Care Home: Shirley Lodge

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• St Marys Nursing Home
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)

What the care home does well A very relaxed atmosphere is evident and we can see that the service is run and managed with people using the service in mind. Staff are very kind, caring and considerate of people`s needs and we can see that good relationships are maintained. Staff spoken with are committed to their job role, they are able to discuss people`s individual needs and the support that they require to ensure that they lead a fulfilling and satisfying lifestyle. People using the service are enabled and supported to lead an active lifestyle and pursue further education should they wish, and there are facilities to keep people occupied during the day and evening. People using the service are supported and enabled to meet their religious and cultural needs and maintain contacts that are important to them and be part of the wider community. Food on offer is at a good standard and people can choose what they want to eat on a daily basis. Staff tell us that they feel supported in their job role, training and development. What has improved since the last inspection? This is the services` first inspection as it is newly registered. What the care home could do better: No requirements were set at this inspection as the service is developing well, we did however set 2 good practice recommendations in regard to medication and record keeping and 1 in regard staff supervisions taking place on a more frequent basis. Key inspection report Care homes for adults (18-65 years) Name: Address: Shirley Lodge 30 Shirley Road Nottingham Notts NG3 5DA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Karmon Hawley     Date: 0 8 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) 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 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 © (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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Shirley Lodge 30 Shirley Road Nottingham Notts NG3 5DA 01159856264 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): paula.henderson@scope.co.uk www.scope.org.uk SCOPE Name of registered manager (if applicable) Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability sensory impairment Additional conditions: THe maximum number of service users who can be accommodated is: 3. The Registered person may provide the following category/ies of service only: Care home only - Code PC, to service users of the following gender: either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD, Physical Disability - Code PD, Sensory Impairment - Code SI. Date of last inspection Brief description of the care home Shirley Lodge is registered as a Short Breaks home and offers regular short breaks to young people from Scopes Adult Day Services. Shirley Lodge is also registered with Ofstead as it offers Short Breaks for children during school holidays and Adult breaks. 3 3 3 Over 65 0 0 0 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home All of the young people staying at Shirley Lodge have complex physical and learning needs and additional sensory impairments. Focus is placed on the continued development of independence and social skills, and the support to experience varied opportunities that the young person may choose to pursue throughout adult life. The bungalow has recently been refurbished and redecorated and is well maintained. There are two separate bathrooms which offer privacy and choice of bathing facilities. There are three single bedrooms. All rooms have ceiling track hoists and the beds are electric with height adjustment and profiling mattresses. There is a large lounge and dining room. The kitchen has a range of appliances and equipment to promote and support the young people to participate with all domestic tasks. Shirley Lodge is close to local amenities and bus and tram links into the city of Nottingham. The current fees for the service are discussed on enquiry as these are dependent upon peoples individual needs. Care Homes for Adults (18-65 years) 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: two star good 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 peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people living at the home and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One regulatory inspector conducted the unannounced visit over 1 day. A review of all the information we have received about the home from the provider and the general public since the last inspection was considered in planning this visit and this helped decide what areas were looked at. The main method of inspection we use is called case tracking which involves selecting the care plans of people using the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Care Homes for Adults (18-65 years) Page 6 of 27 As people using the service have severe communication difficulties we spent time sitting with them and observing the way that staff interacted and supported them. 2 members of staff were spoken with as part of this visit. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of people using the service. A partial tour of the complex was undertaken, communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. The provider sent their first latest Annual Quality Assurance Assessment which is a document that outlines the services development over the last six months and areas where they intend to make improvements, some information received in the AQAA has been utilised within the main body of the report. Care Homes for Adults (18-65 years) Page 7 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 Adults (18-65 years) Page 8 of 27 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 9 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, 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. People who may wish to use the service are assured that their needs will be assessed and that staff can meet these before a decision to move into the service is made. Evidence: The provider tells us in the Annual Quality Assurance Assessment that a multidisciplinary assessment is undertaken prior to a young person staying at Shirley Lodge and an independent advocate is available to offer support to the young person and the family during this time. Staff also liaise with outside agencies to obtain various written information about individuals needs and backgrounds so that staff have as much information about people as possible On examining care files we can see before anyone moves into the care home that preadmission assessments take place to make sure that staff are able to meet peoples needs. People who may wish to use the service and their family may visit the service and spend time there to get a feel for what it would be like to live at the care home and Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: meet the staff before a decision to move in is made. Staff spoken with tell us that they receive enough information before people move into the care home so that they know the support that they require. Care Homes for Adults (18-65 years) Page 11 of 27 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. People are assured that they will be supported to meet their needs and as able make their own choices and decisions in regard to their daily life. Evidence: The Annual Quality Assurance Assessment information tells us that all the young people using the service have a plan of care in place which is agreed with the young person and their family and outlines their individual