Care Home: The Gables

Similar services:

• Turret Villa Retirement Home
• Mendip House
• Beaconsfield Court Care Home
• Little Sisters Of The Poor
• Manor House
• Middleton Hall Ltd
• Middlesbrough Intermediate Care Centre

What the care home does well The Gables Care Home provides a homely, safe and friendly place for people to live. It provides good care to people by well trained staff. People using the service said that their care needs were being met. One person said, "I am satisfied with how I am treated, they are helpful". Good interaction were observed with people living at the home and staff. The care staff spoke with knowledge about the people they care for. Relatives spoken to said of the staff, "From the top to the cleaners, everyone is good". Someone living at The Gable`s said, "The girls are smashing, they are good, very helpful and they are all very nice". Another person said, "They listen to you and give you what you want". Care records are well written and give care staff the information they need to meet people`s needs. Care staff spoke with knowledge about people living at the home and how they meet people`s care needs. All but two of the care staff are trained to NVQ level 2 or above, which is very good. The home is very well run by an experienced manager who is enthusiastic and committed to making continuous improvements to the home and for the people who live there. What has improved since the last inspection? A number of improvements have been made since the last inspection of the service, this includes; redecoration to the smoking lounge and serving hatches. The manager has completed the Registered Manager`s Award. Quality assurance reports are now produced. Staff are now receiving regular supervisions. What the care home could do better: Of the outcomes looked at during this inspection, there are only a few areas that have been identified as in need of improvement or would strengthen what the home is doing further. Regulation 26 visits must take place by the provider ensuring that they ensuring the home is safe, people are satisfied with the service and that appropriate management systems are in place. The assessments for individual people need to updated when there are changes, this should be documented and updated within the actual assessment as well as the review document. Activities need to remain under review to ensure that there is adequate opportunities for people social and recreational activities and follow their individual interests. The menu needs to be reviewed and consideration should be given to introduce more variety and choice to the current menu. The policies and procedure continue to be in need of review as they are generic and do not provide staff with the guidance needed. Key inspection report Care homes for older people Name: Address: The Gables Highfield Road Middlesbrough TS4 2PE     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: Jacqueline Herring     Date: 0 6 0 5 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: The Gables Highfield Road Middlesbrough TS4 2PE 01642515345 01642515346 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: T L Care Ltd care home 64 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 64 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 32 Dementia - Code DE, maximum number of places: 32 Date of last inspection Brief description of the care home The Gables is a 64-bedded care home, which is a two-storey purpose built property. The home provides personal care for older people and also for older people who have dementia. There are four dedicated units on both floors within the home. All 64 bedrooms are single rooms with en-suite facilities. At the back of the home there is an enclosed garden. The Gables has been a care home since September 1999 and is owned by TL Care Ltd who operate a further four care homes within the Tees Valley area. The Gables is situated near to Middlesbrough Town Centre with close access to public transport, shops and a public house/hotel. On the date of this inspection the fee Care Homes for Older People Page 4 of 28 Over 65 0 32 32 0 Brief description of the care home at The Gables is range between four hundred and twenty pounds per week for people being supported with funding and four hundred and thirty pounds for people paying privately. 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 two stars. This means the people who use this service experience good quality outcomes. This Key Inspection was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use the services, and that it does what the Care Standards regulations say it must. This inspection was conducted by two inspectors in one inspection day. During the inspection, a number of records were looked at, including records of people who use the service, along with staff recruitment and training records and maintenance. The medication systems was also looked at and discussed with the manager. There was also discussion with the manager and care staff who work at The Gables Care Homes for Older People Page 6 of 28 Care Home. Discussion also took place with people living at The Gables Care Home and with relatives. The Manager had completed the Annual Quality Assurance Assessment (AQAA), the services self-assessment of how well they think they are meeting standards. This was received prior to the inspection and some of information has been reflected within the report to support the judgments made. We have reviewed our practice when making requirement to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. 