Care Home: St George`s Residential Home

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What the care home does well The home provides a very friendly and relaxed atmosphere. The people that use the service also said that their families and friends could visit them "anytime". People said that that there was always a good choice of meals at the home and that they enjoyed their food. The health needs of the people living in the home are well met and staff the staff work well with doctors and nurses to make sure that their health care is well looked after. The staff receive lots of training and support to make sure that they have the skills and knowledge to be able to understand peoples individual needs and how they would like to be looked after. What has improved since the last inspection? The environment of the home has improved. This means that the home is a more pleasant and comfortable place to live in. The care plans are beginning to improve. This means that people needs will be supported better in ways that are acceptable to them. What the care home could do better: The staff need to be supervised on a more regular basis to make sure that they have all of the knowledge and skills that they need to safely care for the people that live at the home. The service needs to ask more people questions about how they think the service works. This will help to identify any changes that are needed to improve the quality of lives of the people that use the service. The manager of the home needs to register with the Commission. This will help to see if they are able to carry out their role safely. Key inspection report Care homes for older people Name: Address: St George`s Residential Home Brickhills Broughton Brigg South Humberside DN20 0BZ     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: Stephen Robertshaw     Date: 0 7 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for 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) 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 29 Information about the care home Name of care home: Address: St George`s Residential Home Brickhills Broughton Brigg South Humberside DN20 0BZ 01652657459 01652659273 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Stamford Enterprise Limited care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 1 The registered person may provide the following category of services only: Care Home only - Code PC To service users of the following gender: - Either Whose primary care needs on admission to the home are within the following category: Old Age not falling within anyother category - Code OP 1.The registered person may provide the following category of services only: Care Home only-CodePC To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Dementia -Code DE; Old Age not falling within any other category- Code OP The maximum number of service users who can be admited to the homes is: 22 The maximum number of service users who can be admitted to the home is 22 Date of last inspection Brief description of the care home St Georges Care Home is set on the edge of a small village in North Lincolnshire and near the larger market town of Brigg and the industrial town of Scunthrope. These are easily accessible by road and all areas have bus links. Care Homes for Older People Page 4 of 29 1 2 0 2 2 0 0 9 0 Over 65 22 Brief description of the care home The home is an older style house set in extensive grounds and is on two floors. Upper floors are accessed by a lift and stair ways. The house has retained many of its original features, but also has a more modern conservatory room and entrance hall. There are ample rooms available, some which are shared rooms and different communal areas and a dining room. Details of the services the home can provide are in the Statement of Purpose and Service Users Guide which are available on request and are in display in the main entrance. Fees are reviewed annually and extra charges detailed for such events as outings and hairdressing. 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: The quality rating for this service is two star. This means the people that use the service experience good quality outcomes. The site visit to the service was unannounced and took place on the 07th December 2009. We were in the home for approximately six hours. This report has been written with the information gained on the day of the site visit. The Annual Quality Assurance Assessment had been requested, however the return date was later that the time of the inspection. We also spoke with eight of the people that use the service, one professional visitor and six relatives. The information that they gave to us has also been used to help to write this report. The Commission also case tracked three of the people that use the service. This also Care Homes for Older People Page 6 of 29 included looking at all of the assessments and care plans that had been written about them. We would like to thank the management and staff working for the home and the people who we met at the site visit for their hospitality and friendly welcome. 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. 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 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 9 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service assesses the needs of people before they are admitted to the home to make sure that their needs can be safely supported there. Evidence: The Commission were informed that the homes statement of purpose and service user guides were being updated at the time of the site visit. This was to make sure that everyone involved in the home knew the details of the actiing manager. These documents included the structure of the service, details of the management and staffing levels at the home. Care Homes for Older People Page 10 of 29 Evidence: At the time of the site visit to the home the Commission looked at all of the information in the home that related to four of the people that lived there. This included looking at their individual assesment of needs. All of these included the homes assessment of their individual needs and where appropriate care managment and continuing health care assesments of need. However the assessment information was basic and did not include any detail of how individuals needs affected their daily lives and the support that they required. This means that they may not recieve the support that they need in a way