Care Home: Tawburn House

Similar services:

• The Vicarage
• Fairfields Country Rest Home
• 7 Hyde Road
• 5 Seafield Road
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home

What the care home does well People`s family told us: "Can`t praise the staff enough. I go home with peace of mind" and "I couldn`t have picked a better place". Tawburn House is a homely environment in a pleasant rural village. There are good local amenities including shop, church, village hall and pubs. Staff at the home are kind and considerate and have a genuine desire to provide a good life for the people they care for. They treat people with respect and dignity. Mrs. Balsdon, the registered manager, understands the needs of people living at Tawburn House and is respected by health care professionals her staff and people`s family. People`s physical and emotional needs are assessed and understood before the home decides if those needs can be met. Care records are well organised in that it is easy to find information. We saw that some care was well planned. This included physical, emotional and social needs. People receive a good standard of personal care. People at the home like the food very much and there are regular activities arranged for their entertainment and to maintain mental and physical health. What has improved since the last inspection? Care plans, especially regarding assessment of risk, are now more regularly reviewed and the information in them is current. Care plans, which are legal records, are now signed and dated. Staff now have improved knowledge in how to prevent pressure sores and provide catheter care. People`s choices are now respected in that they rise in the morning at a time they choose not when staff think they should. The home`s complaints policy now includes timescales for response so that complainants know what to expect. The arrangements for prevention of cross infection are now much improved. There has been much improvement to the environment in that it is better decorated, better maintained, safer, fresher and more secure. We found no indication at this inspection that staffing numbers are inadequate and arrangements have been made to improve night staffing. Staff training has further improved. Staff now receive regular supervision of their work so that standards are monitored and they have the opportunity to discuss work related issues. Recruitment of new staff is now robust in that good references are received so the manager can make an assessment of the person`s suitability. Management now has a better understanding of new legislation, in this case the deprivation of liberty safeguards, which protect people who lack capacity to make informed decisions relevant to their well-being and safety. Management now notify the Commission of any event which might adversely affect the well-being of people at the home. A representative of the organisation now does a monthly unannounced visit to the home to check on the standard of service delivered and report on their findings. Staff now tell is there is good management and good team work. Two staff now record when a person`s account at the home is credited or debited to ensure good record keeping. Hazards within the home are now more fully risk assessed, so risk can be removed or minimised as necessary. Hot water is now distributed to a bath at a temperature no more than 43 degrees Celsius and so does not have the potential to scold. What the care home could do better: Assessment should include risk from medical conditions so its management can be part of care planning. Where hand written information needs to be recorded on a medicines record a second staff should sign to confirm that the entry is correct. This reduces the risk of mistake. Staff training in aspects of health and safety must be up to date (in this case food hygiene certification). This is a repeat requirement but the home has made much progress. Key inspection report Care homes for older people Name: Address: Tawburn House Tawburn Sticklepath Devon EX202NL     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: Anita Sutcliffe     Date: 2 5 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 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 26 Information about the care home Name of care home: Address: Tawburn House Tawburn Sticklepath Devon EX202NL 01837840019 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Pauline_daccs@yahoo.co.uk Taw Care Ltd Name of registered manager (if applicable) Mrs Allison Balsdon Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 14 The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old Age, not falling within any other categoruy (Code OP) Dementia (Code DE) Physical Disability (Code PD) Date of last inspection Brief description of the care home Tawburn House is a large Victorian house in the village of Sticklepath. The home caters for 14 older people who may have a range of other needs such as dementia or physical disability. Many of the people who use the home are from the local area. Care Homes for Older People Page 4 of 26 Over 65 14 14 14 0 0 0 2 3 0 7 2 0 0 9 Brief description of the care home The home is at the centre of the village and adjacent to the Village Hall. People are accommodated over three floors. Access to rooms is by stairs or the passenger lift. The kitchen and lounge/dining area is on the ground floor and the laundry is on the first floor. All bedrooms but one have ensuite handbasin. There is one shared bedroom. The home has garden space available for peoples use. The provider of the home is Taw Care Ltd. There is a registered manager. Any health care needs are met through the community health services, such as district nursing. The home is staffed 24 hours a day, with one staff awake during night hours sleep. Weekly fees at the time of this inspection ranged between £420 and £500. An additional fee is made for hairdressing, private chiropody, newspapers and mangazines, personal toiletries and transport. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at /www.oft.gov.uk . Care Homes for Older People Page 5 of 26 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 Commission has collected information about Tawburn House since the previous key inspection July 2009. Toward this key inspection we did two unannounced visits to the home. We looked closely at the care of two people who use the service. This included meeting them and their family representative, speaking with staff about their needs and examining records pertaining to their care. We met most people who use the service and we observed staff going about their work and how they interacted with the people in their care. We saw most of the building at both visits and several bedrooms. We examined some policies, procedures and records. We asked questions of staff and the manager, who was present throughout. Care Homes for Older People Page 6 of 26 We spoke with a senior district nurse who has knowledge of the home. People who use the service may be described within this report as residents, clients, service users or patients. Few were able to tell us what they thought of the home. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? Care plans, especially regarding assessment of risk, are now more regularly reviewed and the information in them is current. Care plans, which are legal records, are now signed and dated. Staff now have improved knowledge in how to prevent pressure sores and provide catheter care. Peoples choices are now respected in that they rise in the morning at a time they choose not when staff think they should. The homes complaints policy now includes timescales for response so that complainants know what to expect. The arrangements for prevention of cross infection are now much improved. There has been much improvement to the environment in that it is better decorated, better maintained, safer, fresher and more secure. We found no indication at this inspection that staffing numbers are inadequate and arrangements have been made to improve night staffing. Staff training has further improved. Staff now receive regular supervision of their work so that standards are monitored and they have the opportunity to discuss work related issues. Care Homes for Older People Page 8 of 26 Recruitment of new staff is now robust in that good references are received so the manager can make an assessment of the persons suitability. Management now has a better understanding of new legislation, in this case the deprivation of liberty safeguards, which protect people who lack capacity to make informed decisions relevant to their well-being and safety. Management now notify the Commission of any event which might adversely affect the well-being of people at the home. A representative of the organisation now does a monthly unannounced visit to the home to check on the standard of service delivered and report on their findings. Staff now tell is there is good management and good team work. Two staff now record when a persons account at the home is credited or debited to ensure good record keeping. Hazards within the home are now more fully risk assessed, so risk can be removed or minimised as necessary. Hot water is now distributed to a bath at a temperature no more than 43 degrees Celsius and so does not have the potential to scold. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 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 26 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. Peoples needs are properly assessed and understood before they are offered a place at Tawburn House. Evidence: We looked at how well the last admission to the home had been managed. This involved meeting the person admitted, discussion with her and her family, looking at records of assessment and discussion with staff. We were told that the family had previous knowledge of the home and held it in high regard. They had also been given written information about Tawburn House and what service was offered. The registered manager, Alison Balsdon, had visited them to make an assessment of the persons needs and decide if the home could meet those needs. They were then admitted and terms and conditions (contract) provided, so that all people in the arrangement are protected. Care Homes for Older People Page 11 of 26 Evidence: The assessment of need covered all aspects of daily living, such as personal care needs and diet. It also included assessment of risk, such as prevention of pressure sores and mobility. The assessment also included information relating to the persons history, which is very important where people have a memory problem. However, no risk assessment or plan had been considered regarding chronic medical conditions, which do have complications which staff need to be fully aware of. Staff were able to tell us the care that the new person admitted required and we saw that they looked settled at the home. Their family told us: I go home with peace of mind. I cant praise them enough. We found that aspects of their health had improved since admission to Tawburn House. Care Homes for Older People Page 12 of 26 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. Peoples care is fully planned with their involvement and they receive the care and support they need. Evidence: We looked at how well peoples health and personal care is managed by looking closely at the care of two people at the home and speaking with a senior district nurse. Each person at the home has a plan of what care they want and need. The plans are reviewed regularly and we were told by a person who uses the service and her family that they are consulted and involved in the review - their decisions and choices are considered. The plans we looked at contained some very good detail and staff were also knowledgeable about the persons needs. The health of both people we looked at has improved; one persons mobility and the other persons diet. This was confirmed by their family/visitors. At our previous inspection we found that some staff needed additional training in pressure sore Care Homes for Older People Page 13 of 26 Evidence: prevention and catheter care. Staff are now