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: Of the outcomes looked at during this inspection, there are only a few areas that have been identified as in need of improvement or would strengthen what the home is doing further. Regulation 26 visits must take place by the provider ensuring that they ensuring the home is safe, people are satisfied with the service and that appropriate management systems are in place. The assessments for individual people need to updated when there are changes, this should be documented and updated within the actual assessment as well as the review document. Activities need to remain under review to ensure that there is adequate opportunities for people social and recreational activities and follow their individual interests. The menu needs to be reviewed and consideration should be given to introduce more variety and choice to the current menu. Care Homes for Older People Page 8 of 28 The policies and procedure continue to be in need of review as they are generic and do not provide staff with the guidance needed. 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 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. People are provided with information about the service, which enables them to make decisions about the home. People have their needs assessed prior to being admitted to the home, ensuring that their needs can be met Evidence: The AQAA, which was completed by the manager and detailed the following about the admission process, Before admission of a resident a robust pre-admission assessment is completed by a competent member of staff. A social care assessment is also obtained, this along with initial enquiry for combines the necessary information to ensure we can or cannot meet the persons needs. Three care records of people living at the home were looked at, one of which was for the person most recently admitted to the home. There was a copy of the assessment carried out by the home, which was completed prior to people being admitted to the home. It contained sufficient information to determine if peoples needs were able to Care Homes for Older People Page 11 of 28 Evidence: be met by the home. There was also a copy of the local authority/care managers assessment, which detailed care needs. People spoken to confirmed that they or their families had visited prior to moving into The Gables. Two care files of people living at the home were looked at, there was evidence of preadmission assessment as well as information received from Social Services or care manager. There was also evidence of ongoing reviews. 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. People receiving the service are happy with the way in which care is delivered by staff. Care records detailing how health and personal care is to be delivered and associated risk are sufficient, however would continue to benefit from the ongoing review and updating. The way in which medication is managed is good, with clear systems and records in place ensuring people receive the medication they should. Evidence: The care records of three people were looked at in detail, this included the records of the most recent admission to the home, someone who had more complex needs and a further for someone who had lived at the home for some time. All care file contained an assessment of need, there were a range of risk assessment and appropriate care plans in place. The care plans were well written with good care interventions and were personal to the individual. They gave care staff the information needed to support and meet the care needs of the person. Evaluations of care were being carried out monthly and contained good information about peoples care needs and fully reflected their current needs. There was discussion with the manager about Care Homes for Older People Page 13 of 28 Evidence: ensuring that the evaluations are cross referenced with the assessment of need, as some of the assessments were not up to date. We were however satisfied that the plans of care were up to date and reflective of peoples needs and had been updated following regular reviews. People living at the home said they were happy and that their needs were being met. Relatives of someone living at the home said, Their care needs are well met, you only have to mention something and it is seen to. Someone living at The Gables said,I am satisfied with how I am treated, they are helpful. Staff spoken to described a relaxed life for people living at The Gables, with no set routines in terms of getting up or going to bed. One member of staff said that some residents would have breakfast in their rooms and other would have tea and toast. One member of staff spoken to was very much aware of the need to ensure that people were able to have choices and make decisions, they did however say that there were occasions when, choice sometimes conflicts with dignity. This was in relation to someone who has dementia and sometimes undresses. Some time was spent during this site visit, sitting in the lounge used by people who have dementia. Respectful interactions were observed with staff consulting with people about their preferences for drinks and biscuits, plates and side tables were also in place. People were observed to be nicely dressed, they were wearing appropriate footwear and peoples spectacles were clean. The medication systems were looked at and were discussed with the manager. Staff who administer medication are senior staff, all of who have been trained in the safe handling of medication and it was confirmed that there was always a trained member of staff on duty. The manager said that all staff who administer medication despite being trained either have or are currently completing this training again as an update. She also said that once per year she conducts in house competency assessment for these staff. The ordering, receipt and storage systems are good. There is clear audit trial information and the manager has records in place for medication management. The policies and procedures used by the organisation are generic and do not give the staff the appropriate information and guidance. The manager has however supplemented the medication procedure with additional information which is relevant to the home. Care Homes for Older People Page 14 of 28 Evidence: The thermometer for the medication fridge was not