Care Home: The Willows

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What the care home does well The home`s admission process ensures people are given relevant information before they move in, enabling them to make an informed choice of the home`s suitability to meet their needs. Appropriate assessments before people are admitted to the home ensure their needs are met. Good care planning ensure people`s care and social needs are met to support their best interests. Care records reflect people`s cultural and religious needs supporting their individuality. Detailed risk assessments ensures people`s independence and safety. People have access to relevant healthcare services so their healthcare needs are met. People are able to choice staff they prefer to assist them with their personal needs. These practices ensures people`s rights are assured. Access to stimulating social activities ensure people are able to live a fulfilled lifestyle. People are supported to maintain contact with their local community and people important to them. Staff`s practices ensure people`s right to privacy and dignity is assured. Equipment and adaptations are in place supporting people`s independence and welfare. The home is clean and tidy ensuring people`s health and comfort. What has improved since the last inspection? Efforts have now been made to address recommendations that support good practices. A written protocol/guidance was now in place for the use of `when required` medicines so staff know when to give these medicines. Care records contained information about the assistance people would require to leave the building in the event of a fire, so staff know what level of support they would need. Menus now showed an alternative choice to reflect people`s nutritional needs and likes and dislikes. The home continues to meet legal requirements so people can be confident they live in a home that is run well. What the care home could do better: We saw that some medicines were not stored in accordance with it`s product license and may compromise the stability of the medicines and place people at risk. Key inspection report Care homes for older people Name: Address: The Willows 90 Uttoxeter Road Blythe Bridge Staffordshire ST11 9JG     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: Dawn Evans     Date: 2 0 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 Willows 90 Uttoxeter Road Blythe Bridge Staffordshire ST11 9JG 01782399411 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: atol54@dsl.pipex.com Stuart Kirk,Gary Leslie Day care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: Age: Dementia (DE) age 55 and above. Mental disorder, excluding learning disability or dementia (MD) age 55 and above. The maximum number of service users who can be accommodated is: 12 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: Dementia (DE) 12 Mental disorder, excluding learning disability or dementia (MD) 12 Date of last inspection Brief description of the care home The Willows Care Home is located in a residential area and is accessible via public transport including bus and train. The bus route and train station is near to the home. Local shops and a pub are also nearby. The Willows is a large Victorian house that has been extended and designed to Care Homes for Older People Page 4 of 28 Over 65 0 0 12 12 Brief description of the care home accommodate twelve people. The home provides a service for older people who have dementia. The property consists of one shared bedroom and ten single occupancy bedrooms located on both the ground and first floor level. A number of bedrooms are equipped with en suite facility. Bathrooms and toilets are situated on the ground and first floor and are near to bedrooms and communal areas. Adaptations and equipment are in place to encourage peoples independence and safety, such as a stair lift, grab rails and assisted baths. People also have access to a lounge and dining area located on the ground floor, equipped with essential furnishings and fitments to ensure peoples comfort. The home also offers a kitchen, laundry and a well maintained garden. Limited car parking is available at the front of the property. Staffing is provided on a 24-hour basis to ensure people receive the support required to meet their assessed needs. People also have access to relevant healthcare services to maintain their health needs. Copies of previous inspection reports are available enabling people to determine the suitability of the service. Infomation about the fees charged for the service provided at the home was not made available. The reader is advised to contact the home directly for this information. 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: 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 last inspection of this service was completed on 19 June 2007. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This inspection was carried out over one day; the home did not know we were going to visit. The focus of inspections we, the Care Quality Commission, undertake is upon outcomes for people who use the service and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, standards of practice and focuses on aspects of service provision that need further development. Prior to the visit taking place we looked at all the information that we have received, or Care Homes for Older People Page 6 of 28 asked for, since the last key inspection. This included Annual Quality Assurance Assessment. (AQAA). This is a document that provides information about the service and how they think that it meets the needs of people living there. We also looked at notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law. There was no evidence of incidents they may impact on peoples welfare. We have not received any concerns or complaints about the service. Three people living in the home were case tracked. This involves establishing individuals experiences of living in the care home by meeting them, observing the care they receive, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We also interviewed four people who use the service, two visiting relatives and two members of staff. All were complimentary about the service provided. We looked around some areas of the home. A sample of care, staff and health and safety records were looked at. Where people who use the service were able to comment on the care they receive their views have been included in this report. Due to the communication needs of some people living here, it was not always possible to ask them for their views on the home, so time was spent observing care practices and staff interaction. 