Care Home: Soothill Manor

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What the care home does well The home is well managed and run in the best interests of the people who live there. The people who live at Soothill Manor said they are happy and the home has a welcoming atmosphere. We were told that the staff do what people want in the way people prefer. Everyone we spoke to said they are satisfied with the care and support they receive. People said they are very settled and enjoy living at Soothill Manor. Before moving in, people`s needs are thoroughly assessed to make sure that the home is able to meet their needs. Care plans are developed within three days of admittance. Everyone said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. The atmosphere in the home is very calm and well ordered and the staff understand their role and know what is expected of them. There is good and friendly interaction between the people who live at the home and the staff. There seemed to be enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All the staff said they enjoy working at the home and felt they were well supported by their manager. They said the training is good and helps them to do their job well. Twenty-one of the twenty-two care staff have achieved an NVQ in care at level 2, one is currently taking the level 3 award and six staff have already achieved an NVQ level 3. The home is clean and well maintained and everyone we spoke to said the home is always kept fresh, clean and tidy. What has improved since the last inspection? The care plans are kept up to date and reflect people`s current needs. They cover each area of the individual`s care needs, emphasising any special needs the person may have.The staff are well trained and good records are kept of the courses staff have attended and when updates are needed. What the care home could do better: Medicines that are brought into the home in their original packaging must always be administered from there and not transferred to other containers by the home`s staff. This is to make sure that the medicines prescribed by the person`s doctor are being administered accurately and safely. The laundry floor is stone which has not been sealed and could therefore harbour infection. It should be sealed to make sure that it is safe. The manager should apply for registration with us without further delay. This is necessary to make sure the home is being managed by someone who has the necessary knowledge and experience to run the home safely and well. Key inspection report Care homes for older people Name: Address: Soothill Manor Soothill Lane Batley West Yorkshire WF17 6EU     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: Liz Cuddington     Date: 0 4 0 9 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 Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Soothill Manor Soothill Lane Batley West Yorkshire WF17 6EU 08456032551 01924471297 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Tri-Care Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Soothill Manor is a care home providing personal care and accommodation for up to 36 older people. This is a traditional style house with extensions, which are in keeping with the older part of the building. The lounge and dining areas are very comfortable and pleasant for people to sit talking together or entertaining their visitors. There are 22 single rooms and 7 twin rooms, the majority have en-suite facilities. There are two stair lifts. The home is set within pleasant gardens, with far reaching views of the surrounding countryside. Information about the home and the services provided are available from the home in the statement of purpose and service users guide. 0 Over 65 36 Care Homes for Older People Page 4 of 28 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: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are between three hundred and ninety-seven pounds and five hundred and thirty-fifty five pounds. People pay their own personal expenses, such as chiropody and hairdressing. The purpose of this inspection was to assess the quality of the care and support Care Homes for Older People Page 5 of 28 received by the people who live at Soothill Manor. The visit to the home was carried out over one day by one inspector. The last key inspection was in September 2007. The methods used to gather information included conversations with the people living at the home, the staff and visitors as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire before the inspection visit. This gave us useful information about the home and helped us plan the visit. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? The care plans are kept up to date and reflect peoples current needs. They cover each area of the individuals care needs, emphasising any special needs the person may have. Care Homes for Older People Page 7 of 28 The staff are well trained and good records are kept of the courses staff have attended and when updates are needed. 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 8 of 28 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 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home, to make sure their needs can be met. Evidence: Where possible the home encourages people and their families to visit and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time there, have lunch and tea and maybe take part in the days activities. This means that the homes staff can get to know the persons needs and the individual has the information he or she needs to make a decision. Before moving into Soothill Manor, peoples needs are assessed, to make sure that the home has the necessary equipment and staff have the skills to care for people properly. The manager and deputy manager carry out these assessments. This assessment, as well as Social Services care needs assessments, forms the basis Care Homes for Older People Page 10 of 28 Evidence: for the individual plan of care and support. The initial care profile is developed within three days of admission. Care Homes for Older People Page 11 of 28 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. Peoples personal and healthcare needs are met and the care plans accurately reflect peoples care and support needs. