Care Home: Sovereign House

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What the care home does well People can be confident that they will benefit from an assessment of need prior to moving into the home and that they have the opportunity to visit. Returned surveys told us that people were given information about the home. People are supported with making individual choices about how they spend their day. Staff treat people with respect and ensure that they maintain their privacy and dignity. People are supported with maintaining contact with family and friends. Comments from people living in the home include: `They do just about everything well` `The home looks after me very well` `They accommodate individual needs and preferences` `Very happy with the care provided`. Staff are well supported by the manager and receive a thorough induction into the home prior to starting work with residents. What has improved since the last inspection? The lift has been extended so that it now serves all floors, which enables people with limited mobility easier accessibility to their rooms. There is an ongoing redecoration and maintenance program and people living in the home are encouraged to have their say. There is a new falls risk management procedure in place which will support people in maintaining their safety within the home. The home has started work on building up individual life stories for people so as to improve how they are supported with their individual preferences. What the care home could do better: There are no individual movement and handling assessments which give clear guidelines on how people will be supported with this so as to promote their health and safety. The system for giving out medication to people would benefit from being reviewed. Staff have received training in many of the areas required to ensure they are able to carry out their duties effectively. However, they have not received training in key areas of movement and handling and the protection of vulnerable adults and this needs to be addressed. Key inspection report Care homes for older people Name: Address: Sovereign House 30 Canterbury Road Herne Bay Kent CT6 5DJ     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: Anne Butts     Date: 1 6 0 4 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 29 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 29 Information about the care home Name of care home: Address: Sovereign House 30 Canterbury Road Herne Bay Kent CT6 5DJ 01227368796 01227368796 sovereignhomes@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Hassan Ibrahim Name of registered manager (if applicable) Louise Ibrahim Type of registration: Number of places registered: care home 10 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 service users to be accommodated is 10 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary car needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Sovereign House is a detached property. It is situated only two minutes from the beach and high street. The home is registered to provide personal care and support to up to 10 older people. The home has eight en-suite single rooms and two rooms with adjoining bathrooms. Accommodation is situated on three floors and is well decorated and maintained. The home has a shaft lift. The home has a grassed front garden and a concreted rear garden with plants and shrubs. The home is owned by Mr and Mrs Care Homes for Older People Page 4 of 29 Over 65 10 0 Brief description of the care home Ibrahim and they are the Registered Providers, Mrs Ibrahim is the Registered Manager. The fee for the home ranges between £328.00and £400 For more information about the fee and what the fee includes please contact the Provider. Care Homes for Older People Page 5 of 29 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: This was a Key Unannounced inspection that took place over the course of one day. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home An Annual Quality Assurance Assessment (AQAA) had been sent to us, it was returned with the requested timescales and contained all the information we asked for. The AQAA is a self-assessment, required by law. This assessment focuses on how the service considers they are meeting the outcomes of the people using the service and where it feels it can make improvements. It also provides statistical information about the service. Information from the AQAA has been used in this report where appropriate. Judgments have been made with regards to each outcome area in this report, based on Care Homes for Older People Page 6 of 29 records viewed, observations and verbal responses given by those people who were spoken with. These judgments have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the Care Quality Commission (CQC) to be able to make an informed decision about each outcome area. Time was spent talking to the manager, staff and people in the home. Prior to the visit we sent out surveys and received eight resident and five staff questionnaires. We also looked at a selection of records relating to the care and support of people living the home and staff. The manager is committed to ensuring the best outcomes for people living in the home and we are confident that any shortfalls identified within this report will be addressed in a timely manner. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 29 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 29 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 29 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 given information about the service so that they can make an informed decision as to whether the service will meet their needs. People are supported with an assessment of need. Evidence: Each service is required to have in place a Statement of Purpose and a Service Users Guide in place. These are documents which give prospective and current clients information about the service they can expect whilst living in the home. These documents gave clear information about the service which will be provided. There are some minor amendments needed to ensure that the information within these documents are accurate and up to date which include the name of us (the Commission). The Annual Quality Assurance Assessment (AQAA) tells us that all residents are provided with copies of these documents. We looked at the assessment process for people who move into the home. The Care Homes for Older People Page 11 of 29 Evidence: manager told us that where possible she