Care Home: Silverdale Care Home

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What the care home does well The statement of purpose and service users guide provides comprehensive information about the services and facilities provided at Silverdale Care Home. Before a person moves into the home the manager or one of her team leaders carry out an assessment of the person`s needs and lifestyle choices. This process involves talking and spending time with the person who wishes to move into the home and talking to their relatives and other professionals involved in their care. This approach ensures service users can be confident they are moving into a home that can meet their physical, emotional and psychological needs. Service users receive personal and health care support using a person centred approach with support provided being based upon the rights of service users to be treated with dignity, equality and respect. Care plans are regularly reviewed to ensure the care support provided meets the changing needs and wishes of service users. This enables service users to have confidence the home can continue to meet their needs in a sensitive and professional manner. The following information was gained through discussions with service users during our visit and in returned surveys: `The staff look after me very well I am very happy here`. `I like living here`. `The girls are lovely nothing is too much trouble`. `I do my own thing but I know the staff are there if I need them`. `The girls look after me when I`m not well which makes me feel better` Records show service users are supported to access health care services when required including GP, hospital, podiatry, district nurse services and optical services. The home has an efficient medication policy and a procedure that is clear and easily understood for the staff team to follow. We observed members of the staff team supporting service users in a respectful and affectionate manner. The manager and the staff team support service users to develop friendships within the home and to maintain important personal and family relationships. Enabling service users to remain connected to their lives prior to moving into Silverdale. Staff spoken with demonstrated a good understanding of safeguarding protocols and were clear who they would speak to if they had any concerns regarding service users safety and wellbeing. Rotas show Silverdale is staffed efficiently and in a way that supports service users daily routines enabling them to feel in control.The manager and managing agent support the staff team to undertake training courses to enable them to gain the skills, knowledge and expertise to support service users needs and lifestyle choices effectively and safely. What has improved since the last inspection? The Cook meets with service users regularly and records information about the meals they enjoy and those they don`t. Information is also recorded about any special dietary needs service users may have. The following information was gained through discussions with service users during our visit and in returned surveys: `I really enjoys the meals and nothing is too much trouble for L`. `I really like the meals here especially the puddings, if I don`t like something L will always make me something else`. Deprivation of liberty safeguarding booklets were available for the staff to take to familiarise themselves with this process. Training is planned within the next three months which is to be carried out by Wright Care who are the management agents appointed by the receiver. The registered manager, Mrs Sue Butterworth has approximately 20 years experience working in the care sector five of which have been as manager of Silverdale Care Home. Mrs Butterworth was recently registered with CQC as the manager of the service. What the care home could do better: We have advised the manager to attach a copy of a standard contract to the service user guide to ensure full transparency regarding fees to be charged. We discussed with the manager the need to seek information about service users life experiences. As this information will further support the staff team to offer service users individualised care and support based on their needs and lifestyle choices. The manager was advised to review risk assessments to ensure all relevant information is held in these documents and to produce where necessary individual support plans. This is to ensure service users receive appropriate and effective support in a consistent manner. The home provides limited activities for service users to take part in including bingo, sing a longs, board games and on occasions trips to the local shops. The manager told us she intends to further develop the activities programme following discussions with service users and their relatives. Staff members spoken with during the visit felt service users would benefit from taking part in more activities. Silverdale provides a comfortable environment for service users to live in however some areas of the home require some maintenance work and refurbishment. This was discussed with the team leader during the visit and later in a telephone discussion with the manager. She explained that she and the managing agent are aware of the work needed and as monies become available work is being carried out such as the redecoration and partial refurbishment of four bedrooms. We discussed with the manager the need to look at specialised training particularly regarding dementia care. Key inspection report Care homes for older people Name: Address: Silverdale Care Home 49-51 Egerton Park Rock Ferry Wirral CH42 4RA     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: Helen Carton     Date: 3 1 0 3 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 30 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © 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 30 Information about the care home Name of care home: Address: Silverdale Care Home 49-51 Egerton Park Rock Ferry Wirral CH42 4RA 01516446696 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Silverdale Care Home Ltd Name of registered manager (if applicable) Mrs Susan Joan Butterworth Type of registration: Number of places registered: care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of people who can be accommodated is 20. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Silverdale is a care home for twenty elderly people. The home is a converted dwelling house in a quiet residential area, having a car park at the front of the premises and surrounding gardens. The home is close to bus routes and local shops. There is a ramp at the front of the building, assisted bathing facilities and a passenger lift to assist people who are frail. There are bedrooms on three floors, a first floor lounge/dining room and on the ground floor, two lounges, a smoking room and dining room. Care Homes for Older People Page 4 of 30 Over 65 20 0 3 1 0 7 2 0 0 9 Brief description of the care home Silverdale provides twenty-four hour care, home cooked meals and a laundry service for the people who live there. