Care Home: Tuxford Manor Care Home

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What the care home does well People who come to the home have a pre-assessment provided for them. This is to ensure that the staff will be able to meet their needs. People are provided with the care support that they need. Staff receive regular training and new staff will only start work when the required checks have been carried our including a satisfactory Criminal Records Bureau (CRB) or Protection Of Vulnerable Adults(POVA) check. People who spoke with the inspector said that they were encouraged to do whatever they could and were able to make choices for themself. Families who spoke with the inspector said: ` Our relative is well cared for, and they like their bedroom and treats it like their own flat. We feel that if they became ill staff would contact us. Our relative is very forgetful now and really needs keeping an eye on we feel they get that here. Our relative has always liked to dress well and still does so now. We are quite satisfied by the care that they have been getting since being here. We regularly visit the care home. We helped to choose this care home for them. Other relatives comments included: `We can visit at any time and are always made welcome by the staff.` There is a complaint procedure, which is available for people to use and procedures for staff to follow if they suspect anyone is not being properly treated. The home is spacious and suitable for anyone using a wheel chair. The home is kept clean and safe by a full compliment of ancillary staff. Peoples` money is kept in a safe place and they can have access to it when they need it. The Registered Manager is experienced in care and is suitably qualified to manage the care home. Questionnaires form part of the regular monitoring of the views of people at the home and also their relatives. What has improved since the last inspection? A social activities plan that included individual wishes and group activities is now available. Outings away from the home are also part of this. Developments within the home form part of the questionnaires completed by the people who live there and their friends and relatives. What the care home could do better: Further involvement by people in their own care plans and for follow up with other specialists is required. In this way wider options for improvements in care will have been considered. Improvements are needed in the way medicines are managed so that everyone will be kept safe and free from harm. Key inspection report Care homes for older people Name: Address: Tuxford Manor Care Home 143 Lincoln Road Tuxford Newark Nottinghamshire NG22 0JQ     The quality rating for this care home is:   one star adequate 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: Lesley Allison-White     Date: 2 5 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 29 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 29 Information about the care home Name of care home: Address: Tuxford Manor Care Home 143 Lincoln Road Tuxford Newark Nottinghamshire NG22 0JQ 01777872555 01777872666 linda.sumner@hallmarkhealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Hallmark Healthcare (Tuxford) Ltd care home 45 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: 45 The registered person may provide the following categories 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 Dementia, Code DE Date of last inspection Brief description of the care home Tuxford Manor Residential Care Home is a 45- bedded home that provides long term, short term and respite care to ladies and gentlemen requiring residential and dementia care. The home is situated on the outskirts of the town, close to a local public house although transport would be required to access the nearby shopping areas. The accommodation is provided on two floors with a passenger lift to enable easy access for people with restricted mobility. All ground floor and garden areas have level access. The facilities within Tuxford Manor are suitable to achieving independence for Care Homes for Older People Page 4 of 29 26 0 Over 65 0 26 Brief description of the care home the residents at the home. Wheelchairs access is available all areas within the home, appropriate mobility aids are available such as hoists, transfer belts and strategically placed hand rails. The provider makes the statement of purpose and service users guide available to all residents or their representatives. Which provides comprehensive information relating to the facilities at the home. A copy of the last report from Commission of Social Care Inspection (CSCI) is also available in the foyer of the home. The minimum fees charged are currently £392.00 and the maximum are £475 per week. There is an extra charge for hairdressing and podiatry services. Care Homes for Older People Page 5 of 29 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: one star adequate 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 is an over view of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Care Quality Commission (CQC) is on outcomes for people using the service and their views on the service provided. The last key unannounced inspection was done on 27th June 2007. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including information from the Annual Quality Assessment completed by the provider. Due to a shortage of preparation time surveys were not sent out however other pieces of information was used as part of the evidence gathered. Care Homes for Older People Page 6 of 29 The site visit lasted six hours and the main method of inspection used was case tracking which involved looking at the records of two people in detail and tracking the care they received through the checking of their records and discussing this with them. Other people at the home also spoke with the inspector and additional records were seen. A discussion with the manager took place, with staff on duty, and with relatives. Care practises were observed. The premises was not inspected in detail but various areas of the home were visited as part of the inspection. The current Registration certificate and the Employers liability certificate were seen and found to be correct. