Care Home: St Georges House

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What the care home does well People receive a service from a competent and well organised management, with good leadership, accountability and with their best interest as a priority. There is considerable effort made to ensure that people`s views and opinions are sought so that the service is continually improved. People are well informed about the home, their needs are fully assessed before admission. Their care is planned, with their involvement, and risk is assessed and reduced or removed where possible. The standard of care delivered is high and health care professionals use the word `excellent` to describe the home. Privacy, dignity and respect are integral to the way the home operates. Staff are well liked. Training is encouraged and a high proportion of staff have achieved qualifications in care. Staff are deployed in sufficient numbers to meet people`s individual needs. The home recognises that more staff would be beneficial. People are encouraged to live as independently as they are able and choice is offered wherever possible. There is a relaxed and friendly atmosphere and visitors are made very welcome. People like the food which is varied and meets nutritional needs. The home environment is very domestic in nature. Furniture and fittings are of a good quality, appear comfortable and are kept in good repair. The home is well maintained and there are plans for continual improvement in the environment, inside and out. People`s rooms appear to be very comfortable. They are very personalised and individual. People rarely share a room and there will have been a positive decision to do so if they do share. What has improved since the last inspection? The home has adopted a safer method for administering medicines to people who cannot do so themselves. Recruitment practice is now more robust and therefore protects people from staff who might be unsuitable to work with vulnerable adults. What the care home could do better: We have not made any requirements from this inspection. We recommend that staff have clearer information about alerting concerns, which might indicate abuse; the whistle blowing policy should be reviewed and all staff, regardless of role, should receive training in safeguarding. We recommend that the home should expand the area of risk which is assessed and ensure this includes all radiators at the home and stairs to which people who use the service have access. Key inspection report Care homes for older people Name: Address: St Georges House Park Road Tiverton Devon EX16 6AU     The quality rating for this care home is:   three star excellent 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: Anita Sutcliffe     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 27 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 27 Information about the care home Name of care home: Address: St Georges House Park Road Tiverton Devon EX16 6AU 01884252436 01884252436 st.georgeshouse@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Maureen Mary Lindley,Mr Brian Douglas Lindley Name of registered manager (if applicable) Mrs Maureen Mary Lindley Type of registration: Number of places registered: care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home St Georges House is a care home providing personal care and accommodation for up to 19 older people. The home is privately owned and managed by Mr and Mrs Lindley, who purchased the property in 1982. The home is located a short distance from the centre of Tiverton, a market town offering a full range of amenities and facilities. The home is situated next to a large public park, which is enjoyed by residents. The home, originally a small hotel, comprises a large detached Georgian two-storey building, surrounded by attractive and well-maintained gardens. There is ample parking to the Care Homes for Older People Page 4 of 27 Over 65 19 19 19 0 0 0 Brief description of the care home front of the property. There are 16 bedrooms in the home, 13 single and 3 double. Bedrooms are used as singles unless there is a clear preference to share. This is usually family. There are 10 bedrooms with en-suite facilities. The shared communal rooms are spacious, comfortable and cosy. The home is best suited to residents who are ambulant and able to manage stairs. The cost of care ranges from £425 to £565 per week depending on individual needs. Additional costs, not covered in the fees, include chiropody, hairdressing, and personal items such as toiletries, some continence products and newspapers. Current information about the service, including CSCI reports, is available to prospective residents, relatives and others who may have an interest such as care managers. Care Homes for Older People Page 5 of 27 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: three star excellent 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 Commission has collected information about St. Georges House since the previous key inspection three years ago. Toward this inspection we sent surveys to people who use the service (seven were returned), and staff (nine were returned). The home provided us with information about the service. This includes data, such as how many staff work there and when policies were last reviewed. It also gives the home the opportunity to tell us what they do well, any barriers to improvement and what improvements are planned. We did one unannounced visit to the home. We looked closely at the care of one person who uses the service. This included meeting them, speaking with staff about their needs and examining records pertaining to their care. We met and spoke with Care Homes for Older People Page 6 of 27 many others. We also observed staff going about their work and their interaction with the people. We saw most of the building and several bedrooms. We examined some policies, procedures and records. We asked questions of staff and deputy managers, who were present and helpful throughout. People who use the service may be described within this report as residents, clients, service users or patients. