Care Home: Riverside Mews

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What the care home does well Individuals had had their personal and health care needs assessed before they moved into the home. The assessments were detailed and had taken into account peoples daily routines and likes and dislikes. They also identified any risks that might be associated with the care people required. This meant that people could be sure that the home could meet their needs before they were admitted. The information gathered at assessment was used to develop detailed care plans and this assisted staff to provide individualised care. People were satisfied with the care they received. Comments included `they look after me well and are very caring`, `they are very caring, everyone is treated as an individual` and `they make the residents comfortable and safe at all times`. The home provided a varied activities programme and encouraged people to access activities and facilities in the local community. One person commented `they arrange good entertainment and trips out`. The home provided good quality homemade meals and people were very satisfied with the food provided. Comments included `the food is all home made, nourishing and enjoyable`. The home had an accessible complaints procedure and people were encouraged to comment on the service provided in a variety of ways. The home had not received any complaints. The home made sure peoples health, safety and welfare was protected through their policies and procedures and staff training. The home provided a warm, friendly and very homely atmosphere and it was clean and tidy throughout. A relative described the atmosphere in the home as `more like a family than a residential home`. The providers regularly consulted with people who lived in the home, visitors and external agencies about the quality of the service they provided and the providers were continually reassessing the home to find ways to improve it for the people living there. What has improved since the last inspection? The management of the home has made sure that documentation is up to date and has been signed and dated. Staff meetings and service user meetings were held on a quarterly basis to make sure that the service is made aware of any improvements that need to be made to improve the quality of care provided by the home. What the care home could do better: To ensure safe practice in administering medication and correctly maintained records the manager must ensure that the homes medication policy and procedure is always followed by all staff handling medication. They must also make sure that hand transcribed medication records are double checked for accuracy. To ensure that the health and safety of people is protected they must check that the person servicing the moving and handling equipment in the home is suitably qualified to be a considered a `competent person` as laid down by the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER 98). Key inspection report Care homes for older people Name: Address: Riverside Mews Ancholme Court Market Place Brigg North Lincolnshire DN20 8LD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kate Emmerson     Date: 2 5 0 3 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: Riverside Mews Ancholme Court Market Place Brigg North Lincolnshire DN20 8LD 01652653414 01652655888 jan@northlincscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: North Lincolnshire Care Limited care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Condition of Registration is that the home only uses designated beds for the DE (E) category of service user. To admit 1 Service User under the age of 65 years Date of last inspection Brief description of the care home Riverside Mews is a care home providing personal care and accommodation for up to 25 older people. North Lincolnshire Care Limited owns and manages the home. The home is a converted 18th century warehouse extending to three floors with a conservatory on the ground floor. All the homes bedrooms are single and there is a shaft lift connecting all three floors. Riverside Mews is a well-established care home in the market town of Brigg. It is set in the middle of the town overlooking the river Ancholme. There is easy access to all of the town facilities and events, including the weekly market. There are ample toilets and bathroom areas in the home. The dining Care Homes for Older People Page 4 of 29 Over 65 5 25 0 0 Brief description of the care home room and several bedrooms overlook the river, with very pleasant views. The home caters for predominately low to medium dependency service users, with problems of old age and other associated medical problems. Five of the bedrooms are registered for EMI care. The current scale of charges are currently between £364.25 and £426.55 per week. Additional charges include hairdressing, chiropody, newspapers/magazines and holidays. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The site visit to the service took place over one day in March 2010. The visit was unannounced and the Commission was in the home for approximately six hours. The information included in this report has been gathered over a period of time since the last inspection. This includes all of the information received by the Commission since the last inspection including information provided by the home in the form of an Annual Quality Assurance Assessment (AQAA). We also sent surveys to people living in the home, their relatives, staff and external agencies to gather their views on the service provided. We received completed surveys from twelve staff, fifteen people who live in the home, nine relatives and one from an external agency. On the day of the site visit we examined some of the documentation maintained in the home. This included looking at individual assessments of needs, care plans and staff employment, training and supervision records. Care Homes for Older People Page 6 of 29 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: To ensure safe practice in administering medication and correctly maintained records the manager must ensure that the homes medication policy and procedure is always followed by all staff handling medication. They must also make sure that hand transcribed medication records are double checked for accuracy. To ensure that the health and safety of people is protected they must check that the Care Homes for Older People Page 8 of 29 person servicing the moving and handling equipment in the home is suitably qualified to be a considered a competent person as laid down by the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER 98). 