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Further involvement by people in their own care plans and for follow up with other specialists is required. In this way wider options for improvements in care will have been considered. Improvements are needed in the way medicines are managed so that everyone will be Care Homes for Older People Page 8 of 29 kept safe and free from harm. 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 29 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 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have an assessment carried out before they are admitted to the care home and this demonstrates that the service can meet their needs. Intermediate care is not offered at this home as rehabilitation services are not offered. Evidence: People who come to the home have a pre-assessment provided for them. This is to ensure that the staff will be able to meet their needs. Policies and procedures are in place. A copy of the summary and care plans are obtained from the care management system. A copy of the Statement of Purpose and Service Users Guide is provided. This gives people information about the service. The Service Users Guide states: Each assessment is carried out by a suitably qualified person and take into account Care Homes for Older People Page 11 of 29 Evidence: the physical and psychological capabilities of the individual. We saw assessments that included information that someone one would need to receive care at the home. A system of primary care exists which ensures you have a named keyworker to plan and review your care on a monthly basis. All clients receive a contract detailing terms and conditions. You are given a month to settle and decide formally whether the home is right for you and suitable for your needs. A key worker system is provided so that a staff member will take an interest in a person at the home. Changes in care is was found not to be reflected in all cases and families were kept informed of changes. Support for anyone with nursing needs is provided through the District Nursing teams. Assessments included moving and handling risks, skin care including the risks of pressure sores, continence assessment, dietary needs, ability to communicate. Social care included emotional needs, likes and dislikes and family life as part of the persons history. This is important so that staff will be able to get to know the person more easily and understand their specific needs. Care Homes for Older People Page 12 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are set out in an individual plan of care although health care needs may not always be fully met. Evidence: We checked the care plans (these are care records) of two people living at the home they contained health care assessments including Waterlows. ( A Waterlow looks at the overall risks to an individual.), Nutritional assessments looks at the risks associated with malnutrition or obesity, Moving and Handling assessments considers the risks associated with restricted or lack of movement for a person and a medication assessment. (This considers the persons ability to manage and take medications prescribed to them without help). There was evidence of having involved people in their own care planning in one case and less so in the other persons care records. People who spoke with the inspector said that they were encouraged to do whatever they could and were able to make choices for themself. This included tasks such as help with having a wash, type of wash preferred, number of staff to assist with toileting procedures. Staff were observed attending to a person who was cared for in their bedroom. This person did not get out of bed although the care records explained Care Homes for Older People Page 13 of 29 Evidence: that they could be got out for one hour a day. When asked about this staff were not sure why this had not been done and the records seen at inspection did not fully explain why either. There was no indication of having offered this person a choice or that further discussions around care had taken place with the visiting District Nurses. There was evidence of family involvement for obtaining histories about the people involved. Social assessments i.e. something about life before being at the care home was in place in both cases. When someone is ill a Doctor is contacted to visit or the District Nurse will be asked to visit the person. The chiropodist visits people at the care home at regular intervals. The AQAA tell us that the activities of daily living are formed from liaisons with the multi disciplinary teams, care plans are reviewed monthly or earlier if changes happen. Care plans include the involvement of the person and family. People were not always fully involved in their care planning and further advice was not always evidence in the care records seen at inspection. This means that people are not fully involved in their and may not be completely satisfied by the care they receive. As part of an improvement plan for the next twelve months the AQAA tells us a quality assurance team provides internal mini inspections, also monthly home audits will ensure a higher quality of care that will ensure that dignity and respect is fully implemented. In this way staff at the home already recognises that there are aspects within the current care planning that needs further reviewing and continues to make improvements. There were errors in the area of medications these included: medications opened but not signed and dated to ensure they are still usable; deceased peoples medication, this was still left on the trolley over seven days later and not sent back to the Pharmacist as they are no longer needed by that person. Medication