needs. We can see that plans of care are in place for peoples individual needs such as epilepsy, behaviour that may be challenging and mobility so that these can be met. Plans of care also include peoples likes and dislikes so that staff are aware of these and people can receive care in their preferred way. Plans of care provide staff with information about peoples daily routines so that structure is maintained and peoples needs are met. So that people using the service are supported and enabled to maintain their independence and the skills that they have, these are clearly highlighted within plans of care with guidance given for staff to follow. Where the use Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: of aids is needed such as wheelchairs and a hoist to enable movement from one place to another, this is highlighted within plans of care so that staff are aware of this. Plans of care clearly outline the use of non verbal communication, and shows good understanding of the use of verbal prompts. Where risks have been identified such as epilepsy and behaviour that may be challenging appropriate risk assessments are in place to ensure that risks are managed and reduced and people remain safe. Staff spoken with are able to discuss peoples needs and the support that they need to meet these. As people using the service are unable to communicate with us, time was spent sitting with them and observing staff practices. Staff interact well with people and are seen to understand peoples needs; they kind and caring in their approach and they support people as needed. As people at Shirley Lodge have great difficulty in communicating their views and wishes, staff make every effort to assist and support people to develop their voice with the use of auditory scan books, makaton signs and symbols and voice output devices. Also to ensure that people are supported in making choices and decisions about their daily lives a key worker is assigned to each person using the service and an advocate or a family member represents their best interest. Staff spoken with tell us that the routine of the home is flexible and people may spend their time as they wish; even though people have learning difficulties, we still ensure that their rights are maintained and they are offered choices, we get to know people, their needs and personalities. Care Homes for Adults (18-65 years) Page 13 of 27 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. People are supported to live a full and active lifestyle which satisfies their needs and maintain contacts with their family and be part of the local community. Evidence: Staff aim to give people support, encouragement and every opportunity to develop a wide range of interests and leisure pursuits. Activities are offered both in house and within the community as some people attend the day centre. The care home has a mini bus to facilitate trips into the local community. If able people are also encouraged to assist in daily living skills and be involved in shopping, cooking and laundry. Staff tell us that the routine of the care home is flexible and people tend to do activities of their choosing and that staff are guided by them; there are various Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: activities on offer but generally these are individualised to each person and they do what ever they want to do, which includes their interests, someone may go out for walks, swimming, out with their family, or play games. People are offered choices, they can do what they want to do with their time, and the routine is established according to individual needs. People using the service are supported and enabled to maintain contacts with people that are important to them and there are no restrictions on visiting. So that a two way communication system takes place, each young person has a book that they take home so that their relatives can see what they have been doing whilst they have stayed at the service. A speaker phone is also available for people to use if they wish to. There is no set menu and people using the service choose what they want to eat on a daily basis. At present the staff do the cooking, however if people are able they can assist with making meals. Staff tell us that they offer people choices and for those who can not communicate they hold up food in front of them to see so that they can do it this way. They also talk to relatives and find out peoples likes and dislikes so that these can be followed. Care Homes for Adults (18-65 years) Page 15 of 27 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. People are assured that they will be supported to meet their personal and health care needs. Evidence: The annual quality assurance assessment tells us that people have support where required for all personal care activities and where possible this is provided by staff of the same gender. On examining plans of care we can see that these are in place to ensure that people are supported in this area and staff spoken with are able to discuss how they ensure that peoples privacy and dignity is maintained. The annual quality assurance assessment tells us that an up to date health assessment form is an essential part of the criteria for accepting a young person at Shirley Lodge. People are registered with their own G.P wherever possible and have the right to choose an alternative if they wish. Specialist medical support can be provided locally if required and they have good contacts with various medical specialists. Staff spoken with confirm that people can see the doctor if needed and specialist services such as the dentist would be accessed in an emergency. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: Staff who administer medication have been trained to do so. On examining medication records we can see that people receive their medication as prescribed. There are however instances when the medication record has not been completed when medication has not been administered, for instance if someone is at the day centre. Also hand written entries are not signed by two members of staff to show that these have been checked as correct to ensure that people receive the correct medication. Where appropriate peoples emergency medication, such as medication for epilepsy is taken with them if they leave the service. Care Homes for Adults (18-65 years) Page 17 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are assured that their concerns will be listened to and acted upon and that they are protected from abuse. Evidence: So that people know how to make a complaint should they need to the complaints procedure is within the service user guide and also on display in the kitchen. People using the service and their family are also invited to care reviews so that they can express any concerns if they feel the need to. On looking at the complaints book we can see that no complaints have been received since the service has opened. Staff spoken with are able to discuss how they would deal with a complaint should one be received to make sure that this is dealt with quickly and resolved. So that people using the service are protected from abuse the relevant polices and procedures are in place in regard to this and all staff have undertaken safeguarding vulnerable people training. There have not been any issues of concern in this regard since the service opened. Staff spoken with are able to discuss their roles and responsibilities in regard to ensuring people using the service remain safe. People may keep money in a joint non interest bank account and/or keep their money in a locked facility at the