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs had been assessed before admission to the home and care plans had been developed to meet those needs and reduce any associated risks. This meant that people could be assured staff had information to be able to meet their needs safely. Intermediate care is not provided. Evidence: We looked at the care files of three of the people that were living in the home. This included looking at the assessments of their care needs which the home had completed prior to peoples admission to the home. The assessments included information from people who used the services and their representatives and health professionals. This evidenced that the home worked in partnership to ensure full information about peoples lives and care needs was recorded. The assessments seen were detailed and included an assessment of risk to peoples Care Homes for Older People Page 11 of 29 Evidence: health, safety and welfare in areas such as mobility, nutriton and tissue viability. Risks associated with specific health conditions had also been identified such difficulty swallowing. Information and medical advice with regard to peoples specific needs such as nutrition had been obtained and were held with the care plan. Information gathered in these areas had informed the assessment process and been translated into a care plan. To enable staff to communicate with people in a meaningful way and to provide person centered care the home gathered information about peoples life histories and personal preferences. Photographs of people living in the home, both current and older photos depicting significant times in peoples lives were obtained where possible and were held in care plans. Information about peoples likes and dislikes, preferred daily routines and social interests were gathered via an additional and comprehensive assessment. The home had obtained care plans and where appropriate care management or health care authority assessments of need. The home does not provide intermediate care. 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. Peoples health and personal care needs were met and people felt they were treated with respect. Evidence: We looked at the care plans for four of the people that were living in the home. The information gathered at assessment had been translated into detailed plans of care to meet peoples needs and minimise risk. The home had a very person centered approach to care and this was reflected in the care plans. The care plans included peoples preferences for the way they wanted the care to be delivered. Daily records were completed and these evidenced the care provided and they gave information as to a persons wellbeing. The care plans were evaluated monthly to check if the care needs of individuals were being met and there was evidence that the care plans were updated as peoples needs changed. There was evidence that regular periodic reviews of the care plan and Care Homes for Older People Page 13 of 29 Evidence: placement were conducted and that interested parties were invited to take part. People living in the home confirmed in surveys that they always received the care and support they needed. Comments included they look after me well and are very caring, they are very caring, everyone is treated as an individual and they make the residents comfortable and safe at all times. Relatives comments from surveys included they make sure mum is clean, well fed and cared for at all times, my mothers health has vastly improved since she moved in and they take care of mums needs at all times and always contact the family regarding any concerns. The prescribed medication in the home was safely and appropriately stored. The records for receipt, administration and disposal of medication were examined. The records were generally well maintained. The manager was advised that where medication was hand transcribed onto the administration records these should be signed by the person making the entry and then checked for accuracy and signed by a witness. This is to minimise the risk of errors. Whilst generally good practice was seen when staff were handling the medication, the homes medication policy and procedure had not always been followed. For example a controlled drug, whilst recorded in the controlled drug book, had not also been recorded in the overall medication administration record. The last entry made in one case in the controlled drug book had only one signature and no signature of a witness. Records evidenced that when a GP had changed a medication the staff had clearly recorded this in care records and on the medication records however in one case this action had not been completed. The manager had recently commenced weekly drug audits and this should assist her to quickly address any areas of practice leading to these issues and ensure that the policy and procedure is followed. A national company provides the home with all of their prescribed medication and medication training for the care staff. Training certificates were held on file. Staff were observed to be alert to peoples individual needs and positive, lively and supportive interactions were observed between individuals and staff. A number of people said that the staff were nice and kind to them. On surveys one person said they are very kind and caring and it is very homely, I am happy and comfortable. A relative said the carers are excellent, equal care and concern is given to all. Everyone is kind and patient. I have been very impressed so far by the equal treatment of residents, no matter what their state of mental health. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that live at the home experienced a good quality of life and varied activities and good quality food was made available to them. Evidence: Peoples interests and preferences for the care delivery, daily routines and diet were taken into account when assessing peoples needs and planning care. People that use the service were encouraged to maintain the interests and hobbies that they had before they were admitted to the home. They were also encouraged to take part in the activities that are arranged in the home and the community by the staff. The annual quality assurance assessment (AQAA) completed by the home prior to the inspection gave us information about the type of activities people can expect at Riverside. They said every Thursday residents can attend the local church hall with the activities coordinator, this is an occasion to socialise with other elderly members of the community and have taken part in activities such as tea dancing, curling and pork pie making. At least each month we have an entertainer in, we also have monthly outings, these have included trips to the Ropewalk museum, Eden camp, The Deep among many others. Residents have also requested meals out, these have included trips to the local garden centres and pubs. Care Homes for Older People Page 15 of 29 Evidence: A member of staff is specifically employed to arrange the activities and social events. She is responsible for speaking with residents on a daily basis to organise daily, weekly and monthly activities. People living in the home can find out about the activities on offer through notices posted in the home, the homes news letter, meetings and through discussions with their keyworker. They are invited to express their opinions about the activities at the meetings and in surveys. At the request of the people who live in the home a green house was purchased and residents now grow their own tomatoes. All the people who responded in surveys said that the home always arranges activities that they can take part in and one commented they arrange good entertainment and trips out. Peoples likes and dislikes with regard to food and drinks was recorded during assessment. Where people had any specific needs with eating or drinking these were included in the plan of care and there was evidence that specialist advice had been sought where necessary. There were very positive comments about the food provided in the home and in surveys all said they always liked the meals. Comments included the food is all home made, nourishing and enjoyable, good food provided and they give us good food. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that were living in the home were safe guarded from abuse and there was an easy to follow complaints procedure. Evidence: The service had clear policies and procedures that supported and encouraged the people that live in the home and visitors to make comments about the service provided. The home had a clear complaints procedure which was displayed in the home and in the information provided to people. The home also provided a suggestions book and a comments box in the front entrance to encourage people to give their views about the home. A file of letters and compliment cards was maintained and surveys were regularly used to gather peoples opinion on the service, all of those seen showed people had been very satisfied with the care provided. The information provided to us by the home stated that had been no formal complaints received since the last inspection and the homes complaints records confirmed this. All of the people spoken to stated that they had not made any complaints about the home and confirmed that they knew how to make a complaint if they wished to. Comments in the surveys also confirmed this. People living in the home and their Care Homes for Older People Page 17 of 29 Evidence: relatives stated in the surveys that they were very happy with the home and the care provided. Staff training records confirmed that the staff had received safeguarding adults training. This was a combination of local authority and independent training companies training programmes. There had been one safeguarding issue raised since the last inspection the allegation did not involve any of the staff or managers and was dealt with appropriately by the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is suitable to meet the needs of the people that live in the home and provides a warm, friendly and homely atmosphere. Evidence: The home is situated in the centre of Brigg and is in easy walking distance to all local shops and amenities. The home has accessible and secure gardens with a greenhouse in the grounds for use by people living in the home if they wish. We made a tour of the premises and looked at a random selection of the facilities on offer in the home. The home was well maintained and clean and tidy throughout. The home had a very comfortable and homely feel. The providers reviewed and continued to improve the facilities on offer. There was a choice of three communal areas for the people that live in the home. One of the lounges had a system fitted to assist people with hearing difficulties to listen to the television. Another room had an excellent display of reminiscence material which was used in activities for people to encourage discussion. Reminiscence material, such as old photographs of the local area, was also used throughout the home. Care Homes for Older People Page 19 of 29 Evidence: The bedrooms seen had all been decorated, furnished and personalised to peoples own tastes and preferences. One bedroom had had an ensuite fitted since the last inspection. The bathrooms were clean and tidy and offered a variety of bathing equipment and facilities such as hoists and a walk in shower. The information provided to us prior to the inspection identified that the bathrooms would benefit from updating and this work was planned to be completed in the next twelve months. The hot water accessible to people living in the home was maintained within acceptable safe limits and regular checks were completed. A person living in the home said it is very homely, I am happy and comfortable. A relative described the atmosphere in the home as more like a family than a residential home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff recruitement and training procedures ensured that staff were suitable and that they had the knowledge and skills to be able to safely care for the people that were living in the home. Evidence: Evidence seen