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: As part of the inspection process we sent Silverdale an Annual Quality Assurance Assessment (AQAA) document, which was completed prior to our visit to the home. This document was to provide information about the service and to tell us where they felt they had made improvements to the way they support service users and the staff team. Currently the home is in the hands of receivers who have been registered with CQC in respect of the home, they have engaged a care consultancy firm to act as managing agents for Silverdale. Their role is to support and supervise all aspects of the service and to provide information and guidance to the manager. As part of the inspection process surveys were sent to five service users and four members of the staff team all surveys were completed and returned to us. Care Homes for Older People Page 6 of 30 The last inspection on this service was completed on 31/07/09 We visited Silverdale to enable us to look at records and to discuss how the home supports service users in all aspects of their lives. Part of this process involved speaking with the team leader, members of the staff team, relatives and spending time with service users to find out their views on living at the home. We spent approximately six hours at the home. Care Homes for Older People Page 7 of 30 What the care home does well: The statement of purpose and service users guide provides comprehensive information about the services and facilities provided at Silverdale Care Home. Before a person moves into the home the manager or one of her team leaders carry out an assessment of the persons needs and lifestyle choices. This process involves talking and spending time with the person who wishes to move into the home and talking to their relatives and other professionals involved in their care. This approach ensures service users can be confident they are moving into a home that can meet their physical, emotional and psychological needs. Service users receive personal and health care support using a person centred approach with support provided being based upon the rights of service users to be treated with dignity, equality and respect. Care plans are regularly reviewed to ensure the care support provided meets the changing needs and wishes of service users. This enables service users to have confidence the home can continue to meet their needs in a sensitive and professional manner. The following information was gained through discussions with service users during our visit and in returned surveys: The staff look after me very well I am very happy here. I like living here. The girls are lovely nothing is too much trouble. I do my own thing but I know the staff are there if I need them. The girls look after me when Im not well which makes me feel better Records show service users are supported to access health care services when required including GP, hospital, podiatry, district nurse services and optical services. The home has an efficient medication policy and a procedure that is clear and easily understood for the staff team to follow. We observed members of the staff team supporting service users in a respectful and affectionate manner. The manager and the staff team support service users to develop friendships within the home and to maintain important personal and family relationships. Enabling service users to remain connected to their lives prior to moving into Silverdale. Staff spoken with demonstrated a good understanding of safeguarding protocols and were clear who they would speak to if they had any concerns regarding service users safety and wellbeing. Rotas show Silverdale is staffed efficiently and in a way that supports service users daily routines enabling them to feel in control. Care Homes for Older People Page 8 of 30 The manager and managing agent support the staff team to undertake training courses to enable them to gain the skills, knowledge and expertise to support service users needs and lifestyle choices effectively and safely. What has improved since the last inspection? What they could do better: We have advised the manager to attach a copy of a standard contract to the service user guide to ensure full transparency regarding fees to be charged. We discussed with the manager the need to seek information about service users life experiences. As this information will further support the staff team to offer service users individualised care and support based on their needs and lifestyle choices. The manager was advised to review risk assessments to ensure all relevant information is held in these documents and to produce where necessary individual support plans. This is to ensure service users receive appropriate and effective support in a consistent manner. The home provides limited activities for service users to take part in including bingo, sing a longs, board games and on occasions trips to the local shops. The manager told us she intends to further develop the activities programme following discussions with service users and their relatives. Staff members spoken with during the visit felt service users would benefit from taking part in more activities. Silverdale provides a comfortable environment for service users to live in however some areas of the home require some maintenance work and refurbishment. This was discussed with the team leader during the visit and later in a telephone discussion with Care Homes for Older People Page 9 of 30 the manager. She explained that she and the managing agent are aware of the work needed and as monies become available work is being carried out such as the redecoration and partial refurbishment of four bedrooms. We discussed with the manager the need to look at specialised training particularly regarding dementia care. 