Care Home: Rufford Court Care Home

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What the care home does well A contract or terms and conditions of a persons stay is in place.Staff understand Service Users needs by observing their moods and gestures.Service Users care needs are assessed and a detailed care plan is in place. Some people sign and agree the plan of care.Where Service Users are at risk, these are lessened by risk assessments being in place.Service Users time during the week is taken up by a good mixture of social care time. Meals are varied and flexible and people are offered a choice.Clean HomeThe home is comfortable and clean, and staff were aware of cross contamination and cross infection issues.Staff have all the necessary recruitment checks before they are allowed to work at the home.Peoples` views on the home are being sought.Service User money balances are correct.Health and safety is monitored and maintained appropriately. What the staff said the home does well. "Personal care; dignity; flexibility; activities and key workers". "Gives a good standard of care, in a friendly environment". "Gives frequent community access through meals out, holidays and trips to the theatre". "Rooms are personalised with service users own photos and possessions". "Outdoor activities, holidays and theatre trips". "Rufford is a very nice place to work for and the client are very well cared for".Page 14 of 38Care Homes for Adults (18-65 years) What has improved since the last inspection? The registered manager has indicated through the AQAA, the following are improvements over the last 12 months.Regular family and staff meetings, gathering ideas and suggestion to improve activity programme.Keyworkers more involved in evaluating the care plans ensuring that all information is accurate.New sensory gardenNew sensory seaside garden complete with sand pits.Garden produceNew improved vegetable plot with all fresh vegetables which were hand grown and then eaten by service users.New swingNew rehabilitation swing for main garden area.All front entrance flooring has been re-laid and made more wheelchair friendly.Ramp to outside back garden has been made wider to allow better access for wheelchair users.Clumber unitClumber unit is being revamped with a new colour scheme and new furniture and flooring. What the care home could do better: The Service User Guide could be in formats other than being just printed.Staff signing for medication could make their signatures clearer.Staff could count the medication to see it has been given correctly.The process for staff being paid to take Service Users out must be made clearer.Staff need further training on Deprivation of Liberty and recognising poor practice.What the staff said the home Staff comments could do better. "Decor". "A better nurse call system, to reduce the number of false alarms". Two people mentioned this. "Improvements to the heating and ventilation, sometimes too hot, then too cold". Four people mentioned this. "New transportation". Two people mentioned this. Key inspection report Care homes for adults (18-65 years) Name: Address: Rufford Court Care Home 3-5 The Cliff Cinderhill Nottingham NG6 8SA The quality rating for this care home is: one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Keith Williamson Date: 1 2 0 1 2 0 1 0 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 38 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 © (2010) 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 Adults (18-65 years) Page 3 of 38 Information about the care home Name of care home: Address: Rufford Court Care Home 3-5 The Cliff Cinderhill Nottingham NG6 8SA 01159753100 01159764623 ruffordcourt@activecarepartnerships.co.uk Not available Active Care Partnerships Ltd care home 20 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 20 0 learning disability Additional conditions: Date of last inspection A bit about the care home Rufford Court Care Home is a care home owned and managed by Active Care Partnerships Care Homes for Adults (18-65 years) Page 4 of 38 The home is registered to provide residential and nursing care, to adults who have a learning disability and additional complex needs such as autism, sensory impairment, physical disabilities or challenging behaviour. Number of people 20 It is registered to accommodate 20 people. The home is situated in the Bulwell area of Nottingham and is within easy access to various local amenities as well as bus routes into the city centre. Care Homes for Adults (18-65 years) Page 5 of 38 The home is split into three distinct areas - a ground floor unit for eight service users, another split-level, selfcontained unit for four, and the first floor for a further eight people. The home has adequate communal space as well as a fully equipped music room and snoozelan room. There is a large attractive Large Garden main garden as well as a sensory garden. The home has its own car and wheelchair accessible mini-bus. Care Homes for Adults (18-65 years) Page 6 of 38 The current range of fees charged are between £478 and £953 depending on the persons individual needs. Extras Service Users pay extra for hairdressing and meals taken outside of the home. A copy of the latest report from the Care Quality Commission on how well the home is functioning, is available from the manager and staff at the home. Care Homes for Adults (18-65 years) Page 7 of 38 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 8 of 38 How we did our inspection: This is what the inspector did when they were at the care home When we spoke to people at the home they preferred to be known as Service Users, therefore the report has been written using this term. This visit took place over one day, commencing at 9.30am and took six and one half hours to complete. The