Care Home: St Michaels Nursing Home

What the care home does well A clear management structure is in place ensuring lines of responsibility and accountability. Good quality assurance systems ensure that residents` views are listened to and that all systems operate well. The home offers a personalised service, based on person centred care planning. Equality and Diversity is inherent in its design. The home provides a choice of activities for those who wish to take part. The manager provides a clear lead for other staff, and the home is being proactive in ensuring staff are suitably trained. Food is well prepared and well presented, suitably varied and nutritious. Relative`s said, `the staff are kind and caring`, `the food is good`, another said `visitors are always welcome`. What has improved since the last inspection? A person already employed by the company was appointed as manager of the home in January 2009. The manager is qualified, competent and experienced. Management and staff are being supported by the Kent County Council Social Services Contracting Team, and are working with an action plan to address issues raised in order to raise the standards of care and the protection of people living at the home. The staff are also currently supported by professionals from the Primary Care Trust in implementing person centred care plans. Staff training is ongoing. Refurbishment to a good standard of the nursing unit is nearly completed. What the care home could do better: All reviews of the person centred care plans need to be regularly completed. Recording of medication administration needs to comply with the homes policies and procedures. The home should ascertain why some residents and some staff say that there are not enough staff on duty. A relative said `at times there appears to be a shortage of available care staff`. Ensure all staff have undertaken Safeguarding of Vulnerable Adults training. Ensure all staff carry out appropriate moving and handling techniques.The manager to submit completed registered managers application form to the Commission. Following the inspection visit an email dated 20 October 2009 was received from the senior manager confirming that the registered manager application had been submitted to the Commission office. Key inspection report Care homes for older people Name: Address: St Michaels Nursing Home Elm Grove Westgate-on-Sea Kent CT8 8LH     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: Sandra Crosby     Date: 2 2 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) 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 27 Information about the care home Name of care home: Address: St Michaels Nursing Home Elm Grove Westgate-on-Sea Kent CT8 8LH 01843835709 01843832905 kerry@charinghealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Charing Lodge Ltd care home 73 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 73. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Date of last inspection Brief description of the care home St Michaels Nursing Home is a large attractive three storey detached home with small garden areas. It is situated close to the sea and is a short journey to the local amenities. The home is registered for the provision of nursing care for people with Dementia, and the large extension provides 32 places for residential dementia care. The Home employs a manager and a team of registered nurses, care staff and ancillary staff. There are waking night staff employed for each unit. There is a shaft lift to access all floors and a call bell system; equipment is also available to ensure that service users can be moved safely. The extension provides a Care Homes for Older People Page 4 of 27 Over 65 73 0 0 7 1 0 2 0 0 8 Brief description of the care home shaft lift giving access to the first floor, and corridors are wide enough to cope with wheelchair users. Bathrooms in the extension are supplied with lifting equipment, to ensure that service users can be bathed safely. The manager confirmed that the current range of fees at the home is from £620.00 to £720.00 per week for nursing care and £535.00 per week for resdiential care. 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: 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 2 star. This means the people who use this service experience good quality outcomes. This report contains the findings of the homes key inspection and takes account of information obtained from various sources since the last Key Inspection of 07th October 2008, and a visit to the home. The key inspection visit was unannounced and carried out on Friday 18th September 2009 between 10.00 and 16.00, and on Tuesday 22nd September 2009 between 10.00 and 15.00. During the inspection the inspector spoke with the senior manager, deputy manager, head of care, nurses, care staff, cook, laundry person, person providing recreational activities, administrative assistant, people who use the service and relatives. The inspector was able to speak with the manager on the second day of the inspection visit. Various records were seen during the visit, together with an Care Homes for Older People Page 6 of 27 accompanied tour of some areas of the premises. Information contained in the completed Annual Quality Assurance Assessment (AQAA), completed by the manager who started work at the home in January 2009, was clear and informative and has been used together with information gained and observations made at the time of the inspection visit all of which has been used when completing this report. Twenty service user and twenty staff surveys were sent to the home. At the time of writing this report two service user surveys have been returned completed by relatives commenting under what does the home do well general care and nutrition, provide good clean rooms, provide activities. In relation to what the home could do better comments include provide more staff on a Sunday. The aim of the visit was to carry out an inspection against the key standards of the National Minimum Standards for Older Persons in accordance with the Inspecting for Better Lives (IBL) process. Judgements have been made for each outcome area in this report and these have been made using the Key Lines of Regulatory Assessment (KLORA), which is guidance used to ensure that a fair and proportionate judgement is made in each outcome area. More information about KLORAs can be found on the Care Quality Commissions (CQC) website. The findings of this inspection were discussed with the manager. It is indicated that the manager and all of the staff team are working hard to promote good standards of care and that currently the home provides overall good outcomes for the residents and the quality judgement ratings throughout the report reflect this. 