Care Home: Rosewood House Care Home

What the care home does well Staff ensure people`s health is looked after and that they receive appropriate support. One person commented, "The doctor always says I am very healthy" and another said, "I stand up with a frame, someone stands behind me so I don`t fall". People are given their medication and staff make sure they take it. one person said, "I am always bought my medication". Staff displayed skills at managing challenging behaviour and were seen treating people with respect. One person said he felt he was treated in a respectful and went on to say, "I have a bit of fun with them". People are able to go for walks into the local area and there are visits to the home from local schoolchildren. People are able to vary their daily routines according to their preferences, including what they have to eat. One person said, "I enjoy it, it`s not bad, and I take a lot of pleasing." People can raise any concerns or complaints about the home and staff know how to ensure people are safeguarded. One person said, "I know how to complain, but don`t complain very often, they give you good food and don`t make you eat it if you don`t want it." Another person said "I feel quite safe here". Everywhere is kept clean and tidy and staff know how to prevent the spread of infection. People living in the home are involved in choosing the decor and furnishings. One person said, "It is very homely and I like the people." Another person commented, `I think everywhere is kept clean and tidy". There are nine staff who have achieved National Vocational Qualification level 2 in care and staff training records showed that they are kept up to date with training. One person said "They know what they are doing, they have had plenty of training". A sample of staff files seen showed that people have been through the required pre employment checks and staff appointed have an induction before they take up their duties. What has improved since the last inspection? An activities coordinator has just been recruited to the home and her is role is to expand the range and frequency of activities provided. There are now two awake staff on duty at night with three care staff on during the day. One person said, "I think there are enough staff on, and they are good as well." What the care home could do better: People are assessed before moving to the home to ensure their needs can be met, however this information is brief and not fully utilised. One person said, "I came to look round". People`s needs are recorded in a plan of care but these are sometimes general care plans that can be used for anyone. One person said, "I get the care I want I say something it`s there". There are temporary management arrangements in place to cover the managers role, but a registered manager is needed. Key inspection report Care homes for older people Name: Address: Rosewood House Care Home 84a Main Road Radcliffe on Trent Nottingham NG12 2BQ     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: Stephen Benson     Date: 1 9 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 30 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 30 Information about the care home Name of care home: Address: Rosewood House Care Home 84a Main Road Radcliffe on Trent Nottingham NG12 2BQ 01159334717 01159332510 sherryseetul@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Mukesh Seetul care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Service Users shall be within caregory DE/E, 1 Named service user shall be within category DE Date of last inspection Brief description of the care home Rosewood House is an adapted and extended property sitting in the heart of a residential area of the village of Radcliffe on Trent. The home is registered to provide residential care for up to 17 service users who have Dementia and particular needs associated with their diagnosis. The accommodation spans two floors and there is a vertical lift to facilitate access between these floors for service users. Gardens are to the side and rear of the property and there is a car park to the front. The village of Radcliffe on Trent is a couple of minutes away by car and provides a range of facilities including shops, churches, restaurants, pubs and public transport. The provider said on 19/05/09 that the fees for the service are £355 per week. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide. The provider welcomes any telephone enquiries and a copy of the latest inspection report is available in the office and can be Care Homes for Older People Page 4 of 30 Over 65 17 0 Brief description of the care home seen upon request. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2009. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of 10 service users and 4 of these were returned. The main method of inspection used is called case tracking which involves looking at Care Homes for Older People Page 6 of 30 the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Care Homes for Older People Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: People are assessed before moving to the home to ensure their needs can be met, however this information is brief and not fully utilised. One person said, I came to look round. Peoples needs are recorded in a plan of care but these are sometimes general care Care Homes for Older People Page 8 of 30 plans that can be used for anyone. One person said, I get the care I want I say something its there. There are temporary management arrangements in place to cover the managers role, but a registered manager is needed. 