Care Home: Shakti Lodge

What the care home does well The staff team at Shakti Lodge are committed and motivated to provide good quality care for the people living at the home. Good systems are in place to ensure service users needs are assessed and met. All service users have individual care plans which are centred around assessed support needs. Service users are treated with dignity and respect, and are valued by the staff. What has improved since the last inspection? Significant progress has been made in every outcome group. Robust pre admission assessment documentation is in place. All service users have had their support needs re assessed, and there are care plans and risk assessments in place which ensure appropriate care is given. The environment is safe, clean and homely. Vast improvements have been made in terms of decor, furnishings, and hygiene. All windows are now fitted with restrictors which keep service users safe, they also have appropriate curtains which protects service users privacy and dignity. Service users now have balanced and nutritional meals, which are based around their choices, and their assessed needs. When service users have accidents or are unwell, they are given medical attention without delay, and the appropriate agencies are informed when necessary. What the care home could do better: The home needs to consult with service users about their care plans and risk assessments. Service user`s wishes in respect of how they would like support to be given must be recorded. Similarly, service users must be consulted about their hobbies and interests, and asked about what they would enjoy doing day to day. This needs to be recorded, and actioned. The management team needs to improve communication with the staff team. Staff meetings and staff supervisions need to more regular. The day to day management of the home must be more robust to ensure service users are receiving appropriate and consistent care. Key inspection report Care homes for older people Name: Address: Shakti Lodge 208-212 Princes Road Dartford Kent DA1 3HR     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: Sarah Montgomery     Date: 2 9 0 6 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 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Shakti Lodge 208-212 Princes Road Dartford Kent DA1 3HR 01322288070 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Shakti Lodge Limited Name of registered manager (if applicable) Ms Chan Teeluck Type of registration: Number of places registered: care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 26. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Date of last inspection Brief description of the care home Shakti Lodge is registered to provide care and accommodation for twenty-six older people. Accommodation is provided on two floors, which can be accessed via a shaft lift. The home has fourteen single and six double rooms, one of which has an en-suite facility. All bedrooms have a staff call system, washbasin and television aerial point. Copies of inspection reports and the homes Statement of Purpose are made available Care Homes for Older People Page 4 of 27 Over 65 0 0 0 0 Brief description of the care home on request. Off road parking is available to the front of the building. Intermediate care is not provided. Residents have access to a pay phone or can use the homes cordless phone. Please contact the home for current up to date information regarding fees. Care Homes for Older People Page 5 of 27 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was conducted by Sarah Montgmery, Compliance Inspector. The inspection was began at 09.30am and concluded at 3.30pm. Evidence was gathered by speaking with the acting manager, members of the senior management team, care staff, service users and health care professionals. Several records were assessed. These included care plans, health care plans, risk assessments, policies and procedures, staff training records, and training files. Time was also spent observing working practice. The quality rating for this service is one star adequate. This means that people who use this service experience adequate quality outcomes. Care Homes for Older People Page 6 of 27 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 27 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 27 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. Prospective service users and their representatives have the information they need to make an informed choice about where to live. Evidence: Standards 1 and 3 were assessed. To assess these standards we looked at records which told us how prospective service users are supported in their choice of home. These records included the statement of purpose, service user guide and pre admission assessments. Since the last key inspection in March 2010 there have been no admissions to the home. Therefore, we were unable to fully assess Standard 3. Although no new admissions have taken place, the home has taken steps to ensure future prospective service users are competently assessed, and have developed a new assessment template to use when assessing prospective service users. This Standard will be fully assessed at the next key inspection. Care Homes for Older People Page 9 of 27 Evidence: The homes statement of purpose and the service user guide were inspected. They were then cross referenced with all evidence gathered throughout the inspection. This is because the statement of purpose and service user guide tells prospective and current service users and their representatives what services are provided at the home. It is important that these documents are up to date and relevant as they serve as a benchmark for all service provision. Evidence gathered throughout the inspection with relation to all outcome areas demonstrates that the statement of purpose and service user guide accurately describe services at the home, and provide adequate information for prospective service users and their representatives to make an informed choice about whether or not the home is suitable and able to meet the individuals particular needs. Standard 6 does not apply as the home does not offer intermediate care. Care Homes for Older People Page 10 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users health, personal, and social care needs are met by the