Care Home: Tansley House

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well People told us they were happy with the service they received from the home. They said "I`m very well looked after here", the home "takes care of all our needs", and, "The staff treat each resident as an individual and understand their needs and requirements". People told us "I can do as I please here", and, "a lovely atmosphere. Everyone happy, staff and residents". There was a good range of activities for people in the home, including group and one-to-one activities. People were regularly consulted for their views and ideas through meetings and surveys. 8 of 13 care staff had achieved a relevant National Vocational Qualification (NVQ) at level 2 or above. This exceeded the national minimum standard of 50% of care staff with a relevant NVQ. What has improved since the last inspection? The 7 requirements made at our last inspection had all been met, resulting in improvements in care plans, medication records, and health and safety in the home. The activities programme had been further developed. The home had won the UK Adult Continuing Education National group Award. The ground floor bathroom had been redesigned to provide a fully accessible shower. A large screen television had been provided in the lounge. What the care home could do better: Review and revise care plans when there are changes in the person`s needs, and ensure a more person centred approach to care planning so that people have care and support to meet their needs, personal preferences and wishes. Ensure all medication is stored securely and in accordance with the manufacturer`s instructions so that potential risks to people in the home are minimised. Develop policies to demonstrate how the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards will be implemented in the home. This should include how the provider will ensure that staff are conversant with this legislation and their roles and responsibilities. This will ensure that people`s rights are promoted and upheld. Revise the procedures for dealing with soiled or infected laundry to ensure compliance with the Department of Health guidance for the control of infection in care homes. This will reduce the risks to people in the home of the spread of infection. Ensure that all people applying for work in the home provide a full employment history, with full dates of previous employment wherever possible. This will ensure a more robust system that helps to protect people in the home. Key inspection report Care homes for older people Name: Address: Tansley House Church Street Tansley Matlock Derbyshire DE4 5FE     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: Rose Moffatt     Date: 1 0 1 1 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 28 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 28 Information about the care home Name of care home: Address: Tansley House Church Street Tansley Matlock Derbyshire DE4 5FE (01629)580404 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Alan Baranowski,Mr Steve Lomax,Mrs Janet Baranowski care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Plus Three (3) Day Care Places Date of last inspection Brief description of the care home Tansley House is a well established care home registered for 20 older people who need help with personal care. The home provides pleasant, homely accommodation in 18 single rooms and one shared room. In practice the home usually accommodates 19 residents with the shared room being used if required by a married couple. There is a choice of lounges, a separate dining area and use of the garden. The home is situated in the centre of Tansley village. Information about the home, including CSCI/CQC inspection reports, is available in the main entrance area of the home, or from the registered manager. The fees charged at the home were £368.92 to £388.17. In addition, people in the Care Homes for Older People Page 4 of 28 Over 65 20 0 1 7 1 1 2 0 0 8 Brief description of the care home home pay for their own newspapers, chiropody and hairdressing. Some toiletries are provided unless people prefer particular brands. The manager provided this information on 10th November 2009. Care Homes for Older People Page 5 of 28 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 the service experience good quality outcomes. The focus of our inspection is on outcomes for people who live in the home and their views on the service provided. The inspection process looks at the providers ability to meet regulatory requirements and national minimum standards. Our inspections also focus on aspects of the service that need further development. We looked at all the information we have received, or asked for, since the last key inspection or annual service review. This included: the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also has some numerical information about the service; surveys returned to us by people using the service and from other people with an interest in the service; information we Care Homes for Older People Page 6 of 28 have about how the service has managed any complaints; what the service has told us about things that have happened - these are called notifications and are a legal requirement; the previous key inspection and the results of any other visits we have made to the service in the last 12 months; relevant information from other organisations; and what other people have told us about the service. We carried out an unannounced inspection visit that took place over 6 hours on 10th November 2009. The inspection visit focused on assessing compliance with requirements made at the previous inspection and assessing all the key standards. We sent out 10 surveys to people living in the home and received 4 completed responses, 3 of these completed with help from relatives. We sent out 10 surveys to staff employed at the home and received 4 completed responses. There were 17 people accommodated in the home on the day of the inspection visit. 4 people who live in the home, 2 visitors and 3 staff were spoken with during the visit. The manager was available and helpful throughout the inspection visit. Some people were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. Case tracking was used during the inspection visit to look at the quality of care received by people living in the home. 3 people were selected and the quality of the care they received was assessed by speaking to them and / or their relatives, observation, reading their records, and talking to staff. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 28 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 28 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 28 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. There was a satisfactory assessment process so that people were confident their needs could be met at the home. Evidence: Most people told us they always had the care and support they needed. They said Im very well looked after here, and the home takes care of all our needs. There were 17 people in the home on the day of the inspection visit. We looked at the care records for 3 people. Each had an assessment of their needs carried out by the homes manager or deputy manager. The assessments included information about all areas of the persons life. None of the assessments had been signed or dated. The admission processes included a brief assessment of the persons mental health needs, though not specifically of their mental capacity. The home had a copy of the Mental Capacity Act 2005 code of practice and some staff had received relevant Care Homes for Older People Page 11 of 28 Evidence: training. The AQAA said that people have a full assessment prior to admission to ensure the level of care that we can provide is appropriate. They said they had improved in the last 12 months by revising the documentation used and by ensuring staff had relevant training to help them to meet peoples needs. There were no people in the home receiving intermediate care and so Standard 6 did not apply. Care Homes for Older People Page 12 of 28 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. There were improvements in care planning and medication systems to ensure a more consistent approach to meeting peoples needs. The delivery of care was person centred, although this was not reflected in care plans. Evidence: People told us they received the care and support they needed, including medical care. They said The staff treat each resident as an individual and understand their needs and requirements, and, My health has improved since I came here - and Ive put on weight!. People told us the staff listened to them and acted on what they said. They said that staff were very helpful - you only have to ask, and, They do everything I need them to. A relative told us they were pleased that staff had encouraged the person to become more mobile and to join in more with activities in the home. We looked at the care records of 3 people in the home. Each person had a care plan that included all their assessed needs. All of the care plans had been signed by the Care Homes for Older People Page 13 of 28 Evidence: person, or their representative, to indicate their agreement and involvement. The care plans were not written in a person centred way. The care plans had been reviewed monthly, but were not always updated when there were changes in the persons condition or needs. Appropriate risk assessments were included in the care plans and these were also reviewed monthly. Again, the monthly reviews did not always include changes in the persons condition or needs. We found that people were promptly seen by their GP for any health concerns. We saw records of the GP and other health-care professionals visits with good details of any diagnosis or treatment. Care records included some details of individual personal preferences, such as the persons preferred name, their likes and dislikes in food and drink, and preferred times for getting up and going to bed. People told us they were treated with respect by staff. We observed that staff had a friendly and courteous approach to people in the home and visitors. Staff were able to explain to us how they ensured peoples dignity and privacy were maintained when providing personal care. Most medication was stored in locked trolleys in the dining room. Controlled drugs were stored securely in a separate cupboard. Insulin and other medicines requiring refrigeration were kept in the kitchen fridge. The manager told us this was a temporary measure as a new medication fridge was on order. We advised that the insulin should be more securely stored in a lockable container in the kitchen fridge as an interim measure and the manager took action to ensure this. We found satisfactory records of the receipt, administration and disposal of medicines in the home. All staff who were administering medication had received appropriate training. There were no recorded assessments of staff competence in the safehandling and administration of medicines, although the manager said she did observe staff to ensure they followed correct procedures. The AQAA told us that the homes philosophy of care was to ensure that people were treated with respect and their dignity and privacy preserved at all times. They had improved in the last 12 months by reviewing care planning and assessment documentation. Care Homes for Older People Page 14 of 28 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. The meals and activities provided and the routines of the home met the needs, preferences and expectations of people in the home. Evidence: People told us there were usually activities in the home that they could take part in. They said they could follow their preferred daily routines, such as getting up and going to bed when they wanted to. They said I can do as I please here, and, a lovely atmosphere. Everyone happy, staff and residents. We found there was a good range of appropriate activities organised by the manager and care staff, such as gentle exercise sessions, bingo, arts and crafts, trips out and visiting entertainers. The home had won a national award in 2009 for adult continuing education. There was a regular church service at the home and some people went out to local churches. Staff had recently started one-to-one sessions for some people in the home to encourage mobility and help them to join in with other activities. Staff and a relative said this was showing positive results. There were bird tables on the garden patio so that people could feed and watch the birds. The manager said that people had helped to grow fruit