Care Home: South Moor Lodge Care Home

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What the care home does well Prospective service users have their needs assessed prior to admission, which means staff, will be able to plan for their individual needs and know how to care for them. Service users have care plans are in place to enable staff to deliver appropriate individual care and service users are happy with the care they receive. The current care planning format is being reviewed to inprove access to information. Service users are provided with the opportunity to participate in some recreational activities and maintain social contacts. Service users receive a nutritious and appetising diet with individual preferences being met. Service users feel able to raise concerns and complaints and can be confident that the manager will act on them. Staff know how to safeguard service users and are provided with appropriate training in this area. The home provides a very clean well maintained environment that meets the needs of service users. Service users are supported by competent and qualified staff and are protected by the home`s recruitment policies and practises. The manager shows a caring and open approach towards service users and the health and safety of service users is maintained. Service users and their relatives are given the opportunity to express their views and opinions in relation to the quality of service provision. What has improved since the last inspection? Medication management now promotes service users safety. Pre admittance assessments are carried out and provide sufficient information relating to service users needs. Service users care plans now address the needs of service users. The financial records of service users are kept up to date and accurate. What the care home could do better: The service users care planning documentation would benefit from being more person centred, although it was evidenced that the registered manager is addressing this issue. The service users care planning documentation should evidence when the care plans have been formulated and also show that service users have given consent to the content of the care plans. The provision of social activities could be reviewed. The registered managers allocated time could be reviewed to ensure she has time to preform effective staff supervision. Key inspection report Care homes for older people Name: Address: South Moor Lodge Care Home South Moor Road Walkeringham Doncaster South Yorkshire DN10 4JD     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: Steve Keeling     Date: 1 1 0 1 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 26 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 26 Information about the care home Name of care home: Address: South Moor Lodge Care Home South Moor Road Walkeringham Doncaster South Yorkshire DN10 4JD 01427891204 01427891504 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Christine Mary Clayton,Mr Frank Clayton care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 40 The registered providers may provide the following categories 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 fall within the following categories: Old Age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home South Moor Lodge is a residential home providing personal care to 40 older people. The home has a very a large paved courtyard with garden furniture and a barbecue which can be used for summer fetes. There is a large metal gate that when closed make the area secure. Care Homes for Older People Page 4 of 26 Over 65 0 40 40 0 3 0 0 3 2 0 0 9 Brief description of the care home The home is an adapted cottage style house set in extensive grounds. All service users have single bedrooms with en-suite facilities sited on two floors with access by stairs, a stair lift and a lift. Some of the ground floor rooms have patio doors onto the garden. The patio area at the front of the building is secure and there is a car park to the front of the building. Weekly fees range from £392 to £455 pounds per week, the fees do not include newspapers, podietry and hairdressing services. Care Homes for Older People Page 5 of 26 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 focus of the inspection undertaken by the Quality Care Commission (CQC) is upon outcomes for people who use the service (service users) and their views on the service provided. The process considers the providers capacity to meet regulatory requirements, minimum standards of practise, and focuses on aspects of service provision that needs further development. One inspector conducted the unannounced visit. The main method of inspection used is called case tracking which involves selecting service users and looking at the quality of care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered manager and two members of staff were spoken with as part of the visit, records relating to medication management was also inspected to form an opinion Care Homes for Older People Page 6 of 26 about the quality of care provided. A partial tour of the building was undertaken which included service users bedrooms and communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last key inspection was performed on the 30.03.2009 was considered in planning this visit. This included the Annual Quality Assurance Assessment (AQAA) which was provided by the registered manager. Three responses we received from the ten Have your Say service user surveys and the two responses we have received from the five Have Your Say staff survey, which were distributed at the home prior to the inspection process. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The service users care planning documentation would benefit from being more person centred, although it was evidenced that the registered manager is addressing this issue. The service users care planning documentation should evidence when the care plans have been formulated and also show that service users have given consent to the content of the care plans. Care Homes for Older People Page 8 of 26 The provision of social activities could be reviewed. The registered managers allocated time could be reviewed to ensure she has time to preform effective staff supervision. 