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: We saw that some medicines were not stored in accordance with its product license and may compromise the stability of the medicines and place people at risk. Care Homes for Older People Page 8 of 28 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. Access to relevant information about the service and assessment of peoples needs ensure their needs will be met on admission. Evidence: People wishing to use the service are given a copy of the homes Statement of Purpose and a Service User Guide, which provided information about the service and facilities the home offer. These documents were available in plain English. The manager said they would make an effort to provide these in other formats if and when requested to ensure people understand them. The AQAA confirmed people are provided with these documents. We spoke to two visiting relatives who said they were given a copy of these documents, which enabled them to make a decision about the homes suitability to meet their relatives assessed Care Homes for Older People Page 11 of 28 Evidence: needs. The manager said before people move into the home a needs assessment is undertaken. A needs assessment enables the service to find out what peoples care and social needs are and how to support them to ensure they live a fulfilled live. We looked at three care records which showed these assessments were carried out. Two visiting relatives told us that someone from the home came to visit their relative before they moved in, to carry out this assessment. They said their relative was encouraged to be involved in their assessment but due to their mental health needs this proved to be difficult and the family were able to participate. This should ensure the care this person receives reflects their needs and choice, so their best interest can be assured. The home does not provide intermediate care. 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 can be confident their health and personal care needs will be met, ensuring their health and wellbeing. Evidence: Information obtained from the needs assessment is used to develop a care plan. A care plan tells staff about peoples assessed care and social needs and how to meet these in a way people prefer. The manager said because of peoples short term memory it was difficult to engage them in their care planning. Where appropriate information from family, friends and healthcare professionals may be used when planning the persons care. One visitor said that due to their relatives memory loss, they were not able to be involved in their care planning but staff do involve the family where necessary. We case tracked three people and all their care records contained a care plan that were reviewed on a monthly basis to reflect the persons current needs. Care Homes for Older People Page 13 of 28 Evidence: One care plan told us the person displayed behaviours that challenged the service. The care plan showed one staff was needed to assist with their personal needs because they may become agitated if approached by more than one staff member. We saw staff approaching this person on their own. Discussions with one staff member confirmed their knowledge of this persons care needs. This person can be confident staff will know how to support them so their care needs are met. Care records contained a dementia care plan. This told staff how to assist people, for example reminding people of their surroundings. People who displayed behaviours that challenged the service, the care plan told staff how to manage these behaviours safely. The AQAA shows people have access to relevant healthcare services, including General Practitioner, District Nurse, Continence Adviser, Opticians, Chiropodist amongst others. A record was maintained in peoples care plan of all healthcare visits. One person and their relative said The staff are very good they call the doctor when needed. We look at how the home manages peoples medication. The manager told us staff who administer medicines had received training from their Pharmacist. Two staff we spoke to also confirmed this. This training should ensure staff have the skills and knowledge to administer medicines safely as prescribed. The medication administration record (MAR), this is a record of peoples prescribed medicines. These were signed by staff to show when medicines had be give to people. This practice should ensure people receive their medicines regularly, safely and provide an audit trail. We saw that some medicines were not stored at suitable temperatures in accordance to the product license, which may compromise the stability of the medicine and may place people at risk. The home uses homely remedies, these are medicines that have not been prescribed by the doctor. We saw a written policy for the safe use of these medicines and the manager said advice would be obtained from the persons doctor before using them, to ensure their health. We observed staff practices that respected peoples privacy and dignity. For example, Care Homes for Older People Page 14 of 28 Evidence: we saw staff knocking doors before entering rooms. Care records showed what people like to called and we heard staff addressing people accordingly. We saw people were dressed smartly, appropriate to the weather and well presented. One person said they had just had their hair done. There were currently only females living in the home. Care plans also showed peoples preference regarding male or female staff assisting them with their personal needs. People spoken to said their choice was respected. We observed people were able to entertain their guests within the privacy of their bedroom. These practice support peoples right to privacy. 