Care Home: Tremethick House

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The home provides a stable, comfortable, and homely environment for residents. The people were clearly relaxed, content and able to talk comfortably with the staff and the inspector. The staff demonstrated a good understanding of the care needs of the residents, and there is an evident commitment to individualised care provision. There is an established and committed staff team, some of whom have worked at the home for many years. Staff were observed to interact with the residents in a professional and caring manner. The staff were also observed to be busy throughout the inspection attending to the needs of the residents. Tremethick House provides a comfortable, safe and well-maintained home for older people. The service provides well-presented written information about the home to enable people to make a decision about whether the home can meet their needs and suits their preferences. The residents I spoke with said "they were very comfortable and well cared for", and they confirmed they would feel able to express any concerns if they had any. The registered provider carries out detailed assessments and considers carefully if the home can meet the needs of prospective residents. The residents` healthcare needs are effectively monitored and addressed. Residents report that they are well cared for and they have confidence in the staff and registered provider. The staff are kind and skilled and respect their privacy and dignity. Residents were, without exception, positive in their comments about the care they received. The management of the home is effective, as demonstrated by the outcomes for the people that live there. The home is kept in good decorative with a continuing programme of maintenance and refurbishment of the premises and equipment. The staff and registered provider actively consult residents individually and obtain their views about the services provided. They regularly evaluate the service provided and follow this up with planned improvements. Staff are well supported and supervised. There are arrangements in place to ensure compliance with health and safety legislation and promote the health and safety of staff and residents. What has improved since the last inspection? The registered providers continue to offer a stable, relaxed and comfortable home for the residents, who, without exception, were praiseworthy of the home, the registered provider and the staff. The maintenance of the home has continued with current work being carried out on the conservatory. A shaft and platform lift provide access from ground to first floor. Staff are committed to delivering a high quality of care. The registered provider makes time to see residents daily and she continues to review and improve the arrangements for care and activities in the home. The requirement and recommendations identified at the last inspection have been actioned and removed from this report. What the care home could do better: The manager (elect) and registered provider were given detailed feedback throughout the inspection and open and frank discussion took place on the findings of the inspection. Alternative formats (e.g. audio-visual) for information would benefit people with sensory deficits. More detail in care plans would better instruct staff as to the care intervention needed. Care records could better demonstrate the quality of life of the people that live there. More can be done to ensure staff receive relevant training, and at the recommended or required frequency. Key inspection report Care homes for older people Name: Address: Tremethick House Meadowside Redruth Cornwall TR15 3AL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Alan Pitts     Date: 0 8 0 9 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 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 27 Information about the care home Name of care home: Address: Tremethick House Meadowside Redruth Cornwall TR15 3AL 01209215713 01209313680 info@anson-care-services.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr John Robert Anson,Mrs Mary Allison Anson care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 42. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP- maximum 42 places Dementia - Code DEmaximum 10 places Date of last inspection Brief description of the care home The home is owned and run by Mr and Mrs Anson and the providers take an active role in the services and facilities provided. A registered manager is to be appointed to take the lead role in the day-to-day running of the home. The new extension has been completed and provides a very high standard of accommodation. The new fourteen bedrooms have ensuite facilities aand are finished to high specifications. The new spacious lounge overlooks the front of the home and car park. Tremethick is registered Care Homes for Older People Page 4 of 27 Over 65 0 42 10 0 Brief description of the care home to offer care and accommodation to forty-two older people. Overall the majority of bedrooms are for single occupancy and communal space is now provided throughout the home. The majority of the communal space is located on the ground floor and is maintained to a high standard. There is access outside and inside the home for people who experience a disability. Two passenger lifts are also provided. The home is located on the edge of Redruth town with pleasant grounds and car parking facilities. The location provides easy access to the town, leisure facilities and health services. The home offers transport to appointments and for outings. The home state they provide care in a manner that meets the individual needs and preferences of residents in a manner that promotes independence, dignity and their rights. . Current weekly charges are 365 to 550 pounds per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection, which took place on the 8th September 2009. The inspector met and spoke with residents, staff, and the registered provider. The inspection included