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: We have not made any requirements from this inspection. We recommend that staff have clearer information about alerting concerns, which might indicate abuse; the whistle blowing policy should be reviewed and all staff, regardless of role, should receive training in safeguarding. We recommend that the home should expand the area of risk which is assessed and ensure this includes all radiators at the home and stairs to which people who use the Care Homes for Older People Page 8 of 27 service have access. 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 27 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 27 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 can be assured that their admission will be handled in their best interest and their needs will be understood on admission. Evidence: We looked to see how well the admission arrangements at St. Georges House benefit people who are admitted. Each of the seven people who completed surveys told us that they received enough information to help them decide if the home was the right place for them and each said they have received a contract. The home reports that they will be reviewing the information about the home (the brochure) during 2010. We looked at the admission of the last person to move to the home. This included meeting them, looking at records of their assessment, visiting their room and talking to staff about their needs. Care Homes for Older People Page 11 of 27 Evidence: We were told that it had taken a little time for them to settle at the home but they appeared to be settled now. We saw them relaxed and enjoying the sunshine. Documents relating to their admission included that of hospital discharge information, the homes admission form and risk assessment, such as falls, nutrition, prevention of pressure sores and moving safely. The information provided a clear description of their needs and wishes. We looked at a selection of other care documents and found there was good detail about end of life wishes, including any legal arrangements made to ensure that sound decisions can be made on their behalf should they be unable to do this themselves. The home tells us that senior staff always visit a potential resident and that much effort is made to ensure their needs can be met and the home is the right place for them. Following admission people are asked, through a questionnaire, how they chose the home and whether they are satisfied with their admission. Care Homes for Older People Page 12 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are met in accordance with their wishes. They are treated with respect and dignity. Health and well-being is fully promoted. Evidence: We looked to see whether peoples care needs are being met in a respectful and dignified way. We looked at several peoples files and spoke to staff. Each person has a plan of the care they need and want. This includes how social needs will me met. People are involved in the planning of their care and the plan is regularly reviewed. The home reports that the review involves the Resident and/or family/Friends, having a group or one -to-one discussion with a Carer. Consideration is given to ensure that, where people might not have capacity to make decisions on their own behalf, the Mental Capacity Act guidelines are used to help make the decision that they would choose. Staff tell us that they are given up to date information about the needs of people they support or care for. Care Homes for Older People Page 13 of 27 Evidence: Each of the seven people who completed a survey told us that the home always makes sure they get the medical care they need. They commented that they are: Looked after very well. Each said that they always receive the care and support they need. Six told us that staff always listen and act on what they say and one said staff usually do. We saw recently completed quality monitoring surveys at the home, completed by health care professionals, including G.P., district nurse and podiatrist who visit. Their comments included: Always very impressed by staff and atmosphere; Excellent care given by staff and Excellent care. People appeared well care for and those we spoke with were very clear that this was the case. We looked at how the home supports people with medicines. Some people at the home handle their own medicines; this is monitored where their plan of care indicates this is necessary so that risk is understood and managed. The home uses a monitored dosage system to deliver medicines. Staff have been trained in its use and some senior staff are soon to receive advanced training. We saw that medicines are safely stored and records were complete, clear and used effectively. However, it must be possible to completely audit medicines in the home. To this end all medicines must be signed into the home; there were some omissions. We observed a strong ethos at the home of respect for people who use the service. People are supported to lead their life as they wish. They are consulted and their dignity is upheld. People told us: They listen to you if you are worried or upset. Make one feel at peace; They make you feel at home; All very good and They looking after individuals well. People have the option to look their door should they choose and rooms are only shared where this has been chosen by them. The home provides a quiet, private space to meet visitors. Care Homes for Older People Page 14 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home works hard to ensure that people can lead fulfilled lives within their capabilities. Evidence: We looked to see if people are supported to lead fulfilled lives within their capabilities. Asked whether the home arranges activities that people can take part in if they wish, three people told us that it always does and four said it usually does. In peoples document file we saw detailed personal profiles. These provide staff with important information about the person, including dates of significance, such as anniversaries. The meeting of peoples social needs is then planned with them. The home reports: At St Georges House we do everything within our capability to ensure our Residents have a stimulating