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 are assured they will be supported to pursue activities that will interest them and reflect their social needs. Evidence: The assessment of peoples needs and care plans showed their social interests. The manager told us people have access to a variety of social activities within and outside the home, which reflected peoples interests. Activities available the week we visited, consisted of exercises to music, live entertainment, card games, hairdressing, manicure and a barbecue. On the day of our visit we observed people singing to live entertainment that was provided. One person who use the service and their relative told us activities consisted of sing a longs, dancing, quiz, visiting the stables, shopping trips, going to theatre and meals out. One relative said the home was very good at celebrating special and seasonal events, such as peoples Birthday, Christmas, Valentines and Easter. The manager said only one person wished to practice their religious faith and an in Care Homes for Older People Page 16 of 28 Evidence: house Christian service was provided for this person and others who wish to join in. Orientation boards were situated in communal rooms; these reminded people of the day, weather and staff on duty. The AQAA shows people are able to have visitors, we saw people visiting the home who said they were always made welcome by staff. This means people are able to maintain contact with people important to them. The AQAA and Statement of Purpose shows people have access to a self advocacy service. This is a service that provides independent support to people. Due to peoples mental health needs they were not able to tell us about this service. The manager said that people and their relatives had used this service in the past but no one was currently using it. This service should support peoples rights and choice. The home had a four week menu that provided an alternative choice to ensure peoples nutritional needs are met. We saw a menu board in the dining room telling people about meals on offer that day. Care records showed the support people required to maintain their nutritional needs and access to a dietician. The manager said no one required a special diet due to culture or religion. However, efforts would be made for any future dietary requirements. Some people required a special diet due to their health condition. Care plans showed the support people required to maintain an healthy diet to ensure their wellbeing. One person said, The food is lovely, we always have a choice. Another person told us, The food is quite good. We observed the lunch provided to people was well presented and appeared appetizing and staff were available through the mealtime to assist people if and when needed. 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 able to share their concerns or complaints and know they will be listen to and their rights protected. Evidence: The home had a clear complaints policy written in plain English, which was located in the main entrance of the home. Information on how to make a complaint was also shown in the Statement of Purpose. Two people said if they were not happy they would tell the staff. Two visitors said they had never had any concerns or complaints but were aware of the complaint procedure. They told us they were happy with the service provided to their relative. The AQAA shows the service has not received any concerns, complaints or safeguarding referrals since the last inspection visit. We saw that past complaints had been recorded and showed what action had been taken to resolve the concern. A safeguarding referral is where there has been an allegation of abuse or where care practices may compromise a persons health and safety. We have not received any concerns about the service. The manager said and training records showed staff had received safeguarding Care Homes for Older People Page 18 of 28 Evidence: training with the exception of those who had recently been recruited. Two staff members spoken to also confirmed this. This should ensure staff have the skills to recognise potential abuse and know what to do to protect people. Two staff members said if they had any concerns they would report it to the manager or to us. The manager acknowledged that due to some peoples mental capacity they may not be able to share their concerns and staffs observation of peoples wellbeing and change in behaviour is important. These arrangements should ensure peoples safety so they can be assured they will not be at risk of harm. Care Homes for Older People Page 19 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. The home is suitable to meet peoples assessed needs so their comfort and safety is assured. Evidence: The large detached property is set within its own grounds, limited car parking is available at the front of the property. The home is accessible by public transport such as buses and train. The bus stop and train station is within walking distance from the home. Local shops are also accessible. The home provides one shared and ten single bedrooms located on the ground and first floor. Eight rooms have an en suite, the remaining rooms are equipped with a washbasin. Bathing, washing and toilet facilities were provided on both floors and were near to bedrooms and communal areas. The home was decorated in a way to assist people who have dementia. For example, bedroom doors and wash areas were painted in different colours to assist people to find their way around the