Care Home: Rowley House

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What the care home does well The service told us they offer a cost effective, anti discriminatory environment in which to live. Care is provided by trained staff who promote service users comfort, dignity and privacy. The home works on a person centered approach where the user is actively encouraged to choose their pathway of care. New learning opportunities are sought by our activities organiser to promote service user skills and self worth. An open and honest approach to all aspects of running the home is encouraged allowing all involved to feel that concerns can be discussed and dealt with. Policies and procedures are in place to manage complaints. The home is a warm and welcoming environment where people that use the service opinions are taken into account when refurbishing. Recruitment procedures are robust and all employee`s receive an induction and supervision. The home pride themselves on having an appropriate skill mix and numbers of staff on each shift. They listen to the needs of people using the service and employee`s and act to ensure best practice is delivered. What has improved since the last inspection? The home have achieved 76% of care staff working towards of having obtained NVQ levels 2 and 3. They have reviewed and updated our documentation taking into account new legislation relating to mental capacity act and end of life pathways. An audit tool has been introduced at the home for the care planning system. The kitchen has been completely refitted and there is a continuing programme of decoration. What the care home could do better: The management plan to - Continue to work on our refurbishment and development plan. - Recruit further staff for activities. - Implement a more detailed nutritional screening tool. - Continue to work with employee`s in order to achieve higher standards of documentation practices. One requirement was issued at this inspection with regard to storage of hazardous liquids. Key inspection report Care homes for older people Name: Address: Rowley House 26 Rowley Avenue Staffs ST17 9AA     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: Joanna Wooller     Date: 2 8 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) 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 26 Information about the care home Name of care home: Address: Rowley House 26 Rowley Avenue Staffs ST17 9AA 01785255279 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): rowleyhouse@hotmail.co.uk Rowley House Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 35 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 to be accommodated is:35 The registered person may provide the following category of service only: Care home with nursing (N) To service users of the following gender Either whose primary care needs on admission to the home are within the following categories: Old age (OP) Physical disability ( PD) Date of last inspection Brief description of the care home 0 35 Over 65 35 0 Care Homes for Older People Page 4 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: 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 quality rating for this service is 3 star. This means that that people who use this service experience excellent quality outcomes. This unannounced inspection was carried out by one inspector over one day between 09:00 and 14:00 hours. The Manager was in the home and she participated in the inspection process. The inspection included the following elements A walk around the building, observation and inspection of care records, discussions with people who use the service, case tracking whereby we select several people who use the service, chat to them and look at their care plans and lifestyle in the home. Discussions with several of the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues and training, recruitment and health and safety. We were made welcome in the home and all assistance was given to gain the Care Homes for Older People Page 5 of 26 evidence required for the report. We had dealt with no complaints since the last key inspection. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. 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 7 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 8 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. People moving into the home do so having had their needs fully assessed and assurances are given that they will be met. The home has well managed intermediate care places. Evidence: The Aqaa told us Each service user has an individualised pre admission assessment to ascertain whether the home can meet their needs. If not a full explanation is given. For service users referred through care management services the home obtains a copy of the assessment and care plan. Service users are provided with a comprehensive service users guide. Each service user is given the opportunity to visit and spend time in the home prior to a decision being made about admission. The home offers a four week settling in period. We ensure an individualised, holistic package of care is planned, implemented and evaluated from pre admission and throughout the service users stay. Where service users are admitted for intermediate care we have dedicated accommodation and equipment. Care Homes for Older People Page 9 of 26 Evidence: We saw information on the service is provided in a statement of purpose and service user guide and these are available in each room and in the entrance of the home. We saw that people were provided with information to help them decide whether the care home can meet their individual needs. The service user guide includes a brief statement of purpose and includes details of what the service offers and the weekly fees which are variable. We saw that the complaints procedure is also included in the service user guide. The AQAA which was completed by the manager is currently up to date. We case tracked three people in the home and a pre admission assessment was completed by the service in