working, however steps had been taken to deal with this, which were followed up during the inspection. Care Homes for Older People Page 15 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. People have a lifestyle that suits them. Individuals have choice and control over their lives and people are able to keep in touch with families and friends. The home provides a varied and balanced diet for people who use the service. Evidence: There has been a recent change to the activity co-odintor as such, there a more limited opportunities for activities. The current activity co-ordinator works across two homes in the organisation, spending two days at The Gables. Only two days have been allocated as the home is currently under occupied and the manager said that as the numbers increase the directors will look to increase the activity hours available. People who live at the home had been satisfied with the range of activities on offer. There was some concern that due to the reduction in hours of the activities coordinator that people might not go out as much as they did. The manager agreed that this would be kept under review. There were records in place showing the activities that had taken place as well as notes on peoples participation and enjoyment. These are currently collective notes. It was agreed with the manager that in line with peoples social and recreation needs assessment that keeping individual records would strengthen the individuality and make them more person centred. Care Homes for Older People Page 16 of 28 Evidence: It was confirmed that peoples spiritual needs are looked at as part of the preadmission assessments and arrangements made to ensure these needs are being met. An example of this is a recent admission prefers daily mass, which has been organised. Regular services and Holy Communion are also held at the home. It was also confirmed through discussion with people living at the home and through observation on the day of the site visit that visitors were welcome. The menu was looked at, which is a four week rotational menu, offering traditional meals of meat, potatoes and vegetables. The main meal is served at lunch time, however there is no actual choice but alternatives are available. The menu does not specify the alternatives, it states, salad/savory. People spoken to were generally satisfied with the meals and the quality of the meals. They did however say that improvements could be made in relation to variety of meals. Staff also said that the variety and choice could be improved and again mentioned the repetitive style of main meal and also the tea-time meal. The manager has been in discussion with a dietitian and is awaiting some input in regard to nutrition generally and also on an individual basis. It was agreed in conjunction with this discussion, that the menu would be looked at with a view to incorporating choice and more variety. Care Homes for Older People Page 17 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. People are confident that their concerns and complaints will be taken seriously and acted upon. People are protected from harm. Evidence: There has been one complaint since the last inspection. The complaint records were looked at and showed thorough investigation and a copy of the outcome letter to the complainant. Someone living at the home said that if they had any concerns or complaint they would, Tell them off and then report it. They went on to say that they were confident that it would be dealt with. The manager had completed the AQAA and she had detailed how complaints were managed within the home. It was stated, At the Gables care home our complaints procedure is clear, concise, straightforward which enables residents, families, visitors and staff to clearly understand the procedure to follow. Staff spoken to confirmed that they had completed training on the topic of abuse and protection of vulnerable adults and that they would know what to do in the event they had any concerns. The manager has in the past carried out the correct procedures. A training matrix also showed that staff had received this training. 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. People live in a clean, comfortable and safe environment, adapted to meet their needs and match their lifestyles. Evidence: Significant work is underway within The Gables, with bay window being added to most bedrooms to increase the room sizes. As part of this work, redecoration and refurbishment is taking place throughout the home, this also includes new furniture. During the inspection, it was identified that some of the corridor carpets were showing signs of wear and tear, however this will be addressed through the refurbishment programme. The current building work is being well managed, has been risk assessed and work areas are not accessible to people living at the home. A number of bedrooms were looked at with the consent of peoples whose rooms they were. People said that they were comfortable. There was much evidence of personalisation, with people have their own ornaments, photographs and furniture as well as electrical equipments such as televisions. Staff who were spoken to said there was sufficient equipment to meet peoples needs Care Homes for Older People Page 19 of 28 Evidence: sucha as moving and handling equipment. Some of this equipment was observed being used during the inspection site visit. 