will visit a person prior to them moving in to make an initial assessment of need and once a person moves into the home this is further expanded upon. We saw that this was in place and individual needs were identified and included information about a persons needs, interests and hobbies. The home also obtains assessments from the placing authority where applicable. The AQQA tells us that people and/or their relatives have the opportunity to visit the home prior to moving in. A trial period is also offered to ensure that the home can meet the needs of the person and that their expectations of the service are met. The manager told us that there had been a breakdown in placement for one new service user and the home had not been able to meet this persons needs. It is recognised that the home is able to identify this and take the appropriate action. The home does not offer intermediate care but does provide respite care for people if they have availability. Care Homes for Older People Page 12 of 29 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. People benefit from care plans which are aimed at supporting them in meeting individual needs. Areas of risk which are not individually identified will further support people. Health needs are met and people have full access to all professional health care services as required. Improvements in the procedures for the administration for medication will further safeguard people living in the home. Evidence: There is a written individual plan of care for each person living in the home. Care plans are important as they are one of the ways of making sure that people are supported in a manner that suits their individual needs and give clear guidance for staff. We looked at the care plans for three people living in the home. We saw that they had been generated from the assessment of need and contained information about individual needs and capabilities. They identified how to assist a person with any personal care needs, healthcare support and social needs. Care plans showed individual choices and preferences and were supported by a life history and individual Care Homes for Older People Page 13 of 29 Evidence: portrayal of the person. The manager told us and showed us evidence that they are expanding the life history details of people. People are supported with achieving short, medium and long term goals where they wish and these are reviewed and monitored. Some areas of the care plans contained more detail than others. In that some parts described what assistance the person needed, but not how to assist, and these sections of the care plans would benefit from further development. Care plans are reviewed on a regular basis and changes made according to the individual person. Staff we spoke to were knowledgeable about the individual needs of the people living in the home. We saw that there are a selection of risk assessments in place to ensure that individual risks are identified. A new system for risk assessing the falls potential of individual people has recently been introduced and the manager is in the process of assessing all the people living in the home. There are, however, no individual risk assessments in place for movement and handling. This has the potential to put people at risk. A requirement is being made that these are implemented and that they assess all risk associated with the movement and handling of people living in the home. The Annual Quality Assurance Assessment (AQAA) identifies that people are supported with their healthcare needs. We saw evidence of this at our visit with good access to the G.P., District Nurses, chiropodist and opticians. We reviewed the medication records. Medication is stored in an appropriate lockable cabinet. There are systems in place to check medication in and out of the home and regular audits are carried out. When administering medication the system in place is not robust as one member of staff takes the medication from the dispensing appliance or individual packaging and signs for it before giving to another member of staff to give to the person. This has the potential for errors to occur and we are recommending that this procedure within the home is reviewed. People we spoke to during our visit and returned surveys all told us that they felt treated with respect and that their privacy and dignity was maintained. One person said the staff are lovely and another person said that the staff are very attentive and nothing is too much trouble. Care Homes for Older People Page 14 of 29 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 able to spend the day as they wish and are supported with maintaining contact with family friends. Evidence: The Annual Quality Assurance Assessment (AQAA) told us that people are supported to make choices in their daily lives. Individual likes and dislikes were identified within the care plans and peoples social interests are also recorded. Staff told us that they try to arrange preferred activities with people. We observed people enjoying doing jigsaw puzzles and spending time reading. The home arranges for entertainment to visit on occasions and some people also go out to a song club on a monthly basis. The manager told us that they are looking at improving the outside activities for people in the summer months by putting in raised flower beds and tubs. There are different activities arranged over a four week period. Five surveys stated that the person felt that there were enough activities within the home, one survey said that there was not enough activities and two said that they didnt know. People are encouraged to maintain independence and also assist with small household Care Homes for Older People Page 15 of 29 Evidence: duties if they wish. For example we observed several residents assisting with making a salad for tea and folding napkins. People were laughing and talking and seen to be enjoying themselves. One person told us I like helping out doing things like this. The surveys we send to the home asks residents if staff listen and act upon what they say. All returned surveys stated always. One person told us that they preferred to stay in their room and it was seen that the home respected this. The AQAA also tells us that staff have worked with residents to improve their daily lives. The home is also in the process of building up a life history for individual people so that they can further support people with their individual choices and reflect on peoples lives. People living in the home are