home. Service users would benefit if care plans included their personal preferences and wishes, and were person centred. Evidence: Standards 7, 8, 9 and 10 were assessed. To assess these standards we looked at records which told us how the care home meets the health and personal care needs of service users. These records included care plans, risk assessments, daily notes, and medication records. We spoke to members of staff about how these records are used, and asked staff about how they used care plans in their day to day work with individuals. We wanted to see how the home ensures service users are treated with dignity and respect, and spent some time observing working practice. Discussion with the acting manager, and assessment of service users files evidenced that all care plans and risk assessments had been reviewed and updated, with further evidence of on-going review and assessment of changing needs. This has enabled staff to provide appropriate support to individuals. Care Homes for Older People Page 11 of 27 Evidence: We looked at two care plans and risk assessment documentation in detail. Although they contained information pertaining to the individual, some shortfalls were noted: there is no indication on the care plans or risk assessments that the service user or their representative has been consulted. More consideration needs to be given to ensure care plans are person centred, and contain the specific wishes and preferences of the individual. This is particularly lacking in the personal care support plans. For example, one care plan stated: (service user) is able to take care of her personal needs independently with a little supervision from one carer. There is no further information, and the reader does not know what little supervision is required, or what the service user can, and prefers to do themselves. Another care plan (for personal care) stated: (service user) finds it difficult to follow instruction. No further information is given. This means that staff are not given guidance about how best to support this service user, and support may not be given consistently, or given with regard to the personal wishes and preferences of the service user. When assessing the care plans we saw evidence of improvements in how the home ensures the physical health needs of individuals are met and responded to. Service users who have experienced accidents in the home have received appropriate treatment from health care professionals, and their care plans and risk assessments have been updated if necessary. Records demonstrated that service users with on going health needs are supported by a multi disciplinary team, including district nurses. Communication between health professionals and the home is good. On one of the care plans assessed, we noted shortfalls in staff adhering to instructions regarding how frequent specialised support is given during the night. We were also informed by health professionals that inappropriate equipment was used for a service user when assisting with personal care, and that this could lead to injury. We discussed these issues with the acting manager who assured us they would be addressed and resolved immediately. Medication protocols in the home have improved. Systems are now in place for the receipt, disposal and return of medicines. Senior staff are in the process of undergoing in depth training in medication administration, and have completed part one of this course, and are shortly undertaking part two. Health records and nutrition records demonstrated that service users with diabetes are being supported with appropriate diets. However, more guidance is required on individual care plans (for service users with diabetes) in terms of recognising symptoms and when to alert health professionals to a change in the presenting condition. Care Homes for Older People Page 12 of 27 Evidence: Observations during the inspection, and assessment of daily notes, evidenced that service users are treated with respect and their dignity upheld. We witnessed positive interactions between staff and service users, and comments in daily notes demonstrated that staff ensured the privacy and dignity of service users was upheld with regard to personal care giving, and demonstrated that staff have ensured that any consultation with a health care professional was held in private. Care Homes for Older People Page 13 of 27 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 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 offered a range of activities, but would benefit further if activities were more person centred. Service users benefit from having their nutritional needs met with a healthy and balanced diet suited to individual requirements and needs. Evidence: Standards 12, 13, 14 and 15 were assessed. To assess these standards we looked at records which told us how the home ensures service users are given social opportunities, and can make choices and decisions about their lives. We also looked at how the home supports service users to maintain contact with family and friends, and looked at records which told us how the home ensures service users receive a wholesome and nutritious diet. We spent time talking with service users about their life at the home, and talked to staff about how they support service users with their lifestyle choices. The acting manager is in the process of developing individual activity plans for service users. This will be done in consultation with service users and their representatives, and will be informed by their wishes and aspirations regarding their daily lifestyle Care Homes for Older People Page 14 of 27 Evidence: choices. Once completed, the manager stated that all service users will have a person centred activity plan. During the inspection we observed activities taking place in the home. In the morning a group singing and exercise activity was being led by a carer. None of the service users in the lounge were engaged in this, and attempts by staff to include service users in this activity were not successful. A bingo session in the afternoon with a small group appeared more successful, and service users were animated and engaged. We observed some staff spending time with individual service users, and having a chat over a drink. Individual care records inspected demonstrated that all service users have a