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 30 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 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessments carried out before people move into the home do not show all of their needs. Evidence: It was stated on the Annual Quality Assurance Assessment that, A comprehensive pre-admission assessment is undertaken by the manager and that there are assessment forms within each file. A sample of three files were looked at to see what information is gathered prior to someone moving into the home. Of the three people who were case tracked one person had been in the home for a number of years, and had a Community Care reassessment completed on file. Another person admitted within the last few months had a pre admission assessment, which was completed during a visit to the home by the deputy manager a week before the person moved in. The third case tracked person also had a pre admission assessment completed prior to moving into the Care Homes for Older People Page 11 of 30 Evidence: home. There was an assessments completed by the Local Authority for the most recently admitted person which was faxed the same day as the person was admitted. The information contained in the pre assessment form used by the home is brief and does not adequately enquire to the persons needs, including any through having dementia. Staff said they were aware when someone new is moving into the home and described being told about the needs of the most recent person to be admitted when on shift, but had not read the assessments that had been prepared. In the Have your say about Roswewood House surveys returned two people said enough information was received to help decide if the home was the right place before moving in, one said there was not, as they had been admitted in an emergency, and one did not answer. A person who was case tracked said, I came to look round. Care Homes for Older People Page 12 of 30 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, personal and social needs are being met in a dignified manner but the care they require is not always clear in their care plans. Evidence: The files for the three people case tracked were looked at and these were broken down into sections for assessments, care plans, daily reports and monitoring forms. There was also copies of any correspondence sent or received kept, including healthcare appointments and financial matters. Some of the care plans were written so they could be used for anyone, and were then evaluated, which included any specific details about how the persons needs should be met. Other care plans had been written specifically for the person concerned and these provided far clearer details of the persons needs and how these should be met. The deputy manager said she was looking to prepare all care plans in a person centred manner in future. Staff said they understood the care planning system and were able to describe how they use it. Care Homes for Older People Page 13 of 30 Evidence: In the Have your say about Rosewood House surveys returned all four people said they always receives the care and support they need and staff listen and act on what they say. A comment written included, Listen to me carefully and Could not do more, more than satisfied. One person who was case tracked said, I get the care I want, I say something its there. It was stated on the Annual Quality Assurance Assessment that Daily body checks take place during cleansing and dressing looking for changes in skin condition. Prompt action and referral for input from District nurses for pressure sore care input. Every attempt is made to ensure that all pressure equipment is made available to residents. Staff were observed using different moving and handling techniques, including the hoist on one person who was case tracked. Staff explained what they were doing and drew some curtains to provide greater privacy. The hoist was put away when not in use. There is a section of the care file to record any medical appointments in, and people who were case tracked have had recent appointments with a doctor, district nurse, optician and chiropodist. Entries in the care files also showed that people receive regular baths and showers. Staff said they refer to care plans for information about meeting peoples healthcare needs. Staff said there is not anyone in the home at present with any pressure sore and they have received training on tissue viability. In the Have your say about Rosewood House surveys returned three people said the home always makes sure they get the medical care they need. It was commented, The support is very good and I am walking better. People who were case tracked commented, The doctor always says I am very healthy and I stand up with a frame, someone stands behind me so I dont fall. Part of the morning and lunchtime medication rounds were observed. Staff were seen taking medication to people, observing them take it and then recording this on the Medicine Administration Records. Care Homes for Older People Page 14 of 30 Evidence: All people who were case tracked were offered their medication as required. One person declined to take it and staff returned on three further occasions to offer the medication. The person said, I dont want to take my tablets, I dont like them. Staff informed the deputy manager that the person had not taken the tablets. The Medicine Administration Records showed the person does normally take her medication. Staff were seen asking one person who was case tracked if they were in any pain and when he replied yes he was given some painkillers. Staff were seen treating people in a respectful manner and managing displays of challenging behaviour in a patient and calm manner. One person who was case tracked said when asked if he felt he was treated in a respectful manner, Oh yes, very respected. I have a bit of fun with them. The home has appointed a dignity champion and there was information about this initiative displayed in