Care Home: The Mayfair

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The residents in this home are well cared for. Residents are given enough information about the home before admission so they can decide whether they want to live in the home. Staff meet residents to assess their care and support needs before deciding if the home can meet their needs effectively. Care records are detailed and reviewed regularly with most information easy to find. Medication administration is given, stored and disposed of correctly and residents are given medication at the correct times ensuring that it gives maximum benefits to residents. There are a variety of interesting and stimulating social and leisure activities for resident to do in the home and local community. We observed staff interacting with residents. staff were sensitively supporting people who needed help with personal care. One resident said, "Staff are marvelous, smashing. I am very satisfied here." Routines in the home are flexible and residents spoken to said that they can choose when they get up and go to bed and whether they want to join in activities. Meals are varied and plentiful. Special diets are provided as needed or requested. Residents are supported to see the visiting ministers on their regular visits. Relatives are welcomed at any time. Residents feel they are listened to and any concerns acted upon. Any concerns are robustly investigated and dealt with appropriately and sensitively. We toured the home and found the environment was well maintained, comfortable, clean and tidy. Residents were complimentary about the staff and the owners of the home. Residents said there were enough staff to support them well. Most care staff have completed National vocational qualifications (NVQ). NVQ`s are national awards in care that enable staff to gain up to date skills and knowledge about current care practice. This helps staff have up to date skills and knowledge in care practice. The management team are enthusiastic about caring for older people and pass this onto the staff team. What has improved since the last inspection? The owners have started improving care plans to provide more detailed and `person friendly` information about residents. Some bedrooms have been refurbished and redecorated and a new patio garden provided in the front garden to further improve the environment people live in. The owners have bought new manual handling equipment to assist with residents mobility needs. The home now has a new wheelchair accessible minibus to assist residents travelling about and going on trips. What the care home could do better: Care plans would be improved by including pressure area care and nutritional needs in care plans so that the information is easy to find. Some areas of recruitment need attention to reduce the risk of employing anyone unsuitable to work with vulnerable people. Key inspection report Care homes for older people Name: Address: The Mayfair Marine Road East Morecambe Lancashire LA4 5AR     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: Pauline Caulfield     Date: 2 4 0 6 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 25 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 25 Information about the care home Name of care home: Address: The Mayfair Marine Road East Morecambe Lancashire LA4 5AR 01524411836 01524411836 tony.prada@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Antonio Giacomo Prada,Mrs Kathleen Prada,Mrs Licia Pickvance care home 45 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies 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 The maximum number of service users who can be accommodated is: 45 Date of last inspection Brief description of the care home The Mayfair provides residential care for up to forty-five older people of both sexes. It is situated on Marine Road in Morecambe and facing the promenade close to local amenities and bus routes. The building is a multi storey building and a passenger lift is available to access all the floors. Accommodation is provided in thirty-seven single and four double bedrooms. Many of the bedrooms have an ensuite facility. There is a statement of purpose and service user guide which is given to prospective residents. This written information explains the care service that is offered, who the Care Homes for Older People Page 4 of 25 Over 65 45 0 Brief description of the care home owners and staff are and what the resident can expect if they decide to live at the home. The fees for the home are between four hundred and forty and four hundred and fifty pounds per week There are additional costs for hairdressing, TV rentals, outings and newspapers. Care Homes for Older People Page 5 of 25 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced visit undertaken as part of the inspection process which commenced at 8.30am for eight hours. Before the visit the home completed an annual quality assurance assessment (AQAA). This is a document that provides CQC with written information and an assessment about the quality of the services the home provides. The registered person is asked to provide us with this information each year. The inspection involved case tracking three residents as a means of assessing the care provided in the home. Case tracking means the inspector looks closely at a small group of people living in the home. We talk to them about the home if they are willing to and are able to talk to us. If they cannot talk to us we watch how staff care for, talk to and involve them in activities. We look at any information about their care and support and look around the home, particularly at rooms the case tracked residents use. We also Care Homes for Older People Page 6 of 25 spend time talking to other people in the home. We also talked to some staff and looked at administrative records in the home. Comment cards were received from five residents and four members of staff. We have put this report together from watching the care provided, from comments received from residents, relatives and staff and written information we saw before or during the inspection. The last key inspection on this service was completed on 10th August 2006. