Care Home: The Grove

What the care home does well Staff are always friendly and appear to have a great understanding of peoples` needs who they look after. A robust system is in place to ensure staff are safe prior to their commencement of employment and they are then trained to do their jobs. Documentation is available to help people make choices about using the home to live in and prior to admission staff complete an holistic assessment to ensure the home can meet their needs.People living in the home have detailed records kept on them which tell staff what their needs and expectations are. These are regularly reviewed to ensure their well-being and health is being maintained and they are free from harm. A varied programme of activities are on offer to ensure peoples social, religious and cultural expectations can be met. These involve group events and one to one sessions. People have the opportunity to express their views to ensure the home is being run for their benefit. Staff and other stakeholders also are given the opportunity to say how they feel about the home and what equipment may be needed or processes put in place to enable them to do their jobs. The Company completes sufficient checks to ensure the building is a safe place in which to live and work. Regular audits take place which look into all aspects of how the home functions. What has improved since the last inspection? This is a newly rated service as the Company recently changed its name. What the care home could do better: Staff should be supervised on a more regular basis to ensure they can do their jobs and where there are short comings action plans are put in place. Key inspection report Care homes for older people Name: Address: The Grove Ings Lane Waltham Grimsby North East Lincolnshire DN370HB     The quality rating for this care home is:   three star excellent 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: Theresa Bryson     Date: 2 2 0 3 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 24 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 24 Information about the care home Name of care home: Address: The Grove Ings Lane Waltham Grimsby North East Lincolnshire DN370HB Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Suzanne Near Type of registration: Number of places registered: care home 49 Longhurst and Havelok Homes Ltd Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users that may be accommodated is: 49 The Registered person may provide the following category of service only: Care Home only-Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old Age, not falling within any other category-Code OP Date of last inspection Brief description of the care home 0 Over 65 49 Care Homes for Older People Page 4 of 24 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: three star excellent 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 took place over one day in March 2010. Prior to this we sent out a number of survey forms to people living in the home, relatives, staff and health and social are professionals. We had a number returned to us. We also looked at what the home had told us had been happening since they were registered with CQC. The Company also sent us their Annual Quality Assurance Assessment (AQAA) prior to our visit. This told us a lot about how they ensure people are safe and free from harm who live in The Grove and their views of the future. It also gave us a lot of other statistical data. During the site visit we looked at a number of records and documents and spoke to people who live there, relatives, visitors and staff. We also spoke to health and social care professionals prior to and immediately after the site visit. Care Homes for Older People Page 5 of 24 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. 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 6 of 24 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 7 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples views are sought about the running of the home and the Company ensures safety checks are made to make it a safe place to live and work. Evidence: The Registered Manager has been asked by the Company to assist a sister home for half a day a week, and it was felt this would not intrude on the work this person has to do at The Grove. We have asked to be kept in touch about this temporary situation. We tracked three peoples personal allowance money and the entries suggested that the money was being used for each individuals benefit. Staff also record which people are subject to Power of Attorney documentation in case they need to contact someone in an emergency. The records for the Residents Fund also appeared accurate and checks are completed regularly to ensure entries are correct. The Company has an extensive quality assurance system in place, which takes into consideration the views of people living in the home. This was also spoken about by the people we spoke to who live in this home and some relatives. One relative stated Care Homes for Older People Page 8 of 24 Evidence: we are always being asked our opinion about a variety of topics. We saw copies of minutes of meetings during our visit which involved all staff groups, people living in the home and visitors. Quarterly lists were posted on the walls of when these meetings take place. We also saw a copy of the Company business plan for 2009/10 which mentioned the care home sector. Last year this home won the Yours magazines Care Home of the Year Award for the North East Region of the United Kingdom which the home is proud of. It also has regained its Investors in People award for training and staff support. Staff work hard to achieve these standards and are proud when they are recognised. We looked at all the safety certificates to ensure the Company is maintaining the home to a safe standard and all equipment is fit to use. All certificates were valid. Accident statistics are also completed to ensure the home and individuals are free from harm and safe. We saw documented evidence up to September 2009 but it was recognised by the management team that they had slipped slightly in completing these, although all the information had been