sought and acted upon. Health and safety within the home is promoted meaning people live in a safe environment. Evidence: Revelstoke Lodge have an experienced first level nurse as the manager. Together with the deputy and administrator they are available to the staff, the people living at the home and visitors. Staff told us leadership was very good at the home and they felt supported and were able to see their manager when necessary. Financial viability was not inspected in detail on this occasion, however the building work and re refurbishment is a sign that the providers are keen to improve the home. The home appeared to be a safe place to live and work. No risks to health and safety Care Homes for Older People Page 22 of 26 Evidence: were identified. Maintenance records and training records showed that staff mandatory training was either up to date or booked. People at the home are encouraged to manage their own finances where possible or encourage family members or power of attorneys to hold this responsibility. The manager told us quality assurance occurred in various ways at the home. Surveys are sent out to people who have an interest in the service and the results collated to monitor trends. Complaints are also treated as a way of improving the service and the daily presence of the manager is useful in picking up issues before they become a complaint. Staff said the Providers visit the home on a regular basis and are always looking at how the service is running. The manager said she has a good relationship with the provider and feels supported when making decisions. Care Homes for Older People Page 23 of 26 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 29 19 You must demonstrate that 31/08/2009 you operate a robust recruitment procedure in order to protect people. Staff personnel records must contain the required information and safety checks. This will mean people are cared for by suitable staff. Care Homes for Older People Page 24 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 13 Medication must be stored properly as per instruction. This will ensure people are kept safe and well. 30/06/2010 2 30 19 Each member of staff must have two written references obtained prior to commencing work. This will ensure appropriate staff are employed and people are cared for by people able to do so. 30/06/2010 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 2 12 14 Care plans should state how those people being nursed in bed would like to spend their day. Call bells should be available to all and be within reach at all times. 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. © 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 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!