Care Home: Whitby Rise Care Home

What the care home does well The needs of the people who live at the home are assessed before and after they move into the home. This means that their care needs can be planned and properly met. All of the people who live at the home have a care plan so staff know how to meet their needs. Information about the home is available to help people decide if it is the right home for them to move in to. Health care needs are well met by using a multi agency approach. This helps the people who live at the home to stay healthy. The home has medication systems for the staff to follow to make sure that the people who live at the home are not put at risk. The people have opportunities to take part in a variety of leisure pursuits and interests which provides them gain confidence and learn new social skills. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person`s preferences. They treat the people who live at the home as individuals and support them to live the life they choose as much as possible so they know they are valued. There are procedures in place at the home that make sure that the people who live there are protected and kept safe from abuse. The staff are supervised and trained so they know how to provide the people with good care. The manager is qualified and experienced. They are approachable and clearly present in the home to give direction and support to staff and make sure that the service is centered on the people whom live at the home. What has improved since the last inspection? This is a new service. What the care home could do better: If repairs were carried out in the bathroom this would make it less likely that the people who live at the home or a member of staff may injure themselves. If all of the care plans had sufficient detail and all parts of the plan were completed, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. If staff recruitment records showed that all of the staff have been thoroughly vetted this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service. Staff fire instruction will make sure that staff are clear about what they must do in the case of a fire to keep the people at the home as safe as possible. Key inspection report Care homes for adults (18-65 years) Name: Address: Whitby Rise Care Home Whitby Rise Gilpin Street Houghton Le Spring Tyne And Wear DH4 5DR     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: Hilary Stewart     Date: 2 7 0 1 2 0 1 0 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 Adults (18-65 years) 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 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 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Whitby Rise Care Home Whitby Rise Gilpin Street Houghton Le Spring Tyne And Wear DH4 5DR 0 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Choices Community Care Services Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD, maximum number of places 6 Date of last inspection Brief description of the care home Whitby Rise is a detached building situated in a private street in Houghton-le-Spring. The house presents as a domestic dwelling and is in line with the surrounding buildings. The home provides personal care for up to six service users with learning disabilities Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 Brief description of the care home and each has their own private bedroom and open access to spacious communal areas. Bath and shower facilities are available between both floors and toilets are available on both floors. A spacious kitchen with dining facilities is provided, and additional dining amenities are available in the large lounge. The landscaped garden is a prominent feature and provides an enclosed area for service users to enjoy gardening activities or just relax in a peaceful and pleasant and secure environment. The home is in a central position and offers access to local facilities, amenities and leisure activities. The home cannot provide Nursing care The weekly fees are standard at £688 per week that does not include personal items, hairdressing and outings. Care Homes for Adults (18-65 years) 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. How the inspection was carried out. Before the visit we looked at the information we have received since the home was registered. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people and the views of people who use the service and the staff. An unannounced visit was made on 14th January 2009 and another visit on the 27th January 2009. During the visits we talked with people who use the service staff and the manager. We Care Homes for Adults (18-65 years) Page 6 of 27 looked at information about the people who use the service and how well their needs are met. We looked at other records which must be kept and checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We also looked around the building to make sure it was clean safe and comfortable. Then we told the manager what we found. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If repairs were carried out in the bathroom this would make it less likely that the people who live at the home or a member of staff may injure themselves. If all of the care plans had sufficient detail and all parts of the plan were completed, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. If staff recruitment records showed that all of the staff have been thoroughly vetted this would demonstrate that the organisation have made sure that they only employ Care Homes for Adults (18-65 years) Page 8 of 27 suitable people to work at the home and therefore safeguard the people who use the service. Staff fire instruction will make sure that staff are clear about what they must do in the case of a fire to keep the people at the home as safe as possible. 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 Adults (18-65 years) Page 9 of 27 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 Care Homes for Adults (18-65 years) 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, 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. People have an assessment by their care manager before they move into the home. The manager looks at this assessment to see if the home can meet the persons needs. They then carry their own assessment out prior to the person moving in so they can use this information for the care plan. People can visit the home before they make a decision. Evidence: The manager said that the people who live at the home have their needs assessed before and after they move in. A person can only move into the home if they are certain that their needs can be met there. The manager said that a full transitional assessment is carried out by them and they involve an advocate if necessary. If a person decides to move into the home they can visit before they move in permanently, so they can be gradually introduced to the other people who live there. There have not been any recent new admissions to the home. Care Homes for Adults (18-65 years) Page 11 of 27 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. Each person who lives at the home has their own care plan so the staff have the information they need to meet the needs of the people who live there. Some needed more detail. People are supported to become more independent but at the same time staff look at the risks to keep them as safe as possible. Evidence: The manager said that the people who live at the home are consulted as much as possible about their care plans. Records showed that each person has a care plan. Any significant events are recorded in each individuals daily records