times were altered but there was no evidence of a discussion between the prescriber staff. People did not receive their medications as prescribed. Care Homes for Older People Page 14 of 29 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. Activities within the home succeed in meeting the identified daily and social needs of the people who live there and the outcome is positive for them. Evidence: A number of people (13) were seen taking part in a seated exercise activity using the upper parts of their body as part of the exercise by throwing a ball at an object. In the afternoon each Thursday an organist is booked to sing and play music that people can join in. A number of people at the care home were seen taking part in this activity and staff members were also available to help with anyone who wanted to dance, sing or be taken to the toilet with help. The Service User Guide tells us: a guide is displayed on notice boards around the home with dates etc. Our social activities organizer will come and see you to discuss individual preferences and welcomes ideas and suggestions from you. She will strive to tailor a programme that suits your needs and interests. Activities are included within the care package and as such no charge will be made to you for any of the activities on offer. Care Homes for Older People Page 15 of 29 Evidence: We saw that activities are provided that people can enjoy. Family members that spoke with the inspector described the activities coordinator as fabulous as she found out that their relative likes to play cards and scrabble and is good at it. Information about peoples preferences, likes and dislikes are contained in their lifestyle histories and preferred activities. The Church of England minister visits the home on the first Monday of the month and prayers and singing takes place the inspector was told by a staff member. The Inspector spoke with someone who said that they arrived at tea time and was made welcome and was offered something to eat on arrival. They said that they had their own bedroom with nice views, finds walking about in the home easy to do as it is all on one level (it is flat) and they are able to move about with the minimal of help. Activities that they chose to take part in included painting, doing crosswords, and celebrating peoples birthdays they said: it is always a nice home made cake served at tea time. Other comments included: I can have visitors at any time. I can have my money or any valuables locked in the office for safety. I met a friend from before who lives here so I am reasonably happy to be here. It is always difficult changing. I needed help and for someone to be there when I need them, so I am to be here now. Families who spoke with the inspector said: Our relative is well cared for, they like their bedroom and treats it like their own flat. We feel that if our relative became ill staff would contact us. Our relative is very forgetful now and really needs keeping an eye on, we feel they get that here. Our relative has always like to dress well and they still do so now. We are quite satisfied by the care that they have been getting since being here. We regularly visit the care home. We helped to choose this care home for our relative. Other visitors comments included We can visit at any time and are always made welcome by the staff. We feel that everyone is treated like family members and we know the staff by their first names. Another relative visits every day - no issues with care recorded. Thank you cards dated for this year were seen at inspection comments included: Care Homes for Older People Page 16 of 29 Evidence: Thank you for the kindness that you all showed to X during their stay with you. Please pass on to all staff at Tuxford Manor my appreciation for the care and attention to my friend. Thank you for the devotion to your duties, it did not go unnoticed. One person listed their choices as I go to bed when I feel like it and get help when I need it. I have a key to lock my flat door when I go out. Showers and baths are provided for the people who live at the care home. We get two choices of a meal each day, could do with a water machine in the dining area so that you can help yourself when ever you fancy a drink of water. Tea time was seen it was taken in a pleasant well lit dining room. Comments on the food included: Breakfast is very good. Choices include a cooked breakfast including porridge etc. We get two tea pots for each table, a little potis provided for coffee. We get two choices of a meal each day, but we could do with a water machine in the dining area so that you can help yourself whenever you fancy a drink of water. Care Homes for Older People Page 17 of 29 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. There are systems in place for people to raise complaints and staff have received appropriate training in relation to the Safeguarding of Adults. Evidence: The complaints procedure is on display in the foyer of the home and people who live at the home or their representatives are given the complaints procedure within the Service User Guide. Some complaints have been brought to the attention of the Care Quality Commission (CQC) and they were referred to the provider to investigate and satisfactory responses were received and no further action was taken. There has been a safeguarding referral and this has been dealt with by the appropriate agency. The AQAA tells us that there have been seven complaints made to the provider and one safeguarding. We saw that they had been dealt with. The complaints procedure should also mention the lead agency as the Social Services department. The contact details for the CQC also needs to be updated. We spoke with staff to find out how much they understood about their role in the protection of vulnerable adults and the types of abuses that can take place. Both staff were aware of such issues and knew their own in house procedures and which agencies to go to these included the Police, Social Services or the Care Quality Care Homes for Older People Page 18 of 29 Evidence: Commission in the event of their own in house procedures failing to resolve the issues. One family member said If we had any concerns we know that it would get sorted and we would be happy to talk with the manager of the home. Other visitors to the home also said that they felt confident that any concerns that they had would be listened to and acted on, by the manager of the care home. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People at the care home benefit from an environment that is clean, safe and well maintained. Evidence: The AQAA tells us the people living at the home use the secure garden independent of help being required and that: a maintenance manual with all monthly checks are completed, audit reports and certificated from inspections kept up to date. The AQAA continued to explain that: planned improvements include having a garden committee who are involved with the gardened areas of the home, bathrooms are to be refurbished to enhance the bathing experience. The bedrooms seen were clean and comfortable with personal belongings such a family photographs or a favourite piece of furniture also brought in to make the room more pleasant for each person where appropriate. A bathroom and toilet area was visited it was kept clean and tidy with emptied waste bins, soap and drying facilities in place. A maintenance person is employed at the home and it is kept well maintained and Care Homes for Older People Page 20 of 29 Evidence: there were various records to show this. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by a competent staff group and good recruitment practices are followed. Evidence: A copy of the staff rota was seen. The AQAA tells us that one of the barriers to improvements has been shortness of staff due to illness and staff leaving during the last 12 months. Staff recruitment has been seen as a priority and five staff are provided for an early shift including a senior carer, five staff on a late shift including the senior carer and four staff are on duty each night, this includes one senior carer. The manager and other office based staff are supernumerary to these numbers. Support staff such as domestic staff, cooks, the activities coordinator who works (12md to 6 pm) and maintenance are also provided. The Registered Manager continues to recruit staff to ensure that peoples assessed needs can be met at all times. The AQAA tells us that training, supervision and appraisal to ensure recruitment is effective and meets with CQC requirements, National Vocational Qualification (NVQ) training for staff and ensuring all recruitment checks are in place before employment begins. Two staff records were checked and this was found to be true. Care Homes for Older People Page 22 of 29 Evidence: Fifty percent of staff are trained or in progress of being trained to National Vocational Qualification (NVQ) level two and above to ensure that they can meet the needs of people at the home. The staff training programme provides Fire safety, Moving and Handing, Basic Food Hygiene, Safeguarding Vulnerable Adults, Health and Safety, Infection Control, Dementia Care and Challenging behaviour. Staff records seen also contained information about their induction. Care Homes for Older People Page 23 of 29 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. Management systems are in place to ensure that the home is running to meet peoples best interest. Evidence: Visitors stated We regularly visit the care home. We helped to choose this care home for her. We can visit at any time and are always made welcome by the staff. We feel that everyone is treated like family members and we know the staff by their first names. If we had any concerns we know that it would get sorted and we would be happy to talk with the manager of the home. This home has a good reputation and for years it was recommended to us by other people. Care Homes for Older People Page 24 of 29 Evidence: A comment from someone at the care home included: I can have visitors at any time. I can have my money or any valuables locked in the office for safety. I met a friend from before who lives here so I am reasonably happy to be here. Written records regarding finances are in place monies were checked for two people and totals were found to be correct. Money is stored in a locked safe. Fire records were in place with regular fire drills. Staff was asked about the fire procedure and they knew what to do. There is a Health and Safety folder with risk assessments completed in a systematic and preventative way. Water test are carried out to ensure that they meet the required temperatures and prevent people from being scalded. There are managements systems in place to protect the health and safety of the people who live at the care home. Policies and procedures are readily accessible to staff and information within the policies is updated appropriately. The current copies of the certificate for registration with the Commission and the Employers liability insurance was seen in the entrance of the building. Care Homes for Older People Page 25 of 29 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 29 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 8 12 The registered person must ensure that care plans take into account peoples wishes and feeelings. People should be involved in their care plans so that they reflect the care they expect to receive. 25/09/2009 2 9 13 The registered person 25/09/2009 should ensure that the arrangements for the recording, handling, safekeeping, safe administration and disposal of medications received into the care home is made safe. In this way the management of medications will made safer. Care Homes for Older People Page 27 of 29 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 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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