Care Home: Stockton Road (302)

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What the care home does well Before people moved in, the home made sure that it was the right place for them to live.The care records are good so that all staff know exactly how to help people in the right way.The home is warm and comfortable.Everyone has their own big room in the way they like it.Staff make sure people can go out often. What has improved since the last inspection? Each person has their own holiday. People choose where they would like to go. What the care home could do better: It would be better if information about the home was kept in the lounge so people can see it whenever they want.Staff need to have training in how to protect people from abuse.It would be better if bathrooms were redecorated. It would be better if there was a shower that everyone could use.Staff need to have new training in safety. Records of staff training need to be up to date. Key inspection report Care homes for adults (18-65 years) Name: Address: Stockton Road (302) Stockton Road (302) Hartlepool TS25 1JT 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: Andrea Goodall Date: 0 6 0 1 2 0 1 0 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) Page 2 of 33 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 © (2010) 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 Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Stockton Road (302) Stockton Road (302) Hartlepool TS25 1JT 01429223794 01429223794 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.reallifeoptions.org Real Life Options Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 6 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 6 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home The home is run by Real Life Options. 6 people can live here. The house is big, and has large rooms. It is easy for people with a wheelchair to get around downstairs. Everyone has their own bedroom. It is near the town centre so people can get a bus or taxi there. Care Homes for Adults (18-65 years) Page 5 of 33 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home The inspector spent some time with the people who live at the home. The inspector had lunch with the people who live here and the staff. She looked at records that the home has to keep, like: care plans staff files medicine records. Care Homes for Adults (18-65 years) Page 7 of 33 The inspector looked around the home. This is to make sure it was safe and comfortable. What the care home does well Before people moved in, the home made sure that it was the right place for them to live. The care records are good so that all staff know exactly how to help people in the right way. Care Homes for Adults (18-65 years) Page 8 of 33 The home is warm and comfortable. Everyone has their own big room in the way they like it. Staff make sure people can go out often. What has got better from the last inspection Each person has their own holiday. People choose where they would like to go. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home could do better It would be better if information about the home was kept in the lounge so people can see it whenever they want. Staff need to have training in how to protect people from abuse. It would be better if bathrooms were redecorated. It would be better if there was a shower that everyone could use. Care Homes for Adults (18-65 years) Page 10 of 33 Staff need to have new training in safety. Records of staff training need to be up to date. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Andrea Goodall St Nicholas Building St Nicholas Street Newcastle upon Tyne Tyne and Wear NE1 1NB 01912333300 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You Care Homes for Adults (18-65 years) Page 11 of 33 can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 12 of 33 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 33 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 fully assessed before they move here so that they know the home can meet their needs. Evidence: The home at Stockton Road has a written information pack about the service it provides (called a service users guide). This provides clear details of the service and its aims. It is good that some of the information is in easy-read format, pictures and photographs to support the communication skills of the people who live here. Some people find it very difficult to understand written or pictorial information. However at this time the information is kept in the office so is not readily accessible by any of the people who live here. There has been only one new resident to move here in the past couple of years. It is clear from assessment records and discussions that there were full and detailed assessments of the person before they moved here to make sure that the home could meet their needs associated with their learning disability. Page 14 of 33 Care Homes for Adults (18-65 years) Evidence: The assessments included the resident, their relative and advocates as well as all the relevant social and health care professionals involved in their care. In this way the person and their representatives were assured that the home was a suitable place for them. Care Homes for Adults (18-65 years) Page 15 of 33 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Care planning systems are good, so that staff know how to support residents with their individual needs. Evidence: Care plans are records that are used by all care services to show what sort of help each person needs and how staff will provide that care. For example, how to help people with their activities, finances, health care, communication and behaviour. The sample of care records at Stockton Road were detailed and provided clear guidance to staff about how to meet each persons needs. It is very good that the care practice statements are written in the first person, and clearly respect and value the abilities, as well as the needs, of each of the people who live here. For example, I like to choose from the wardrobe myself and I do not like to be rushed. It is good that people have the chance to have monthly meeting with their key workers to talk about what they have enjoyed, and what they would like to do in the future. Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: However most people choose not to stay at the meetings due to their comprehension and communication needs. Key teams also support each person with making individual choices such as the decor their room or where to go on holiday. One resident recently went to Disneyworld in Paris, and one person is planning to go to Benidorm in the next few years. In this way people can be involved in their own plans, and make decisions and choices about their own lifestyle. The home has risk assessment records to guide staff in how to support people with activities that may involve an element of risk. For example, using transport, using the kitchen and safety in the community. These include clear guidelines about how the risks can be minimised. Care Homes for Adults (18-65 years) Page 17 of 33 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 have excellent support to lead an active lifestyle so their rights to individuality, choice and privacy are respected. Evidence: At this time people do not have a formal day care programme so the activities are provided by support staff based on what each person prefers. People enjoy a good range community-based activities in the local area such as sportability clubs, evening discos and social events. The home also has plans to support two people to look at voluntary employment opportunities. People also enjoy their own preferred interests inside the home.The home has large recreation room where people can enjoy music sessions, and there are plans for art sessions in the future. The home also has a sensory room which is filled with visual equipment such as coloured lights. Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: The home is a former family residence and is indistinguishable from other properties in this area. It is a short bus ride from the city centre so people have a good range of shops and leisure resources nearby. In this way people are supported to participate fully in their local community. The home helps people to make good use of the local community facilities such as shops, pubs, cinema, and swimming pools. Everyday most people have the opportunity to go out either individually or with other residents to local shops or to the town centre. People also have good chances to meet other people outside the home at social events such as a weekly disco, a weekly karaoke night and a sports club. During this visit it was clear that staff encourage and promote conversations with residents to try to involve and include them in decisions about their day. People have easy-read written information in their care files about their rights and what to expect from the service here. However people do not have immediate access to this information as their care files are kept in a small office. There are regular house meetings which help to promote peoples rights to make decisions about their lives and the running of the home. The home does endeavour to include people in daily household tasks within their own capabilities, such as hoovering and cleaning their room. People are also involved in grocery shopping. Some people can prepare part of their own meals, for example pouring cereal and milk. Main meals are made by staff but it was good to see people engaged with staff in the kitchen while meals were being prepared. The home has a large, well-equipped kitchen and a spacious dining room where residents and staff can dine together. Meals continue to be nutritious and healthy. People who need physical help to eat their meals were supported with sensitivity and at the persons own pace. Care Homes for Adults (18-65 years) Page 19 of 33 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 receive good support so that their personal and health care needs are well met. Evidence: All of the people who live here need some support with personal care to varying degrees. This ranges from verbal prompts and supervision, to physical support with dressing, washing and bathing. At this time there are three male staff so that there are times when the two gentlemen living here have male support. There is always gender-appropriate support for the four ladies who live here. There are clear health care records which show that the home ensures that residents have access to the right health care services when required. For example, GPs, dentists, Speech and Language therapists and occupational therapists. None of the people who live here have been assessed as able to manage their own medication. Medication is managed by eight staff who have had training in safe handling of medication. Medication is delivered to the home by a pharmacist each month in blister packs so that it is easy to manage. Medication is securely stored in a suitable way. Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: All medication records were up to date. It is good practice that the home has obtained written consent from each persons GP to provide home remedies when necessary, such as simple painkillers. There are clear guidelines for staff about when to administer as and when medication. Care Homes for Adults (18-65 years) Page 21 of 33 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. The lack of staff training in protection procedures means that the home does not sufficiently demonstrate that the safety of residents is safeguarded. Evidence: The home has a complaints procedures that is outlined in its information guide. This is in easy-read and picture format, but it is currently kept in an office so is not immediately accessible by the people who live here. However people are encouraged to comment on the service at Residents Meetings and at their care