that is acceptable and safe for them.The acting manager of the home stated that the home was introducung new pre-admission assesment material and that these documents recorded more personal inforamtion and included greater detail of needs. She said that this would help the home to develop more person centered care for the the people that use the service. The people that live at the home that spoke to the Commission said that thay had been given the opportunity to visit the home before they had made a decision to move there. All of the people living at the home at time of the site visit were of a white/British nationality. The home does not accept intermediate care placements so standard six is not applicable to the service. Care Homes for Older People Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service have care plans to meet all of their identified needs and have good access to health care services. Evidence: The Commission looked at the care pans for three of the people that were living at the home. There was evidence to suggest that the care plans had been developed from the original assessment of need, however some of these documents only identified the needs in a generic manner. The acting manager of the home demonstrated some new care plans that had been introduced to the home. These appeared to be much more person centered and demonstrated that the service is taking the peoples personal interests in to account in the development of the care plans. Care Homes for Older People Page 12 of 29 Evidence: Direct observation of the interactions between care staff and people that use the service showed that although the majority of the care plans were not explicit. The staff demonstrated a very clear knowledge and understanding of all of the individuals that live at the home and clearly knew how individual preferred to have their needs supported. The acting manager of the home stated that it was her intention to change all of the care plans in the home to a person centered format to ensure that people have their needs met in ways that are acceptable and safe for them. The care plans had been evaluated on a regular basis and there was evidence that when care needs had changed care plans had been amended, or if require new care plans had been developed. Daily diary records are also recorded for all of the people that live At the home. These records were inconsistent, some were very brief and clinical and others were very thorough detailing things that people had been involved in and how they responded to them. It is important that these records are clear as it could also help to identify patterns of behaviour for individuals or also help to identify failing health. Clearer records are kept for when individuals have contact with outside professionals including doctors, chiropodist, dentists and community nurses. On the day of the site visit a district nurse that was visiting the service and spoke with the Commission. She stated that the district nurses were visiting the home twice a week to support the health care needs of the people that use the service. She said that the staff were hard working and generally followed any care plans prepared by the district nurses. However she commented that sometimes support stockings are not always in place. The manager of the home needs to make sure that when support stockings are required they are used. This will help to support the health and safety of the people that use the service. The acting manager also needs to make sue that the home has care plans in position to support the care being provided through outside health care services. A tour of the premises supported the evidence that specialist mattresses and seat cushions to promote pressure relief are provided in the home. Prescribed medication in the home is administered through staff that had completed accredited training. Checks of the medication records supported the evidence that staff are recording the receipt, disposal and administration of medication. There were no controlled drugs prescribed for anyone at the home at the time of the inspection. However the home did have suitable storage and recording facilities for the safe Care Homes for Older People Page 13 of 29 Evidence: management of controlled drugs. 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This means that the home provides regular activities for the people that use the service. Evidence: The Commission looked at the activity records in the home and these showed that the people that use the service are offered a variety of activities throughout the week. Discussions with people that use the service identified the activities that they liked to be involved in. One person said we have a good new television to watch and another person said I just like to be quit. Talking books from the blind society are available at the home for individuals with poor vision and the local library service also provides large print books. The mobile library visits the home on a regular basis. Care Homes for Older People Page 15 of 29 Evidence: At the time of the site visit the home was beginning to make its preparation of the Christmas holiday period. This included carol singing evenings, parties and other festive activities There is a choice of two lounge areas in the home that the people that use the service can choose from. Visitors that were spoken to by the Commission on the day of the site visit said that they were always made to feel welcome at the home. One person said the staff are very kind and patient and another said I am always offered drinks when I visit. The homes visitor record book also helped to identify that the home receives many visitors over the week. One person said that the home help her to obtain audible books due to her sight problems and they help her to use her cassette player when she cant find the right button to start or stop her tapes. Advocacy services are advertised in the home and this included leaflets and posters. The Commission ate lunch with several of the people that use the service.People told the Commission that they enjoyed their meals at the home and that the meals were varied and they had a choice at meal times. One person said the food is excellent, another said the food is beautiful, it is lovely and another person commented it is always well cooked. 