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. Evidence: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. When someone moves into the home a plan of care is developed within the first three days. This is then built upon and improved as staff get to know the person better. Staff said they are always kept up to date with peoples changing needs. Two care and support plans were looked at, to make sure that peoples health and Care Homes for Older People Page 12 of 28 Evidence: personal care needs are being met in the way the person prefers. The plans cover each area of the individuals care needs, emphasising any special needs the person may have. The manager said that the people who live at the home and their families are being invited to go through the plan and agree any changes. We saw evidence to show that this is starting to happen. Also, the staff review each part of the plans every one to two months, to make sure they reflect peoples current care and support needs. These reviews confirmed our observations that the staff are fully aware of everyones needs and are offering the level of care and support each individual needs. Good, detailed daily records are kept, which note anything of significance that has happened to each individual. The plans include risk assessments and management plans where someone is at risk of falling, becoming malnourished, injuring themselves or any other area the staff feel may put the individual at any risk. The issues identified in the risk assessments are reflected in the care plans. Healthcare visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. One person said that she only has to ask and the staff do whatever she wants, in the way she prefers. This confirmed our observations that the staff are very aware of peoples needs and their approach to people is calm, friendly, patient and understanding. All the staff have time to spend with everyone and make sure they give people the attention they want. The people we spoke with said they are satisfied with the care they receive and everyone who commented said they are looked after well. The medicines are kept safe and secure in locked cabinets and the medicine trolleys were locked when unattended. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some remain in the original packaging. We looked at the Medicines Administration Record (MAR) charts, which must show clearly the quantities of medicines received and in stock for each person. The medicines supplied in the monitored dosage system appeared to be recorded accurately. We checked some of the medicines that were supplied in their original packaging, to make sure the numbers that had been signed as administered tallied Care Homes for Older People Page 13 of 28 Evidence: with the amounts received and the quantities remaining. Staff had signed the MAR charts each time a dose of medicine was offered and the quantities in stock and the amounts administered tallied with the quantity originally received from the pharmacist. Any medicines that were brought forward from the previous record were recorded. The controlled drugs storage was safe and the records were accurate. It would be good practice to record on the MAR chart any controlled drugs that are brought forward from the previous period, as well as in the controlled drugs book. When someone is admitted to the home and brings medicines in their original packaging, the home has always transferred them to an individual dosette box, for ease of administration. While there is no suggestion that this is not being done accurately, it is not a safe practice. The Royal Pharmaceutical Society recommends that, to minimise the possibility of errors, all medicines are administered directly from the packaging supplied by the pharmacist. When this was discussed with the manager she agreed to change their practice straight away. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented, and their relatives, said that they receive the care they need and are supported to maintain their independence for as long as they are able. Everyone said the staff listen and act on what they say. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a wide range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. Evidence: The activities are organised by all the staff. The staff spend time with people on one to one activities and in conversation, as well as doing things people can enjoy together. The home has developed life histories for everyone and peoples families are being asked to contribute if they wish. These help staff get to know people even better and plan activities and have conversations that remind people of the things they have enjoyed during their lives. On the day of our visit there was a quiz and other activities offered include films, arts and crafts, music, singing and bingo. One person said she enjoys the singing and said they also do exercises to music. Care Homes for Older People Page 15 of 28 Evidence: Special events are held such as the recent summer garden party, coffee afternoons, Christmas parties and local school groups also come to entertain people. Religious groups also come into the home and hold services and spend time with people. At mealtimes there are always alternatives available if people do not want the choices on the menu. As well as a cooked meal at lunchtime, there is a choice of hot and cold dishes at teatime. People said that they enjoy the meals, the portions are generous and the food is always hot when it is served. Special diets are catered for and staff were seen to assist people who needed help in a calm and discreet manner, following the persons own pace. The menus are set by the organisation but the cook adjusts them to suit the tastes and preferences of the people who live at Soothill Manor. As well as a good choice of foods at breakfast, lunch and teatime there is also a choice of foods such as cheese and crackers, malt loaf and toasted teacakes at suppertime. Drinks are available throughout the day. The people who live at Soothill Manor said they can do what they want, when they want. This confirmed our observations that the staff support people to live their life in the way they choose. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Where they are needed, improvements are made as a result of complaints investigations. Staff said they know what to do if anyone has concerns. The people who live at the home said they know what to do if they have a concern or complaint. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the new staff take adult protection and whistle blowing training as part of their induction training. Discussions about theses subjects are included in the staffs one to one supervision meetings. The records showed that all members of staff have had adult protection training and they also have regular refresher training, to make sure they are kept up to date. Care Homes for Older People Page 17 of 28 Evidence: All the appropriate policies and procedures are in place to guide staff. Care Homes for Older People Page 18 of 28 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. The home provides a comfortable and well-maintained environment, although the laundry would benefit from improvement. Evidence: The home is clean and well maintained and everyone we spoke to said the home is always kept fresh and clean. The home is attractively decorated and the furniture is comfortable, with a good mix of chairs and sofas in the lounges. A new dining room carpet has been recently fitted and the bedrooms are gradually being refurbished. The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on all floors of the house. The gardens are attractive and well kept and are a pleasant place for people to sit out in. The home has recently had some landscaping done in the gardens as well as putting up a summerhouse and buying new garden furniture. Staff are employed to help look after the maintenance of the house and grounds as well as keeping the gardens tidy. Care Homes for Older People Page 19 of 28 Evidence: The laundry is quite small and only has domestic washing machines and tumble driers. These are not as robust as commercial machines and we were told they do break down quite often. The laundry floor is stone which has not been sealed and could therefore harbour infection. Protective gloves, aprons and disinfecting hand rub are available for staff to use when necessary, to support the homes infection control measures. Care Homes for Older People Page 20 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet peoples needs. Evidence: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care, social and leisure needs. In addition to the manager, there is a deputy manager, a senior care assistant and three care assistants on duty during the day and one senior and two care assistants on waking night duty. At night there is always a senior member of staff on call to provide support if necessary. There are also plenty of housekeeping and catering staff on duty each day. These staffing levels seem to be sufficient to provide care and support for the people who currently live at Soothill Manor. The staff confirmed that staffing levels are adjusted to meet peoples needs. People who live at the home said there are enough Care Homes for Older People Page 21 of 28 Evidence: staff around and our observations confirmed this. One person said there are always staff around, making sure that everyone is well loked after. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. The company renews all staff CRB check every three years. There is plenty of training available for staff and they said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. Staff have attended training courses on moving and handling, fire safety and other health and safety training. Training is also provided in subjects such as dementia care and infection control and the senior staff are currently taking an accredited, distance learning medication training course. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. Twenty-one of the twenty-two care staff have achieved an NVQ in care at level 2 and one is currently taking the level 3 award. Six staff have already achieved the level 3 award. The people who commented said they felt the staff were well trained and know what they are doing. Care Homes for Older People Page 22 of 28 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 home is safe and well managed, in the best interests of the people who live there. Evidence: The manager has been in post for a few months and when we visited was about to apply to be registered with us. This is necessary to make sure the home is being managed by a permanent manager who has the necessary knowledge and experience to run the home safely and well. The manager has the experience to manage the home, in the best interests of the people who live there. The manager attends training to keep up her professional development and is about to start the management qualification for care home managers. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any Care Homes for Older People Page 23 of 28 Evidence: areas of concern in a confidential setting. The staff said that they are well supported and they work well together as a team. Peoples personal information is stored securely when it is not being used. The homes policies and procedures are up to date, which makes sure they provide relevant information to guide staff on how to act in every situation. The home supports some people to manage their money and accurate records are kept of all transactions made on their behalf. The monies that are held for people are securely stored. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. Following their most recent inspection, the Environmental Health Officer has awarded the homes kitchen a maximum score of five stars, for hygiene and good kitchen practice. They also have an award from Kirklees Council for healthy food and good hygiene. When we looked the kitchen was clean and well organised. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home, their relatives and visitors and regular meetings with the people who live at Soothill Manor and their relatives. The manager is always available to talk to people. The information and commnents that are received are used to improve the quality of the service offered. The management also carry out regular quality audits on different themes such as medication, health and safety and bed rails. A senior manager from the organisation visits the home regularly and compiles a report each month on their findings. The homes manager lets us know about any significant incidents that affect the well-being of people who live at Soothill Manor. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual self assessment. It contained information about the home and the services that are provided, the improvements they have made and their Care Homes for Older People Page 24 of 28 Evidence: plans for the coming twelve months. More detail would have given us us a fuller picture of the service. Care Homes for Older People Page 25 of 28 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 28 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 9 Medicines that are brought into the home in their original packaging should always be administered from there and not transferred to other containers by the homes staff. This is to make sure that the medicines prescribed by the persons doctor are being administered accurately and safely. The laundry floor is stone which has not been sealed and could therefore harbour infection. It should be sealed to make sure that it is safe. The manager should apply for registration with us without further delay. This is to make sure the home is being managed by someone who has the necessary knowledge and experience to run the home safely and well. 2 26 3 38 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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