lifestyle, mixed with the option to choose to do what they would like to, when they wish. ...It is our ethos at St Georges that the Resident is kept as independent and happy as possible. We have policies and procedures in place to ensure that the Resident is in control of their life. People told us that they are able to rise and retire when they wish and take decisions Care Homes for Older People Page 15 of 27 Evidence: on what they do throughout the day. They added that there are activities arranged for people, but they are not always wanted. During the afternoon of our visit some people were doing craft work. We saw information about the activities on offer and information about community clubs, voluntary transport arrangements and local churches. We were told that a library visits every two weeks and Communion is once a month. In fine whether staff will take people to the park if they wish. The home environment itself is interesting and the gardens were being enjoyed by people sitting in the sun lounge at the entrance when we visited. There is now a permanent visitors suite (with en-suite) to be used by any visiting family and friends. A small, very comfortable room is available for people to entertain visitors in private. We saw many visitors during our visit and people coming and going from the home to events. Four people who use the service told us through survey that they always like the meals at the home and three told us that they usually do. Peoples nutritional needs are assessed and weight is monitored so that steps can be taken should there be concerns. The dining room is attractive. We were told that sherry is available before Sunday lunch and wine on request. There is no set menu. Peoples preferences are known to the home and we were told, because there are so few people to cater for, meals of choice can be provided at all times. Care Homes for Older People Page 16 of 27 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. Complaints are dealt with promptly and people are protected from abuse. Evidence: Asked what the home does best people who use the service told us: Listen to you if you are worried or upset and Make one feel at peace. Listen to your worries and needs. Each of the seven people who completed surveys told us there is someone they can talk to informally if they are not happy and also that they know how to make a formal complaint. People receive a copy of the complaints procedure with information about the home and this is also displayed at the entrance. The relaxed atmosphere in St. Georges House indicates that people would feel comfortable taking concerns or complaints to the management and they would be dealt with promptly. The home has received no formal complaints for some years. The Commission has received no complaints about the home. Each of the seven staff who completed surveys told us that they know what to do if they have concerns about the home. The two staff we spoke to at the home told us they would take any concerns to the Commission (if they were not dealt with properly at the home). Neither of them mentioned the Local Authority Safeguarding team who are the body to whom concerns must be taken. Care Homes for Older People Page 17 of 27 Evidence: We looked at the policies available which should inform staff what to do if they have concerns which might be abuse. The whistle blowing policy does not mention that staff are protected in law if they alert concerns to the authorities. However, the Safeguarding team contact details are included in a policy called Alerting. These polices need to be brought together so the information is clear and unambiguous. All care staff currently receive training in how to protect vulnerable people from abuse but other staff do not. All staff who have contact with people should have this training so they are equipped to deal with concerns should they arise. Care Homes for Older People Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home environment is safe, clean, warm, fresh and appears homely and comfortable. It is under regular review and improvement. Evidence: We visited all areas of the home and some bedrooms. The home reports: We have installed and bought any equipment needed, e.g. hoists for Residents own bathrooms, baronmead chair, and standard hoists. We have recently had a stair lift installed for the main stairs. The house is an attractive building with many unusual and beautiful features, such as stained glass windows. It is light, was warm, fresh and very domestic in nature. People told us: I am kept warm and comfortable and It doesnt look like an old peoples home. People are able to decorate and furnish their rooms as they wish. Peoples rooms are very individual and contained items personal to them. They looked very comfortable. There is the option to lock the door should people wish. The home reports: We have introduced a diary to record the maintenance checks. We saw that the standard of maintenance was high. Care Homes for Older People Page 19 of 27 Evidence: The garden available to people is being extended. Currently part of it is not in use as there are some hazards which need to be made safe. However, the garden available to people was very well kept, full of spring colour and being enjoyed by people during our visit. There are shaded garden areas available for the summer. We saw that most radiators at the home have been covered to remove the risk of contact burns. Where this had not been done there was individual assessment of the risk. However, we were told that all uncovered radiators, including those in communal spaces, will be covered before next winter. We would strongly recommend this. We were told that water is stored and delivered at the correct temperatures to remove the possibility of water bourne infection and prevent scalds. All bedding is laundered through a commercial company but the home launders personal items for people. People told us that they are very happy with the standard of laundry. We saw that staff are able to wash their hands wherever personal care is delivered and they told us that they have protective clothing available to help reduce the possibility of cross contamination. Care