the home. Care Homes for Older People Page 15 of 30 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 have opportunities to take part in activities both in and out of the home. There are opportunities for people to exercise choice in their lives and they are provided with a wholesome diet. Evidence: An activities coordinator has just been recruited to the home and is currently undergoing an induction. The person said she had been told her role is to expand the range and frequency of activities provided. The provider said she would be wanting more individual activities for people not able to take part in groups. It was stated on the Annual Quality Assurance Assessment there is a Programme of activities to cater for needs and limitations of residents. During the morning staff were seen discussing current affairs with people as they appeared on the news. (The home has satellite television). The television was then turned off and staff held a fruit tasting session. One person who was case tracked told me, I got them all right. Staff said they followed an activity chart which showed activities taking place every Care Homes for Older People Page 16 of 30 Evidence: morning and afternoon. In the Have you say about Rosewood House surveys returned, one person said there usually is activities arranged they can take part in, and three people said there sometimes are. One person commented, I would like to join in bingo. There are visits to the home from local school children, a school choir is visiting later this week, and a request has been made to a local church to hold a service in the home. The local RSPCA is providing a pat dog to visit the home. Staff said people have a walk to the village in good weather and there were visitors seen in the home. It was stated on the Annual Quality Assurance Assessment that, Choice and preferences are available e.g. rest times, privacy, meals and where to eat, time of day for bath or shower and flexible visiting times which offers privacy and dignity. Records for people who were case tracked showed they were able to vary their routines. One person rose early one day and had a lie in another. Staff were seen spending time offering choices over everyday matters such as what drink they would like. One person was seen being shown a visual aid book to help determine what she wanted, which staff said they use on a regular basis with some people. A four week menu is used and a choice of meal is offered each day. People were seen having a cooked breakfast. The cook was seen going round spending time asking people what they wanted. One person was asleep so the cook came back later to ask her. In the Have your say about Rosewood House surveys returned, three people said they always liked the meals in the home and one said they usually do. One person commented, I Would like to eat spaghetti with tomato puree. A form recording peoples likes and dislikes was seen in the kitchen where someone had requested spaghetti bolognaise. This is not on the menu but the cook said she would make sure this is provided. One of the people who was case tracked had his breakfast and dinner at the dining table with other people, another had her breakfast at the table and lunch in the lounge, and was provided with assistance to eat these. The third had both meals in the lounge. Care Homes for Older People Page 17 of 30 Evidence: One person who was case tracked said, I enjoy it (the food), its not bad, and I take a lot of pleasing. Care Homes for Older People Page 18 of 30 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 systems in place for people to raise any concerns and staff know how to safeguard people. Evidence: There is a complaints procedure for people to use if they have any complaint. There is a file kept in the office to record any complaints in. There was one complaint recorded within the last twelve months concerning a light that kept flashing. This was investigated and not upheld. Staff were aware of the complaints procedure. It was stated on the Annual Quality Assurance Assessment that, A copy of complaints procedure is held in each residents room, robust complaints procedure adhered to In the Have your say about Rosewood House surveys returned,three people said they knew how to make a complaint and one person said they did not. One person who was case tracked said, I know how to complain, but dont complain very often, they give you good food and dont make you eat it if you dont want it. There has been one safeguarding investigation undertaken concerning the administration of medication. The provider showed a report which showed the actions followed by staff when one person wanted some medication that the staff believed should not be administered, as there were different symptoms being exhibited. Staff Care Homes for Older People Page 19 of 30 Evidence: contacted the doctor who advised staff to call for an ambulance, which is what happened. It was stated on the Annual Quality Assurance Assessment that, All staff receive training on recognition of abuse. Staff were aware of this investigation and of the safeguarding procedures they are required to follow. Training records showed staff had received training in April 2008 on safeguarding adults. Staff were seen dealing with some challenging behaviours during the inspection in a non confrontational manner, displaying patience and understanding. One person who was case tracked said, I feel quite safe here. Care Homes for Older People Page 20 of 30 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 comfortable and well maintained environment. Evidence: Areas of the home seen were clean, tidy and satisfactorily maintained. A cleaner was seen working during the day. The provider said they have consulted with people living in the home about plans to