nutritional needs assessment. Special diets and individual preferences are catered for, and meals at the home are prepared to ensure they are nutritious and balanced. The kitchen staff and care staff are aware of the needs and preferences of all service users. Staff and service users told us that meals at the home were greatly improved, with more choice and increased fresh meat, fruit and vegetables. While improvements were noted in the home meeting the nutritional needs of service users, individual care plans regarding meeting the individuals nutritional needs lack sufficient detail and are not person centred. For example: one care plan states that food needs to be pureed, but gives no further details as to what additional support the service user may require. The home has an open door policy for relatives and visitors, and staff at the home support service users to keep in touch with important people in their lives by facilitating visits, making phone calls and writing letters. We can see from individual care records that relatives are kept up to date about their relative (with the permission of the service user). Care Homes for Older People Page 15 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their complaints listened to by staff, but would benefit further if they had access to a user friendly complaints procedure. Service users benefit from having robust systems in place to protect them from harm and abuse. Evidence: Standards 16 and 18 were assessed. To assess these standards we looked records which told us how the home ensures service users are protected from harm and abuse, and records which demonstrated that the home listens and responds to service users concerns or complaints. We spoke with service users about how they make a complaint, and talked with staff about how they respond to complaints and protection. We spoke with the acting manager regarding her knowledge of adult protection, and her role and responsibilities at the home with regard to this. The acting manager demonstrated competence when describing the adult protection protocols in terms of reporting allegations to social services and to the Commission, and when giving indicators of what constituted abuse in a care setting. Information received from visiting health professionals indicated that some staff were not appropriately providing personal care to a service user, and said that this could result in the service user suffering harm. We discussed this with the acting manager, who confirmed this had been the case, but informed us it had been immediately addressed once brought to Care Homes for Older People Page 16 of 27 Evidence: her attention by the health care professionals. Discussions with staff evidenced they had some understanding of adult protection issues, and they could tell us what consitutes abuse, and what their role is in reporting alleged abuse. Inspection of the staff training matrix evidenced that ten staff have undertaken training in adult protection. The provider must ensure that all staff receive training in adult protection without delay. The complaints procedure has been reviewed and updated. It informs service users and their representatives about how to complain, and explains the process and timescales of responding to a complaint. Service users would benefit if the home developed a complaints procedure in a more accessible format suitable for older people with dementia. Care Homes for Older People Page 17 of 27 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. Service users benefit from living in a safe, homely, well maintained and comfortable environment. Evidence: Standards 19, 24 and 26 were assessed. To assess these standards we looked the communal areas in the home, and a number of bedrooms. We also looked at records which told us how the home ensures service users are kept safe, for example, fire risk assessments. In addition, we looked at what systems are in place to ensure the home is clean and hygienic. Since the previous key inspection in March 2010, significant progress has been made in terms of the environment. Many areas of the home have been redecorated and refurbished. New furniture, curtains and fixtures have been purchased, and the back garden has undergone some landscaping and has new seating areas. All communal areas have been redecorated. New seating and coffee tables in both lounges, as well as altering the layout of seating, has made the area brighter and more homely. Service users bedrooms are in the process of being redecorated (many have been completed) and refurbished, with many having ensuite facilities added. The home now has a maintenance team. This includes builders, plumbers, decorators Care Homes for Older People Page 18 of 27 Evidence: and electricians. These additions to the team have had a positive impact on the home and the residents. There have also been significant improvements in maintaining hygiene standards in the home. All areas of the home are equipped with antibacterial hand gel. Toilets, bathrooms and sinks in service users bedrooms have appropriate hand washing equipment and paper towels for hand drying. There is a cleaning check list and schedule which the domestic staff adhere to. Care staff and kitchen staff were observed wearing appropriate aprons and gloves when involved in tasks which required it. A robust system is now in place for ensuring equipment is maintained, and safety certificates are up to date. Documents assessed demonstrated that all appliances and equipment at the home have a current safety certificate. Care Homes for Older People Page 19 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being supported by staff who are caring and who know them well. Evidence: Standards 27, 28, 29 and 30 were assessed. To assess these standards we looked at records which told us about the skills and competencies of staff. These records included recruitment processes, staff training and the homes rota. Observations of working practice during the inspection, discussion with staff and management, and inspection of staff training records demonstrated progress had been made in staff competencies. We observed staff working well with service users, interactions were positive and supportive. Correct equipment was being used, and staff spoke knowledgeably to us about the assessed support needs of individual