and vegetables in the Care Homes for Older People Page 15 of 28 Evidence: garden in the summer and it was planned to repeat and extend this next year. There were regular meetings for people in the home, and their relatives/ representatives, to air their ideas, views and any issues. The meeting minutes were available in the entrance area. Visitors told us they were always made welcome at the home. People were able to bring in their own possessions and the bedrooms we saw were very well personalised. People were offered a key to their bedroom door, though the manager said that few people wanted one. People said they enjoyed the meals provided at the home. They said there was plenty of choice. One person said they would rather have smaller portions as they couldnt always finish their meal. One person said close the door between kitchen and dining room at meal times. The noise of clanging tin trays and pans goes on all through the meal very loud. The dining room was pleasant with cloths, flowers and condiments on all the tables. People could eat in their rooms if they wished and one person told us they were pleased that staff respected their choice to do this. The manager said the menus were being reviewed in consultation with people in the home. There were choices available at each meal. We saw that fresh fruit was available throughout the day in the lounges. The AQAA told us that the home operated in a friendly unregimented atmosphere. Also that there was a structured programme of activities in place. They had improved in the last 12 months by raising funds to buy in more activities and have more trips out. Care Homes for Older People Page 16 of 28 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. There were satisfactory procedures in place to ensure that people were safeguarded and they were confident apropriate action would be taken to address any complaints made. Evidence: People told us they knew who to speak to if they were not happy about anything and how to make a formal complaint. People said they would go to the manager or deputy manager with any concerns and were confident they would take appropriate action. The complaints procedure was available in the main entrance area of the home. The home had received 1 formal complaint since the last inspection and we had also been made aware of this complaint. The records showed that the manager had taken appropriate action to address the complaint. We had not received any direct complaints about the home. The policy and procedures for safeguarding vulnerable adults had been reviewed and amended since the last inspection. One revision was needed to make it clear to staff that social services would decide if a safeguarding investigation was required, and not the homes manager. Staff had signed to say they had read and understood the procedures. All the staff except one person recently employed had received training about safeguarding vulnerable adults. Staff who returned surveys said they knew what to do if anyone raised concerns about the home. Staff spoken with were aware of the Care Homes for Older People Page 17 of 28 Evidence: correct procedures to follow if abuse was suspected or alleged. The AQAA showed that there were relevant policies and procedures in place and that these had been reviewed in the last 12 months. The AQAA said there was a culture of openness, that they acknowledged and learned from mistakes and took action to put things right. They said they had improved by reviewing policies and ensuring relevant training for all staff. Care Homes for Older People Page 18 of 28 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. The home was clean, well maintained and suitably equipped so that people lived in a pleasant, homely environment that met their needs and preferences. Evidence: People told us the home was always clean and fresh. They told us they liked the comfortable, homely style of the home. One person was pleased that their bedroom had been redecorated to their requirements. One person commented that getting onto the rear patio area was difficult with a wheelchair due to a small step and narrow access. We looked at the communal areas of the home, some of the bedrooms, the bathrooms and the laundry. We found the home was clean and free from offensive odours in all the areas seen. The lounges and dining room were pleasant and comfortably furnished. Bedrooms seen were well personalised with peoples own possessions. The bathrooms were suitably equipped to assist people with mobility problems to bathe or shower. Staff had received training about the control of infection and were aware of the basic principles, such as effective handwashing and use of disposable gloves. The laundry room and the systems in place for dealing with soiled clothes and linen did not fully Care Homes for Older People Page 19 of 28 Evidence: meet the guidance from the Department of Health for infection control in care homes. For example, there was a sluice sink sited in the laundry, and staff were hand sluicing soiled laundry before it was washed in the machine as there was no sluice programme on the washing machines. The AQAA said the home provided a well decorated and fresh environment with a relaxed homely atmosphere. They encouraged people to bring in their own possessions where possible. People were given a choice of decor, carpet, and layout of their bedrooms. Care Homes for Older People Page 20 of 28 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. There were satisfactory recruitment procedures, relevant staff training, and staff in sufficient numbers to ensure that people were safeguarded and their needs were met. Evidence: People told us that staff were usually available when needed and usually listened to them and acted on what they said. They said that staff were very helpful - you only have to ask, and, seem to have a great affection for everyone in their care and have an in depth knowledge about each and every one. Nothing is too much trouble. The staff rotas showed there were always 3 care assistants on duty in the morning, and often 4, plus the manager and the cook. In the afternoon there was a period of overlap between the shifts and then usually 2 or 3 care staff on duty after 4 pm. There was 1 waking care staff and 1 sleeping in for the night shift. The care staff carried out the cleaning and laundry in the home. Staff told us there were always enough staff to meet the needs of people in the home, and to carry out the domestic tasks. They were positive about working in the home its fun, friendly and homely for both staff and residents, its a good staff team, It is a nice and happy place to work in. We looked at the records of 3 members of staff, all recruited since the last inspection. Care Homes for Older People Page 21 of 28 Evidence: All had the required documents, including a Criminal Records Bureau (CRB) disclosure. 