sheets. Each persons care plan contained information for staff about areas such as the persons physical health, personal care needs, personal profiles, behavioral support plans and activities. Some areas needed more detail. For example one care plan said that one person needed help with their personal care but did not say what gender of staff should carry out the task or how they should go about it, for instance did the staff need to give verbal or physical prompts or did they need to carry out the task for the person. Another said need to ensure that their back teeth are brushed but again the care Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: plan did not say how staff should do this. Another two care plans had details for staff of what to do if the people had a seizure. The care plans were detailed and described how staff should support them and administer medication during the day but did not give enough detail for staff about what to do during the night. For example the care plans state staff must stay with the person and the medication should be administered by two staff. However, during the night only one member of staff is on duty but the care plans did not take this into account. All of the people had person centered plans and the manager is a Person Centered Planning facilitator. The staff could describe how they work consistently with the people. Records showed that the care plans are monitored regularly and updated. Monthly summaries are carried out and the care plans updated in necessary. The manager said that people at the home are supported to take part in their reviews. Staff said that the people who live at the home are given choices as much as possible. They are supported to make choices all of the time. They take part in planning their activities. Their care plans showed that they had different individual activities. The manager and staff said that they consult the people who live at the home as much as possible. A weekly timetable of activities is written for each person. Each person has a key worker and the manager said that they support the the person to explore their wishes and aspirations for the future. The home has some general risk assessments about the home itself and also individual ones to support the people to have a more independent lifestyle. Records showed that risk assessments had been carried out on daily living and activities for each person. The manager said that they update them regularly. Care Homes for Adults (18-65 years) Page 13 of 27 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. The people who use the service experience healthy stimulating activities, supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. Evidence: The manager and staff said that they arrange a variety of outings for the people who live at the home. Records showed that people experience a variety of activities such as going out shopping, meals in restaurants, trips to the theatre and the cinema. The manager said that they hope to support the residents to plan a holiday. One person said that they wanted to stay in a caravan in Blackpool. The manager said this was being arranged. Some people havent decided where they want to go yet. On the day of the visit one person had been to college another was shopping and most were going to the pub that night and then a disco. One person said I am going to Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: see my friend at the disco. The manager said that people attend a local community centre and the home has won the garden in bloom competition this year. Staff and the manager said that relatives and visitors are welcome and encouraged to visit at any reasonable time throughout the day and evening. Records showed that people who live at the home had received visits from friends and other people involved with their care. One persons relative visited during the inspection. They said that they were very happy with their relatives care. The manager said that the people who live at the home have been asked for their opinions about the food provided as much as possible and the menus are based on their choices. A dietitian employed by the service checks them out to make sure they meet their nutritional requirements. Special diets can be catered for. One member of staff said they can choose something different if they want and one of the people, when asked if they could choose what they wanted to eat said yes. The manager said that people can have snacks and drinks whenever they want. Staff were observed supporting people in the kitchen to make meals and drinks. The manager said that the home has been awarded the healthy home award by Sunderland City Council. The kitchen was well stocked and there was fresh fruit and vegetables. Staff were observed sitting with people in the kitchen and talking with and supporting them. Care Homes for Adults (18-65 years) Page 15 of 27 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. People have personal support when they need it so they can be as independent as possible. Health care needs are met, which ensures that people stay healthy. Adequate medication systems are place to make sure that people are not put at risk although improvements could be made. Evidence: Specialist support is available from psychologist psychiatric services when required and records showed that the people attend appointments with their GP, dentist and optician. The manager said that they use local health care services and the people who live at the home have an annual health check. Records are in use to monitor the administration of prescribed medicines. The administration sheets that are in use are known as a monitored dosage system. Staff who are authorised to administer medicines are listed in the file. Only staff who have received training and assessed as being competent administer medication. Some of the instructions recorded on the medication records had been handwritten and not signed by two staff to confirm that they were correct. This was raised with the manager who agreed to rectify this issue. Records showed that this had been Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: corrected on the second visit. The deputy manager said that the medicines are checked every day. Some of the medications were audited during the inspection and found to be correct. Home remedies were available and had been authorised by a GP. The manager said that they will support people to administer their own medication whenever possible following a risk assessment. Copies of peoples prescription are not kept at the home so they can be checked against the medication that is delivered from the pharmacy, this was brought to the attention of the manager who said that they would take action and make sure that they follow the Royal Pharmaceutical Societys guidelines. Care Homes for Adults (18-65 years) Page 17 of 27 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. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about and all have had training in how to protect people from harm, so the people who live at the home are kept safe. Evidence: Copies of the homes complaints procedure are in the information about the home. The manager and staff said that the people who live at the home and their relatives know how to make a complaint. One relative said I am sure they did give me the information but I havent had to use it. The manager said and records showed that there had not been any complaints made to the home since it had been registered. One of the people at the home said when asked who they would talk to if they were unhappy about something said the staff. The manager said that all of the people and their relatives had been given information about the homes complaints procedure. The manager said that all staff have had training in how to safeguard the people they care for and they know when to make an alert. There is a copy of the Local Authorities procedures and the home has copies of their own adult protection procedures for staff. Staff said that they have had the training and they could describe what they needed to do if someone disclosed abuse to them. All staff were aware of the homes whistle blowing policy and procedure. The staff are to be trained in the new companies procedures and policies when they are adapted for this service. Care Homes for Adults (18-65 years) Page 18 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, 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and clean home, although some repairs and improvement are necessary. Evidence: The home is comfortable, warm and clean. There are enough bathrooms and showers for the people who live at the home. The bath panel in one bathroom needed to been repaired as there were screws sticking out and the wood was splintered. All of the bathrooms had hand soap and paper towels to reduce the risk of cross infection. Each person has their own bedroom and they looked comfortable and clean. They were all personalised and made very individual. On the landing in the home the staff office equipment is kept. This is used by staff as an office as there are desks and filing cabinets. This did not make this part of the house look like someones home. There were also issues around confidentiality when people were accessing records or talking to people. The laundry is organised and clean. Care Homes for Adults (18-65 years) 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, 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the people who live at the home and they have opportunities fro training so they know how to give them good care and meet their needs. Furthermore the home has a recruitment procedures in place, which help to prevent risk of harm to the people who live there. Some staff records did not show that all checks had been carried out. Evidence: Staff said that they receive training, which helps them with their work. The manager said that all staff receive the training and support they need. As the home has recently been taken over by a new company they have not yet completed all of it. However the training manager has completed a training matrix which shows when they will all receive training. Staff said and records showed that staff had previousley received mandatory training such as first aid, food hygiene and safeguarding adults training. The manager said that only two staff do not have vocational qualifications. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week. The manager said that they can cover sickness and holidays. Some staff were concerned that there was only one member of staff on duty during the night. The manager said that they Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: intend to look at the care plans for people so staff have clear guidelines to follow when they are on duty on there own during the night. One member of staff said there are enough staff another said people are safe. The manager said that there is an on call system for staff to use during the night. The manager said that all staff have been CRB (Criminal Records Bureau( checked at an enhanced level to make sure they are suitable people to work at the home. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. Some records showed gaps in some members of staffs work history and evidence was not available to demonstrate that the gaps had been explored during the recruitment process. Care Homes for Adults (18-65 years) Page 21 of 27 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 registered person is qualified and experienced and runs the home in the best interests of the people who live there and there are procedures in place that make sure they are protected as much as possible. Evidence: The manager said that the people who live at the home and their families are asked their views about the running of the home as much as possible. Families are sent questionnaires and the people who live at the home received support to complete them as well. The information from these will be used to inform the homes quality assurance system and will be used to write an annual development plan for the home. Staff said that they listen to the views of the people at the home and their families. Records showed that the people have key workers who monitor their care at the home. Visits by the registered provider to check on the welfare of the people living at the home were not taking place as often as they should. Visits by the registered provider were not taking place as often as they should. One report was lodged at the home, the manager said that another visit may have taken place but they had not received the report yet. Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: The manager said that safety checks have been carried out on the equipment in the home such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that fire drills take place. It was not clear if fire instruction was taking place. The manager said that they would check with the local fire service to find out what their expectations were with regards to fire instruction. Staff said that they have fire drills. Records showed that regular training is provided for staff in fire safety and first aid. The manager said and records showed that they are qualified and experienced to run the home effectively. It was observed that there was a friendly atmosphere at the home and a pleasant rapport between the people who live at the home the manager and staff. The staff said that they could approach the manager with any concerns. Staff said that they liked working at the home. The manager said that staff receive individual supervision and they will receive it at least six times a year. They also have regular staff meetings. Records showed that individual formal supervision has started to take place since the home was registered. The home has procedures for staff when they deal with the peoples money so it is kept safe. Records showed that staff sign records when any of the residents money is used and the manager checks them regularly an audit was carried out on some of the homey held and it was found to be correct. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 39 26 Unannounced visits to the home must be made by the registered provider every month. This is to check on the welfare of the people living at the home. 31/03/2010 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 6 The manager should make sure that every persons care plan has enough detail so staff have accurate information about how to provide each person with good care. The manager should keep a copy of each persons original prescription so they can check this against any medication delivered. The bath panel should be repaired to prevent the risk of injury . The manager should consider the position of the office and look at possible ways of improving the situation. When recruiting new staff the manager should have evidence that they have explored any gaps in a person Page 25 of 27 2 20 3 4 5 24 24 34 Care Homes for Adults (18-65 years) 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 work history and this evidence should be kept in their records. Care Homes for Adults (18-65 years) 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. 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