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 9 of 26 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 10 of 26 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 have their needs assessed prior to admission, which means staff, will be able to plan for their individual needs and know how to care for them. Evidence: The service users Have your Say pre inspection questionnaire asked Did you receive enough information to help you decide if this home was the right place for you before you moved in, all three respondents stated Yes. It was documented by the registered manager within the AQAA that effective pre admission assessments are undertaken, which can be performed in the hospital environment or the service users home. To aid the assessment process the managers obtains and utilises assessment documentation from Social Services departments when available. The case tracked documentation showed that pre admission assessments had been Care Homes for Older People Page 11 of 26 Evidence: performed and a service user, spoken with on the day of the inspection confirmed he was involved in the assessment process and found it useful in highlighting his needs. A relative of a service user also confirmed that she had been fully involved in the initial assessment process and felt it provided the opportunity to identify the needs of her relative. A member of the care staff said that the needs of all new service users, admitted to the home, are discussed at staff hand-overs and that the needs assessments are always available for further reference and guidance if required. Care Homes for Older People Page 12 of 26 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 have care plans in place to enable staff to deliver appropriate individual care and service users are happy with the care they receive. Medication procedures promotes service users safety. Evidence: Information provided by the registered manager in the AQAA states We make sure all service users needs are met, service users can be responsible for their own medication if they have capacity and are protected by the homes policies and procedures. Service users always choose how to live their lives and are respected. The Have your Say pre inspection questionnaire asked service users Do you receive the care and support you need, two respondents stated Always and one respondent stated Usually. We asked a service user if he felt his needs are being fully met, he commented Living here is the next best thing to living at home, I have no grumbles whatsoever, the staff are very good and I am very happy here. Care Homes for Older People Page 13 of 26 Evidence: Care plans examined on the day of the inspection provided sufficient information for staff to carry out the tasks to meet service users needs. Furthermore staff confirmed that service users needs are discussed at staff hand-overs and also stated that they have access to the care plans for guidance and reference. The registered manager stated that it is planned that the current care planning format will reviewed and has secured a grant to pay for all staff to attend training in the process of person cantred care planning, which is due to start in January 2010. It was noted that the care plans examined on the day of the inspection did not, in some cases, show when the care plans had been formulated, furthermore consent to the content of the care plans had not been obtained from the service user or a representative of theirs. The registered manager stated that this issue would be addressed when the current care planning format is reviewed. The Have your Say pre inspection questionnaire asked service users, Do you receive the medical support you need, all three respondents stated Yes. Records showed and service users confirmed, on the day of the inspection, that they have access to external professionals such as Doctors, District Nurses, Dentists, Opticians and Chiropodists. The Have your Say service users survey asked, Do staff listen and act on what you say, one respondent stated Always and two respondents stated Usually. A Service user spoken with on the day of the inspection was very complimentary about the staffs ability in promoting his respect and dignity and expressed no concern in this area, he stated They [staff] are all lovely here, very respectful. Records showed that some staff have received training in relation to the Mental Capacity Act and further training is planned in relation to Equality and Diversity to further promote the staffs understanding of their roles and responcibilities in this area. We observed interactions between staff and service users throughout the day and at meal times, all observed interactions promoted service users respect and dignity at all times. We asked a service user if he receives his medication on time. The response was Yes, always. The registered manager stated that medication is only administered by care staff who have received appropriated training in this area and staff confirmed this statement. Medication administration records were examined and found to be filled out correctly and appropriate medication storage facilities are available. Care Homes for Older People Page 14 of 26 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. Service users are provided with the opportunity to participate in some recreational activities and can maintain social contacts but further developments are required in this area. Service users receive a nutritious and appetising diet with individual preferences being met. Evidence: Information provided by the registered manager in the AQAA states Service users social lifestyle matches their expectations and service users always choose what lifestyle they wish to lead. The registered manager also stated in the AQAA that religious services are provided and any interests or recreational needs are met within the home or the community