reviews. There have been no complaints about this service over the past year. Some of the people who live here have very limited communication skills and may find it difficult to comprehend the concept of a complaints procedure. However they are able to express dissatisfaction with a situation either through speech, gesture or mannerisms. Staff have built up a very good understanding of different residents likes, dislikes and communication needs. It was clear from individual peoples care records that staff know when people are dissatisfied and they respect the persons right to choose not to do something. The service has protocols about the protection of vulnerable adults, and has worked previously with the local authority to deal with adult protection matters. However it was clear from recent behaviour management records that, on at least two occasions, one resident had struck or scratched other residents. The home had not reported these incidents to the local authority (who take the lead on safeguarding adults matters) nor to Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: the CQC, which needs to be notified of any incident that impacts on the well-being of a resident. At the time of these incidents it is possible that the manager was absent and the deputy manager was seconded to another service. However all staff have a duty to report any incident that may be regarded as a safeguarding adult alert. There are information posters in both offices at the home about how to report such events, but staff training records indicate that staff have not had specific training in safeguarding adults. In this way, it is clear that staff had not recognised the incidents as physical abuse. Care Homes for Adults (18-65 years) Page 23 of 33 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 comfortable and safe environment so they enjoy a reasonable standard of accommodation. Evidence: The home is a large detached house set back from a busy main road and close to a range of community facilities, like shops, a park, churches and pubs. The home has a ramp and handrail at the front and there is room down stairs for people who use wheelchairs to move about easily in all the communal areas. The people who live here and most visitors enter into the house from a quieter street at the back of the property. There is a pleasant, enclosed back garden, with a patio area and table and a secure gate to the homes small car park. The house is owned and maintained by Three Rivers Housing Association which is responsible for its routine maintenance checks and repairs. At the time of this visit some extractor fans in bathrooms and the laundry room were furred-up, which could present a fire hazard. Each person has their own large bedroom, with a lockable door. No-one currently has a Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: key to their bedroom, and it is recorded in care plans if people cannot manage these. There are thumb-turn locks on the inside of the bedroom doors so people can use these if they wish. Three bedrooms have their own private bath or shower room, and most are big enough to have a double bed and sitting area. There are two bedrooms on the ground floor and these are used by people who have significant mobility needs. Both these bedrooms have an en-suite bathroom, and one has a chair hoist for the bath. (The other person is being assessed by an occupational therapist for lifting equipment for their bath as they are having to be supported by two staff and a box to climb into their en-suite bath.) The remaining four people have bedrooms on the first floor. At this time those four people can manage the stairs with some supervision. However two people have declining mobility needs and the Provider will need to consider their future accommodation needs. The four people on the first floor share two bathrooms, one of which has a small shower cubicle. Both baths are standard height and the shower cubicle has a step up to it. In this way the bathrooms are not equipped to support the two people with reduced mobility who use these rooms, and there is no choice for them to use a shower. Both communal bathrooms have not been redecorated in some time, and their old-fashioned appearance detracts from the decor in rest of the house. Also pull cords in bathrooms have become grubby. Staff carry out the routine daily household tasks, and try to involve residents in these wherever their capabilities and motivation allow. There is a small laundry room which is quite cluttered so would be difficult for people to access. Staff were clear that the activities of residents are the priority and that housework can be carried out at times to suit the people who live here. Overall the home was clean, odour free and reasonably maintained. It is good practice that the home achieved a 5* rating for Food Safety by Environmental Health in August 2009. Care Homes for Adults (18-65 years) Page 25 of 33 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by sufficient and suitable staff so that their needs are met. Evidence: The care staff team currently consists of the manager, a deputy manager, some senior support staff and a team of 23 support staff. This allows for between 5-6 staff on duty throughout the day and evening to support the six people who live here. The home provides two staff on waking duty throughout the night. This level of staffing includes one-to-one support arrangements for one person at all times throughout the day, and 35 hours each week of one-to-one support for another person who has significant mobility needs. At most times this leaves 3 - 4 support staff to assist the remaining four residents. In this way the staffing levels are satisfactory and mean that people have good opportunities to engage in individual activities. Six surveys were received from staff as part of this inspection. Staff were very positive in their comments about how the home supports the people who live here. Staff said, The care and