each case. Some files included social worker reviews, assessments from Primary Care Trusts and community care services. The manager is aware that the gathering of information ensures that the service can be confident of meeting a persons care needs. One lady spoken to told us Its not home but its second best, I am safe, well fed and very comfy here. I enjoy seeing my friends and family when they visit. I was made welcome from day one. The staff are very friendly. One relative told us Time is taken to listen to individual worries or needs. Any problems are dealt with professionally. I am made to feel very welcome and the care and support that I receive is excellent making me feel very comforted. The home provides an intermediate care service which has recently increased to accommodate to thirteen people. Separate private and communal facilities are available for this purpose. People that use this service stay only for a short period of time, and they are assisted with re-gaining their independence and then encouraged to return to their own home with the support of the community re-ablement team. Care Homes for Older People Page 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service have their health, personal and social care needs set out in an individual care plan. They are able to make decisions about their care including the assistance required with medication administration. People living in the home feel that they are treated with respect and their right to privacy is upheld. Evidence: The Aqaa told us With service user agreement we work with the user, relative and carers in partnership. Each service user is supported to make their own decisions. We use a person centered care planning approach. Care workers are trained in giving choice to service users and in ways in which to facilitate service users to make decisions for example what to wear. The home operates a policy of knocking before entering a service users room to preserve privacy, dignity and respect. We have care plans and risk assessments in place for all activities of daily living. Service users can register with the GP of choice if the GP is in agreement. The home has a policy for the receipt, storage, handling and administration and disposal of medication. Service users privacy and dignity is respected by all staff ways to promote this is taught in training. Care Homes for Older People Page 11 of 26 Evidence: We case tracked three people in the home and each had a comprehensive, well documented plan of care that was up to date and had been audited by the manager. Through case tracking we saw that the people do receive personal and health care support using a person centered approach. We saw that the care records had individually recorded personal health care needs including specialist health, nursing and dietary requirements. We saw that the care records identified individual needs, risks and preferences and there was evidence that individuals mental capacity was documented and discussed at admission. Family and professional involvement is welcomed in this process. We saw that the delivery of personal care is individualised, flexible and person centered with choices being given about the need for support and assistance. Persons are encouraged to be independent and some individuals preferred to take responsibility for their own personal care needs. We discussed the need to include communication care plans in each individuals care plan and the manager confirmed this was to be implemented. Staff were seen to listen to individuals and give choices. One lady told us The staff are always very patient with me and considerate. Sometimes they stop and chat with me which is nice. People do have access to health care and NHS services. The health care needs of persons unable to leave the home are managed by visits from local health care services. We saw that people do have the aids and equipment they need and these are well maintained to support them and staff in daily living. One lady told us I would rather be at home but this is second best, I think the staff are marvelous and very kind. The food is good and my room is very pleasant. Staff have access to training in health care matters and are encouraged and given time to attend courses on specialist areas of work. There was evidence that the managers observe care practices to ensure the staff understand the importance of treating people as individuals with respect and dignity. The home has an efficient medication policy supported by procedures and practice guidance. All medication is handled by trained nurses only. We saw that medication records are fully completed, contain required entries, and are signed by appropriate staff. Regular management checks are made to monitor compliance. We noted that the storage facility for dressings was limited in each persons bedroom and the manager agreed to look at other systems to ensure correct storage was in place. We saw that the home has a good record of compliance with the receipt, Care Homes for Older People Page 12 of 26 Evidence: administration, safekeeping, and disposal of controlled drugs. Staff have completed medication training. The manager observes staff to ensure each individual is competent to handle, record and administer medication appropriately. One relative told us I feel sure that the medical care is excellent at the home and the atmosphere is one of respect and great care. Care Homes for Older People Page 13 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 in the home find that their lifestyles match their expectations, they maintain contact with family and friends and have choice and control over their life. People receive a wholesome, appealing balanced diet in pleasing surroundings at a time convenient to them. Evidence: The Aqaa told us There is a dedicated activities organiser, 3 afternoons a week. We have regular residents meetings which are led by the residents, ideas are discussed and taken on board by management. Routines of daily living are as flexible as possible. We provide