prepared, we saw in the files. We looked at the supervision records of some of the staff on duty that day. Staff told us they feel they have adequate supervision and felt they could express their views and they were helpful to recognise training needs. Not all staff had received the necessary sessions, but what was on file for us to see showed a balance of discussion periods and observational supervision. To ensure staff are safe to work with people they should be supervised regularly and these sessions recorded. Care Homes for Older People Page 9 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and expectations are regularly reviewed to ensure peoples current needs are being met. Evidence: Prior to the site visit we sent out a number of survey forms to people resident in the home, relatives, health and social care professionals and staff. We had a good response and each one made positive comments about the services the home provides to individuals. Making such comments as The Grove works to a high standard and communication is generally good. Another person told us in my stay at The Grove it has provided excellent care and very comfortable accommodation. We also spoke to several health and social care professionals prior to our visit and immediately the visit had ended, who also told us how the staff responded well to peoples needs and expectations and were professional in their contact with outside agencies. We tracked three care plans of people living at the home. Each file gave a detailed picture of what each individuals needs and expectations are and the initial core care plans had all been evaluated regularly according to the written documentation seen. For example for some one with difficulties with mobility the core care plan from Care Homes for Older People Page 10 of 24 Evidence: admission had been updated regularly to reflect their current need. A separate risk assessment sheet showed how well or not their mobility was and detailed the visits of other health care professionals. Letters were also on file showing when further visits were made to clinics and doctors and when equipment had been received. All events were also in the daily report sheets to ensure staff were aware of the persons current needs and how to ensure they were safe. In another instance a person was having difficulty maintaining a healthy diet to assist their well being. The care plan detailed why it was thought this was occurring, how to address regular meal times and snack times. Daily problems were recorded as and when they occurred and the care plan and risk assessment evaluated where necessary. To assist staff the Company has fluid and food charts for staff to complete so an audit trail can be made of what nutritional intake the person can cope with and what doesnt work for them. There were also detailed assessments on file which had been made by local Speech and Language Therapists (SALT) who have been advising the home. This detailed analysis of this persons needs is assisting them to remain healthy and well. In a third example a person with sleeping problems had a detailed care plan about their sleep pattern, indicating when they sleep well and when they dont, when they like to go to bed and rise in the morning and when they like to be observed at night. If any problems occur it is detailed in the daily report sheets. The risk assessment also identified in more detail how often the person was to be attended to at night and we also saw the daily charts which indicated when people were attended, what staff did (for example turned on left side or given cold drink) and who performed this task. This ensures senior staff can have a clear audit trail of staff attending this person and if their individual needs were met on any day. The writing on all documentation was clear and legible and each section was signed. The Company also provided other supplementary records for staff to use should the need arise for such as skin integrity and pressure area care. This helps staff to fully assess individuals and keep abreast of their needs. People we spoke to during the site visit told us staff were kind and any problem is sorted out, Relatives told us staff are brilliant and taken the strain away from me and one family told us how staff had ensured their loved ones interests in a previous occupation had been kept alive by staff buying books and magazines about their interests. Health and social care professionals we spoke to on the day told us staff are always available to speak to and they write in a book when we come so there is no doubt on what instructions we have left with them. Staff told us that they found the record keeping interesting and helpful and not task orientated. They explained to us the training they had received on this topic and found it useful and make us think what we are doing.We observed staff through Care Homes for Older People Page 11 of 24 Evidence: out the day assisting people with a variety of tasks which they did in a calm manner and with dignity and respect for each individual. We were assisted in inspecting the medication records and storage areas by a senior member of staff who was able to detail all the procedures in place to ensure safe practices were adhered to. We observed part of a drug round and found these practices to be in use. We tracked the details of some people who could self medicate their own drugs and found that all the necessary risk assessments were in place and had been evaluated regularly. All storage areas were clean and tidy and records were kept of room and fridge temperatures to ensure medication was safely stored. Care Homes for Older People Page 12 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A varied menu ensures people have a good nutritional balance of food throughout the day and that their social, religious and cultural needs and expectations are being met. Evidence: In the surveys returned to us from people living in this home and when speaking to people during the site visit, each one expressed their appreciation to the time and effort which was taken to ensure their social, religious and cultural needs are being met. The records showed that