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? The owners have started improving care plans to provide more detailed and person friendly information about residents. Some bedrooms have been refurbished and redecorated and a new patio garden provided in the front garden to further improve the environment people live in. Care Homes for Older People Page 8 of 25 The owners have bought new manual handling equipment to assist with residents mobility needs. The home now has a new wheelchair accessible minibus to assist residents travelling about and going on trips. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 25 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 25 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. Detailed assessments are carried out before admission so that staff know what care the residents needs and residents know their needs can be met. Evidence: We case tracked three residents. All had a detailed care needs assessment from the home in place. This helps staff to find out important information about each residents specific care needs and know how they can meet these. Residents who spoke to us or who returned comment cards said they and their families had been given information about the home and discussed their care needs before they moved into The Mayfair. Residents said that manager or owner had visited them at home or where needed, in hospital when they or their families had enquired about a place in the home to check what care they needed. The management had then told them if they could meet their needs at The Mayfair. Care Homes for Older People Page 11 of 25 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. Information about residents care needs is accurate and up to date and medication management is good. Evidence: We case tracked three residents. Care plans clearly showed the care residents needed and were getting and were informative. These were regularly reviewed and updated. Health issues were well noted but information was not always easy to find. Daily records show detailed care on pressure areas and prevention of pressure areas is carried out but residents do not have a section in the care plan bringing together all pressure area care needs and this would be helpful. One resident had nutritional issues including weight loss. Staff records showed that this was being monitored and managed effectively but although detailed in daily records it was not recorded in the care plan. It would be beneficial to have a section in the care plan detailing strategies for managing the nutritional intake and weight of this resident. Risks assessments were in place for all residents case tracked so any risks were Care Homes for Older People Page 12 of 25 Evidence: reduced and managed appropriately. These included Nutritional, waterlow, falls and moving and handling risk assessments and were regularly updated. Each resident case tracked had detailed individual daily records in place which described any issues or concerns and any profession visits such as the residents General Practitioner (GP). Daily records show GP and other visits, clinical care and visits from family. There were regular weight checks and action taken if weights change without clear cause. The owner said the management team plan to include a brief life history for each resident so that they have more information about where the person has lived, their family life, working life and previous leisure activities. One resident said Staff are very good and caring and try hard to help residents. Other comments included I am very satisfied with my care. Another resident said, This home is excellent, I am very happy here Accident records were seen. Two of the residents case tracked had been involved in an accident or fall and detailed information was in place regarding these. All falls and accidents/incidents are audited to see if any lessons can be learned from them. Medication administration was satisfactory with good storage, administration and disposal in place. Where possible residents administer their own medication, usually using monitored dosage system. Records are kept on their medication and risk assessments and regular checks are carried out to make sure they administers their medication safely. Staff advise residents of the health risks involved in smoking and the risks of passive smoking whilst accepting that some residents will choose to smoke. However there is no smoking inside the home, anyone wishing to smoke must smoke outside. Residents are informed of the non smoking policy before admission to the home. Residents said staff were helpful and caring. Residents spoken to were pleased with the care they received. We observed staff interactions throughout the inspection. Staff were respectful and polite to service users chatting to them frequently and checking they were comfortable. One lady said she was cold and staff with the residents agreement went to her room to get her cardigan, checking later that she was warm enough. Residents said they receive the care and support they need. One resident said, Staff are always quick to help you and all have a pleasant manner. Care Homes for Older People Page 13 of 25 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. Meals are nutritious, routines are flexible and there are a good variety of social and leisure activities. Evidence: Routines in the home are flexible and residents spoken to said that they decide when they get up and go to bed and whether they want to join in activities. The manager said that several residents rise quite late and stay up late at night and residents are encouraged to choose when they want to rise and retire. One resident said she enjoyed a lie in some days. Several residents said that there are regular