care home should they wish. On examining peoples personal allowances we can see that accurate records are maintained. Staff who access this Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: ensure that two people sign for all transactions and that receipts are available. Care Homes for Adults (18-65 years) Page 19 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, 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. People using the service live in a comfortable and well maintained environment. Evidence: The bungalow has recently undergone alteration, refurbishment and redecoration. There is a large lounge and dining room and the kitchen has a range of appliances and equipment to promote and support young people to participate with all domestic tasks. There are three bedrooms which people may personalise as they wish and two bathrooms with assisted bathing and showering facilities. All rooms have ceiling track hoists and the beds are electric with height adjustment and profiling mattresses. There are emergency call bell systems in each room and a call bell system has been requested in the budget to ensure that people using the service can call for attention when needed. During the tour of the bungalow all areas accessed are clean and tidy and well maintained. Care Homes for Adults (18-65 years) Page 20 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, 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. People using the service are supported by well trained staff who are recruited safely. Evidence: The annual quality assurance assessment tells us that the staff rota has been organised to best meet the needs of the young people using the service. More staff are available during the week as a few of the young people visit family at weekends. Staff may also work at one of the other units of Rutland House Services; however there are some permanent members of staff working at Shirley Lodge and further staff are being recruited. We can see that sufficient staff are available to meet the needs of people using the service and staff spoken with tell us that there are sufficient staff and the staff team get on well together. Staff working at the service may also work at the day centre, which is also run and managed by Scope, therefore providing people with continuity of care. All new members of staff undertake an induction so that they are aware of their roles and responsibilities when they start employment. During this time people work in Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: addition to other staff and the length of time that this takes place is dependent upon their knowledge and skills. On examining staff personnel files we can see that specific inductions take place for each job role to make sure that these are delivered at the correct level. One member of staff spoken with confirms that new members of staff undertake an induction when they first start working at the service. We also saw one member of staff currently on their induction; they were supervised and interacting well with people using the service. All staff employed must have or be prepared to work towards the National Vocational Qualification level 2 (a nationally recognised work and theory based qualification designed to enhance peoples knowledge and skills in caring for people); following this most people then attain level 3. On examining staff files we can see that all the documentation required by law is in place to make sure that people using the service are protected from unsuitable people being employed. One member of staff spoken with confirms that they underwent a thorough recruitment process before they began employment. The training strategy in place focuses on outcomes for people using the service and we can see that staff undertake compulsory training such as fire, manual handling and food hygiene, to ensure that they have the necessary knowledge and skills to support people. In addition to this staff also undertake additional training specific to peoples needs to further enhance their knowledge and skills. Staff spoken with feel supported in their training and development and offer the following comments; if we ask for any training we get this, everything is made available. I have completed NVQ level 3 and I have gained a lot from this and learnt a lot about myself, it has improved my communication, patience and understanding, when people have behaviour that may challenge it is about getting to know people and the methods that work best for them, we discuss this with family and follow their lead. Care Homes for Adults (18-65 years) Page 22 of 27 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. People using the service live in a well managed home, where they and/or their relatives are enabled to have a say in how the service is run. Evidence: The acting manager has been in post for four months, prior to this was at one of the other services as a deputy and has experience in managing and running a service. She is currently working towards National Vocational level 4 (a nationally recognised work and theory based qualification designed to enhance management skills and knowledge) Staff spoken with feel supported by the acting manager; I feel supported in my job role and the manager is fantastic, she knows exactly what she is doing, she runs the service well. We can see that staff undergo supervision sessions where they are given the opportunity to discuss their development, however staff have only undertaken two this year instead of the recommended six. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Staff spoken with tell us, I have supervisions, the last one was six months ago but I do know that have one coming up, they are helpful as I can discuss any issues. To ensure that a quality service is on offer to people, various audits such as medication, care plan reviews and health and safety are undertaken. Monthly visits are also undertaken by an independent person who reports on all quality issues and highlights any areas that require improvement. So that people using the service and/or their relatives can offer feedback the opportunity to do this is given at review sessions and also by way of the communication book which is sent home with people whenever they go home. To ensure that health, safety and wellbeing of people using the service, the necessary risk assessments such as fire, the safe use of wheelchairs and bedrails are in place. We can also see that the electrics, gas and fire systems and equipment are checked as required to ensure that these are in good working, thus making sure people are protected. Staff spoken with feel that the most important thing for people using the service is their health, wellbeing and safety then everything else falls into place. Care Homes for Adults (18-65 years) Page 24 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 Adults (18-65 years) Page 25 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 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 20 Ensure that handwritten entries on medication charts are signed by two members of staff to show that these have been checked as correct. Ensure that when medication has not been administered that the reason for this is documented so that an audit trail is available and people using the service are protected. Staff undertake six supervisions sessions a year so that they are given the opportunity to discuss their development, thus ensuring that people using the service are supported by a well developed staff team. 2 20 3 36 Care Homes for Adults (18-65 years) 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!