Care Home: White Doves Residential Care Home

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What the care home does well We observed staff interaction with people living in the home, which was very positive. Staff demonstrated a kind and respectful manner when supporting the people using the service. On several occasions during the inspection, we observed if there was a telephone call for a person living at the home staff would pass them the phone to speak with the caller. Staff told us they were positive about working at White Doves and made comments included `it has a nice atmosphere` and `its friendly and homely`. People living at White Doves are supported to live their lives as independently as possible, by promoting and supporting their choices and skills. People that were spoken to were complimentary about the quality of the meals. What has improved since the last inspection? Since the last inspections there have been some area`s of improvement. A controlled drugs cabinet has fitted, which ensures the secure storage of controlled drugs. The carpet has been replaced in bedroom 7 and the flooring in the bathroom next to room 7 has also been replaced. There are now two staff on duty throughout the night, both remain in the building. We looked at records that confirmed that the electrical systems in the home have been serviced What the care home could do better: The registered person must ensure the safety of people living at White Doves. The radiator in the bathroom of number 34 was not fitted with a radiator cover. The service was unclear under what circumstances they should be sending the Care Quality Commission (CQC) notifications. The recruitment practices are not robust and do not protect people who live at the service. There was no evidence in the home that a hoist in one of the bathroom`s had been serviced. Key inspection report Care homes for older people Name: Address: White Doves Residential Care Home The White Doves 32-34 Renals Street Derby DE23 6SH     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: Rehana Rashid     Date: 1 5 0 4 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 Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © 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 Older People Page 3 of 27 Information about the care home Name of care home: Address: White Doves Residential Care Home The White Doves 32-34 Renals Street Derby DE23 6SH 01332332725 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): whitedoves2@hotmail.co.uk Miss Christina Hanrahan Name of registered manager (if applicable) Miss Christina Hanrahan Type of registration: Number of places registered: care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 13 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 category: Old age, not fitting within any other catagory - Code OP Date of last inspection Brief description of the care home White Doves Care Home provides places for thirteen elderly people. The Home is situated close to the centre of Derby. The Homes thirteen places include seven single bedrooms and the other six are provided in three double bedrooms. Two of these double bedrooms are very large. The lounge and dining rooms are very homely in style. A lift is available to the first floor. 1 6 0 6 2 0 0 9 0 Over 65 13 Care Homes for Older People Page 4 of 27 Brief description of the care home The deputy manager told us during this inspection visit that the weekly fee range started from £365.00 per week. Information about the service and inspection reports can be obtained from the service. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 key inspection was unannounced and was carried out by one Inspector. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The focus of inspections undertaken is about the outcomes for people using the service and their views on the service provided. This process considers the providers and registered managers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a self-assessment for providers which is a legal requirement. This assessment gives the provider an opportunity to let us know about their service and how well they think they are performing. The information provided in the AQAA is reflected within this Care Homes for Older People Page 6 of 27 report. At this inspection visit two people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. Both people case tracked were able to express their views of the service and the support it provided. We spoke with one visiting relative and one professional their views of the service and the care and support provided are included within this report. Three members of staff were spoken with at some length and their views and opinions of the care provided, the support and training given to them is included within this report. We received six surveys from people who use the service and six surveys from staff who work at the service. Views from the surveys have been reflected in the report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: 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 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering the home had limited written information on which to decide if the home was right for them. Peoples needs were assessed before admission was agreed to ensure their needs could be met. Evidence: In the written information submitted by the service they told us peoples needs are assessed before admission is agreed in order to ensure their needs can be met. People are given the opportunity to visit white Doves before they decide the home home is suitable for them. All six surveys received from people using the service responded that they received enough information to enable them to decide if the home was the right place for them before moving in. At the last inspection a requirement was made regarding the Statement of Purpose. At Care Homes for Older People Page 10 of 27 Evidence: this inspection we found that this requirement has not been met. The statement of purpose and service user guide do not contain all the information required by the Care Homes Regulations 2001. The two care files we looked at contained information about the persons indivdual needs upon admission, this included an assessment of their care needs that had been undertaken by the home. Assessments completed contained idividualised information about each persons needs including their physical, health and social needs. Both of the people case tracked were placed by the Local Authority, records were in place that demonstrated that assessments had been undertaken by the Local Authority before the two people were admitted to the home. We spoke with two people who we case tracked, they told us the home is suitable to meet their needs and they are happy. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans contained detailed information which ensured that staff were able to support people in a safe way. Evidence: In the pre inspection self assessment the service told us that a controlled drugs cabinet was now in place and a new lock on the clinical fridge door. They also told us that care plans are put in place when people arrive and regular reviews take place. Peoples choices and preferences are well respected and people are encouraged to be as independent as possible. We examined two peoples care files and both had care plans in place. These contained the essential information for care to be provided and covered areas such as personal care. Risk assessments were in place in the files seen and these generally linked well with the care plans. Information regarding any health care needs was also clearly detailed, which included information regarding supporting agencies. Care files we looked at contained records Care Homes for Older People Page 12 of 27 Evidence: of visits from health care professionals such the GP and District Nurses. Care plans were updated and reviewed as necessary reflecting the changing needs of individuals. One persons care plans had not been reviewed as they had recently been admitted to the home. We observed the deputy manager going through care plans and assessment of need with a person living at the home and their relative. We found there were satisfactory systems in place for the safe storage, administration and handling of peoples medicines. We looked at the medication administration records for two people, there were no gaps in the recording. At this inspection visit no controlled drugs were prescribed at the service. There was a controlled drugs register in place so that the home could record details of controlled drugs if they were prescribed for anyone living at the home. Since the last inspection visit White Doves have know had a controlled drugs cabinet fitted. In the staff surveys we received, all staff confirmed that they are given training which gives them enough knowledge about health care and medication. People we spoke with told us that they supported in a respectful and dignified manner. Our observations between staff and the people at the home supported this. Staff interacted with people in a caring and friendly manner. Comments from people about the care they receive included staff always knock on my bedroom door before they come in and the staff support me and will call the doctors when I am not well. In the surveys received from the people using the service they told us that they received the care and support they needed. We spoke to people who were visiting during our inspection visit, they told us that the staff our polite and that they are kept well informed by them. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social and recreational needs were met. People were supported to maintain contact with family and friends. The meals provided were enjoyed by the people using the service. Evidence: In the pre inspection self assessment the service told us they regularly change the activity schedule in accordance with what the people living at the service want. They encourage people to be involved in activities and interests outside the home and support them where needed. People living at the home often go out, attend college courses, shopping and library. Since the last inspection there iss a new seating area in the passage for visitors. We observed people watching television, talking to other people in the home and taking part in activities with staff. Some people were seen accessing the community during this inspection visit. There is an activities co-coordinator who undertakes activities with people at the home between 2pm until 4pm. The care files we looked at contained records which provided information about the activities people like to take part in. In the care files there was also a section on the Care Homes for Older People Page 14 of 27 Evidence: persons religious needs and culturally needs. Discussions with people we spoke with confirmed that there are plenty of activities to do at the home. One person told us that they attend activities within the local community which they enjoy. People also told us the routines at the home were flexible and they could spend their time as they wished. People we had discussions with confirmed that visitors were welcome at the service and that visiting was flexible. We observed people visiting people at the home at this inspection visit. People visiting the service told us that that visiting arrangements at White Doves were flexible. Staff interaction between the people at the home was positive and exchanging. During the inspection visit we observed if relatives or friends were ringing the home, staff would pass the phone over to people to have a conversation. The Kitchen Assistant told us she is in the process of implementing a four weekly menu, which is to continue to have meat choices, plus a vegetarian option. we looked at the menu which was in draft, which confirmed that there was a variety in the meal options. Comments included on surveys from people who live at the service as to what the home does well included food is great and good meals. Discussions with people at the home confirmed that the meals at the home were enjoyed by them. Comments included there are always plenty of choices at meal times and the food is lovely. Another person told us that the food is nice, we have a choice at all meal times even at breakfast. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples concerns are fully addressed, practices in place ensured people using the service were protected from abuse. Evidence: In the pre inspection self assessment the service told that the complaints policy is displayed in the hallway. The deputy manager told us in the pre inspection self assessment that people living at white Doves are assured that if they are not happy with any aspect of their care action will be taken. She also told us that the good rapport between the staff and people living at the service, this enables people to feel comfortable in reporting something they are not happy with. We looked at the complaints book held by the service which is used to record any complaints and the actions and outcomes taken. Since the last inspection there have been no complaints recorded and the deputy manager confirmed in the pre inspection assessment that they had not received any complaints in the past 12 months. The complaints procedure was displayed in the the foyer area of the home. Both people we case tracked confirmed they knew how to make a complaint. They said if there was anything bothering them to would speak to the staff and were confident that there concerns would be addressed. Care Homes for Older People Page 16 of 27 Evidence: In the surveys received from the people using the service they all told us they can speak to someone informally if they are not happy and they knew how to make a formal complaint. Information was kept in the home regarding deprivation of liberty safeguards. There was also a copy of the safeguarding adults procedures and guidance from Derby City Council. All of the information around safeguarding was accessible to staff as it was held at the service. Staff that were spoken with were aware of the policy and procedure to follow and confirmed that they had undertaken training in safeguarding. The deputy manager confirmed in the pre inspection assessment that staff had received training in safeguarding adults. In the staff surveys received, all staff stated they knew what to do if someone has concerns about the home. There have been no safeguarding referrals or investigations undertaken regarding the home since the last inspection visit. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. White Doves provides a comfortable home for people living there. However some areas did not promote the health and safety of people living at the service. Evidence: In the pre inspection assessment in the section regarding environment the deputy manager told us there is a homely atmosphere at White Doves. We undertook a brief tour of the building and observed that the dining room had soiled looking carpet. People living at White Doves told us they are happy with the cleanliness of the home. Surveys received from five people who live at the service stated that the home was always fresh and clean. Comments on the surveys included clean environment. At the inspection visit there was a domestic on duty, she was observed cleaning communal areas as well as peoples bedrooms. A relative we spoke with said the home was clean but tired looking. Since the last inspection the toilet next to room 7, has had new flooring. Room 7 has had a new carpet fitted. During the partial tour of the premises, it was observed that a radiator in the Care Homes for Older People Page 18 of 27 Evidence: bathroom of number 34 was not fitted with a radiator cover. The registered person should ensure the safety of all people living at the service. The registered person must ensure that any unnecessary risks to the health or safety of people living at White Doves are identified and so far as possible eliminated. The laundry area housed a domestic style washing machine. At this inspection visit the tumble drier had been taken away for repairs. We observed that clothes were hanging on the radiator in one of the bathrooms. The deputy manager told us at the moment clothes were being taken to another service within the group. In the Annual Quality Assurance Assessment (AQAA) the deputy manager stated that all staff had been booked on to infection control training on 1 June 2010. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment practices at White Doves need to be robust to ensure that people who live at the service are protected. Evidence: In the pre inspection assessment the deputy manager told us that there are sufficient staff always on duty. The staffing levels throughout the day were sufficient to meet the needs of the nine people currently using the service. Two care staff were on duty throughout the day. At night due to the number and needs of the people using the service there is one waking member of staff on duty at the home. The deputy manager told us that since the last inspection, a second member of staff sleeps in at the home. Three members of staff spoken with confirmed the current staffing levels and told us that there are enough staff on duty. Comments included that care is very good here and we have a stable staffing group. In the staff surveys received all staff told us that there are enough staff to meet the individual needs of all the people who use the service. One visiting relative told us that in her opinion there are enough staff on duty. She also told us that the staff are polite and friendly they cannot do enough. Comments from two people living at the home included staff are very good and the staff are very kind. Six surveys received from people using the service five people responded Care Homes for Older People Page 20 of 27 Evidence: that there are always enough staff available when they need them, whilst one person stated there staff were usually available. A visiting professional stated that there are enough staff on duty and they always have time to talk you. The recruitment records for two members of staff were looked at and both had the required documents in place to demonstrate that satisfactory recruitment practice was in place at the home. Most of the checks and records required by law were in place. We did find that the full employment history and gaps in employment had not been obtained for one person. This means that the service