and frequent activities available including entertainers coming into the home. An entertainer was in the home during the morning of the inspection. The manager said that often mornings were better for activities as some residents enjoy a snooze after lunch. There are regular trips out in the homes minibus including to shows. Seven residents and staff had chosen to go to Lancaster theatre to see a musical in the evening of the inspection. One resident said how much she enjoyed going to shows and how she was looking forward to it. The hairdresser was visiting and she said she was getting her hair done before going out. Care Homes for Older People Page 14 of 25 Evidence: The home now has a new wheelchair accessible minibus to assist residents travelling about and going on trips. Leisure activities are an important part of life in the home as leisure and social activities enable residents to interact with each other and to spend time together and pass time in a pleasant manner. Some staff would like more outside activities, including short visits along the promenade or to the local shops. All current residents are White British or Irish and are nominally Christian or have no religious persuasion. The home would endeavour to meet the needs of people from any other religion or background. Ministers of local churches and places of worship regularly visit the home and residents are able to attend services in the home if they wish. Staff are encouraged to look at residents individual and diverse needs to ensure everyones needs are met. Friends and relatives of residents can visit at any time so that relationships are maintained and developed and they can sit in the communal areas of the home or the residents bedroom if they wish. Relatives of a resident said how comfortable and content the resident said he was in The Mayfair. We joined residents for the midday meal sitting with residents who had agreed to have lunch with us. We chatted about the home over lunch and residents said the food was very good and there was always a choice at each meal. staff speak to each resident asking what the resident wants to eat at the following meal. Other residents spoken to said that they were happy with the food and that there was always plenty to eat. Care Homes for Older People Page 15 of 25 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. Any concerns are handled well and people living in the home feel that they are listened to. Evidence: According to the AQAA, discussion with the manager and from surveys it is clear that residents know how to make a complaint and the home has responded appropriately to any concerns or complaints received. All concerns or complaints are recorded in detail and rigorously followed up. One minor complaint has been received in the last twelve months and thoroughly investigated and any necessary action taken. One resident said, The owners are wonderful, if I have any concerns they let me discuss them quietly and privately. Another resident commented, I have no complaints regarding the home at all. Staff have received safeguarding adults training on induction and on National Vocational training (NVQ) and have a good understanding of the action to be taken if they are alerted to a safeguarding issue. Staff said they could talk to the owners if they had any concerns about care and know they would deal with it. Care Homes for Older People Page 16 of 25 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. The environment in the home is comfortable, clean and pleasant to live in. Evidence: We toured the home and found the environment comfortable, clean and tidy. Residents spoken to said how much they liked sitting and relaxing in the comfortable lounges. They added that they were able to have their own things around them in their bedroom, reminding them of home. Residents are encouraged to personalise their bedrooms so that they have familiar things around them. Aids and adaptations are in place to help residents get about more easily and to be as safe and as independent as they can be. Additional manual handling aids have been purchased to assist residents around the home. Specialist aids for pressure care and mobility aids were seen as touring the building. The home was very clean and fresh smelling. Residents spoken to said there were never any nasty smells around the home. It always smelt nice and was very clean. There is a rolling programme of redecoration and all areas of the home are included in this. Recent improvements have included redecoration and new furniture and carpets in several bedrooms. There is also a new patio garden area on the front of the home where many residents enjoy sitting and chatting to people as they pass by. Residents Care Homes for Older People Page 17 of 25 Evidence: said they enjoy the view of the sea and beach and the view on the horizon as they sit in the lounge dining room or some bedrooms. Plans for the next twelve months include redecoration and new furniture in more bedrooms and the redevelopment of the patio area behind the home, which is not used by residents, to provide a car park. Care Homes for Older People Page 18 of 25 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. Most areas of recruitment and selection are robust and thorough and staff are well trained and have the skills and knowledge to support residents effectively. Evidence: A lot of the staff have worked in the home for several years and there is only a small staff turnover. This ensures that staff are familiar with residents and their care needs and residents know the people caring for them. One resident said, Staff are very professional and the standard of care exceptional. We chatted to several staff before and during the inspection as well as through the staff surveys. Staff spoken to or who returned the surveys were satisfied with and enjoyed working in the home and felt well supported. Staff rotas showed sufficient staff on duty doing the inspection. Residents, and