welfare of the service users in our care is paramount and it provides a happy, safe, supporting environment for all who live here. All staff also indicated that they have sufficient support from the manager and other staff to carry out their role. Staff felt that the home was well run and one said, All the support Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: workers work well together. There have only been three changes to staff over the past year. This is a low turnover of staff and means that people benefit from continuity of care from familiar support staff. There have been no new external appointments over the past year, but Real Life Options uses robust recruitment and selection processes to ensure that all new staff have been checked before they start work here. It is good practice that residents are invited to meet prospective staff, and one person was recently involved in interviews of applicant staff at the regional office. At this time about half the staff team have achieved a national qualification in care (called NVQ level 2), and some other staff are working towards this. This means the home currently meets the minimum standard for training in care. Care Homes for Adults (18-65 years) Page 27 of 33 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. Overall the home is run in a satisfactory way so that it promotes the best interests of the people who live here. Evidence: The registered manager has recently left the home. The deputy manager has applied and been been appointed to this post. She has begun the process of getting clearances in place so that she can apply to CQC for registration as the manager. The new manager has around 5 years experience of adult social care . She has achieved a higher national qualification in care (called NVQ level 4) and has started a Leadership and Management course. These are suitable qualifications for the manager of a social care service. The manager is supported and supervised by a divisional manager of Real Life Options. The staffing structure of the home includes a new deputy manager and senior carers who are responsible for supervising the care of residents. In this way there are clear lines of accountability within the organisation and within the home. Staff commented that they were happy about the new management arrangements and said they had confidence in the new manager. Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: The Provider uses a number of quality monitoring tools to audit the service it provides at this home. These include monthly visits by the divisional manager to the home to check on its operations. People are encouraged to express their views, wherever capabilities allow, at their house meetings where they can comment on things they like or do not like. The views of relatives are sought through an annual questionnaire, and at individual residents reviews. Since the last inspection the home now includes peoples individual plans in the homes business plan, if the person chooses to, so that it can be monitored whether their goals have been met. Staff carry out regular health & safety checks to make sure that the home continues to protect the welfare and safety of the people who live here, such as food temperatures and water temperature checks. However staff training records show that some staff need updated training in some health & safety matters, for example fire safety, first aid and moving & assisting. The new manager acknowledged that this was area that needs improving and that training records needed to be brought up to date. Care Homes for Adults (18-65 years) Page 29 of 33 Are there any outstanding requirements from the last inspection? Yes  No  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 Adults (18-65 years) Page 30 of 33 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 Description 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 Description Timescale for action 1 23 13 All staff must have training in 01/03/2010 safeguarding adults. Any incident relating to safeguarding adults alerts must be reported to the local authority. This is to ensure that all staff are able to recognise abusive incidents and are fully aware of their duty to report such events in the right way. 2 23 37 Any incident that impacts 01/03/2010 upon the welfare or wellbeing of the people who live here must be reported to the CQC as a notification. This is to ensure that the CQC is kept informed of incidents that are reportable under Regulation 37 of the Care Homes for Adults (18-65 years) Page 31 of 33 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 Description Timescale for action Care Homes Regulations 2001. 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 1 The service users guide information could be kept in the lounge so that it is easily accessible by residents (and staff) so they could look at it whenever they wished. The easy-read complaints procedure should be available at all times for the people who live here. The Provider should contact Three Rivers to request that cleaning of extractor fans is included in the regular routine maintince checks, so that these do not become clogged. The home would benefit from a communal walk-in shower to give people a choice of accessible bathing facilities. The first floor bathrooms would benefit from refurbishment. Dirty pull cords should be replaced The Provider should assess whether people now need lifting equipment in the communal bathrooms to support their declining mobility. The Provider should make sure that staff training records are brought up to date and that, where necessary, staff receive refresher training in health & safety matters, including fire safety, first aid and moving & assisting. 2 22 3 24 4 27 5 6 27 29 7 42 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or 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 © (2010) 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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