during the visit to the home, information provided by the home prior to the inspection and from surveys showed that there are adequate staff on duty at all times in the home to meet the needs of the people accommodated. People who lived in the home were very satisfied with the staff provided. Comments included the staff are very kind and caring, they are very caring, the entire staff are all very friendly and caring and the carers are excellent. The staff have been there for a long time, no high turnover of staff which is very reassuring for the residents. Staff training records showed that the staff had received induction training and ongoing regular mandatory training that is required to make sure that the care staff have all of the necessary knowledge and skills to safely care for the people that live at the home. The training records showed that training was also provided in relation to the specific needs of the people living in the such as dementia care. The management and staff were very committed to National Vocational training Care Homes for Older People Page 21 of 29 Evidence: (NVQ). Twenty care staff are employed at the home and fourteen have completed NVQ 2 in care. The remainder of the staff have been enrolled on NVQ training and are working towards their awards. this means that the home exceeds to standard of at least fifty per cent of staff to have achieved this qualification. The Commission looked at the employment, training and supervision files for two of the staff working at the home. These provided evidence that equal opportunities were followed in their recruitment processes and appropriate safety vetting had been completed before they had any contact with the people that live in the home. Checks carried out recruitment included two written references and a Criminal Records Bureau (CRB) check. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well managed and peoples health, safety and welfare was protected. Evidence: Mrs Pursey is the registered manager of the home. She has twenty years experience in this role. She was supported by an acting manager and an area manager. Acting manager Alison Kitson has been taking on more management tasks since July 2009 in readiness to become the Registered Manager. Previously she had been employed at the home as deputy manager. At the last inspection the acting manager was reminded by the inspector that it is her responsibility to become registered with the Commission as a fit person to manage the home. She had not submitted her Registered Managers application to the Commission at the time of this inspection. The home had a quality assurance and monitoring system in place. This included consultation about the service via annual surveys and quarterly meetings with people who lived in the home. Surveys and informal meetings were also used to gather the views of relatives and visitors to the home. Annual surveys had also been sent out to Care Homes for Older People Page 23 of 29 Evidence: a wider audience including outside professionals such as District Nurses and chiropodists to see how they view the services that are being provided by the home. People also had opportunity to comment anonymously on the service via a comments box and a comments book. The homes quality assurance programme was also supported through an assessment of the home that had been completed by the Local Authority in July 2009. They assessed the following areas at the home, staffing, independence, confidence in the future, involvement, safety and respect. In all of these areas the home scored excellent. The home produced a yearly report and action plans which encompasses all the information gathered through the auditing and consultation processes and the completed report for 2008/09 was seen. The results for this years report was being compiled. The home produces a quarterly newsletter. This provided detailed information for people and showed any planned improvements for the service. People living in the home and their relatives stated in surveys that they were very satisfied with the service provided. Comments included every thing is done well, happy with the home as it is, quite satisfied with everything and I believe Riverside provides the best care it can for my mum. At the last inspection the processes for looking after peoples finances were assessed and were found to be well managed. The records in the home were up to date and were well maintained. The health and safety of people living in the home was protected through the homes policies and procedures and staff training. The service and maintenance records for all of the equipment used in the home were up to date. Equipment such as hoists had been tested by the handyman. The manager stated that handyman was a very experienced person who had undertaken a wide range of training in his career. To minimise any risk, the manager was advised to check that the handyman was suitably qualified to undertake the testing of the moving and handling equipment and meets the competent person requirements as laid down by the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER 98). Care Homes for Older People Page 24 of 29 Evidence: Care Homes for Older People Page 25 of 29 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 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 The manager must ensure that the homes medication policy and procedure is always followed by all staff handling medication. To ensure safe practice in administering medication and correctly maintained records. 31/05/2010 2 38 13 Evidence must be provided 31/05/2010 to the Commission that the moving and handling equipment has been tested by a competent person as laid down by the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER 98). To ensure that the health and safety of people using the equipment is protected. 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 1 9 Hand transcribed entries in the medication administration records should be signed and dated by the person making the entry and then checked for accuracy by a witness and signed. This is to minimise the risk of errors. 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 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. 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