knowledgeable on these subjects. All at the home appeared to be well cared for and we saw from records that health care needs, such as dentistry and eye care, are properly managed. A senior district nurse told us they have no concerns about the care delivered at Tawburn House. We looked at how the home manages medicines. We found that medicines are stored securely. Medical records are clear and complete. However, it is good practice that two staff sign to confirm that any hand written entry is correct and we would recommend this as standard practice in the future. Asked if people are treated with respect and dignity we were told: Oh yes and all we observed at our visit confirmed this. Care Homes for Older People Page 14 of 26 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 are supported to lead fulfilled lives within their capabilities. Evidence: We looked at whether people are able to lead fulfilled lives within their capabilities. Tawburn House is very much a village care home, situated on the main street, near local facilities. We were told that some at the home use the local church. Records seen provided some good information on peoples interests. There was some family/life history information, of great importance to staff where people have memory difficulties. We saw that the home had considered how to prevent social isolation where people do not want to spend time in the lounge with others. Staff and visitors told us about activities arranged at the home. They include: icing biscuits, craft work, quizzes, bean bag exercises, weekly flower arranging and bingo. It was clear that the house cat is very much in demand; seen regularly on peoples laps being stroked. The lounge has a large television for peoples viewing. However, we did question whether the programs had been chosen by people themselves or were more background for staff. Care Homes for Older People Page 15 of 26 Evidence: At our last visit to Tawburn House we established that some staff were getting people out of bed when they had said they did not want to get up. At this visit we spoke to new staff who described how people are visited and asked when they want to rise in the morning. We feel confident that the previous practice has now ceased. People told us about the nice atmosphere at the home and we saw staff engaging with people, talking and assisting them. Two visiting family told us how welcome they are made. There are no restrictions on people visiting the home. People told us they were very satisfied with the food provided and a visitor described how their friends appetite has greatly improved. People are offered a choice of meal and we saw regular drinks provided throughout the day. The menu was varied and includes fish, pasta and rice meals in addition to more traditional meat and vegetable dishes. Care Homes for Older People Page 16 of 26 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 are protected through the homes complaints and safeguarding arrangements Evidence: We looked to see if people are protected at the home. The homes complaints procedure is well displayed in the entrance hall. It contains the contact details for the Commission and Social Services and timescale for investigation. The home reports that it has received no complaints and the Commission has received no complaints about Tawburn House. Staff received training in the safeguarding of vulnerable adults during our inspection and they have been provided with the contact details of the Social Services Safeguarding team, should any concerns be raised. There have been no concerns raised about the home which might have indicated abuse. Care Homes for Older People Page 17 of 26 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 environment is homely, properly maintained and meets the needs of the people currently living there. Evidence: We looked at how suitable the home environment is for the people living there. Tawburn House is a Victorian building on the main road in the village of Sticklepath. People are accommodated over three floors. Access to rooms is by stairs or the passenger lift. The kitchen and lounge/dining areas are on the ground floor and the laundry is on the first floor. All bedrooms but one have en suite handbasin. There is one shared bedroom. We looked around the home, visiting all shared areas, the kitchen, laundry and most bedrooms. We found that many areas of the home have been refurbished and during our visits the heating system was being upgraded. We saw that new carpet is planned throughout the communal areas and people will be choosing this soon. There were no maintenance concerns from this inspection. The one lounge/dining room is homely and domestic in appearance and people have a level garden available for their use. A second choice of seating area is a conservatory which overlooks the garden. Care Homes for Older People Page 18 of 26 Evidence: Bedrooms are very individual to the person and people have personal items around them. We found the home to be much fresher than at our previous inspection visit. The home appeared very clean and there were adaptations, such as handrails, available to help people move around. Staff told us that, among other changes at the home, they now have a new hoist to help assist people with poor mobility. The registered manager has an understanding of how the environment can either hinder or help a person with limited memory due to dementia. We visited the laundry. The standard of equipment provided should fully meet the needs of the home. The room is small but clean and dirty laundry are now separated. This reduces the possibility of cross contamination. Staff told us that they have the personal protective clothing, (gloves and aprons they need and we saw that there is liquid hand soap, paper towels and antibacterial hand gel available. Care Homes for Older People Page 19 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive a service from a staff which are properly recruited, in sufficient numbers to meet peoples individual needs and where training is promoted and has improved. Evidence: We looked at whether peoples needs were met through the staffing arrangements. People told us: Cant praise the staff enough. There were two care staff, a domestic and the manager on duty when we arrived at 8:45 am, to care for eleven people. There is now a member of staff awake at nights, where previously there were two sleeping staff. We found nothing to suggest that peoples needs are not being met and staff agreed that there are enough of them to do their work properly, although one added: sometimes we struggle if buzzers go off in different parts of the home. Currently three of the nine care staff have achieved the National Vocational Qualification (NVQ) in care to level 2 or above. This is below the expected standard of 50 of care staff. However, staff appeared to be competent, for example, we observed staff competently assisting to move a person with poor mobility. A new member of the care staff told us that her training induction was satisfactory. Care Homes for Older People Page 20 of 26 Evidence: She added: Staff are very friendly. They help and teach. We looked at training records and spoke to staff. There is a training plan, but it was not fully up to date. The plan should be used to ensure that all necessary training is in place. We found that the cook at the home is not up to date with regard to Food Hygiene certification. The registered provider has arranged a lot of training for staff. The most recent has been safeguarding of vulnerable adults and medicines. One staff told us she has just finished her first aid training and two others said they have received training in pressure sore prevention and catheter care, required from our last inspection. We are told that training in dementia care is planned. Care Homes for Older People Page 21 of 26 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 who live at Tawburn House can be sure the home is run in their best interest. Evidence: Tawburn House was registered as a new service 17th April 2009 following a change in ownership. The manager, Alison Balsdon, had been considered fit to be the manager and is registered with the Commission. She has many years experience at the home and has achieved National Vocational Qualifications (NVQ) in care to level 4 and qualifications in managing a care home. People are very complimentary about Alison Balsdon. Two staff told us: Ali is a fantastic manager. Family of people using the service told us: Couldnt have picked a better place and I go home with peace of mind. District nurses told us they have confidence in Mrs. Balsdon. Staff told us how much things have improved at the home. They felt there was a better atmosphere and a good staff team. One told us: Its really friendly and quite Care Homes for Older People Page 22 of 26 Evidence: laid back. We looked at how the home will test the quality of the service it provides. it is planned that surveys will be sent to people in March or April to ask their opinion. The required provider visits take place, to check on standards at the home. The person who is legally responsible for the home on behalf of the organisation was at the home both days we did this unannounced inspection. We saw that staff receive supervision of their work and the manager makes herself very available to talk to people who use the service, visitors and staff. We believe that the home is now notifying the Commission of events which affect the wellbeing of people who use the service, as it must. This information is used to monitor the service provided and therefore helps to protect the people who use it. We asked how peoples financial interests were safeguarded and were told that the home keeps some money for people. We saw that it is locked away securely and we checked two which were correct to the recorded balance. We were told that no money goes into the business account. The money kept for people was available to them but we were told it is mostly used to pay for visiting services, such as hairdressing. We saw receipts were kept from transactions. Following a recommendation made at the previous inspection there are now two staff who sign to record any debiting or crediting of peoples account. We looked at health and safety within the home. There are some very detailed risk assessments for individuals at the home. These included their room, moving and handling and likelihood of falls. All previous work necessary toward fire safety at the home has now been completed and each person has a plan of how to evacuate them should the need arise in an emergency. We checked the temperature of the water at a bath seen to be in regular use and found it is now within the range which will not scald. The temperature control thermostat is now preventing scalding water from being delivered to the bath. We found that staff are now more up to date with mandatory health and safety training. (See the Outcome called staffing). Following concerns about security at the home this has been improved; people now have to ring to gain entry. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes R 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 1 30 18 Staff must receive training, in all aspects of health and safety, and that training must be updated regularly. So that staff are skilled and knowledgeable in their work and people are safe. 30/11/2009 Care Homes for Older People Page 24 of 26 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 30 18 All mandatory health and safety training (including food hygiene) must be completed within the required timescale. So that staff knowledge is up to date. 31/03/2010 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 2 3 9 Assessment should include risk from medical conditions so its management can be part of care planning. Where hand written information needs to be recorded on a medicines record a second staff should sign to confirm that the entry is correct. This reduces the risk of mistake. Care Homes for Older People Page 25 of 26 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 26 of 26 - 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!