replace some of the soft furnishings and they have made choices about these. Staff said there is now a smaller hoist which is easier to use in the bathrooms. In the Have your say about Rosewood House surveys returned everyone said the home was always fresh and clean. One person who was case tracked said, It is very homely and I like the people. It was stated on the Annual Quality Assurance Assessment that there are, rigid infection control procedures, staff are trained up on infection control procedures, staff wear personal protective clothing. Staff said they have protective clothing available and were seen using this when Care Homes for Older People Page 21 of 30 Evidence: assisting one of the people who was case tracked. There are systems in place for managing soiled laundry and disposal of waste products. One person who was case tracked said, I think everywhere is kept clean and tidy. Care Homes for Older People Page 22 of 30 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. There are sufficient staff available to meet peoples needs and they are provided with the training they require to do this, and people are protected by recruitment practices in the home. Evidence: The provider said they had altered the night time cover due to the changing needs of people in the home, and there are now two awake staff on duty at night, with three care staff on during the day. Staff said they thought there were sufficient staff on duty to meet peoples needs in good time. In the Have your say about Rosewood House surveys returned, three people said staff are always available when they need them, and one person said there usually is. One person who was case tracked said, I think there are enough staff on, and they are good as well. There are nine staff who have achieved National Vocational Qualification level 2 in care and a member of staff said she is now working towards level 3. Staff training records showed that staff are kept up to date with training, and staff have had training on managing challenging behaviour and dementia within the last Care Homes for Older People Page 23 of 30 Evidence: year. Staff said they have regular training opportunities and recent training includes fire safety, moving and handling, safeguarding adults, health and safety and basic food hygiene. Staff said they can request a refresher course if they feel they need one and this is arranged. One person who was case tracked said, They know what they are doing, they have had plenty of training. It was stated on the Annual Quality Assurance Assessment that, 66 of staff have achieved NVQ 2 in care, staff receive a 12 week induction, supervision and appraisals. Staff rota requests are honoured; staff are happy and positive and regular staff meetings are held. CRB (Criminal Records Bureau) checks and POVA (Protection of Vulnerable Adults) checks are in place. The common induction standards were seen in the office and a new member of staff was on her second day of an induction and was reading through the homes policies. A sample of staff files seen showed that people have been through the required pre employment checks and issues raised through the recruitment process are followed up. Care Homes for Older People Page 24 of 30 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. Temporary management arrangements are keeping the home running, but services would be developing if there was a registered manager in post. Evidence: Following the last inspection there was a manager being put forward for the position of registered manager, however she left the home in January 2009 and has not yet been replaced. The deputy manager is taking on some of the management and the provider attends the home on a regular basis to provide additional management input. People were asked to comment on services provided in the home in a survey form distributed in January 2009. Two of the people case tracked had completed one, and the third was not at the home at that time. There were nine completed forms and these showed people were satisfied with the care they receive. A residents meeting had been arranged for last week, however only one person attended so this is to be re arranged. The last meeting took place in January 2009 Care Homes for Older People Page 25 of 30 Evidence: where the agenda included menus, the complaints procedure, advocacy and clothing. There is a system in place to assist people to look after their personal allowances. Records are kept of all transactions which are signed and witnessed. It was stated on the Annual Quality Assurance Assessment that, all relevant safety checks are done in accordance with Health and Safety Regulations. The provider said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. A fire safety inspection has recently taken place which made two recommendations which the provider says will be attended to. Care Homes for Older People Page 26 of 30 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 27 of 30 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 18 There must be a registered 01/10/2009 manager in place to manage the home. This will ensure there is someone to ensure the home is being run in the best interests of people living there. 2 3 14 Ensure assessments carried 20/07/2009 out on people wanting to move to the home assess all of their needs. This will ensure the home can establish if they are able to meet their needs. 3 7 15 Ensure care plans clearly state how peoples needs are to be met. This will ensure that peoples needs are met in they way they prefer. 01/08/2009 Care Homes for Older People Page 28 of 30 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 Care Homes for Older People Page 29 of 30 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. 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