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. Peoples needs are met by the staff, who have the skills required. People are protected by the way the home recruits staff. Evidence: Three sets of staff files were looked at, one for the most recently employed member of staff and two who had worked at the home for some time. Staffing levels were discussed and in the main, people believed there was generally sufficient staff on duty. A member of staff did say that they were occasions when they were being detracted from their main caring role due to having to answer the door numerous times a day. This is due to one of the ground floor units being close, leaving the responsibility to the staff on the other unit, which only has two staff on duty. The recruitment files of three staff were looked at, which contained the appropriate information to show that recruitment was good. This included fully completed application form, appropriate references and Criminal Bureau Checks having been completed prior to the staff commence employment. Training record were looked at. There was individual training records in place along with copies of certificates. There was also a training matrix showing the training position for all staff employed at the home, and detailed how up to date peoples Care Homes for Older People Page 21 of 28 Evidence: training was and when it was next due. Staff spoken to confirmed that mandatory training such as moving and handling and fire are on a rolling programmer. They also confirmed that there was opportunities of additional training and also service specific training. They said they had completed training in regard to continence care and diabetes. A member of staff from head office also confirmed that regular training takes place and that they are responsible for booking this training for all of the homes within the organisation. The AQAA detailed that all of the care staff with the exception of two were qualified to NVQ Level 2 or above, which is excellent. This was confirmed with the manager who also said that the two staff were in the process of completing this qualification. Relatives spoken to said of the staff, From the top to the cleaners, everyone is good. Someone living at The Gables said, The girls are smashing, they are good, very helpful and they are all very nice. Another person said, They listen to you and give you what you want. 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. People who live at The Gables are assured that their home is well run. The health, safety and welfare of people who live at the home and staff are promoted and protected. Evidence: The manager has been in post for a number of years, she has the required qualifications and the experience needed to manage The Gables Care Home. She is enthusiastic about her role and about continuing to improve all aspects of care for people living at the home. She is however, currently overseeing one of the other homes within the organisation for two days a week. It has been confirmed that this is for a short time only and must not detract from the main responsibilities of managing The Gables. People spoken to said that the home was well run and they were satisfied that their needs or their relatives needs were being well met. Care Homes for Older People Page 23 of 28 Evidence: Relatives said,We are very pleased with the care that it provided. They love it here and wouldnt want to go anywhere else. Staff spoken to said the manager was supportive and approachable. They believed she listened to them and would always take action to make improvements for the benefits of people living at the home. One member of staff said, This is a nice home, it provides good care, if you have a problem you can go to Carol (the manager), she listens to you and responds. Some Internal quality assurance systems are in place. There were copies of surveys available to look at along with summary reports that have been produced from the surveys. These are also available on the notice boards within the home. Visits that are required to take place by the provider - Regulation 26 visits are not taking place and there is no identified person doing these. These are an essential aspect of ensuring satisfaction and maintenance of quality within he home and organisation. Systems are in place to manage peoples personal allowances should the need arise. Records were looked at and they contained appropriate information and included two signatures. A sample of the personal monies was checked and these balanced with the records. The AQAA detailed information about the maintenance and servicing of equipment within the home, which showed that regular maintenance and servicing was being completed. A random sample of these records was looked at. A recent fire evacuation drill took place, which highlighted further training was needed, which the manager has arranged. Weekly fire checks are taking place. Certificates looked at showed that the moving and handling hoist and lift were being serviced. Accidents were being fully recorded and there was both monthly and annual analysis in place. The policies and procedures are generic and do not provide staff with the guidance and information they need. The manager has amended some of them to ensure that the staff do have the correct information. 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 33 26 Visits by the provider or nominated individual must take place at least once a month. This will ensure that the home is being managed effectively and ensuring the best interests of people living there. 12/06/2009 2 38 12 Policies and procedure must be reviewed and update and must be reflective of the service. This will ensure that staff are provided with the guidance and information needed to ensure that the health, safety and wellbeing of people living at the home is me. 31/07/2009 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 1 2 7 12 The assessment of need should be updated when peoples care needs change. The activities should remain under review to ensure that there is adequate opportunities for people. The way in which activity records are kept should be more individual, leading to more person centered record keeping. 3 15 The menu should be reviewed to incorporate more actual choice for people rather than just alternatives. The list of alternatives should also be listed. The planned refurbishment should continue and should also include the cleaning or replacement of the corridor carpets. 4 19 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!