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The means that the home has a satisfactory complaints system. Management and staff have all received refresher training in adult protection to help to make sure that the people that use the service are not put at risk of harm. Evidence: St Georges care home has a clear complaints policy and procedure that records the complaint, the investigation, the process and the outcome. There had been no formal complaints received by the home or the Commission since the last inspection of the service. Since the last inspection of the service their was one referral to the local safeguarding adults team. Te concerns were raised in relation to the safe moving and handling of the people that use the service. The investigation found that there were no real safeguarding issues in the home, however there were area that the staff needed to improve the quality of care that they were providing. Care Homes for Older People Page 17 of 29 Evidence: The management of the home worked very well with the local authority and this resulted in clearer care plans being developed for the people that live at the home. The local authority also provided training for all of the staff working at the home in relation to moving and handling, health and safety and safeguarding adults. There was also evidence to support that staff have previously accessed adult protection training via a training video and through their NVQ work. All of the staff spoken to by the Commission and the manager of the home were aware of what constitute a concern in relation to safeguarding adults and the correct procedure for reporting their concerns. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This means that the service provides a safe and comfortable environment to the people that live at the home. Evidence: As part of the site visit to the service the Commission made a tour of the premises and found the home to be clean and free of any offensive odours. The management of the home stated that they would forward a maintenance and refurbishment plan to the Commission to demonstrate the plans for improvement over the next twelve months. There are large grounds around the building with lawns and garden areas offering that offer a choice of outdoor views and outdoor seating areas. Management of the service are considering replacing some of the shower areas of the home to wet rooms. This will make them more accessible top the people that use the Care Homes for Older People Page 19 of 29 Evidence: service, and therefor this would allow individuals to have more choice in relation to having a shower or a bath.The bathrooms in the home are dated and all of the shower units have to be stepped up in to. At the last inspection of the service infection control problems were identified. Soap blocks had been left in all of the toilets and bathrooms. At the time of this site visit all of the bathrooms and toilets had been supplied with liquid soap and disposable towels.. However on this visit there were other infection control problems that were identified. Linen towels had been stored in a bathroom. This means that several people could have contact with them and then pass on any infection that they may have to the next person. Shampoo and other toiletries were also left on a shelf in the bathroom. The hot water outlet temperatures are monitored on a regular basis at the home. The acting manager also said that that the water systems had recently been checked for Legionella, however the service had not received the certificate to validate this. The management of the home were able to demonstrate that this service had been supplied and had been paid for. We looked around several of the bedrooms after asking permission and saw that all of these had been decorated and furnished to the personal tastes and preferences of the people that used them. One person said its lovely here. Some of the bed linen looked like it needed to be replaced. The manager of the home said that new bedroom furniture and new linen was being replaced throughout the home on a gradual basis, as and when the rooms were redecorated. All of the rooms are currently used for single occupancy. The dining area of the home had been provided with new tables and chairs and these were presented in a safe and comfortable manner. The laundry for the service is on the ground floor of the building. It includes a washing machine and a tumble drier. The washing machine is equipped with an automatic feed system that means that staff do not have to come in to contact with any caustic materials and the amount of detergents used is monitored and regulated. The homes fire escape was covered in moss. This needs to e cleaned off to make sure that the exit is safe to use in an emergency. Temperatures around the home were inconsistent. The management of the home stated that the service had commissioned an estimate to repair or replace the boiler system in the home. This work should be carried out as a priority. One person said been trouble with the heating for two years, Care Homes for Older People Page 20 of 29 Evidence: its quite cold at times. Bedroom 23 had the door wedged open. It was obvious that this door previously had an automatic closer on it. Doors must not be wedged open to support the health and safety of the people in the rooms in the event of a fire. The manager of the home said that the door mechanism would be replaced. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the care staff appear to understand the needs of the people that live at the home and in the past twelve months they have received the appropriate training to make sure that they have the knowledge and skills to be able to safely deliver care to the people that use the service. Evidence: Direct observations on the day of the site visit supported the fact the the care staff have good working relationships with the people that they care for. One person said the staff help me to get washed and dressed, I dont often grumble about things. The staff morale in the home appeared to be very good, and interviews with the staff group also supported this. At the time of the site visit there are two care staff on duty from 7am to 4pm, two care staff from 4pm to 10pm and two care staff at night. It was pointed out to the management of the home that some of the people that use the service required two Care Homes for Older People Page 22 of 29 Evidence: people to support them with their needs. This meant that if anyone else needed any support they would have to wait for it. The management of the service stated