such as bingo evenings, tea dances, organist/singer, crafts, and library services. The Have your Say service users survey asked, Does the home arrange activities that you can take part in if you want. One respondent stated Yes one respondent stated Usually and one respondent stated Sometimes. We discussed the social activities with a service user on the day of the inspection who Care Homes for Older People Page 15 of 26 Evidence: confirmed the social activities programme and said he felt satisfied with this aspect of service provision. The Have your Say staff survey asked Is there anything else you would like to tell us comments included It would be nice to have more carers on a shift to be able to spend time with the service users doing activities and talking. A relative of a service user also recorded in the Have your Say pre inspection questionnaire that I feel that they [staff at the home] dont do enough to stimulate residents, however their are lots of birthday parties and outside trips. Generally residents sit in the lounge area, not really speaking much. We discussed social activities with the registered manager who confirmed that a designated social activities coordinator is not employed at the home and the activities programme is reliant of the care staff providing this element of service provission. The Registered manager also said that social activities could be compromised due to conflicting demands on carers time. The registered manager stated that it is planned to have two conservatories built onto the home together with a sensory garden which would enhance the experience of service users within the home, especially those with impaired cognitive abilities. Information provided by the registered manager in the AQAA relating to the provision of meals states We have a very good menu, nutritional needs and specialist diets are met and service users can choose when and where to eat their meals, staff are fully trained in food hygiene. The Have your Say pre inspection questionnaire asked service users Do you like the meals provided, one respondent stated Always and two respondents stated Usually. A service user commented on the day of the inspection that the meals are very good and a choice is always provided. The service user also stated that he had to adhere to a low fat diet and that his specialist diet was always provided. A menu was on display in dining room to promote service users choice. We were also provided with a copy of the weekly meal Rota which showed that the home provides a well balanced, nutritionally appropriate menu. Care Homes for Older People Page 16 of 26 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 feel able to raise concerns and complaints and can be confident that the manager will act on them. Staff know how to safeguard service users and are provided with appropriate training in this area. Evidence: Information provided by the registered manager in the AQAA states Service users know to speak to the staff or the manager and they will be listened to and action will be taken if needed to promote their protection. The manager speaks to service users on a daily basis and their is a complaints form in the home for service users or their families to use. Mental capacity training has been provided to all staff so that service users are safeguarded and all staff are trained in the principles of Safeguarding the Vulnerable Adult. The Have your Say pre inspection questionnaire asked service users Is there someone you can speak to informally if you are not happy, all three respondents stated Yes. We asked a service user if he felt confident in highlighting any concerns or complaints to the manager, his response was I cannot grumble and I have no complaints, the manager is very good and she would sort anything out for me, my shower broke one day, I reported it to the manager and it was repaired the next day, yes its all very good. Care Homes for Older People Page 17 of 26 Evidence: We asked a visitor to the home if she was confident that any issues of concern or any complaints would be managed effectively, the response was I have no worries about the care provided, I have full confidence in the manager. Records showed, and staff confirmed that training in Safeguarding Adults has been provided. We spoke to a member staff to determine her level of understanding in this area. The member of staff demonstrated a good level knowledge of Safeguarding Adults procedures. In addition the member of staff said that the revised Nottinghamshire Safeguarding Adults policy is available at the home if further guidance is required. The CQC has not received any concerns or complaints about the service since the last inspection was performed. We examined the homes complaints book which showed that one complaint had been received. The complaint had been fully documented and outcomes and actions recorded. The registered manager informed CQC that she had made one Safeguarding Adults alert since our last inspection and the information available shows that she has taken appropriate actions to promote service users safety. Care Homes for Older People Page 18 of 26 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 very clean well maintained environment that meets the needs of service users. Evidence: Information provided by the registered manager in the AQAA states The home is very clean and well maintained, We are very proud of our home and family and friends of the service users always say the home is very clean and odour free. The Have your Say pre inspection questionnaire asked service users Is the home fresh and clean, all respondents stated Always. We asked a service user if he was satisfied with the standard cleanliness in the home, he stated Very satisfied, it lovely all the time. The service users bedrooms and the communal areas they frequent were inspected. All areas were in a very good decorative condition and were very clean and well maintained. The staff training matrix showed, and staff confirmed, that they have received infection control training to further promote the