quality rating for this 1 star adequate home service is 1 star. This means the people who use this service experience adequate quality outcomes. Care Homes for Adults (18-65 years) Page 9 of 38 The focus of inspection is on outcomes for Service Users and their views and experience of the service provided. The main method of inspection used was case tracking. This involves selecting a sample number of Service Users and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case two people living at the home were case tracked. An opportunity was taken to see Service Users and talk to staff, look around the home, look at records, policies and care plans. Care Homes for Adults (18-65 years) Page 10 of 38 Information Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home. This was completed by the registered manager, who also assisted with the visit. Eight Service Users were seen, though none passed comment on the home due to the complexity of their needs. Four staff members and the registered manager were also spoken with. Care Homes for Adults (18-65 years) Page 11 of 38 Comment cards were sent out to the Service users, of the Comment cards eight sent none were returned, of the four sent to their relatives, again none were returned. The comments added to this report are from the staff comment cards returned. What the care home does well A contract or terms and conditions of a persons stay is in place. Staff understand Service Users needs by observing their moods and gestures. Care Homes for Adults (18-65 years) Page 12 of 38 Service Users care needs are assessed and a detailed care plan is in place. Some people sign and agree the plan of care. Where Service Users are at risk, these are lessened by risk assessments being in place. Service Users time during the week is taken up by a good mixture of social care time. Meals are varied and flexible and people are offered a choice. Clean Home The home is comfortable and clean, and staff were aware of cross contamination and cross infection issues. Staff have all the necessary recruitment checks before they are allowed to work at the home. Care Homes for Adults (18-65 years) Page 13 of 38 Peoples views on the home are being sought. Service User money balances are correct. Health and safety is monitored and maintained appropriately. What the staff said the home does well. Personal care; dignity; flexibility; activities and key workers. Gives a good standard of care, in a friendly environment. Gives frequent community access through meals out, holidays and trips to the theatre. Rooms are personalised with service users own photos and possessions. Outdoor activities, holidays and theatre trips. Rufford is a very nice place to work for and the client are very well cared for. Page 14 of 38 Care Homes for Adults (18-65 years) What has got better from the last inspection The registered manager has indicated through the AQAA, the following are improvements over the last 12 months. Regular family and staff meetings, gathering ideas and suggestion to improve activity programme. Keyworkers more involved in evaluating the care plans ensuring that all information is accurate. New sensory garden New sensory seaside garden complete with sand pits. Care Homes for Adults (18-65 years) Page 15 of 38 Garden produce New improved vegetable plot with all fresh vegetables which were hand grown and then eaten by service users. New swing New rehabilitation swing for main garden area. All front entrance flooring has been re-laid and made more wheelchair friendly. Ramp to outside back garden has been made wider to allow better access for wheelchair users. Care Homes for Adults (18-65 years) Page 16 of 38 Clumber unit Clumber unit is being revamped with a new colour scheme and new furniture and flooring. What the care home could do better The Service User Guide could be in formats other than being just printed. Staff signing for medication could make their signatures clearer. Care Homes for Adults (18-65 years) Page 17 of 38 Staff could count the medication to see it has been given correctly. The process for staff being paid to take Service Users out must be made clearer. Staff need further training on Deprivation of Liberty and recognising poor practice. Care Homes for Adults (18-65 years) Page 18 of 38 What the staff said the home Staff comments could do better. Decor. A better nurse call system, to reduce the number of false alarms. Two people mentioned this. Improvements to the heating and ventilation, sometimes too hot, then too cold. Four people mentioned this. New transportation. Two people mentioned this. Care Homes for Adults (18-65 years) Page 19 of 38 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Keith Williamson Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 61 61 61 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 set out 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 Adults (18-65 years) Page 20 of 38 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 21 of 38 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Prospective Service Users and their supporters have sufficient information provided to them to enable an informed choice about living in the home Evidence: The staff have developed a statement of purpose and service users guide, these provide important information for people considering using the service. This is available in a printed form, which does not allow everyone in the home to understand it. The information on complaints could include details of the Local Authority, which would enable people to contact them with any issues which are not appropriately dealt with by the staff. People have their needs assessed prior to moving into the home. We looked at this information and found it well detailed and was used to form the Service Users basis care