Care Home: The Belmont

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What the care home does well People have their needs fully assessed by a member of the management team before moving into the home to make sure that all their needs have been identified and can be met. Mealtimes were seen to be an important social event and people enjoyed the meals prepared and served by the cook and were happy that there was enough food and they had choices of the meals they wanted. People spoken to were positive about the support that staff gave them and the way staff act with them. One person told us, "There is always someone (staff) around to help you when you need it, even during the night". Another person said, "The girls are very good, they know how to help me". What has improved since the last inspection? The requirement and recommendations made following the last inspection had been addressed. The management team has successfully achieved the Investors in People Award. What the care home could do better: The Service User Guide had not been updated to reflect the changes to the management structure of the home and other information that has changed since the document was last printed. It is important that information shared with people using or considering using the service is correct at all times. The details in the current complaints procedure should be reviewed and updated to reflect the correct name and address of the Care Quality Commission. Correct and up to date details should be available to all staff regarding the correct procedure to follow in the event of an allegation of abuse being made. Improvements could be made to some areas of the home regarding maintenance and good hygiene practice. Better records of staffs individual training could be kept. Further training should be arranged for staff in those areas identified with shortfalls, for example, Infection Control. The management team must ensure that the Care Quality Commission is notified immediately of the occurrence of the death of any resident. Key inspection report Care homes for older people Name: Address: The Belmont Schools Hill Cheadle Stockport Cheshire SK8 1JE     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: John Oliver     Date: 0 5 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: The Belmont Schools Hill Cheadle Stockport Cheshire SK8 1JE 01614287375 01614287374 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Belmont Care Homes Ltd Name of registered manager (if applicable) Eileen Gill Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The home is registered for a maximum of 40 service users to include: *up to 40 service users in the category of OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home The Belmont is a three storey detached property set within its own grounds, near to the village of Cheadle. The home is registered to provide care for up to 40 older people. There are three lounge areas and two dining rooms. Bedroom accommodation is provided on two floors and office space occupies the third floor. The fees for staying at the home were reported to be between three hundred and forty pounds and five hundred and ten pounds per week. Care Homes for Older People Page 4 of 27 Over 65 40 0 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: This inspection report is based on information and evidence we (the Commission) gathered since the home was last inspected in September 2009. Before visiting the home, we asked the manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helped us to determine if the management of the home viewed the service they provide the same way that we assess the service. Additional information used to complete the inspection report may include incidents notified to us by the manager of the home and information provided by other people and/or agencies, including any concerns and complaints. Surveys were sent to people living at the home and to members of staff to find out their views of the service. Ten people and six members of staff returned surveys. Care Homes for Older People Page 5 of 27 During the inspection visit time was spent talking to four people, observing how staff work with people and talking to the management, and staff on duty. Documents and files relating to people and how the home is run were also seen and a tour of the building was made. Feedback was given to the manager during the course of the visit. Care Homes for Older People Page 6 of 27 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 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. Care Homes for Older People Page 7 of 27 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 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they move into The Belmont so they know their needs can be met. Evidence: The manager described the referral and initial assessment process. On receipt of a referral the manager or deputy manager would visit the prospective resident and carry out a full assessment of their needs to determine if they could be supported by the staff and management team at The Belmont. Referrals were received mainly though the local authority who provided the management team with assessment and care plan information for the prospective resident. We looked at two care files and, in both instances, these residents had transferred from another residential home. Both files contained detailed information supplied by the previous home and pre-admission assessments conducted by the manager of The Belmont prior to them moving in. We also saw that the local authority Care Homes for Older People Page 10 of 27 Evidence: had carried out reviews approximately six weeks after the initial placements and reports were on file to confirm this. Once the pre-admission assessment had been carried out the manager then wrote to the person and/or their representative to confirm that The Belmont would/would not be a suitable home to meet their assessed needs. Where people such as private payers did not have the support of the local authority, the manager said she arranged with Age Concern to act as advocates where necessary, when the initial review was due. The manager told us that to address a recommendation made at the last key inspection, the pre-admission assessment document used had recently been reviewed and updated to cover any identified religious and cultural needs of the prospective resident. At the time of the pre-admission assessment prospective residents were also given a copy of the brochure for the home. This brochure gives basic details about what a person moving into the home can expect by way of facilities and support. The manager told us that, on admission, each new resident and/or their relative is supplied with a copy of the latest service user guide. The current service user guide had not been updated in the last eighteen months and some details were out of date or incorrect. It is important that such information is regularly reviewed and updated to ensure people receive the correct and up to date information about The Belmont. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the care and support that they need in a way that meets their expectations. Evidence: Each person had their own individual file and care plan that was based on information gathered from the relevant assessments and through knowledge gained by staff as they get to know the person. The management team had reviewed and updated the care plan format used since the last inspection visit. Care files were set up in a neat and consistent fashion and information was easy to find. Care plans were detailed and clearly identified the persons needs and any associated risks. Where it was identified that a person may require the assistance of a carer to support with some tasks, the actual assistance needed was not described in detail. Lack of such important information could result in inappropriate assistance being offered/given. Appropriate risk assessments had been undertaken to ensure that any identified risks Care Homes for Older People Page 12 of 27 Evidence: were minimised. One person required the use of bedrails and the manager had completed a risk assessment to cover this, including the risk of entrapment. During the tour of the premises it was noted that in two bedrooms, personal furniture included display cabinets that had glass doors. It was recommended to the manager that risk assessments be completed to cover slips, trips and falls to manage and minimise the potential risks to the people whose rooms they were. A daily record was completed for each person and the manager had taken into account the recommendation made at the last key inspection and had looked at making sure each daily report was written in sufficient detail to accurately reflect the care given over any 24 hour period. Peoples files contained details of visits made by health care professionals such as doctors, district nurses and opticians. The medication adminstration system was assessed and found that records of deliveries and returns were being maintained. The medication adminstration records (MAR) were sampled and found to be signed to show that all the required medication had been administered. Most medication was administered via a blister pack but there was some medication that was administered via boxes and bottles. We randomly selected one persons medication to check and found that the tablets administered and the balance left in the box were correct with the amount of tablets prescribed. Three people were prescribed Controlled Drugs at the time of this visit and balances and records were checked and found to be correct. All unused medication was returned to the pharmacy at the end of each month and stock levels were kept to a minimum. The deputy manager had the responsibility for carrying out a monthly audit of all medication and records were seen to confirm this. All bedroom doors had privacy locks and people could have their own key if they wished. Staff members were observed to treat people in a respectful manner and the interactions taking place between staff and residents were observed to be positive and respectful. One person living in the home told us, Staff are very, very good. They make sure they help you when you need it, I cant fault them. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were provided with activities and a variety of home cooked food, which they enjoy. Evidence: Part of the admission process when a person first moves into The Belmont is to complete a personal profile. The profile includes a lot of background information about the person including social interests, cultural and religious beliefs. Such information helps the staff to keep the person informed when activities and events are taking place that they may wish to participate in. Since the last key inspection a dedicated activities organiser has been employed to work 12 hours per week on providing suitable activities in the home. Residents spoken to confirmed that regular activities took place, although many were unsure what activities were available on a daily basis. One resident told us, We have a lady who comes around and tells us what is going on, she sometimes sings for us and we play board games. We do have some good fun, but not everyone wants to be bothered. Another person told us, Since ....has been doing the activities we have had more choice in things to do. Care Homes for Older People Page 14 of 27 Evidence: We saw the record kept of activities that had taken place and there was evidence that most people who enjoyed activities took part at least once or twice per week. On the day we visited the hairdresser was in the home and people confirmed that they were very satisfied with the standard of service provided. The home also has a mini bus and the manager told us that she plans to make sure people get the opportunity to go on day trips in the warmer weather. Residents and staff both confirmed that visitors regularly call at the home and are made very welcome. Examination of the visitors book confirmed that regular visits to the home took place. Meal times were seen as an important social event in the home and the recent purchase of new dining furniture helped to make sure that people enjoyed their meals in comfort. People spoken to confirmed that choice of meals were always available and that the standard of cooking was very good. We observed a main meal being taken. The tables were set appropriately for the meals being served and people were given the choice of steak pie, potatoes, cabbage and gravy or egg and chips. People also had the choice of soup of the day before the main meal was served. The food was served hot, nicely presented and was of adequate sized portions. A number of people chose to have their meals in their rooms and were served at the same time as all other diners. This meant that people choosing to take meals in their rooms were treated the same as all other residents and were not restricted by their choice to take a meal in their room. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home and their relatives are able to complain and action is taken to respond to their concerns. Evidence: The formal Complaint Procedure set out the stages, timescales and the procedure for people to follow if they want to make a formal complaint. The procedure was available to people and was also on display in communal areas. Details within the procedure needed reviewing and updating as the name and address of the registering body was incorrect. No formal complaint had been made since the last inspection report in September 2009. The manager told us that any informal concern or worries that people raised would be dealt with by the staff at the time. Comments from surveys returned to us before this visit took place and from people spoken to during the visit suggested that they were aware of the complaint procedure and who they would speak to if they had any concerns. As the general and local elections were imminent, the manager was asked about peoples right to vote. She told us that most people had voted using postal votes. Details supplied to us by the manager before the inspection took place indicated that all policies and procedures had been reviewed and updated in October 2009. On Care Homes for Older People Page 16 of 27 Evidence: examining the policy available to staff relating to Safeguarding Adults the details were not clear and did not accurately reflect the correct procedure to follow if an allegation of abuse was made. A copy of the Department of Healths multi agency guidance No Secrets was displayed in the downstairs office. An updated version of this document is now available and the manager said that she would obtain a copy of this. It is important that all information available to staff is up to date and provides clear and accurate guidance in order to minimise any potential risk to residents from inappropriate action being taken in the event of an allegation of abuse being made. Most staff spoken to were clear about what they should do in the event of an allegation of abuse being made but some were unsure. The manager said that she would review and arrange further training for all staff. We (the Commission) had received no complaints about the service since the last key inspection and had been made aware that two safeguarding referrals had been made. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements were needed to the cleanliness and maintenance of some areas of the home in order to provide a safe, comfortable environment for the people who live there. Evidence: During the visit we took the opportunity to have a look around the home which, included communal areas and a number of bedrooms. Lounge areas were comfortably furnished, clean and bright and provided residents with amenities such as televisions and music systems. With permission, we looked at a number of bedrooms, all of which were found to be personalised to varying degrees, reflecting the character of the person whose room it was. A number of these rooms were in need of re-painting and re-decorating and a number of carpets were badly stained and in need of replacing sooner rather than later. The manager told us that the home owner had recently carried out a complete assessment of the building and was aware of the improvements needed and would be carrying out this work in order of priority. People living in the home told us that they were happy with their bedrooms and the general standard of cleanliness around the home. In the survey questionnaires returned to us by people living in The Belmont, three stated that the home was Care Homes for Older People Page 18 of 27 Evidence: always fresh and clean and seven stated usually. The main dining room was nicely decorated and benefited from the recent purchase of new dining room tables and chairs. The main kitchen area was directly off the dining room and a recent visit by the Environmental Health department had identified that a deep clean was needed. This was carried out and a return visit by the Environmental Health department confirmed that this had been done satisfactorily. At the last inspection visit in September 2009 it was seen that personal protective equipment (PPE) for example pads, gloves, wipes and aprons were being stored on the corridor and ledges at the top of the stairs on the first floor. This practice has since been stopped and each resident had a small basket placed in their bedrooms containing any PPE that was needed for staff to assist them. As we toured the building it was seen that sluice doors were left open and unpleasant odours were detectable on the corridor area. This could place both residents and staff at risk from possible cross infections due to poor infection control practice. Although there were policies and procedures relating to infection control, staff had not receive training in this subject. Lack of such training could mean that staff are not always aware of the implications of poor infection control practice, such as leaving sluice doors open. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care and support from staff that they like and who have the skills to support them correctly. Evidence: At the time of this visit 31 people were accommodated of which 3 were in hospital. We examined the staff rota for week commencing 3 May 2010 which demonstrated that enough staff appeared to be deployed throughout the week to meet the current needs of the people living in The Belmont. Watching staff at work and the way they interacted with residents indicated that good, professional relationships had been developed and staff treated residents with dignity and respect. Residents spoken to told us they were happy that staff were around the home when they needed them and comments included, There are usually enough staff around who are very good indeed, There is always someone (staff) around to help you when you need it, even during the night and The girls are very good, they know how to help me. Staff told us that staffing levels appeared to be sufficient to meet the current needs of the people living in The Belmont and comments included, (There are) always enough staff on duty, (There are) usually enough staff on duty, sometimes more than needed and (We are) staffed very well. Care Homes for Older People Page 20 of 27 Evidence: The manager told us that two new members of staff had been employed in the home since the last key inspection took place. We looked at the personnel files for these two members of staff and found that they contained relevant documentation including Criminal Record Bureau (CRB) enhanced disclosures and two appropriate written references. The manager told us that she had taken copies of the original documents seen as evidence of the staffs identity and home address, for example, copy of passport and driving licence but had sent them up to head office to be placed on file. A later discussion with the home owner confirmed this and he agreed to send copies back to the home to be placed on file. A training matrix was in place than identified various training that had taken place for staff such as Moving and Handling, Dementia Awareness, Safeguarding Adults, Catheter Care and Mental Capacity Act training. 