each person had received an assessment to record their expectations and needs, which is completed by the care staff. The activities coordinator keeps separate records, which we saw, which record specific events. There appeared to be a balance of group events such as craft sessions, outings and entertainers with one to one sessions which helped people fulfill their hobbies and interests. Each staff group said they felt supported by each other, especially for group events. For example on the day of the site visit it was St.Patricks Day and in recognition of this the kitchen staff had put on special Irish themed dishes. The care staff and activities coordinator were encouraging people to remember previous Irish points in history and the music had an Irish theme. Staff also told us that the home has a high Care Homes for Older People Page 13 of 24 Evidence: family input and relatives who we spoke to and who had completed survey forms also told us this. Telling us when they take part in events both inside and outside the home. Minutes of activities meetings also were seen and there was good input from both people living in the home and relatives. The agendas were varied and covered both past events, with comments by people and what they would like to see happen. The home is also well supported by a team of volunteers and friends. The volunteers do such things as act as pushers of wheelchairs and assist in major events both inside and outside the home and have full Criminal Records Bureau checks and training on their files. The friends only sit and help others and are not left alone with people living there we were told by staff. Two of the care staff also have designated hours to devote to social activities such as beauty sessions and use of the Wii computer programme. Local churches and schools also support the home. People are also allowed to express their tastes in their individual bed room areas and when we toured the home there were ample examples of how this was taking place. For example in one room a persons previous work history was displayed in photographs around the room and in another, a persons love of ornaments was evident in the large amount of shelves with various displays. We made a brief tour of the kitchen. The home operates a 4-week cycle of menus plus they can provide for a variety of diets. Staff on duty were able to tell us how they access information from local community sources to ensure people receive the diet they need to assist their well being. People told us how much they like the meals. Making such comments as I never get hungry and I enjoy all the meals. We looked at the record books to ensure staff were using safe practices to monitor the delivery, storage and preparation of food. The entries were methodical and detailed. Some attention, on the day, needed to take place with some deep cleaning and the manager agreed, once observed, that this area needed some more attention. Generally all surfaces were clean and the storage areas tidy. Care Homes for Older People Page 14 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust system is in place to ensure people are protected from harm and information is available so people know how to make concerns known. Evidence: No concerns have been raised to us since the Company changed its name last year and the complaints log also was empty, which deals with concerns raised internally. We looked at the policy and procedure manual which clearly laid out to staff, people living in the home and any visitors how to make concerns known. People told us that they have every confidence in the management team in dealing with issues and felt this will always been done in confidence. Staff training records showed the up dates staff have received in topics such as dealing with different people and safe guarding adults. This will help them understand peoples needs and know how to recognise an abusive situation and how to make a referral, should the need arise. Care Homes for Older People Page 15 of 24 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 excellent 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 safe and comfortable environment which needs small touches to be made to ensure all areas are clean and in a good state of repair at all times. Evidence: We toured the building and part of the grounds during our site visit. A new walk way has been created so people can have an interesting walk around part of the grounds, this included bird feeders and colourful ornamental hangings. People told us that last summer this had been a delight to walk through. When touring the building there were several mobility hoists in corridor areas. It was explained that these were placed there as they were for specific peoples use. The corridors were wide enough to ensure they are not a hazard. There is a separate smoke room near the entrance, which was looking tired. A table was in need of a clean and the arm chairs looked dirty. Most of the home was still in a good state of repair, especially the dining room areas, which had new tables, chairs and flooring. We looked at a selection of peoples bedroom areas which were all in good states of repair. Certain areas needed more attention to detail in the refurbishment programme and cleaning programme. For example the fire door guard leading into the care staff office was out of battery so a wedge was in use to prop open the door, which was contravening the fire policy. Some chairs in communal and corridor areas were in need of a deep clean especially the light coloured ones as they looked unclean. Some risk Care Homes for Older People Page 16 of 24 Evidence: assessments in peoples bedroom areas and in areas such as the laundry needed reviewing as policies had either changed or items were no longer being used. The manager accompanied the inspector on the tour and noted the areas for small improvements to be made. We were told that a maintenance plan was in place but was kept in Head Office so we asked for this to be sent so we could identify that the Company was aware of what areas needed refurbishing. Care Homes for Older People Page 17 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust recruitment system is in place to ensure staff are safe to work with the people living in the home and they are then trained to do their jobs. Evidence: Some staff returned surveys to us which we had sent out and we also spoke to some staff during our site visit. Each person expressed their satisfaction with working with this Company and how through training and support they were able to do their jobs. Comments included staff moral is good and people work well together. They also commented on the management team and said they knew any issues would be dealt with promptly and in confidence. None of the people living in this home stated that their needs were not being addressed on a daily basis. And staff told us there were sufficient staff on duty to meet peoples needs. We were shown the rotas for all staff groups for a one month period and evidence to support how the numbers were achieved. This took into consideration the dependency of all people living there and the layout of the building. Training, sickness and holidays had also been factored into the figures to ensure sufficient staff were on duty at all times to meet peoples needs. We looked at four staff files which showed sufficient written evidence to support adequate safety checks had been made prior to their commencement of employment. This ensures staff are safe to work with people living in this home. The documented evidence also included a pre-application health check and interview notes. Care Homes for Older People Page 18 of 24 Evidence: Staff told us about the extensive training courses which they are encouraged to take part in. They stated they felt this enhanced their role and job satisfaction. They also said they felt able to make open comments at staff meetings and were encouraged to make suggestions for the use of the budget. For example comments by domestic staff had last year resulted in new more efficient trolleys being purchased which helped their daily work. There was documented evidence that all mandatory courses had been completed by staff in the last year as well as more specific topics being tackled. Such as falls prevention, dementia awareness and IT skills. A significant number of staff had also completed their NVQ awards which they told us they were proud of.This helps staff to understand their jobs and handling any issues people living in the home may have to tackle on a daily basis. Care Homes for Older People Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples views are sought about the running of the home and the Company ensures safety checks are made to make it a safe place to live and work. Evidence: The Registered Manager has been asked by the Company to assist a sister home for half a day a week, and it was felt this would not intrude on the work this person has to do at The Grove. We have asked to be kept in touch about this temporary situation. We tracked three peoples personal allowance money and the entries suggested that the money was being used for each individuals benefit. Staff also record which people are subject to Power of Attorney documentation in case they need to contact someone in an emergency. The records for the Residents Fund also appeared accurate and checks are completed regularly to ensure entries are correct. The Company has an extensive quality assurance system in place, which takes into consideration the views of people living in the home. This was also spoken about by the people we spoke to who live in this home and some relatives. One relative stated we are always being asked our opinion about a variety of topics. We saw copies of Care Homes for Older People Page 20 of 24 Evidence: minutes of meetings during our visit which involved all staff groups, people living in the home and visitors. Quarterly lists were posted on the walls of when these meetings take place. We also saw a copy of the Company business plan for 2009/10 which mentioned the care home sector. Last year this home won the Yours magazines Care Home of the Year Award for the North East Region of the United Kingdom which the home is proud of. It also has regained its Investors in People award for training and staff support. Staff work hard to achieve these standards and are proud when they are recognised. We looked at all the safety certificates to ensure the Company is maintaining the home to a safe standard and all equipment is fit to use. All certificates were valid. Accident statistics are also completed to ensure the home and individuals are free from harm and safe. We saw documented evidence up to September 2009 but it was recognised by the management team that they had slipped slightly in completing these, although all the information had been prepared, we saw in the files. We looked at the supervision records of some of the staff on duty that day. Staff told us they feel they have adequate supervision and felt they could express their views and they were helpful to recognise training needs. Not all staff had received the necessary sessions, but what was on file for us to see showed a balance of discussion periods and observational supervision. To ensure staff are safe to work with people they should be supervised regularly and these sessions recorded. Care Homes for Older People Page 21 of 24 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 22 of 24 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 36 18 Staff must receive adequate supervision. To ensure they can do their work safely and not put people at risk. 27/02/2011 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 19 The maintenance plan should be sent to us so we can determine whether the Company is aware of the areas requiring attention. More attention to detail should take place to ensure that all areas are clean and fit for use at all times. If accident statistics are being kept to monitor the safety of people living in the home these should be recorded regularly. 2 3 26 38 Care Homes for Older People Page 23 of 24 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. © 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. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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