staff felt that there were sufficient numbers of staff on duty to provide good care and support to residents. The records of four members of staff were checked. All applicants had an application form with work history although one these only had a short work history although she had worked for a number of years. A complete working history from first to present job exploring any gaps is required so that the management team has full details of Care Homes for Older People Page 19 of 25 Evidence: applicants previous jobs, duties and the length of time they remained in these jobs. Applicants did not have the reason for leaving previous employment and should do. This would have provided a more detailed work history and enabled the employer to gather more information about the skills and experience the prospective member of staff has. Three staff files checked had two written references in place, one member of staff have only one reference in place. She had worked in the home previously but should still have had two written references before commencing employment. There was health information in place and all staff had PoVA checks and were awaiting or had CRB checks. These are checks that look at whether staff have been convicted of a crime or have been reported as unsuitable to work with vulnerable people. All staff had received an induction so that they were aware of the care and support they needed to provide and how they should do this. Ninety two percent of care staff have completed National vocational qualifications (NVQ). This is well above the requirement that fifty percent of staff complete this training. NVQs are national awards in care that enable staff to gain up to date skills and knowledge about current care practice. All care staff in the home who have not completed NVQ training are working towards National vocational qualifications (NVQ). Staff spoken to or who completed comment cards said they received regular training including moving and handling, medication and other mandatory training. The home has two staff who are key movers and are able to train staff in moving and handling in the home. Care Homes for Older People Page 20 of 25 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. The management of the home run the home competently and effectively ensuring the safety of and involvement of residents and staff. Evidence: The Mayfair is managed on a day to day basis by two of the registered owners, Mrs Licia Pickvance and Mr Antonio Prada.They work in the home daily supporting the manager and staff. They are aware of residents care and support needs and lead staff well. Ms Susan Exton is the registered manager. The previous manager has now retired and Ms Exton has been in post about one year and has completed the registered managers award. She is a registered nurse and updates her skills and knowledge so that she is familiar with any developments in care practice. Staff said they felt well supported by the owners and the manager and felt that they were fair and willing to listen. Care Homes for Older People Page 21 of 25 Evidence: Systems are in place for quality assurance. The home has recently met the standards for investors in people which is a national quality assurance award. The award is valid until July 2010 when the home will have the opportunity to be reassessed. There are regular staff meetings and resident meetings and issues discussed affect and improve care practice in the home. This gives the manager the opportunity to impart any information staff or residents need and for staff and residents to discuss any issues, concerns or ideas about the home. The owners bring an external company into the home at least yearly to monitor the quality of care in the home and whether the home is meeting relevant regulations. In addition the owners do regular audits of all aspects of care and health and safety in the home and monitor any accidents or incidents, keeping written records of these Formal supervision is carried out regularly with detailed records kept. Staff supervision allows the member of staff and manager or other nominated person to meet regularly and look at the member of staffs care practice and the care practice in the home, and any improvements that can be made. They also look at future plans in the home, training and the individuals career developments. Staff said that they had regular supervision and appraisal. There are regular health and safety checks to ensure residents staff and visitors are kept safe. Any accidents or incidents are recorded and audited to see if any lessons can be learned and risks reduced. There is a detailed homes risk assessment covering activities and areas of the home and a comprehensive fire risk assessment plus a smaller summary of this kept in the fire book. Staff are kept up to date with fire safety by regular fire drills and fire training. The home only holds small amounts of money for residents. Records are kept for all transactions and receipts obtained. Where the resident is unable to deal with finances and there is no family or power of attorney to deal with finances, the home encourages the resident to seek the advise of a solicitor. Care Homes for Older People Page 22 of 25 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 23 of 25 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 29 19 Two written references and a full working history need to be obtained for all prospective staff members To ensure that the management team know the jobs previously held and experience gained by the prospective member of staff and their skills and abilities in previous jobs. 31/07/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 8 Care plans would be improved by increasing the information in the care plan so that information is easy to find to assist with planning care. Care Homes for Older People Page 24 of 25 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 25 of 25 - 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!