helped to keep in touch with relatives and friends if they wish. The AQAA tells us that people are encouraged to continue to access day centres if they want. Family members and friends are welcome at any reasonable time. The manager keeps in touch with family members so that they know how things are going. For example, if someone is not well or they have been admitted to hospital. We spoke to a visiting family member who said that the home had been very good and keeping them in touch and confirmed that they were welcome to visit at any time. People living in the home told us that they were happy with the meals. We saw that the staff we knowledgeable about individual needs including diabetic diets. People are given a choice and if there isnt anything on the menu they like, then staff told us they will arrange for an alternative. We observed a mealtime and saw that it was relaxed and unhurried. People can choose where they prefer to eat. There are snacks and drinks available at other times of the day. Care Homes for Older People Page 16 of 29 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 can be confident that their complaints and concerns will be listened to. There are polices and procedures in place for safeguarding people living in the home, improved staff training in this area will further safeguard people from the risk of harm. Evidence: There is a written complaints procedure and this explains how to go about making a complaint. This is available for all residents. The manager told us that they had not received any complaints about the service. In our questionnaire for people who live in the service we ask do you know how to make a complaint? All returned questionnaires stated that people did know how to do this. On the day of our visit one person told us that they had no complaints but would be confident that if they did then this would be addressed. We (the Commission) have not received any complaints about the service. It is important that people living in the home are confident that they are safe. The home has policies and procedures in place for safeguarding people and all staff are checked before starting work. The manager supports staff with understanding the policies and procedures for safeguarding through in house training. Staff also complete an element within the National Vocational Qualification (NVQ). However, as discussed in further detail in the training section of this report, staff have not completed full safeguarding vulnerable adults training. This is important so that staff Care Homes for Older People Page 17 of 29 Evidence: are fully aware of their accountabilities. We spoke to staff who stated that they would report any concerns to the manager. The home has been subject to a safeguarding vulnerable adults investigation and has worked with the local authority to address this. Care Homes for Older People Page 18 of 29 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. People benefit from living in a homely environment which is clean and well maintained. Evidence: The Sovereign House is located just outside the centre of Herne Bay, and is a few minutes walk from the town centre and sea front. There is limited parking available outside the home. The Statement of Purpose gives a clear description about the physical environment of the home, which gives prospective residents information about the home prior to them visiting. This enables them to make an informed judgement as to whether the home will meet their needs. There are ten single bedrooms, eight of which are en-suite and two which have dedicated adjacent bathrooms. There is also an additional bathroom and walk in shower room. There is a communal lounge area and separate dining (quiet lounge) area. There are adaptations around the home to maintain and maximise independence. These include assisted baths, walk in shower, a ramp for access, easy turn taps and hoist and specialist beds are purchased or loaned where needed. The lift has recently Care Homes for Older People Page 19 of 29 Evidence: been extended and now serves all floors, which supports people with limited mobility. We had a look around the home and saw that it was clean and well maintained. People we spoke to said that they liked their rooms and we saw that people were able to bring in own possessions and furniture. A visitor told us that the home had arranged for his relatives specialist bed to be picked up and delivered on their behalf. Returned surveys from people living in the home told us that they felt the home was clean and fresh and we saw that there are dedicated domestic hours provided. One returned survey told us that the person would prefer a bedroom on the ground floor, however there is only one bedroom facility on this floor. There is a small yard are to the rear of the home which people can sit out in during the summer months. The manager told us that there are plans to install raised flower beds which will improve the outlook and provide activities for people in the home. The Annual Quality Assurance Assessment (AQAA) told us that there is an ongoing maintenance and redecoration program. There are plans to refurbish the kitchen and extend the laundry facilities. The home prides itself on maintaining a homely atmosphere and people we spoke to said that they felt very comfortable in the home. Care Homes for Older People Page 20 of 29 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. People living in the home can be confident that they are cared for by staff who kind, caring and have a good understanding of their needs. Staff are supported by the manager, but some areas of training need to be addressed so as to fully safeguard the people living in the home. Staffing levels meet the needs of the people living in the home, but will benefit from remaining under review. Evidence: Sovereign House accommodates up to ten older people and currently employs eight members of staff. We spoke to the manager, staff, people who live in the home and looked at the staff rotas, recruitment and training records. The rotas showed that there are two members of staff on duty during the day, plus the manager. During the night there is one waking member of staff on duty. The manager told us that she maintains an on call out of hours system, and should night staff require any assistance during the night she is able to be at the home within five minutes. We spoke to a member of staff who confirmed this. There are dedicated cleaning hours, but care staff prepare meals as part of