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: All reviews of the person centred care plans need to be regularly completed. Recording of medication administration needs to comply with the homes policies and procedures. The home should ascertain why some residents and some staff say that there are not enough staff on duty. A relative said at times there appears to be a shortage of available care staff. Ensure all staff have undertaken Safeguarding of Vulnerable Adults training. Ensure all staff carry out appropriate moving and handling techniques. Care Homes for Older People Page 8 of 27 The manager to submit completed registered managers application form to the Commission. Following the inspection visit an email dated 20 October 2009 was received from the senior manager confirming that the registered manager application had been submitted to the Commission office. 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. Prospective residents are provided with the information they need to make a decision about moving into the home. Pre-admission assessments ensure that the home can meet the persons needs. Evidence: It was evidenced at the inspection visit that the Statement of Purpose and Service User Guide for the home were on display inside the entrance hall. The documents were satisfactory in providing a clear description of the services offered and the AQAA documentation states that they have been updated. The surveys completed on behalf of residents by relatives indicated that they received enough information to help them decide if the home was the right place for them before they moved in. The AQAA documentation states all prospective residents are admitted only after a full pre-admission assessment has been completed and the manager is satisfied that all needs can be fully met or met with input from other health professionals. The Care Homes for Older People Page 11 of 27 Evidence: manager confirmed that she undertakes all pre-admission assessments and completes pre-assessment documentation. Pre-assessment documentation was seen as part of the person centred care plans. This home does not offer the facility of intermediate care. Intermediate care is a dedicated service with specialised facilities, equipment and staff, designed to deliver short-term intensive rehabilitation to enable people to return to their own homes. 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 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 planning that shows that person centred care is promoted, and peoples health care needs are mostly met. The safety of people may be put at risk because of the need for medication practices to be improved. People are mainly treated with privacy and dignity. Evidence: The home produces a person centred care plan for each resident based on the preadmission assessment. The home is currently being supported by professionals from the Primary Care Trust in the setting up of these plans. Six person centred care plans were seen three from the residential unit and three from the nursing unit. Overall it was evidenced that the plans contained all information as required by regulation. Care plans are underpinned by a series of risk assessments such as pressure area care, nutritional, continence, mobility and communication needs. Risk assessments are completed for example, the risk of falls, use of bed rails and mobility risks. Life stories are being included to demonstrate an awareness of previous work history, Care Homes for Older People Page 13 of 27 Evidence: hobbies, family details, likes and dislikes, special memories, and religious preferences. Whilst it is the homes policy that care plans are reviewed monthly, there were some gaps in these reviews, and the manager agreed to address this issue. One residents care needs had changed and the care records not updated. On the second day of the inspection visit, the manager confirmed that the care plan had now been updated. The AQAA documentation indicates that staff have received training in person centre care planning writing, and the staff training matrix indicates that five staff have completed person centred care planning training to date. The case tracking of one person centred care plan, and discussion with the senior manager and deputy manager on the first day of the visit indicated that not all current health care needs were being met for example in relation to administration of medication, and inappropriate moving and handling technique used. On the second day of the inspection visit the manager discussed the action that had been taken to address these issues, thereby endeavouring to actively promote the health and welfare of the person. The AQAA documentation stated that the medication MARS charts are audited on a weekly basis, and the manager confirmed that audits are undertaken. It was also stated in the AQAA documentation that there has been no serious incidents involving controlled drugs within the last twelve months, and that the disposal of drugs on the nursing unit was through a contract with a specialist disposal service and the manager confirmed this. It was evidenced that there were some gaps in the recording of medications on the residential unit, and an issue in relation to the administration of a controlled drug on the nursing unit was discussed with the senior manager and deputy manager. On the second day of the visit information was provided by the manager that confirmed action had been taken to address the issues raised. It was observed that staff mainly treat residents with respect, and consider their privacy and dignity. Staff interacted with the residents in an unhurried and respectful manner. 