plan. Care Homes for Adults (18-65 years) Page 22 of 38 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Care plans are person centred, enabling staff to use them as the preferred way people need to be supported. Evidence: We looked at the care records of Service Users. Care plans are Person Centred and we found them to be very well detailed and descriptive of the care and support offered to people. Staff have a good knowledge of Service Users, knowing how to communicate with them on an individual basis. One Service User made her requests known by taking staff by the hand and pointing at what was required. Another Service User used hand gestures to communicate their needs. We saw that staff have a good understanding of the risks relating to each person who lives there, and have put risk assessments in place to reduce risks associated with each person. Care plans are now agreed with the Service User or a representative, some being signed to agree the care and intervention offered. Records of what people do, and what care is offered on a daily basis are kept Care Homes for Adults (18-65 years) Page 23 of 38 Evidence: What the staff said the home does well. Personal care; dignity; flexibility; activities and key workers. Gives a good standard of care, in a friendly environment. Rufford is a very nice place to work for and the client are very well cared for. What the staff said the home could do better. A better nurse call system, to reduce the number of false alarms. Two people mentioned this. Care Homes for Adults (18-65 years) Page 24 of 38 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Service Users have the opportunity to develop and maintain important personal and family relationships, and have a good quality of life around leisure activities and holidays. Evidence: We looked at the activities and pastimes, these are planned in advance and the plan is displayed openly on the ground floor of the main home. Service Users were being assisted out to play bowls, and others for meals at the time of the visit. Some Service Users have a preference for in house activities such as board games and colouring, others preferring staff to do their hair and nails. Care plans detail what people prefer to do, with a list of likes and dislikes drawn up with the assistance relatives. Access to the home is unrestricted, people gaining entry by a numbered key lock to the front door. Staff indicated that relatives who visit, are provided with the code. Care Homes for Adults (18-65 years) Page 25 of 38 Evidence: Meals are varied and flexible; Service Users participate in menu selection by means of a likes and dislikes list, and personal preference at each meal. The menu is compiled by the cook with feedback from Service Users and their relatives. What the staff said the home does well. Gives frequent community access through meals out, holidays and trips to the theatre. Rooms are personalised with service users own photos and possessions. Outdoor activities, holidays and theatre trips. What the staff said the home could do better. Decor. New transportation. Two people mentioned this. Care Homes for Adults (18-65 years) Page 26 of 38 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Service Users receive effective personal and healthcare support using a person centred approach, ensuring the appropriate care is offered on an individual basis. Evidence: Personal support is offered in line with the care plan. The recording of peoples health needs is well detailed and explanatory. Both the Service Users had an extensive amount of input from health professionals, and guidance and advice from them were included in the plans. We looked at the medication records, these were completed well by staff but some of the signatures of the nursing staff could be mistaken for recording other than confirming people had the correct medicines. The trained nurses keep the medicine keys at all times and are effective in operating the procedures for the ordering, receipt and disposal of medication. We looked at the medicines which are kept in there original packaging. The balance was incorrect, with two capsules over what should have been in stock. We discussed the benefits of an audit of these medicines with the manager, this combined with a more secure staff signature system would ensure that medicines have been administered appropriately. Care Homes for Adults (18-65 years) Page 27 of 38 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. 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. Service Users are open to abuse due to the general lack of awareness on how to recognise inappropriate practice. Evidence: We looked in detail at Service Users financial records. These reflected the appropriate monetary balances, along with receipts for purchases made. However there is an ongoing safeguarding investigation around the money paid by Service Users to staff for assistance with shopping, holidays and trips out. The staff have had training in safeguarding procedures, and are now well aware of whistle blowing procedures and some forms of potential abuse. Senior staff have had training and information around the Deprivation of Liberty and the need for independent advice for Service Users. This training must be undertaken by all staff, to protect those in the home that cannot make decisions for themselves. A complaints procedure is in place, this is available in a number of formats that would assist people to make a complaint were it necessary. There is a complaints and compliments book kept by the staff. There have been no complaints received by the staff Care Homes for Adults (18-65 years) Page 28 of 38 Evidence: at the home, nor the Care Quality Commission (CQC) since the last inspection. Care Homes for Adults (18-65 years) Page 29 of 38 