Care Home: Welby Community Unit

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Welby Community Unit 203 Outland Road Peverell Plymouth Devon PL2 3PF two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Fowler Date: 2 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Internet address www.cqc.org.uk Information about the care home Name of care home: Address: Welby Community Unit 203 Outland Road Peverell Plymouth Devon PL2 3PF 01752794544 01752768226 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Plymouth City Council Name of registered manager (if applicable) Mr John Michael Casey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 12 0 care home 12 learning disability Additional conditions: Age 18-65 years Service Users with learning disabilities who may also have physical disabilities Date of last inspection A bit about the care home. Plymouth City Council owns Welby Community Unit. Up to 12 people with a learning disability can stay in the home for respite care. The home is partially wheelchair accessible. The home is close to shops and the city centre. The home has its own vehicles so people can go on trips out. There is a bus stop near the home where people can take buses into the city centre or other places. People can use trains and taxis to go to other places. There are two lounge areas and a dining room on the ground floor. And a room that can be used for activities. Each person has his or her own bedroom. No one has to share a bedroom. Fees levels start at 525 pounds, although these may vary depending on people’s individual needs. 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home The inspection was carried out by one inspector who visited the home without telling anyone she was coming. She was there from 9:40am to 4:10pm on Tuesday 24th February 2009. Throughout this report the term “we” will be used as the report is written on behalf of the Commission for Social Care Inspection. We spoke to most people living in the home. We talked to all the staff on duty and the manager. We looked all around the home. We looked at the care records of five people who lived in the home. We looked at other records that told us how the home is run. This included staff records and health and safety records. Before the inspection an Annual Quality Assurance assessment (AQAA) was completed by the manager. What the care home does well The home continues to decorate the home. The home encourages people to have outside interests and a variety of leisure activities. People who needed help supported and staff support people in a relaxed and helpful way. Relative surveys returned to the Welby stated that 70 of people felt that Welby provide an excellent service and 22 as a good quality of service. What has got better from the last inspection The dinning room area has undergone redecoration, as have two of the bedrooms. One of the bathrooms has been refitted and includes a new walk in shower room. Another bathroom has been replaced to include a new bathroom suite. What the care home could do better All carpets should be clean and in good repair. Furniture for sitting on should be safe and comfortable. All areas of the home should be clean and hygienic. The Fire Alarm weekly checks should be carried out. All staff files should hold consistent information on their recruitment and training records and courses should be updated and maintained. All staffs should receive regular supervision and all supervision should be recorded. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kim Fowler. CQC Colston 33 33 Colston Avenue Bristol BS1 4UA T: 0117 930 7110 F: 0117 930 7112 E: enquiries.southwest@cqc.org.uk 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 set out 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 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 . Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about staying for respite care. Evidence: Welby only admits people for respite care and short stay placements. All referrals for admission come via the local authority. All four files examined held a pre-admission assessment and the persons care manger from the placing authority completes these. The home has a referral and eligibility criteria for new admissions to the respite care service or for short stay placements. The home involves the staff from Welby as much as possible to complete the assessments. Two new admission files, both emergency admissions, were examined and both held the placing authorities pre-admission assessment, completed by the care manager involved with individuals. Both files held details of a Physiotherapist assessment and details of any day care placements these individuals may attend. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. The home has a clear procedure for admission particularly any emergency admissions. Evidence: This includes arranging a strategy meeting within one month of admission involving the home, Care Management team, and any other agencies involved and the individual concerned. The homes AQAA returned to the Commission states, For emergency placements we discuss their future needs and wishes at the monthly exit strategy meetings. Two of the files examined held a contract stating the terms and conditions of occupancy. Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 encouraged and supported to make daily decisions about their own lives during their stay at Welby. Evidence: All files held an individual care plan by the placing authority. People are encouraged to be involved in these care plans and sign them if possible. Each file holds information on current needs, specialist input and guidelines for staff to manage individuals. Two people who have used the respite service for a number of years also have a Person Centred Plan in place. These two files also held individual care plans completed by the staff at Welby and involve the person concerned in drawing up these care plan. If needed a plan is also held to supported any behaviour intervention guidelines if needed and what measures to put in place if the individual does not return back to Welby at an agreed time. Each individual plan provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. Some files held review dates and included who attended theses review meetings and recorded on these two files that the individual, family, Care Manager and the homes key worker were in attendance. One person currently staying for respite care thought they had been involved in a review meeting and they had a relative with them. Another person said, I see my Care Manager. Evidence: Observations throughout the inspection were staff assisting people to make decisions about everyday issues. This included any trips out that day and the choice for lunchtime meal. One person was observed discussing a visit to there friends. These conversations were held in private and the staff were openly encouraging people to make as much choice as possible. Each file held information to assist staff that showed individuals ability to make decisions for themselves. The homes AQAA states that, Continue to access Person Centred Planning (PCP) awareness training for staff and work closely with the PCP Co-ordinator. Those people who were able to confirm that they choose were they went when they went out and one person said, I go out for a walk on my own. And another said, I go to the Tuesday club. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and manual handling risk assessments if needed. Any restrictions on going out are documented and supported by a Risk assessment if needed. This information is important to minimise risk. The Commission received a notification from the home when a breach on restrictions had been made and this showed the home had followed this breach by seeking advise from the learning disability team and other professionals if needed. Everyone is encouraged to mange their own money and staff offer support when needed. Each individual bedroom is fitted with a safe to enable people to secure valuable items including money. Individual record books are provided to enable people to record expenditure and two members of staff sign these. One person spoken with confirmed that they manage their own money and use the safe in their bedroom. Welby has converted part of the house into a self-contained flat to promote independent living for one person at a time and this flat has a separate entrance from the home. The person presently occupying this flat makes everyday decisions about their life. Including what furniture to have in their room and due to the level of needs of this person two staff members support them at all times. Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 using Welby for respite care can be assured that the home will promote independence and support them to access the community with support if needed. Evidence: Due to people coming into Welby for respite stays or short-term placements only, the day care arrangements for individuals are made before admission, usually by family or the placing authority. Some of the people spoken with confirmed that they go out to different places for day care including a local day centre. One file held information on a local company that assists people with work experience. One person stated that they usually attend a day centre and that they had been attending for many years. When people stay for respite care some trips out are arranged including walks to the local pubs and shops. Welby has the use of a people carrier for evenings and weekends. On the evening of the inspection one person said they have plans to attend a local club. Several people were able to confirm they visit a variety of places in the community. Some were able to walk to the local shops by themselves and others needed staff assistance. Most admissions live with family or relatives and are regular respite users. Observed Evidence: during the inspection was the staff on duty talking to a family member and planning extra dates through the year. People are encouraged to remain as independent as possible while away from family homes. All rooms have a key and a safe for money and valuables. One person said, I go to town to see my friends and another person was making plans to see their boyfriend. The homes AQAA records under what they do well, People are encouraged to pursue their hobbies and interests whilst at Welby. One of the cooks employed discussed the menus and showed that the home has a 4 weekly set menu, but a choice of food were available if people did not like what was on offer. The kitchen is accessible for drinks and snacks throughout the day and one person was observed making themselves hot drinks throughout the day. The evening meal being prepared consisted of a casserole and fresh vegetable and dessert. The cook stated that they were always plenty of provision available and plenty of fresh fruit and vegetables. The people who were in the home during the day were happy with the food. One person said it was, good and another said, I can choose what I want. One staff spoken with confirmed that people are offered choices and are able to assist with preparing their own lunch. Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 . Staff were observed promoting individuals independence and providing personal support promoting privacy and dignity at all times. Access to health care care is maintained to promote the wellbeing of all who use the respite service. Evidence: Individual files show that many people are able to carry out personal support independently. All personal support is recorded into individual care plans and these are easily accessible for staff and all rooms are now single. Any person requiring assistance with moving has a moving and handling plan and risk assessment to assist staff on how each person prefers to be supported. Any specialist advise or guidance is obtained from the relevant professional and one file held a support plan from a physiotherapist. Any health care needs are recorded into the individual file and the local community nurse will assist people if required. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. One person spoken with stated that the staff will assist them if required or requested and agreed that their privacy and dignity is maintained. This person also confirmed that the staff knocks on their bedroom doors before entering. One person said, I bath by myself and someone else said, I dont need help. One staff member spoken with confirmed that the recorded details in the care plans Evidence: are updated and gave clear instructions to staff particularly agency staff who may not know the individual. The staff members on duty were spoken with and one of these staff member was an agency worker. This staff member stated that they work at the home regularly and are familiar with most of the people using the respite service. However if they carry out a shift and have not met all the people using the respite service before and are unknown to them they confirmed that all files contained sufficient information for them to meet the individuals needs and the regular staff provide additional information if needed. One staff interviewed stated, This is a lovely service and I enjoy working here. The AQAA states, More staff to be involved with peoples Health Action Plans. Due to the respite nature of the home, people retain their own doctor. One person was attending a GP appointment during the inspection and observation showed the staff member and this person discussing and planning the visit. This person was also offered a choice on who they would like to support them at this GP visit. As the home only provides respite care the procedure for medication is that it is checked in and out of the home for each persons visit. The local pharmacist visits and checks the medication procedure every 6 months. The duty manager confirmed that they had received medication training from the homes pharmacist and a Community Nurse and specialist training is arranged as needed. As the home only caters for respite care the ageing and death of an individuals do not affect this home, however the wishes of individual is recorded in case of emergencies. Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 . The people using Welby Respite service can be confident that their complaints or concerns will be listened to acted upon and well managed by the home, which protects the welfare for all. Evidence: Welby respite home is owned by Plymouth City Council. And this local authority has its own complaints department and any complaints received are documented with outcomes and actions taken recorded. The Commission has not received any complaints about Welby. The home complaints procedure is clearly displayed in the main entrance area for all to access. This procedure is also in also available in sign to assist people. Several people spoken with and those who were able to said they would talk to the staff or manager of the home if they had any worries, concerns or complaints. One person said, I would talk to John (the manager). One incident was reported to the Safeguarding team about a poor practice issue. This was investigated and was unsubstantiated. One incident of theft was reported to the police and no further action was taken. The manager confirmed that most staff had completed POVA trainings 3 years ago. However several newer members of staff who have been in post for 12 months have yet to had this training. The homes AQAA states, Service users have a regular forum in which they can raise their concerns or complaints. It goes onto say under what they could do better,Ensure the service User Forum happens regularly and is chaired by a user. 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 . Welby has continued to update parts of the environment and most any parts of the home is homely, comfortable, and clean and is appropriate to meet peoples needs. However some areas of the home, particularly the flat requires cleaning, repairs and broken furniture requires replacing. Evidence: A full tour of the premises showed that many parts of the home have been redecorated and updated since the last inspection. These areas were comfortable clean and light. And the manager confirmed that some rooms had been re-decorated since the last inspection. However some areas required updating and included some carpets that were stained and the main lounge area carpet had been repaired with tape. The manager confirmed that the furniture in the main lounge needed replacing, as it was old and worn in parts. The separate flat areas required the most work. The furniture in this area was broken and there was a large hole in the seat of the sofa, the only item available to sit on in this area. The bathroom in the flat was also found to be very dirty and unclean. It was well documented that the person currently living in this area made personal choices on the little amount of furniture to stay in the flat area. However this furniture should be in a suitable state of repair and suitable for its stated purpose. The bathroom facilities on offer should be kept clean and hygienic. The homes AQAA states, Dedicated domestic and general assistant employed to ensure the house is kept clean and tidy. A dedicated Handy person is available for minor repairs and decoration. Under the, what they could do better the AQAA records, Further time and money to be spent on the decoration of the building. Evidence: Before the inspection report was completed the manager of the home wrote to the Commission and stated that, We have ordered 2 new settees after your visit- 1 will go into the flat and another one will replace the worn one in the main lounge. All rooms are single and as the home only provides respite care were people only stay for a few days or weeks. Therefore all bedrooms were decorated individually but possessions were few. All bedrooms contain lockable storage space and bedroom doors were fitted with appropriate locks. One of the bathrooms has been refitted and includes a new walk in shower room. Another bathroom has been replaced to include a new bathroom suite. Laundry facilities were found to be satisfactory and there is a coded lock on the door following the outcome of a risk assessment. The washing machine has a sluice facility. The home has an infection control policy and procedure and the manager confirmed that all staff received training in infection control. The home uses a local contractor for the disposal of clinical waste. 