their duties. The manager told us that additional staff are allocated on duty should the need arise. Care Homes for Older People Page 21 of 29 Evidence: For example on one day a week some of the people living in the home visit a club, and two extra members of staff provide escort for this. People are also supported with going to appointments. The manager stated that there had also been occasions when additional staff would be on duty during the night, if the needs of an individual client should change. Returned surveys and conversations during the course of our visit evidenced that although there were sufficient staff on duty, there were times when the allocated duties of care staff, for example preparing meals, meant that when people living in the home needed help with personal care this could cause problems. The registered provider needs to ensure that staffing numbers are kept under review and are based upon the needs of the people living in the home. We looked at the recruitment procedures and saw there this was well managed. Records showed that staff are subject to full checks as required by the Domiciliary Care Regulations (2002). References are obtained and staff are subject to an ISA check and a Criminal Records Bureau (CRB) check. Staff do not start work with the people in the home until they have received a clear ISA check. All new members of staff complete an induction into the home and then undertake the Skills for Care Common Induction Standards. During the in house induction staff learn about the polices and procedures in the home and the needs of the individual people living there. We spoke to a new member of staff who told us that the support she received when she started work in the home was very good and that she felt the induction process covered everything she needed to know about the home. Staff have been supported to complete a variety of training and much of the training is completed through long distance training programs. This includes Infection control, medication, food hygiene, care of people with dementia, health and safety. Staff have also been supported with additional awareness training relating to the individual needs of people living in the home for example Parkinsons disease awareness training. However, none of the staff had completed up to date training in adult protection and movement and handling. The manager had been supporting staff with the training in house, but had not been trained to deliver this. We are requiring that these gaps in the training are addressed. Nearly 100 of staff have achieved a National Vocational Qualification (NVQ) in care and new staff are supported in accessing this qualification. Staff told us that they felt well supported by the manager and records evidenced that Care Homes for Older People Page 22 of 29 Evidence: staff receive regular supervision and meetings are held which also further support staff. Staff were observed interacting well with the residents in the home and supported people with care, patience and understanding. Care Homes for Older People Page 23 of 29 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. People benefit from living in a home where they can be confident that the quality of their care is promoted by the philosophies of the home Evidence: This is a small family run home and the management remains consistent. The manager has completed formal qualifications to assist her in role including the registered managers award, a foundation degree in health and social care and has nearly completed the degree in health and social care which includes a dementia certificate. The manager is assisted by a deputy manager so as to ensure the constant smooth running of the home. The manager told us she is available through an on call system as required and staff we spoke to supported this. Staff told us that they felt well supported by the manager and there are regular team meetings. The manager uses these to ensure staff are kept up to date with best practice issues. Care Homes for Older People Page 24 of 29 Evidence: There is a quality assurance process in place and questionnaires are used to gain feedback and the thoughts of people living in the home. The Annual Quality Assurance Assessment (AQAA) tells is that the results from these are looked at and used to implement a development plan for the home and to make any identified improvements. Some of the residents are supported with their personal allowances and there are records in place to ensure that people are safeguarded in this area. The AQAA tells us that all health and safety checks are up to date. The registered provider ensures that any maintenance issues are addressed. There are environmental risk assessments in place and equipment is checked to ensure that it is fit for purpose Accidents and incidents are monitored and a new falls management process is being implemented in order to reduce the possibility of falls. Improved health and safety management around movement and handling training and risk assessments will further support this. The home prides itself on maintaining a small family community in order to maintain a homely atmosphere. Care Homes for Older People Page 25 of 29 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 29 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 30 18 18.1.c The registered person 30/06/2010 shall ensure that the persons employed to work at the home receive training appropriate to work they are to perform. In that staff receive appropriate training in movement and handling, including hoist training and adult protection This is so that people can be confident that they are cared for by staff who have been trained to safeguard their needs. The manager must evidence that the level of the training is robust and that the content was appropriate 2 38 13 The registered provider shall 31/05/2010 make suitable arrangements to provide a safe system for the movement and handling of people living in the home. This is so that people will be Care Homes for Older People Page 27 of 29 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 supported safely through a risk assessment process with their movement and handling needs. 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 27 It is recommended that the staffing numbers are kept under review to ensure that they remain appropriate to the assessed needs of the people living in the home at all times. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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