health and wellbeing of service users at the home. Care Homes for Older People Page 19 of 26 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. Service users are supported by competent and qualified staff and are protected by the homes recruitment policies and practises. Evidence: Information provided by the registered manager in the AQAA states Service users are always left in the safe hands of trained staff. The home recruits staff that are always willing to keep up the high standard of care at all times and our staff follow our policies and procedures. The Have your Say pre inspection questionnaire asked service users Are staff available when you need them, two respondents stated Always and one respondent stated Usually. The Have your Say pre inspection questionnaire asked service users Do staff listen and act on what you say, one respondents stated Always and two respondents stated Usually. We asked a service user if staff are available when needed, the response was Yes always, they are all very good. We examined a sample of staff recruitment records which showed recruitment Care Homes for Older People Page 20 of 26 Evidence: practises had been followed as the files contained Protection of Vulnerable Adult checks, Criminal Record Bureau Checks, an application form, two written references and proof of identity. The registered manager confirmed that an induction process is provided when staff commence employment at the home (based on Skills for Care Common Induction Standards) and staff confirmed that new starters always undergo the induction process to ensure they have the basic skills and knowledge to meet the needs of service users. A staff training matrix showed that a comprehensive staff training programme has been provided and staff confirmed that a great deal of emphasis is placed on the provision of staff training. Information provided by the registered manager within the AQAA shows that the service has exceeded the target of 50 of staff trained to National Vocational Qualification (NVQ) Level 2 thus ensuring a suitably qualified workforce is employed. Care Homes for Older People Page 21 of 26 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 manager shows a caring and open approach towards service users and the health and safety of service users is maintained. Service users and their relatives are given the opportunity to express their views and opinions in relation to the quality of service provision. Further developments are required in relation to the provision formal staff supervision. Evidence: The Have your Say pre inspection questionnaire asked service users What do you think the home does well, comments included The staff at the home always make me feel safe, and the care I receive is the best and They look after my husband very well, I am very pleased with all the services they offer, the food is excellent. The manager has over 19 years of experience in care services, she is registered with the CQC and as such is assessed as having the necessary qualifications and experience to be competent to run the home. Care Homes for Older People Page 22 of 26 Evidence: Information provided by the registered manager in the AQAA states The manager and staff always put the service users first. I have been the manager of Southmore Lodge for eight years and have seen the home grow from a 13 bedded home to a 40 bedded home. I have the registered managers award and I am currently undergoing additional training in management. Service users at the home are always protected and their financial interests are always safeguarded. On the day of the inspection the registered manager expressed concerns in relation to the time allocated to her to perform her managerial duties such as staff supervision. Records showed and a member of staff confirmed that formal staff supervision had not always been provided and cited the managers conflicting roles within the home as a influencing factor. The manager stated that she finds it very difficult to maintain the standards within the home and stated Sometimes I get behind with paperwork such as staff supervision, sometimes I feel that I am sinking, I cannot physically do it all. One the day of the inspection were examined the results of a internal quality auditing process, designed to determine the service users, and their relatives views relating to the quality of service provision within the home. Comments made within the auditing process included I am very pleased with the care mum receives, she has settled in much better than we could ever have hoped for and I cannot find fault or have any criticisms of the home or the staff. The Have your Say pre inspection questionnaire asked care staff What does the home do well comments included Supports its staff and residents and The home itself is warm and comfortable and the residents do get the best care possible. A visitor, spoken with on the day of the inspection stated Places like this are never perfect but I am very satisfied with the care provided here Service users said that they felt the home was very well run and had a great deal of confidence in the registered manager and care staff. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 2 7 7 The service users care planning documentation should evidence when the care plans have been formulated. Service users care planning documentation should show that service users or their representatives have given consent to the content of the care plans. Service uses care planning documentation would benefit from being more person centred and information gleaned from the planned person centred training should be incorporated into the revised care planning format. The provision of social activities could be reviewed to ensure that service users lifestyle in the home matches their expectations and preferences. The registered manager should be provided with sufficient time to perform her managerial roles such as effective staff supervision. 3 7 4 12 5 31 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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