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 . A caring staff team supports people coming in for respite care. Staff training and supervision is not regularly carried out. Regular training and supervision would ensure that all staff are trained to meet the assessed needs people using the service. Evidence: The staff were observed to be friendly, courteous and respectful. They interacted well with the people currently staying for respite care and observation showed the staff have a very good relationship with the people staying at present. One staff member on duty was employed via an agency and two further staff were employed to support one person currently staying for respite who requires additional support. All three people were spoken with and confirmed that they had worked at Welby regularly and consistently. Examination of some staff files showed that some staff had the required preemployment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. The manager confirmed that Plymouth City Council (PCC) Human Resources department obtain all the relevant employment checks and inform the manager when this person is cleared to commence work. Of the four staff files checked not all contained the relevant information required. However the manager stated that the local authoritys recruitment checks are completed and no staff would be employed without all satisfactory checks in place. Consistently in staff records would ensure that recruitment practices are safe to ensure unsuitable staff are not employed. Evidence: The homes AQAA returned to the Commission states, The Council has a well established and robust recruitment policy which has to be followed by the Unit Manager. All the files checked were not consistent in the information held on training course completed. There was no clear indication that staff had completed mandatory courses in the last 12 months. The manager sent the Commission an updated training record after the inspection and this showed that no staff had received some training in 2008. Further records showed that some staff had not completed Manual Handling training since 2003. Many staff had not completed Health and Safety training and some without any update since 2004. Regular updated training would ensure that all staff are trained The home would benefit from holding a consistent filing system to provide information relevant to meet this requirement. One staff member spoken with confirmed that they attended training and had completed Fire Safety training and was offered regular training though employed via an agency. Supervision records were examined and showed that supervision was not routinely undertaken or recorded. One staff commented that, It was a lovely home to work in and one person staying for respite said, The staff are really nice. The AQAA states, The Council has a well established and robust recruitment policy which has to be followed by the Unit Manager and goes onto say, The involvement of the Human Resources Department in the recruitment process can mean the storing of information in a single place can prove difficult i.e. CRB checks are carried out by HR and currently the paperwork is retained with them. This needs to be addressed. Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 management of this home is good and has the respect of the people who use the service and the staff employed. Evidence: The Registered Manager was available for most of the day. The manager Mr. John Casey is registered with the Commission and confirmed that he has now completed the Registered Manager award and is two years into the NVQ 4 in Care. Some people spoken with said the manager and the management team were approachable. One person said, John is nice. Observation on the day showed people coming into the office to discuss issues with either the manager or the duty officer. The manager confirmed that a quality assurance survey was carried out and the last one being completed in November 2008. This was sent to parents and carers. The Manager has published the results and a copy was discussed with the manager. Sampling of records indicated equipment is serviced regularly and maintained in good order including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoists ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. However weekly fire alarm testing has not been carried out regularly. Good health and safety practices reduce any unreasonable risk, affecting residents or staff, to an acceptable level. Evidence: Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description Timescale for action 1 35 19 30/06/2009 All staff must have regular and updated training to meet the needs of people using the service. Regular staff training would ensure that only suitable qualified, competent and experienced staff are working in the home to protect the health and welfare of all. 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 34 36 42 All staff files should hold a copy of the required documents including CRB checks, references and application forms. All staff should receive regular supervision. Weekly fire alarm testing should be carried out. Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). 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. 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