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 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 mainly confident they will have satisfactory opportunities regarding lifestyle choices. People are supported to maintain contacts with families and friends and enjoy a balanced and healthy diet. Evidence: Two people are employed to provide recreational activities, one works Monday to Thursday and the other works Monday and Friday. On a Monday when the two people are working one works on the nursing unit and one in the residential unit. On the first day of the visit a group of residents were seen in the lounge area of the residential unit enjoying a game of Bingo. Later in the morning a volunteer was observed assisting with the morning drinks and chatting with the residents. The AQAA documentation states that a variety of outdoor activity equipment has been purchased, and the person providing the activities at the time of the visit spoke about the residents enjoying Play your Cards Right, Armchair Football, Quizzes for example finishing the sentence and pairs of things. The activities person organised a successful Wine and Wisdom evening, and the manager said that a husband and wife visit the home and provide a singalong session once a month. A Prayer Care Group also Care Homes for Older People Page 15 of 27 Evidence: provides activities at the home with a spiritual flavour. Individual records of the activities provided are on the whole regularly maintained. Residents are encouraged to maintain contact with their family and friends. A visitor present on the day of the visit confirmed that the home makes them welcome. Links with the community are good and this helps to enrich the residents social lives. Some residents are able to go out with their families at weekends. The menu for the day was seen on display in the entrance hall. The menus were seen, together with records of the food provided. On the second day of the visit the inspector observed the main meal for the day. The main meal was Chinese Chicken (sweet and sour) with egg fried rice and the alternative was Lasagne and salad. The meals seen were well presented with good size portions. Special diets such as soft diets are also catered for. The range of sweets provided could be improved upon, examples on the menus included semonlina, sponge and custard and rice pudding. The AQAA documentation states that a photo library of meals offered has been introduced to offer visual choices and aid/prompt decision making. 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. People know their complaints will be listened to and acted upon. Staff have knowledge and understanding of adult protection issues which protects people from abuse. Evidence: The AQAA documentation states that the home has introduced a pictorial complaints folder. The complaints procedure was seen on display in the entrance hall and was also seen as part of the Statement of Purpose and Service User Guide. The complaints record was seen and indicated that all complaints are investigated within the statutory 28 day period. The home has robust policies for the safeguarding of vulnerable adults, and staff have undertaken training in relation to the safeguarding of vulnerable adults. The AQAA documentation states that there have been three safeguarding adults referrals made and two safeguarding adults investigations undertaken during the last twelve months. Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a mainly clean and comfortable home and can be sure that the environment is safe. Evidence: The home is suitable for its stated purpose; it has been extended to provide a residential dementia care unit for 32 residents with dementia. The original building provides nursing care for 41 residents with dementia. The AQAA documentation indicates the nursing wing has had extensive building work and refurbishment. Redecoration of the hallways and stairs has been undertaken, and new carpet purchased. Bathrooms have been upgraded and wet room facilities have been provided. The laundry room has been extended providing separate clean and dirty areas, and a new housekeeping room has been implemented. Corridors in the residential unit have been re-painted. New armchairs have been purchased for the nursing and residential units, and new dining room furniture has been purchased. Changes have been made to the main entrance and a new entrance door has been fitted. It was seen during the accompanied tour of some areas of the home that residents live in a safe, well-maintained environment including access to indoor and outdoor communal facilities. Many of the bedrooms seen are individual and personalised, containing a range of personal possessions. Care Homes for Older People Page 18 of 27 Evidence: For those residents requiring a high level of nursing care, appropriate beds are used, and other items such as pressure-relieving equipment are available. The home provides a mainly clean and bright environment. On the second day of the visit unpleasant odour was noticeable on the residential unit, and the manager said that she would address this issue. Good clinical waste disposal systems are in place. The AQAA documentation states that a single use/colour system of cloths and mop heads