17 permanent care staff had successfully obtained a National Vocational Qualification (NVQ) at Level 2 or above. A number of gaps were identified in training needs that included First Aid, Basic Food Hygiene and Infection Control. Staff spoken to said that the availability of training had improved and that the manager was supportive and encouraging where training matters were concerned. It would be good if each staff member had their own training record held on file to clearly demonstrate what training they had attended, when and the date of any certificates received. The manager said she would do this. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed, safe home. Evidence: Since the last key inspection in September 2009 the manager had become registered with the Care Quality Commission and had successfully completed her NVQ Level 4 training. A requirement made at the last inspection had been addressed and recommendations made were being further developed as part of good practice. Staff spoken to told us that the overall management of the home was good and that the management team was approachable and supportive. One member of the staff team told us, The management team are very helpful, considerate and nothing is too much trouble. Another member of staff said, The home is being run a lot better than it was, things have improved a lot. Care Homes for Older People Page 22 of 27 Evidence: The manager told us that an annual survey is carried out and that questionnaires are given to residents, their families/friends and health care professionals. Information gathered from these surveys is then used to further develop and improve the service where necessary. The next audit is due to be carried out in June 2010. Within the Annual Quality Assurance Assessment (AQAA) returned to us by the manager before this visit took place, she told us that supervisions and appraisals were held on a regular basis. Some staff spoken to confirmed this, but others said they had yet to receive formal supervision although they had received an appraisal. It is important that all staff are given the opportunity to spend time discussing their work roles and personal development on a one to one basis with a manager to ensure their training needs are identified and met. The manager told us that the area manager of the organisation regularly provides her with supervision and carries out a Regulation 26 visit. No records or reports from these visits were available for examination. It was confirmed that personal finances of people living in The Belmont was not dealt with by the management team of the home. We randomly selected a number of maintenance and servicing records for aids and equipment used within the home and found them to be in order. It was noted that a number of deaths had occurred in the home and hospital since the last key inspection. The Care Quality Commission had received no notifications (Regulation 37s) of any deaths or accidents since the last key inspection. The manager told us that although she may have missed sending in one or two notifications, she had informed the CQC via Regulation 37 notices. Further discussion about this indicated that they may have been posted to an incorrect address. Following the inspection, the owner confirmed this fact in writing. The manager agreed to re-send all relevant notifications to the correct address within the next 24 hours of the end of this inspection. Since the last key inspection The Belmont had successfully gained the recognition of the Investors In People Award. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 user guide should be reviewed and updated to ensure all information provided to people moving into the home is up to date and correct. Where people require personal assistance/support with daily living tasks, that assistance/support should be clearly defined in the care plan to inform carers. Details in the current complaints procedure should be reviewed and updated to reflect the correct name and address of the current registering body. Details in the current Safeguarding Adults policy and procedure should be reviewed and updated to provide staff with accurate information should they need to deal with an allegation of abuse. An updated copy of the local safeguarding guidance should be obtained and made available to staff. In those rooms and areas where carpets are badly stained and routine cleaning does not improve them, these carpets should be replaced sooner rather than later. Areas of the home where decoration and paintwork is showing significant signs of wear and tear should be rePage 25 of 27 2 7 3 16 4 18 5 19 6 19 Care Homes for Older People 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 decorated and re-painted in order of priority. 7 8 26 30 Sluice doors should be closed at all times when not in use. An action plan should be developed to ensure all staff are afforded the opportunity to undertake training that will further enhance their knowledge and skills of the jobs they do. This should include areas of training needs identified in this report, for example, Infection Control. To enable staffs individual training to be monitored a record should be kept on their individual personnel files to demonstrate all training undertaken, when and what certificates have been received. All staff should receive formal supervision on a regular basis. 9 30 10 36 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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