speaking with residents and staff, and there were opportunities to directly observe aspects of residents daily lives in the home and staff interaction with them. The principle method of inspection was case tracking. This involves speaking with a number of residents, staff caring for them and/or their representatives, and examination of records relating to their care. This provides a useful impression of how the home is working overall. At this inspection three residents files were case tracked, with particular reference to their individual and diverse needs relating to their age, culture and ethnicity, religion, gender, sexual orientation and disabilities. The documentation, policies and procedures, and the environment were inspected. Care Homes for Older People Page 6 of 27 Tremethick House provides a comfortable and appropriate home for up to 42 residents. The relaxed family atmosphere, and the evident contentment of the residents impressed the Inspector. Nothing should detract from how highly the residents speak about their home, the staff, and the care that they receive. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The manager (elect) and registered provider were given detailed feedback throughout the inspection and open and frank discussion took place on the findings of the inspection. Care Homes for Older People Page 8 of 27 Alternative formats (e.g. audio-visual) for information would benefit people with sensory deficits. More detail in care plans would better instruct staff as to the care intervention needed. Care records could better demonstrate the quality of life of the people that live there. More can be done to ensure staff receive relevant training, and at the recommended or required frequency. 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The most recent admission to the home was properly assessed prior to finalising the move. Intermediate care is not offered at Tremethick House. The people who are thinking about a move to Tremethick House are provided with good information to help inform them about their choice of home, though consideration should be given to alternative formats. Evidence: The registered provider confirmed that copies of the Statement of Purpose and Service User Guide (documents that tell a person about the home) are given to prospective and current residents. This also includes the Complaints Procedure. We discussed the potential benefits of offering information in alternative formats (e.g. audio-visual) for people with sensory deficits. As part of this inspection we looked at the assessments that were carried out prior to a person moving to Tremethick House. The care documentation of the person most Care Homes for Older People Page 11 of 27 Evidence: recently admitted to the home showed that a proper pre-admission assessment had take place. Comments received from residents at the time of the inspection confirmed that people feel they receive the information they need. Residents are involved in determining their care plans. Intermediate care is not offered at Tremethick House. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each resident has a plan of care. The care documentation shows the involvement of other health care professionals, and residents confirmed that they receive a good standard of care and felt well looked after by staff. Medicines are handled appropriately, and the home has a relevant procedure. The residents could not speak highly enough of the care, attention, and respect shown by the staff at Tremethick House. Evidence: Residents care plans and documentation were inspected. Three care plans were inspected, and two showed evidence of resident/family involvement in the development and review of the care. The residents health, spiritual, social and personal care needs are set out in an individual plan of care and these are being reviewed with resident and/or representative involvement, where possible. More detail would be of benefit (e.g. avoid the use of terms such as assistance needed, rather state what assistance is needed). The aims and objectives of the home reinforce the importance of treating residents with respect and dignity. Care Homes for Older People Page 13 of 27 Evidence: Daily entries in the care documentation show the involvement of other healthcare agencies as appropriate to the needs of the resident. Daily entries made by staff evidence the general health care given. Residents are registered with a GP, and professional advice is sought as needed. The residents confirmed that they have the opportunity for exercise and activity. All the residents have access to support services such as opticians and a chiropody. Medicines are stored securely and administered directly from a medicine trolley. A Controlled Drugs cupboard and register is in use. An appropriate medicine policy is in operation. Medicine Administration Records were seen to be in order. The supplying pharmacist visits annually. Residents and their representatives or relatives are treated with respect and their right to privacy is upheld. Staff were observed to treat people with respect and dignity at all times throughout the inspection. The residents preferred name is documented as well as peoples likes and dislikes. People spoken with confirmed that they are treated respectfully; their privacy and rights to make decisions are supported, and they spoke very highly of the staff and the autonomy that they are afforded. Residents are able to meet relatives and friends within the communal areas, in the garden, or in their own rooms. Mail is delivered unopened to the relevant person. The established and experienced staff having an in-depth understanding of the residents and their needs. Clients have access to a telephone for private use. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents said that the staff could not do enough for them, and that they were free to see visitors as they wished. They also confirmed that they have enough to do to keep themselves occupied. The residents said that they enjoyed the food that was provided, and confirmed that they were offered a choice. Evidence: The residents informed the inspector that they were able to make choices about how to spend their time, and they felt that their recreational interests were being met on an individual basis. Individual interests are recorded at initial assessment. People were observed to be able to choose where to eat. Spiritual and social needs are included in the care plans. There is a broad range of reading matter and a selection of videos/DVDs available within the home. Residents have a daily paper delivered if desired. People are asked for their choice at meals. The residents were happy with the flexibility within the home and felt that it met their needs and wishes. Despite the positive comments received from the people that live at Tremethick House, the care records do not demonstrate residents lifestyle. One file looked at had only an entry on the day of admission, and nothing else up to and including the day of Care Homes for Older People Page 15 of 27 Evidence: inspection (18 days). The daily notes are comprehensive and informative in respect of health care needs being met, but are lacking in terms of reflecting lifestyle, choices made, activities and participation in them (or not). There is an activity person employed for 8 hours per week, but the activity record shows long periods in between activities. Residents are able to meet relatives and friends within the communal areas, in the garden, or in their own rooms. Visitors are welcomed to the home, depending on the residents wishes, which are respected at all times. Rooms are personalised with plenty of evidence of personal possessions being brought in. Bedrooms are fitted with suitable locks to ensure residents privacy. The likes and dislikes of each resident are noted. People are asked in advance for their choice at meals. Residents were aware what was for lunch that day. Choice is provided at all meals. Food records are kept, but these do not reflect the choices made by people. Special diets are catered for, as required. Fresh fruit and vegetables are readily available. The residents were complimentary about the food. The dining room provides an attractive, comfortable setting that is laid up for residents who choose to eat there. The dining room is normally in the conservatory, but maintenance work was being carried out at the time of the inspection. There is a rolling 6-week menu in use. The kitchen was seen to be clean and orderly. The chef said he was happy with the facilities and as he had worked in much smaller kitchens said he felt spoilt by the space available to him. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Neither the home nor the Care Quality Commission have received any complaints since the last inspection. The registered provider and staff were seen to interact well with residents, who confirmed that they would feel able to raise any concerns. Residents welfare is protected. Evidence: There is a complaints procedure in operation, and residents confirmed that they would feel able to express any concerns. The complaints procedure includes the current contact details for the relevant Adult Social Care Department or the Care Quality Commission, and is included in the Statement of Purpose, which is also displayed in the entrance hall. The residents said that they knew who to talk to if they had a concern, and would feel able to do so. There is a Protection of Vulnerable Adults policy and a whistle blowing policy. Contact details for adult protection agencies are clearly displayed on the notice board. Residents are additionally safeguarded by the family approach of the home and the established staff team. Safeguarding training is provided for all staff, as is regular staff supervision. People are protected by the homes recruitment procedures. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents said that they were comfortable and very happy with their accommodation. Residents rooms were personalised and comfortably furnished. There is a shaft lift and platform lift to assist access between floors. The environment is clean, and homely. Evidence: The home is situated in a residential area near Redruth town centre. Information about the accommodation is provided in the Statement of Purpose. The access at the front has a number small granite steps to the main door, but there is also a wheelchair ramp available. Inside the building handrails, provide access from the hall to various parts of the building. The patio garden can be accessed from the lounge via patio doors. The registered provider does carry out a full assessment of care needs prior to admission to ensure the suitability of the home. There are two passenger lifts, which serve ground, and first floor throughout the building. The home is comfortable and homely. The registered providers have continued their programme of maintenance and refurbishment. The communal space comprises a small sitting room, lounge and large lounge dining room as well as the dining room. This allows ample space for those residents who wish to have greater privacy and time to reflect. Furniture is domestic in style and of good quality. The home is centrally heated. Lighting is domestic in nature and the registered provider plans to replace Care Homes for Older People Page 18 of 27 Evidence: some to provide greater light. There is a large patio area to the rear of the property with ample areas and seating for residents. The laundry is small but functional, and the laundry person confirmed that the room and facilities were sufficient to meet the demand placed. The laundry equipment comprises two washing machine, and two dryers. Appropriate equipment is provided for handling soiled linen. There are hand washing facilities for staff with liquid soap. The baths, showers, toilets, commodes and basins that we inspected were clean and hygienic. Bathrooms and toilets were in good decorative order. Hand washing facilities and alcohol hand rubs are situated around the home. Residents reported that their rooms were kept clean and fresh. There are detailed written cleaning procedures with specified tasks for staff, and chemicals are stored securely. There is a sluice facility on each floor. Bedrooms are fitted with suitable locks to ensure residents privacy. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The training records could be improved to better demonstrate that staff are provided with the skills and knowledge to perform their roles. Residents were very complimentary about the care provided. The registered provider is aware of the need for a National Training Organisation compliant induction programme. The home uses a robust employment procedure to protect residents. Evidence: Tremethick enjoys a stable core of staff that have worked at the home for many years. The duty roster shows that there are six care staff on duty until after lunch, four care assistants on duty in the afternoon, three care assistants in the evening, and two waking care assistants through the night. This is in addition to the proposed manager who is a registered nurse, and support staff daily. Staffing levels were appropriate to the care needs of the residents at the time of the inspection, and this was confirmed by comments from the people that live there. Staff were observed to be caring and respectful during their interactions with each other and the residents. There is an evident rapport with residents and a relaxed atmosphere that is the result of attention to individual needs and preferences. There are individual training records kept in individual staff files, but there is currently no system in operation for monitoring staff training and identifying training needs. Care Homes for Older People Page 20 of 27 Evidence: There are 23 care staff (not including the proposed manager), and 7 have achieved the NVQ Level 2 qualification or above with a further 11 undertaking this training. Two staff have achieved NVQ Level 3. One staff personnel file showed that in-house induction training had been provided, but this did not demonstrate that it had occurred over a period of time suited to the individual to ensure their understanding of the topics covered. The home is also using a modified induction training programme intended to comply with the National Training Organisation induction programme, but the registered provider should confirm the validity of this (www.skills4care.org). Recruitment records for recently appointed staff were inspected. These contained the required information and documents, including application forms, references, Criminal Records Bureau disclosures and POVA first checks. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The inspector is of the opinion that the registered providers have the residents best interests at heart, and this is supported by the positive comments received from the people that live there. Evidence: The home has gone through a difficult period recently with the departure of the registered manager, and the effect of this is reflected in the slip in standards in some of the managerial areas of this report. The people that live at Tremethick House reported no adverse experiences though and the staff and registered providers are to be commended in this respect. Mrs Jeanette Harvey is the proposed manager and an application to be the registered manager is anticipated shortly. Mrs Harvey is a registered nurse and has worked at Tremethick House for approximately 15 months as Head of Care. Mrs Harvey said that she would be commencing the Registered Managers Award training. Mrs Anson, the registered provider, has day to day involvement in the home and daily contact with the people that live there. Care Homes for Older People Page 22 of 27 Evidence: The proposed manager and providers employ a number of quality assurance systems. These include: a quarterly menu survey; a regular recorded review with residents and their representatives of their views on the care and services provided; a satisfaction survey form for visitors and relatives; monthly care plan reviews and monthly summaries on the health, welfare and well being of each resident. We discussed the options for publishing a summary of the findings from quality assurance systems. The residents manage their own finances or have delegated the management of their financial affairs to family and representatives. The home will hold small amounts safely for people, but have no involvement in the management of individuals finances. Staff supervision is happening, though care is needed to ensure this is regular and frequent. Appropriately detailed records are kept. There are hazard analyses and risk assessments for a range of activities and equipment. There are relevant safety and maintenance checks (including gas safety certificates, electical system checks, and fire system checks). The home is well maintained, clean, and safe for residents, staff, and visitors. There is relevant maintenance and safety work carried out, and the home carries appropriate insurance cover. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 30 18 The registered provider must arrange for all staff to receive training appropriate to the work they perform. The home and residents would benefit from the continued promotion of training relevant to the role staff carry out (e.g. fire/1st Aid). This includes a system for effective monitoring of training and the identification of training needs. 01/11/2009 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 2 3 7 12 15 Review care plans to ensure they provide sufficient detail to instruct staff as to the care intervention needed. The care records should demonstrate peoples lifestyle and choices as much as health care delivery. The record of food provided should demonstrate the Page 25 of 27 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations choices made by people. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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 27 of 27 - 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!