has been adopted. Cleaning schedules have been put in place and housekeepers sign off tasks undertaken. Care Homes for Older People Page 19 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 needs may not be met at all times by the numbers and skill range of the staff. The homes practice regarding the recruitment of staff ensures that people are protected. Evidence: The AQAA documentation states that staff have been integrated across the residential and nursing units. There is now one staff rota that covers the home. The staff rota was seen and indicates that mainly there are sufficient staff on duty at most times to meet the needs of the current group of residents. It was however discussed with the manager the deployment of staff at the mealtimes to ensure that all residents that need assistance receive support in a timely fashion and that food is not left to go cold. It was observed that agency staff are being used, and the manager said that the home is currently actively recruiting for staff. The home has a clear recruitment procedure. Three staff files were seen. No member of staff is employed until two references and a satisfactory check of the Protection of Vulnerable Adults register have been obtained. Where a member of staff starts work prior to receipt of the enhanced disclosure from the Criminal Records Bureau they work under supervision until this is obtained. Care Homes for Older People Page 20 of 27 Evidence: A copy of the staff training matrix was provided and indicates that training has been ongoing, although there are still gaps in the required mandatory training for staff. The manager confirmed that further training is booked, for example Mental Capacity Act training booked for ten staff on 24 September 2009, Dementia training booked for ten staff on 01 October 2009 and Social Activities for Dementia training booked for ten staff on 14 October 2009. The staff training matrix indicates that ten staff have completed NVQ Level 2, and that five staff are currently undertaking NVQ Level 2. The home provides an induction programme for new staff, stating with an initial mini induction, followed by a twelve week induction plan in line with the requirements of Skills for Care. Records are maintained of the induction process. Staff receive regular supervision with written records kept and staff appraisals are also completed. Care Homes for Older People Page 21 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 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 good management leadership, and can be confident that their home is well run. Residents financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and mainly protected. Evidence: Since the last inspection a person who was already employed by the company was appointed as manager in January 2009. The manager is qualified, competent and experienced. She has worked hard, supported by the staff team to bring about improvements in the standards of care provided and the improvements made to the environment. It is a requirement that all registered premises should have a registered manager and this was discussed with the manager. She said that she had completed the application paperwork and that this was now with Head Office, but was awaiting her GP reference. Care Homes for Older People Page 22 of 27 Evidence: She confirmed that she would take action to have the application submitted to the Commission without further delay. Following the inspection visit an email dated 20 October 2009 was received from the senior manager confirming that the registered manager application had been submitted to the Commission office. The manager and staff team at the home are currently being supported by Kent County Council Contracting Team. An action plan has been provided and the manager and staff team are currently taking the required action to address the issues raised. An administrative assistant has been employed and works 30 hours a week providing clerical support to the management of the home. It was reported that where residents personal allowances are handled by the home they were well managed with clear accounts being used for each resident and receipts kept for all expenditures. Each resident has their own account sheet, where monies coming in and going out are recorded. Monies are kept in individual envelopes and retained in a place of safekeeping. These records were not seen at this visit. The home has quality monitoring systems in place. Questionnaires to families and staff have been sent out and are currently being returned. The manager oversees a variety of audits, including accidents/incidents, medication, complaints and environmental risks. Staff and resident meetings take place regularly with minutes recorded. Regular 26 visits are undertaken and a report produced. The Regulation 26 visit report was seen for August 2009 was seen. The AQAA documentation state that full and accurate records and documentation, including records of maintenance and service checks is maintained. Care Homes for Older People Page 23 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 24 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 1 18 18 The registered person must 31/12/2009 ensure that sufficient numbers of suitably trained staff are employed to meet the needs of residents in the home. All staff to undertake Safeguarding of Vulnerable Adults training. To ensure residents are protected and safeguarded from abuse. 2 27 18 Carry out an audit of the number of residents that require assistance with feeding and deploy a sufficient number of staff at times of the day when assistance with feeding is required. To ensure residents health and welfare needs are met. 30/10/2009 Care Homes for Older People Page 25 of 27 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 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. 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