that the staffing numbers had been decreased due to falling numbers of residents, however they agreed to add an additional member of staff during the critical times at the home to make sure that everyone was safe and that their needs could be supported safely. These times were identified as 07:00hrs-11:00hrs and 17:00hrs-19:00hrs. A district nurse had commented to the Commission that staffing levels are a concern, but added tat the staff are very helpful and call if there are any health problems in the home. The staff training records and interviews with management and care staff identified that the staff have completed most of their mandatory training in the last year and have received training in relation to the protection of vulnerable adults. The manager of the service commented that all of the current residents are from a white British background, and this reflected in the local community. The Commission looked at the recruitment and training files for three of the staff that are working at the home. These all supported that equal opportunities and safety vetting processes were completed before staff were employed to work at the home. This included Criminal Record Bureau (CRB) checks, two written references, health checks and previous work histories. 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management team has a good understanding of the needs of the people that live at the home and of the areas in which the home needs to improve. Evidence: The acting manager of St Georges has worked in the home for approximately fifteen years. She was appointed as the acting manager of the home in June 2009 when the last manager resigned. The registered person must make sure that the acting manager applies to the Commission to be recognised as the registered manager of the service. The acting manager stated that she was in the process of making her application to the Commission. The management approach in the home is very open. The staff group stated that it Care Homes for Older People Page 24 of 29 Evidence: was good to see the acting manager around the home interacting with the people that live their and with the staff. They said that this was much better that staying in the office as the acting manager was aware of everything that was going on around the home. One person that uses the service said I like the manager she always speaks to you and asks how you are and a member of staff commented the care plans have improved and the manager is easy to speak to. The external management of the home are also very supportive of the people that live and work at the home. One person said that if the owner hadnt intervened then social services wouldnt have allowed my mother to live at the home. Management of the home had started to develop an effective quality assurance monitoring system. It is very important that this system is fully developed and is implemented to gather the views of other people about how the service functions and provides services. The Commission also observed the finances that are held in the home for three of the people that live there. These records were all up to date and had been accurately recorded. Staff supervision in the home had started to be introduced on a more formal and regular basis. It will take a period of time to evaluate if this system is effective and valuable to the people that are involved in it. Staff commented that they felt very well supported in their work roles through the acting manager of the home. The acting manager said that annual appraisals had also been arranged for all of the staff that were working at the home. Care staff also commented that they receive informal supervision and guidance every day in their roles and involvement with the acting manager. The supervision of staff is important to make sure that they have all of the knowledge and skills to safely care for the people that use the service. The management of the service have introduced some staff initiatives at the service to support the staff in their roles. This included developing team leaders and providing training for five of the staff that are employed at the service. The services provided in the home have improved in the last six months and this has resulted in the local authority contracting team providing a higher rate for fees for the services provided by the home. A fire crisis plan has been developed through the management of the home. 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 19 13 The fire escape for the home 11/01/2010 must be kept free of debris. This will make the exit safe to use in an emergency. 2 19 13 The registered person must make sure that the home is kept free from infection. This will help to support the health and safety of the people that use the service 11/01/2010 3 31 9 The registered provider must ensure that the manager of the home is registered with the Commission. This will help to make sure that the manager is fit for their role. 05/02/2010 Care Homes for Older People Page 27 of 29 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 3 The registered person should make sure that the new assessment of need paperwork is used to assess the needs of the people that would like to use the service. This will help to make sure that the home can meet their needs and will make it easier to develop person centered care plans from the information that is recorded. The registered person should make sure that the homes care plans are presented in a person centered way. This will help to make sure that people are provided with support in a way that is safe and acceptable to them. 2 7 3 19 The management of the home should consider changing the facilities available in the homes bathrooms to make them more accessible to the people that use the service. The registered person should replace the old bedding in the home. This will help to improve individuals environments and make them more comfortable. The registered person should continue with the development of the homes quality assurance and monitoring system. this will help to identify any improvements that are needed in the home. The registered person should continue with the development of the homes supervision programme. this will help to make sure that the staff have all of the necessary knowledge and skills to safely care for the people that use the service. 4 24 5 33 6 36 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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