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 10 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience 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 can be confident the home can meet their identified care needs and lifestyle choices in a safe and supportive environment. Evidence: The statement of purpose and service users guide provides comprehensive information about the services and facilities provided at Silverdale Care Home. We have advised the manager to attach a copy of a standard contract to the service user guide to ensure full transparency regarding fees to be charged. Before a person moves in to the home the manager or one of her team leaders carry out an assessment of the persons needs and lifestyle choices. The assessment process involves talking and spending time with the person who wishes to move into the home and talking to their relatives and other professionals involved in their care. Admissions to Silverdale only take place if the staff team are confident they can meet the prospective service users identified needs. This approach ensures service users Care Homes for Older People Page 12 of 30 Evidence: can be confident they are moving into a home that can meet their physical, emotional and psychological needs. Care Homes for Older People Page 13 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users personal and health care needs are met by a staff team who are skilled, respectful and sensitive to their needs. This results in them receiving a person centred service which respects and promotes their individual needs and lifestyle choices. Evidence: Service users receive personal and health care support using a person centred approach with support provided being based upon the rights of service users to be treated with dignity, equality and respect. We discussed with the manager the need to seek information about service users life experiences. As this information will further support the staff team to offer service users individualised care and support based on their needs and lifestyle choices. The manager confirmed in a telephone conversation on the 9th April 10 that all care plans and accompanying documentation were being reviewed. Care plans provide information about service users health, social, emotional and psychological needs. These plans are regularly reviewed to ensure the care support Care Homes for Older People Page 14 of 30 Evidence: provided meets the changing needs and wishes of service users. This enables service users to have confidence the home can continue to meet their needs in a sensitive and professional manner. The manager was advised to review risk assessments to ensure all relevant information is held in these documents and to produce where necessary individual support plans. This is to ensure service users receive appropriate and effective support in a consistent manner. The following information was gained through discussions with service users during our visit and in returned surveys: The staff look after me very well I am very happy here. The girls are so nice and helpful. I like living here. The girls are lovely nothing is too much trouble. I do my own thing but I know the staff are there if I need them. The girls look after me when Im not well which makes me feel better Records show service users are supported to access health care services when required including GP, hospital, podiatry, district nurse services and optical services. This information was confirmed by service users spoken with during the visit and in completed surveys sent to us. We looked at a number of risk assessments and discussed with the manager the need to review them more frequently this is to ensure issues of concern are identified early and additional support or equipment is accessed to support service users to remain as independent as possible. The manager told us she carries out reviews as soon as an issue of concern is identified. The home has an efficient medication policy and a procedure that is clear and easily understood for the staff team to follow. Medication records are fully completed and signed by members of the staff team trained to administer medication. This ensures service users receive their medication at the correct intervals and dosages to support them to maintain their physical and mental wellbeing. We observed members of the staff team supporting service users in a respectful and affectionate manner. Care Homes for Older People Page 15 of 30 Evidence: Care Homes for Older People Page 16 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users views and wishes are valued by the manager and staff team. This results in positive outcomes for service users to enable them to maintain their emotional and mental well-being. Evidence: The manager and the staff team support service users to develop friendships within the home and to maintain important personal and family relationships. Enabling service users to remain connected to their lives prior to moving into Silverdale. The home provides limited activities for service users to take part in including bingo, sing a longs, board games and on occasions trips to the local shops. The manager told us she intends to further develop the activities programme following discussions with service users and their relatives. Staff members spoken with during the visit felt service users would benefit from taking part in more activities. The following information was gained through discussions with service users and relatives during our visit and in returned surveys: The home is very nice and homely and always kept clean and tidy. Staff are very Care Homes for Older People Page 17 of 30 Evidence: friendly. The staff look after me very well and are very nice to me and my family when they come to visit me. The staff are great they look after dad so well and make me feel so welcome when I visit. The ground floor dining room has seating for thirteen with the first floor dining room able to seat seven. Service users are encouraged to eat their meals together however if they wish to have their meals in their bedrooms they are supported to do so. The dining room is nicely decorated and furnished. The Cook meets with service users regularly and records information about the meals they enjoy and those they dont. Information is also recorded about any special dietary needs service users may have. The following information was gained through discussions with service users during our visit and in returned surveys: I really enjoys the meals and nothing is too much trouble for L. I really like the meals here especially the puddings, if I dont like something L will always make me something else. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users views and opinions are sought and acted upon. This results in a service that proactively promotes service users rights as citizens to be protected from discrimination and abuse. Evidence: The home has an open culture that allows service users to express their views and concerns in a safe and understanding environment, resulting in service users feeling valued and respected. Service users spoken with told us they are happy with the level of service provided, feel safe and supported by the manager and the staff team who promote their protection and safety. Residents spoken with provided the following comments: I would talk to Sue (manager) if I was worried about anything. I would talk to T if I was upset . Ten of the seventeen staff employed have received safeguarding adults training with the remaining staff scheduled to receive this training in the next two months. Members of the staff team spoken with demonstrated a good understanding of their roles and responsibilities regarding protecting service users from all forms of abuse and neglect. This results in service users living in an environment which respects and Care Homes for Older People Page 19 of 30 Evidence: supports their lifestyle choices and promotes their wellbeing. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The current environment adequately meets the needs of service users and offers them a homely and comfortable place to live. Evidence: Silverdale provides a comfortable environment for service users to live in however some areas of the home require some maintenance work and refurbishment. This was discussed with the team leader during the visit and later in a telephone discussion with the manager on the 9th April 10. She explained that she and the managing agent are aware of the work needed and as monies become available work is being carried out such as the redecoration and partial refurbishment of four bedrooms. Service users are supported to personalise their rooms and to have a say in how areas of the home are decorated. Service users spoken with told us they felt comfortable living at Silverdale. All areas of the visited were clean and tidy. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience 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 supported by a skilled workforce resulting in their individual needs and lifestyle choices being met in a person centred way. Evidence: Rotas show Silverdale is staffed efficiently and in a way that supports service users daily routines enabling them to feel in control. The manager and managing agent support the staff team to undertake mandatory training courses to enable them to gain the skills, knowledge and expertise to maintain service users safety. We discussed with the manager the need to look at specialised training particularly regarding dementia care. Members of the staff team spoken with and comments made in returned surveys provided the following information: I enjoy working here its really nice. Sue is great she is very approachable. There are enough staff to comfortably meet service users needs. Care Homes for Older People Page 22 of 30 Evidence: We looked at a selection of staff files and on the whole found them to be well maintained. However a procedure needs to be put in place to ensure that if a criminal records bureau check is returned with criminal convictions documented. A risk assessment is undertaken to ensure service users are being supported by appropriate people who will act in their best interests and promote their safety and well-being. This issue was discussed with the manager in a telephone conversation on 9 April 10 who confirmed where this issue is identified a risk assessment will be undertaken. Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration systems within the home promote the health, safety and welfare of service users. Evidence: The registered manager, Mrs Sue Butterworth has approximately 20 years experience working in the care sector five of which have been as manager of Silverdale Care Home. Mrs Butterworth was recently registered with CQC as the manager of the service. Silverdale is currently in the hands of receivers who have appointed a care consultancy as the managing agent to oversee the management of the home. The manager and the staff team spoke highly of the support they receive from the managing agent. There is evidence that improvements have been made in the documentation used by the home which is benefiting service users and the staff team. Care Homes for Older People Page 24 of 30 Evidence: The manager is open and transparent and is supportive of both service users and the staff team. The home works to a clear health and safety policy, with the staff team being supported to undertake their mandatory training at regular intervals. Supervisions have started to take place including observational supervision to ensure staff members adhere to health and safety procedures. We looked at a selection of service users financial records they were well maintained with purchase receipts held on each file. A selection of health and safety records were examined they demonstrated the manager and the staff team work hard to ensure service users live in a safe and healthy environment. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 When a risk has been 20/05/2010 identified the manager must produce a plan detailing care and support to be provided. This is to ensure where practicable risks to service users health and well being are minimised. 2 12 16 A structured activities programme must be produced. This is to ensure service users have the opportunity to take part in meaningful activities that promote their physical and mental wellbeing. 27/05/2010 3 19 16 All damaged and badly stained carpets are to be repaired or replaced. This is to ensure service users live in a safe and pleasant environment that 30/09/2010 Care Homes for Older People Page 27 of 30 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 meets their needs and expectations. 4 25 16 The heating system must be 30/07/2010 in good working order and safe. This is to ensure servcie users safety and physical comfort are maintained at all times. 5 29 19 Criminal conviction documented in CRB checks must be formally risk assessed. This is to ensure service users safety and wellbeing is promoted and protected by the homes recruitment and selection processes. 6 30 18 Dementia care training must 27/08/2010 be provided to the staff team. This is to ensure service users changing needs are supported by a skilled and knowledgeable staff team. 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 27/05/2010 1 1 A copy of the contract detailing the terms and conditions of residency should be attached to the service users guide and statement of purpose. Care Homes for Older People Page 28 of 30 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 2 3 18 19 The manager should ensure all staff receive safeguarding training. The manager in conjuction with the managing agent produce a schedule of works detailing maintenance planned for the next six months which would be availble to CQC if requested. Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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. 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