has not taken all necessary measures to ensure the staff employed were safe to work with the people using the service. In the staff surveys received staff told us that they have had all the necessary pre employment checks such as references before they commenced employment. Discussions with care staff confirmed that when they commenced employment they went through an induction period. During this inspection visit there was evidence which confirmed that all staff had been booked onto training courses including mandatory training. We looked at records which confirmed that this training would commence June 2010. Staff told us that they had received training which included first aid, moving and handling and dementia. In the staff surveys we received they told us that they are given training that is relevant to their role and helps them understand and meet the individual needs of people. In the pre inspection assessment the deputy manger confirmed that 7 care staff had completed National Vocational Qualification (NVQ) level 2 or above. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and safety practices potentially put people living at White Doves at risk. Evidence: In the pre inspection assessment the deputy manager told us that there is good communication between the staff and management. She also told us that she works alongside care staff regularly as she worked care shifts. The deputy manager stated that she had been acting in the managers capacity for some time with support from the registered manager/provider. We have still not received any information regarding the management arrangements at White Doves. The staff we spoke with told us that the management support they receive at the home is good. People at the home told us that the deputy manager is caring, comments included she is approachable and you can talk with her. The deputy manager told us that currently there was no quality audit system in place Care Homes for Older People Page 22 of 27 Evidence: and that she was in the process of developing a questionnaire to obtain peoples views and opinions about the service provided. At the time of writing the report the deputy manager sent us a copy of the questionnaire. The deputy manager told us the service will hold small amounts of monies securely at the home for any person who wishes for their money to be held in safe keeping. We examined two peoples financial records and these were accurate. Each persons monies are held separately and each person has an individual financial transactions record. The service was unclear under what circumstances they should be sending the Care Quality Commission (CQC) notifications. At the last inspection there was a hoist at the service and there was no evidence to demonstrate the hoist had been serviced. At this inspection the hoist was no longer in place, so the requirement left is no longer relevant. At this inspection visit there was a bath chair hoist in place in the bathroom in number 34. There was no evidence to confirm that the hoist had been serviced. The deputy manager told us that none of the people using the service used the hoist within this bathroom. There was also no risk assessment in place for this hoist, it was placed next to the bath which could be a potential hazard. Information in the AQAA confirmed that the maintenance of equipment was undertaken as required. At the inspection we checked a small sample of certificates which confirmed that maintenance checks were undertaken regularly. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes R 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 1 1 4 The Statement of Purpose 16/12/2009 must include all information as listed in schedule 1 of the Care Homes Regulations 2001. This is to ensure that people considering the service and those using the service have all the relevant information about the home and the services it provides. 2 29 19 Full employment histories 17/08/2009 and a satisfactory written explanation of any gaps in employment, which involved working with children or vulnerable adults must be obtained prior to employment. This is to ensure the people living at the home are protected by the homes recruitment pactice and policies. Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 25 13 The registered peson mus ensure the safety of people living at White Doves. The radiator in the bathroom of number 34 was not fitted with a radiators. The registered person must ensure that any unnecessary risks to the health or safety of people living at White Doves are identified and so far as possible eliminated. 18/06/2010 2 37 37 The registered person must 25/06/2010 ensure that any significant incidents, which have a negative effect on the health or welfare of any individual person, or all residents, they must notify the CQC by means of a Regulation 37 notification. This will ensure peoples health, safety and welfare are protected. Care Homes for Older People Page 25 of 27 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 3 38 28 The registered provider 18/06/2010 must ensure that the hoists within the home are serviced as recommended by the manufacturer to ensure that they are safe for use if needed. This will ensure the safety of people using the service. 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 10 26 The registered manager should look into fitting a lock on the door where the medication is stored. The registered person should give consideration to purchasing a washing machine with built in sluicing facility, to ensure soiled clothing/linen can be adequately sluiced and washed at appropriate temperatures. This will ensure that disinfection standards are met and infection control measures are in place. The registered person should give consideration to replacing the carpets in the dinning room, to ensure that good hygiene standards are maintained. The registered provider should ensure there a quality assurance system is in place which obtains the views of the people using the service and their representatives and the findings be published. 3 26 4 33 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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