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. Staff provide a safe and stable and adapted environment which provides for the individual Service Users needs in the home. Evidence: The ground floor lounge has been extended with the addition of a conservatory. This opens directly onto the Rainbow Garden, and provides extra space for people. The building is secure with number operated locks on the main doors, and a combination of locks to inner doors protecting people from direct access to the stair wells. Closed Circuit television cameras (CCTV) still operate on the outside of the home, again this increases the security for people there. A second ceiling track hoist has been added to the second bathroom, this benefits people being assisted in and out of the bath. Staff are aware of cross infection and cross contamination issues, and have plentiful supplies of protective clothing. Cleaning materials are locked away appropriately and staff were aware how to use them appropriately. Staff are aware of cross infection and cross contamination issues, and have plentiful supplies of protective clothing. Care Homes for Adults (18-65 years) Page 30 of 38 Evidence: What the staff said the home could do better. Improvements to the heating and ventilation, sometimes too hot, then too cold. Four people mentioned this. Care Homes for Adults (18-65 years) Page 31 of 38 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Staff have the appropriate recruitment checks and supervision to ensure Service Users are safe in the home. Evidence: We talked to staff and saw them supporting people who live in the home. We saw good interactions between staff and people who live in the home, and staff demonstrated a very good understanding of the needs of people living there. All staff said they were supported to do their job, through induction training, on going training relating to the job they do, and through regular supervision. They also confirmed a number of training courses had been run recently increasing their knowledge on issues such as health and safety, medication management, working with challenging behaviour and safeguarding, which all helps to making the home a safer place to live and work. We looked at a sample of staff recruitment records, and saw that all the necessary checks were made to safeguard people who live at the home. CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) checks are obtained. These are required by law and allow staff to work with vulnerable people. References and proof of staff identification were also in place on the files. Care Homes for Adults (18-65 years) Page 32 of 38 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. Staff undertake a number of health and safety checks, and ask for peoples opinions to ensure Service Users safety and satisfaction with the home. Evidence: The Registered Manager has worked at the home for some years and has the experience necessary to provide a suitable environment for the Service User group. There are a number of Quality Assurance (QA) initiatives, where there are more checks in place to ensure peoples safety in the home. QA questionnaires are available in a pictorial format, and these are being used by some Service Users. The manager also provides questionnaires to the Service Users families and other people with an interest in the home, such as health professionals. Information from these is collated and provided at times when the families meet in the home. Senior managers from outside the home also visit and complete regulation 26 reports covering areas of Service User personal care and health and safety issues. There has been a monthly Health and Safety audit of the building introduced, and the frequency of testing the equipment to monitor fire and smoke detection now takes place regularly. The fire risk assessment and fire escape plan have also been updated since the Care Homes for Adults (18-65 years) Page 33 of 38 Evidence: Fire Officer last visited. We looked at a number of other safety checks made around the building and found these up to date. Care Homes for Adults (18-65 years) Page 34 of 38 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 35 of 38 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 Description 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 Description Timescale for action 1 20 13 The registered person must ensure adequate checks on medication supplies. 22/02/2010 This is to ensure people have their prescribed doses and an adequate supply of medication remains for the following month. 2 23 18 The registered person shall, 25/03/2010 ensure that at all times suitably qualified, competent and experienced persons are working at the care home. This is to ensure that all staff are aware of all forms of potential abuse, and are able to act appropriately on that information. Care Homes for Adults (18-65 years) Page 36 of 38 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 1 The responsible person could ensure the address and contact details of the local authority are added to the complaints information. This would ensure people had the choice of contacting them if needing to. The staff could count medications and record this on the Medication Administration Record(or mar chart). This would assist in the accurate auditing of medications. The staff could date any compliments , as this would give a better indication when they had been received. The registered manager could include the outcomes of any quality assurance exercise into the Service User Guide. This would inform potential service users and their relatives and supporters of how the home is developing. 2 20 3 4 22 39 Care Homes for Adults (18-65 years) Page 37 of 38 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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