2 of the records did not have a full employment history on the application form as required. There was an induction programme in place that met Skills For Care standards. All staff had received training in manual handling and fire safety, and most staff had received training in health and safety, first aid, and the safe-handling of medicines. Some staff had received training in the care of people with dementia, about nutrition for people with dementia, and about promoting continence. 8 of 13 care staff had achieved a relevant National Vocational Qualification (NVQ) at level 2 or above. This exceeded the national minimum standard of 50 of care staff with a relevant NVQ. The AQAA said that peoples needs were met by the appropriate proportion of skill mix and contact hours. They had improved in the last 12 months by providing staff with more training. Care Homes for Older People Page 22 of 28 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. The home was well managed to provide a consistent service that was run in the best interests of people living there. Evidence: The manager had been in post for 7 years and was suitably qualified to run the home. People told us they had confidence in the manager to sort out any issues or concerns. Staff told us the manager was approachable and listens to staff views and ideas and will take them on board. We observed that the manager was hands on and was greeted warmly by people in the home and visitors. Quality assurance measures included surveys given out to people living in the home and their relatives / representatives. The results of the surveys were analysed and a report was produced of the findings and of the action taken to address any issues raised. The report was available in the main entrance area of the home. There were regular meetings for people in the home and their relatives / representatives where they could discuss ideas and raise any issues. One of the owners visited the home Care Homes for Older People Page 23 of 28 Evidence: frequently and also produced the monthly regulation 26 reports. Some of these included comments from people in the home and staff. The AQAA was completed by the manager and was returned when we asked for it. There was satisfactory evidence to support the comments made about what the the home does well and how they had improved in the last 12 months. There was very limited detail of how they planned to improve. The data section was fully completed. Small amounts of personal money were kept in the home for some people living there. The money was kept securely with appropriate records of all transactions. Since the last inspection, work had been carried out to meet the requirements of the environmental health department and the fire service. The AQAA showed that all maintenance and servicing of equipment and systems was up to date. This included the electrical wiring as required at our last inspection. We found there were risk assessments in place for all radiators in the home and these had been reviewed and updated since the last inspection to include any known risk factors relating to the people in the home. The manager told us that all radiators in bedrooms were now fitted with covers. Care Homes for Older People Page 24 of 28 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 28 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 7 15 Care plans must be reviewed 31/01/2010 and revised when there are changes in the persons needs. This will ensure that people have the care and support they need, and that staff are fully informed of changes in the persons needs. 2 9 13 All medication must be stored securely and in accordance with the manufacturers instructions. This will help to protect people by minimising potential risks. 31/12/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 3 The admission processes should include: - recording whether the person has made an advance Care Homes for Older People Page 26 of 28 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 decision on receiving medical treatment, and if they have a Lasting Power of Attorney, Independent Mental Capacity Advocate, or Relevant Persons Representative. - consideration of the persons capacity to make decisions about their daily lives, care and treatment. This will ensure that people are safeguarded and their ights are promoted. 2 7 Care plans should have a more person centred approach to ensure that people have care and support to meet their needs, personal preferences and wishes. The competence of staff in the safe-handling and administration of medicines should be formally observed and recorded by a suitably trained person at least once a year. This will help to ensure a more robust system that safe-guards people in the home. The procedures for dealing with soiled or infected laundry should be revised to ensure compliance with the Department of Health guidance for the control of infection in care homes. This will ensure that people in the home are better protected from the potential spread of infection. All people applying for work in the home should provide a full employment history, with full dates of previous employment wherever possible. This will ensure a more robust system that helps to protect people in the home. Policies should be developed to demonstrate how the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards will be implemented in the home. This should include how the provider will ensure that staff are conversant with this legislation and their roles and responsibilities. This will ensure that peoples rights are promoted and upheld. 3 9 4 26 5 29 6 33 Care Homes for Older People Page 27 of 28 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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!