Homes for Older People Page 20 of 27 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. People benefit from a staff which are knowledgeable, competent, properly recruited and in sufficient numbers to meet peoples individual needs. Evidence: We looked to see if people benefit from the staffing arrangements at the home. Each of the seven people who completed surveys said that staff are always available when they need them. Seven staff told us that there are always enough staff to meet the individual needs of all the people who use the service and two told us that there usually are. The staff rota indicates that staff numbers and deployment are considered. For example, there is a 4:30pm to 7pm shift and also a 6pm to 9pm shift so there is an overlap early evening. The home tells us that they would like to provide extra staff so the Residents can enjoy more external activities but due to budget restrictions this is difficult to implement at the moment. The home reports that of the fourteen care staff ten have attained National Vocational Qualifications (NVQ) in care to level 2 or above. This is an indicator of staff competence. Senior staff have NVQ at higher levels. Recently completed quality monitoring surveys at the home, completed by health care professionals, indicate that Care Homes for Older People Page 21 of 27 Evidence: staff are considered very competent, one saying: Excellent care given by staff. The home intends to assist a senior carer achieve their NVQ 4, qualify any junior members of staff who have yet to achieve a qualification and encourage existing qualified staff to undertake the next level of qualification. We are told that there is a low turnover of staff at the home and it never uses agency staff. Each of the nine staff who responded to survey told us that their employer carried out the checks, such as Criminal Record Bureau (CRB) and references, before they started work. We looked at the records of the last two staff to be employed at the home and found that all the required checks, which ensure staff are safe to work with vulnerable adults, have been completed prior to their employment. Each of the nine staff who completed survey told us that their induction training was handled very well and they receive training which keeps them up to date, knowledgeable and is relevant to their role. We saw from training records that all health and safety training is kept up to date and that training relevant to staff role is included. Training includes: the safe handling of medicines, first aid, safe moving and handling, food hygiene, dementia care and the Mental Capacity Act 2005. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from the management style, ethos and competence of staff and management. The home is run in their best interest. Evidence: We looked to see if the home is run in the best interest of people who use the service. The home runs a tiered management system with assigned responsibilities and accountability. The Registered Manager, Maureen Lindley, has worked in Residential Care for thirty-six years. The Deputy Manager was an army Medic from 1990-1997. He has attained the Registered Managers Award. There are two other senior staff known as deputy managers, one with NVQ 4 in Health and Social Care plus certificates for NVQ 3 and 4 Management and the Registered Managers Award. She also holds and NVQ Assessors Award, so she is trained to assess staff competence. She has 12 years experience within the Care Sector. The second has 15 years experience in the Care Sector, NVQ 3 in Health and Social Care and NVQ 3 in Management. Care Homes for Older People Page 23 of 27 Evidence: We found that the management approach of the home has created an open, positive atmosphere. There were only positive comments from people who use the service. Staff told us: St Georges is a lovely warm, friendly, comfortable home for both staff and residents and The home creates a warm and friendly family atmosphere which caters for the individual residents needs on a daily basis, which in turn leads to happy and contented residents and staff. Much effort is taken to ensure the quality of the service provided. People receive a questionnaire at admission, there are feedback forms at reception, people who use the service, family and health care professionals receive a yearly survey form asking their opinion. There are regular management checks, staff performance is monitored and staff receive regular supervision of their work. We are told that some people who use the service look after their own finances and some are supported to do so. Currently people do not have lockable storage space for valuables in their rooms, which would be a benefit and is recommended. The home keeps money and valuables for people if they wish and there is a running balance and clear records kept. We looked to see if people are safe at the home. Staff receive the required health and safety training. The home environment is well maintained. We looked at a sample of documents to confirm the servicing and maintenance of equipment and utilities, such as gas, alarms, waste collection and hoists, is undertaken. People have individual risks to them assessed and some general risks are assessed, such as fire safety. However, having seen steep stairs which people could access and radiators without covers in communal areas of the home, we would recommend that the assessment of risk is broadened. Care Homes for Older People Page 24 of 27 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 25 of 27 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 18 It should be clear within the homes policies that staff have a responsibility to ensure that concerns, which might be abuse, are taken to the Local Authority Safeguarding team. It should also be clear that they are protected in law if they do this. All staff at the home, regardless of their role, should receive training in how to protect vulnerable adult from abuse. The assessment of risk should be broadened and include stairs and uncovered radiators in communal areas. 2 18 3 38 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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