home. The home consisted of a separate lounge and a lounge diner located on the ground floor. Care Homes for Older People Page 20 of 28 Evidence: Equipment and adaptations were in place to support peoples independence and safety such as a walk in bath, assisted bath, grab rails and stair lift. People also had access to a well maintained garden of the rear of the property. Two people who use the service and two visiting relatives said the home was always clean and tidy. We also observed that the cleanliness of the home was good ensuring peoples comfort. Care Homes for Older People Page 21 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. People needs are met by skilled staff provided in sufficient numbers to enable them to live an independent and valued lifestyle. Evidence: Staffing is provided on a 24 hour basis ensuring people receive the support needed. The AQAA told us two care staff and the manager or deputy manager was available during the day. One night staff was provided with one staff sleeping on site to provide additional support if and when required. We saw two care staff and the manager on duty. One relative said the home always appear to have sufficient staff on duty. People can therefore, be confident they will receive the support they needs to ensure their best interests. As previously mentioned within the contents of this report, currently all the people living in the home are females. The staff team consisted of both male and female and people were able to choice what staff attend to their personal needs. The home also employs cleaning staff, this should ensure care staff are not distracted by other duties and focus mainly on peoples care needs. We also observed staff being attentive to peoples needs. The AQAA shows five out of 11 care staff had obtained the National Vocational Care Homes for Older People Page 22 of 28 Evidence: Qualification level 2 in care or above. The manager said four staff were currently undertaking this training. Discussions with the manager, staff and records showed staff had received the following training. Dementia awareness, safeguarding, challenging behaviours, first aid, moving and handling, fire safety and health and safety. This training should ensure staff have the skills to meet people health and social needs. The AQAA told us staff recruitment procedures ensure people go through the appropriate safety check before they start working in the home. We looked at two staff personnel files, which showed a Criminal Record Bureau clearance (CRB), Protection of Vulnerable Adult (POVA 1st) register check and two written reference were obtained. Two staff members told us they had gone through these safety checks before working at the home. These practices should ensure staffs suitability so peoples safety can be assured. Care Homes for Older People Page 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a way that supports peoples independence, choice and rights so their assessed needs are met. Evidence: The manager said he was experienced in social care and had obtained the National Vocational Qualification Level 4 and the Registered Managers Award. These skills should enable the manager to provide a service that supports peoples rights, independence and best interest. Further discussions with the manager confirmed he undertook periodical training to maintain his skills. The manager demonstrated a sound knowledge of the needs of people in his care. Although people currently living in the home did not have any specific needs in relation to their culture, religion, gender and sexuality. The care planning process was designed to include this information and so ensure people needs are met. People who use the service, relatives and staff members said the manager was Care Homes for Older People Page 24 of 28 Evidence: approachable and supportive ensuring people views and opinions were listened to and valued. The manager said the AQAA is used as an assessment tool to establish the quality of the service provided and what measures need to be taken to enhance the service. The AQAA was detailed and reflected the service provided to people. It also told us about future plans to improve the service and to enhance peoples quality of life. Monthly health and safety checks were also carried out to ensure systems and practices were safe. The manager said due to peoples short term memory loss it was difficult to undertake meetings with them to establish their views. Annual quality assurance surveys are given to people who uses the service, relatives and healthcare professionals. We saw comments received from these surveys, which were very complimentary about the care provided. The manager said any concerns identified on these surveys would be addressed with the individual and the necessary action would be taken to resolve it. The AQAA told us that due to peoples mental capacity they were not able to manage their finances. We looked at the management of peoples finances. Individual account sheets were maintained showing all financial transactions. We looked at three records and funds all were correct. Receipts were also maintained. People can be confident their finances will be well managed and protect them from potential financial abuse. We looked at systems and practices that ensured peoples safety. We saw that the servicing of electrical appliances and lifting equipment was undertaken within the last 12 months. The homes Public Liability insurance was also current. People can be confident their health and safety will be assured. Care Homes for Older People Page 25 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 26 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 9 13 Some medicines were not stored at the right temperature. Appropriate measures must be taken to ensure the correct storage of medicines, so not to place people at risk of harm. 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 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!