service users. Staff competencies have been enhanced by a new training programme which encompasses mandatory training and training which is specific to the service user group at Shakti Lodge, for example nutrition, palliative care and dementia training. Not all staff has received this training, and there are noticeable gaps in nutrition and adult protection training. It is also noted that less than 50 of the staff team have a Care Homes for Older People Page 20 of 27 Evidence: national vocational qualification. When we discussed staff training with the management team, they informed us that it was their priority that all staff have sufficiently skills to carry out their role, and while gaps in training exist, staff will receive on the job supervision and guidance from managers within the organisation. They added that their expectation is that the staff team will be trained in all areas within four months. The rota was inspected. Between 7am to 9pm, one senior and three care staff are on duty. During the night there are two waking night staff. The care staff are supported by the acting manager, who divides her time between the office and working with service users. A large team of domestic and catering staff ensures the home is clean and hygienic, and that food is ordered, prepared and served. We spoke to a number of staff. All staff spoken with talked about the service users with great fondness. It was clear that they cared about the people living at the home, and knew not only their care needs, but their personalities and preferred routines very well. While the staff acknowledged that their skills and competencies have been enhanced by recent training, and the environment has undergone a positive change, they told us that morale is low, and communication between staff and the management team is poor. None of the staff spoken with had received supervision, and they spoke of feeling isolated and vulnerable with regard to the numerous changes in the home. Two staff files were inspected. Both were new members of staff. Their recruitment records evidenced the home had ensured a robust recruitment procedure was followed, and all necessary checks had been undertaken prior to the staff being offered a post. Once in post, the staff undergo a rigorous induction process. Evidence of this induction was seen on the recruitment files. Care Homes for Older People Page 21 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in a home in which the management and staff team are committed to bringing about positive change to enhance their lives, and ensure their health, safety and welfare is promoted and protected. Service users would benefit if the day to day running of the home was more robust. Evidence: Standards 31, 33, 36 and 38 were assessed. To assess these standards we looked at information and records which tell us how well the home is run, and records which tells us how the home self-monitors their performance. These records include the experience and qualifications of the manager, the homes annual quality assurance assessment, systems in place for supervising staff, and all records relating to meeting support needs of service users, for example care plans. Records inspected throughout the inspection evidenced significant improvements in the overall management of the home. Noteably: reviews and updates to care plans, Care Homes for Older People Page 22 of 27 Evidence: detailed assessment of risks, prompt medical treatment and medical attention for service users, improved nutrition and diet, and vast improvements in the decor, furnishings and cleanliness of the home, have meant outcomes for service users have improved. Some shortfalls were identified in relation to care plans, personal care giving, activities and staff training. These shortfalls were discussed with the management team, who gave assurances both that they were fully aware there is still work to be done at Shakti Lodge, and that they had strategies in place to ensure this was achieved within reasonable time frames. While we acknowledge the significant progress at the home in terms of ensuring the health, safety and welfare of service users, we noted that morale is low amongst the staff team. We also noted that two instances of poor practice had occured with regard to personal care giving. The registered person must ensure there are systems in place which allow for good and frequent communication with the staff team, and systems in place for monitoring of working practice including providing good role models and on the job supervision. When we looked for evidence of staff meetings and staff supervision, we found that none of the staff had been supervised, and just one staff meeting occured. The minutes did recognise the staff were going through a period of change. The meeting was tasked orietated and focussed on practice issues. The management team should give consideration to holding regular staff meetings and staff one to one supervision as a means to improving communication, morale, and the overall service for people living at the home. Care Homes for Older People Page 23 of 27 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 27 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 7 15 The registered person must 08/10/2010 ensure that service users or their representatives are consulted about their wishes and feelings, and that this is recorded in care plans and risk assessments. To ensure that service users receive support in the way they wish and prefer. 2 8 12 The registered person must 20/08/2010 ensure that service users personal care needs are met and that instructions from healthcare professionals are followed consistently. To ensure the health, safety and welfare of service users is met. 3 30 18 The registered person must ensure that staff receive the necessary training appropriate to their role. 29/10/2010 Care Homes for Older People Page 25 of 27 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 To ensure the health, safety and welfare of service users. 4 36 18 The registered person must ensure that staff are regularly and appropriately supervised. To ensure the health, safety and welfare of service users is met. 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 24/09/2010 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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