information about outside agencies and ways they can assist as advocates. Recognise the importance of social relationships that service users have and are respectful of privacy. If service users wish they can have a private phone line in their rooms. We have areas where service users can entertain visitors privately. We encourage service users to join in activities if they wish. Service users can bring their own personal possessions into their room. Relatives can book meals with service users, and we have a private dining room which can be booked. We have completely open visiting arrangements. We offer three meals a day and snacks when required. We offer special diets. Care Homes for Older People Page 14 of 26 Evidence: We saw that the routines of the home are planned around the needs and wishes of the people who use the service. There was evidence that the home encourages individuals to take control of their life. Families, staff and people who use the service confirmed that routines are flexible and that individuals can make choices in major areas of their life. One lady told us I like to join in the afternoon activities, its always just long enough and quite fun sometimes. The home employs a member of staff who co-ordinates activities on a daily basis. Photographs were seen of activities within the home that the individuals had taken part in, through observation it was evident that people who use the service and the staff team enjoyed these activities. Sufficient staff resources are provided to allow time for activities and stimulation. We discussed the possible introduction of personal life historys being developed in the home for each individual with the assistance of their relatives and friends. People who use the service were able to receive visitors whenever they chose, as the home has an open visiting policy, this was verified by a number of visitors on the day of the inspection. People who use the service could choose to see their visitors within their own private accommodation if they preferred to do so and this was also evidenced during the inspection process. The home has a pleasant dining room overlooking the garden. People that use the service told us the meals are lovely, just too big sometimes. One lady told us I have never eaten so well, its a good job we do activities in the afternoon or we would all be asleep when we have eaten so much. Those that required support with their meal were given sensitive assistance on a one to one basis. An environmental health officer had undertaken an inspection and given the home a 4 star rating for Rate my Place. Care Homes for Older People Page 15 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 that use the service are confident that their complaints will be listened to, taken seriously and acted upon. People are protected from abuse. Evidence: The Aqaa told us We have a clear complaints procedure, detailing time scales and how complaints are dealt with. All service users are informed of complaints procedure and are supported by staff if making a complaint. The home operates a restraint policy which explains how aggressive behavior will be managed with physical intervention a last resort. Service users and relatives have access to advocacy services. All staff are trained in P.O.V.A. Procedures are in place to respond to evidence or suspicion of neglect. We assist service users to be politically active if they choose, many residents use the postal vote. We looked at the homes Complaints Procedure that was displayed in the reception hallway and contained in the Service Users Guide and Statement of Purpose. We talked to several people that use the service who told us they knew how to make a complaint or raise a concern. One person using the service told us they knew who to talk to if they were unhappy about something. We were told by the Manager that there had been no staff referred to POVA and no vulnerable adult strategy meetings held. Care Homes for Older People Page 16 of 26 Evidence: We saw the records of the last four staff employed that told us staff have received training in Safeguarding, Protection of Vulnerable Adults and Abuse. The training matrix identified that other staff had completed this training. The home has policies and procedures in place for managing abuse. We talked to staff who were able to identify areas of abuse. The home are not responsible for looking after any persons moneys. Care Homes for Older People Page 17 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. People that use the service live in a safe, well maintained environment that is clean, pleasant and hygienic. Evidence: The Aqaa told us We ensure that the environment is well maintained. The care home is appropriately maintained to reduce the risk of infection and cross infection. Infection control training given. A programme of routine maintenance is kept in the home. The home complies with requirements from the local fire service. Communal space is available for all service users. The home has a lovely garden available to meet the needs of all service users. Adapted equipment is available for service users who need it. The home has a nurse call system available in each room. We provide comfortable accommodation for each service user. It is furnished to a comfortable standard. Each room is heated with controls in each service users room. The management and staff encourage people who use the service to treat the home as their own home. Rowley House is a very well maintained, safe, comfortable and attractive which has all the specialist equipment and adaptations needed to meet individuals needs. One relative told us The home is always clean and fresh, Mums room is tidy and homely. The domestic staff work very hard to maintain the homes appearance and reputation. Care Homes for Older People Page 18 of 26 Evidence: Robust infection control measures were in place including paper towels, liquid soap, hand sanitizer, laundry management and personal protective clothing. The home employs a maintenance person who carries out any required maintenance on an ongoing basis. The maintenance book is signed and dated to ensure tasks are completed promptly. We spoke to the staff and it was evident that they were aware of issues such as cross infection, and it was observed that they were sensitive towards the privacy and dignity of people who use the service. We saw a high standard of cleanliness throughout the home. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that use the service have their needs met and are kept safe by the number and skill mix of staff. The homes recruitment policy and practices protect the people living in the home. The staff are trained and competent to do their jobs. Evidence: The Aqaa told us We ensure that all staff operate in a manner which promotes liberty to our service users so they feel safe whilst promoting independence. All our nurses are registered with the appropriate body. We recruit in a fair and open way ensuring we employ appropriate staff. We undertake a robust employment process carry out checks on potential employees ie. references, CRBs. All staff receive induction training and have regular updates. We have appropriately trained work force with 76 working towards or having achieved NVQ 2 and 3. The home displays a rota clearly displaying what staff are on duty at specific times. Training updates are displayed on staff notice board. We discussed the staffing rota for the day and we saw that the staff to person ratio was satisfactory. The manager told us she alters the numbers of staff to meet the peoples needs. We saw records that told us 76 of staff are trained to National Vocational Qualification Levels 2 and 3. The homes Managers both have the registered Managers Award. We were told that the home does not use agency staff any shortages are covered by the existing staff. Care Homes for Older People Page 20 of 26 Evidence: We looked at the files of the last four members of staff employed. Files contained two references, Criminal Records Bureau and Protection of Vulnerable Adults checks. This means that staff had been appropriately recruited. We saw that staff had received a statement of their terms and conditions and job description. We saw that there is a staff training programme/plan in place for the development of staff. We saw in staff files records of induction and individual training records. There is also a training matrix that gives an overall picture of training completed and training due. One member of staff told us In my opinion the home does everything that it needs to do well, each person takes their job role very seriously and does it well. Another member of staff told us Its a very homely place to be working. Everyone who works, lives or comes in to the home interact very well together. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which is well managed by a person of good character. The home is run in the best interests of the people living in it and their financial interests are safeguarded. The health, safety and welfare of people who use the service and the staff are promoted and protected. Evidence: The Aqaa told us All staff have induction training and yearly appraisals to identify their learning needs. In addition to this they have clinical supervision six times yearly. The managers have a wealth of care home experience and both hold NVQ in management and registered managers award. The home has a transparent and accountable management structure. Records are kept to safeguard everyones interests for 7 years. We have up to date policies and procedures. We analyze the quality of our service, the findings of which are used in this document. Quality assurance forms are sent out monthly to service users, relatives and a member of staff on a rotational basis. Comments are checked and actioned by the manager. Service users are able to look at their records if they wish. If a service user is unable Care Homes for Older People Page 22 of 26 Evidence: or does not wish to manage their finances we offer to assist or encourage to appoint a lasting power of attorney. We provide a safe place for valuables. The management team closely monitors the practices in the home and there is a robust quality assurance system including action plans which are developed and reviewed as required to evidence the system being effective. The Home maintains an open door policy and welcomes suggestions or advise to continually improve the service. The home do not keep control of any persons monies. We saw that the home is well maintained and appropriate records are kept. The AQAA completed by the manager confirmed that fire safety is checked and regular fire drills and training provided for all staff. The staff have completed the Health and Safety training as well as additional advanced training, where appropriate. Accidents and incidents are recorded and reported appropriately and care plans are amended to allow for any changes. One relative told us I feel confident that the management are capable of recognising anything that needs reviewing and have the ability to implement any changes smoothly and efficiently. They consider the feelings of residents, relatives and staff. Care Homes for Older People Page 23 of 26 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 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 38 13 The home must ensure that 16/02/2010 hazardous substances are stored correctly and when in use they must be kept secure. To ensure the safety of all individuals in the home, hazardous cleaning substances must be kept secure at all times. The domestic staff must keep their trolleys and its contents with them at all times and not leave them unattended. 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 8 8 Communication care plans were to introduced in each care plan to ensure that the individuals needs were being met. Alternative storage for dressings is to be implemented in the home. Page 25 of 26 Care Homes for Older People Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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