Care Home: Whitebirch Lodge

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What the care home does well The service provides person centred care that meets the needs of each individual. Everyone is involved in agreeing their own care plan and how their support will be provided. The manager of the home always talks with the people using the service to get their views and to check they are happy with their care. The staff that work in the care home have an excellent relationship with the people that live there and understand what their needs are. They support people in a way that respects them as individuals. People that use the service have choices in their daily lives and their choices are respected. They tell us that they are happy with their care and that they feel their needs are met. What has improved since the last inspection? Some areas of the home have been redecorated since the last inspection. The senior care staff have developed the care plans further to make them easier for the people that use the service to be involved in them. They have also included more information in the assessment of their needs to tell staff about people`s backgrounds and things that are important to them in their lives. What the care home could do better: The manager of the service must apply to the Commission to be registered. The staff training records need to be updated to ensure that all staff have had the training they need and that any updates that are required can be arranged. A criminal records disclosure needs to be applied for in respect of one member of staff. The manager must ensure that records are maintained to evidence that people`s social needs are being met. Key inspection report Care homes for older people Name: Address: Whitebirch Lodge 104 Canterbury Road Herne Bay Kent CT6 5SE     The quality rating for this care home is:   three star excellent 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: Jo Griffiths     Date: 2 4 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Whitebirch Lodge 104 Canterbury Road Herne Bay Kent CT6 5SE 01227374633/374633 01227360620 hernebay@homeservice.uk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Krystlegate Limited care home 19 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 to be accommodated is 19. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Whitebirch Lodge is a detached, three-storey building that has been extended to include accommodation in the building next door; Mr and Mrs Squire own both properties. The Home is about half a mile from the seaside town of Herne Bay, within easy reach of shops, public amenities and transport. There is off-road parking at the front for up to eight cars. Fees are in the range of £342 - £480 per week. Additional charges are payable for hairdressing, chiropody and extra supplies of newspapers. Please contact provider for current fees. 0 Over 65 19 Care Homes for Older People Page 4 of 28 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key unannounced inspection of Whitebirch care home. The inspection involved a visit to the service, which took place on 24th June 2009 between 10.00am and 3.30pm, and a review of information we have received about the service since the last key inspection. At the inspection visit we spoke with the manager of the home, looked at some care plans and records, spoke with the staff on duty and observed some of the practices in the home. We also spoke with five people that use the service during our visit to get their views of the care they receive. Prior to the visit to the home the registered provider was required to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. The AQAA was returned within the required timescales and provided us with useful information Care Homes for Older People Page 5 of 28 about improvements that have been made since the last inspection. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the Care Quality Commission (CQC) to be able to make an informed decision about each outcome area. Further information can be found on the CQC website at www.cqc.org.uk Care Homes for Older People Page 6 of 28 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 7 of 28 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 8 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care home provides people with clear information about the services provided to enable them to make an informed decision about moving into the home. People that wish to use the service have an assessment of their needs to ensure the home is able to meet them before they move in. The assessments are person centred to ensure people control the support they are to receive. Evidence: The home has a Statement of Purpose and Service User Guide that reflect the service provided. The manager and senior staff said that these documents are given to people that are interested in moving to the home and that they can be provided in large print or a member of staff can go through it with them. People that use the service confirmed that they had received information about the home before they moved in and felt they were given sufficient information. They also said that they had the opportunity to visit the home before they made a decision about using the service. Care Homes for Older People Page 9 of 28 Evidence: The senior care staff described the assessment process for people wanting to use the service. This involves an initial assessment to ensure their needs can be met by the service, visits to the care home and a trial period of one month when they decide to move in. During the trial period the assessment is revisited and more detailed information about their specific care needs is obtained. This is then used to form the care plan. The assessment information was seen for two existing residents of the home and also a person currently being assessed to use the service. The documentation shows that consideration is given to all physical, social and emotional needs as well as the persons background, cultural, beliefs and preferences. The assessments are person centred focusing on the individuals wishes with regard to their support. This home does not offer an intermediate care service, but is able to offer respite care for daytime or overnight stays. Care Homes for Older People Page 10 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have a care plan that meets their assessed needs in a person centred way. They have their health needs met and are supported to manage their medication safely. The dignity and privacy of the people using the service is respected by staff in all areas of care. Evidence: Everyone in the home has a plan outlining how their care will be delivered. The plans for two people were looked at as part of the inspection of the service. The plans contain information about all areas of the persons life, including their history, social, cultural, physical and emotional needs. The plans provide evidence that people have a say about how they wish to receive their care. Clear directive guidelines are in place for staff to follow when providing specific areas of care. These guidelines reflect the needs identified in the assessment and any preferences the person has about their care, for example the time they wish to get up and what drinks and meals they prefer. Care Homes for Older People Page 11 of 28 Evidence: The care plans are reviewed monthly and changes made as needed. A formal review of the care package is carried out by senior staff, with the individual themselves, every six months. Records are in place in the care plan files to evidence where reviews have taken place and changes have been made. The people whose care plans had been looked at as part of the inspection were asked their views of their care. They both confirmed that they are satisfied with the support they are receiving and feel their needs are being met. They confirmed that their preferences, such as time to get up/go to bed, were being respected. Comments from the people using the service include The staff are available to help me when I need them, but they always respect my privacy. Through observations it was clear that staff have excellent relationships with service users and understand their needs and the things that are important to them. The care plans include risk assessments for any risks to the individual within or outside the home. Action points have been identified and included in the care plan to minimise the risks. Individuals health needs are identified in the care plan and are met through partnership working with the local GP and other health professionals as needed. The manager said that staff are available to accompany people to appointments and records on the plans showed where this had happened. Records are kept of all appointments attended and any outcomes. There was evidence in the care plans that advice from consultants has been followed as part of the plan. Observations throughout the inspection showed that people are supported in a way that demonstrates respect for them as individuals. Their dignity and privacy is maintained, for example staff knock on doors before entering and staff address people in their preferred way. The care plans acknowledge the strengths people have to ensure that their are encouraged to maintain their independence as much as possible. People are provided with the equipment they need to get around the home as independently as they can, for example, handrails and walking frames. Daily records are maintained to show that the care plans have been followed and to note any significant events. Information about individuals well being, health needs, nutrition and personal care are recorded daily. The records currently do not fully evidence how peoples social and occupational needs are being met. The senior staff responded immediately agreeing to look at ways peoples social needs can be recorded and monitored. Care Homes for Older People Page 12 of 28 Evidence: Medication is stored securely and records are maintained to evidence that people receive the medicines they require in the prescribed way. Staff that administer medication are trained and assessed as competent to do so by the senior carers. The senior carers oversee all medication administration practises and carry out regular storage and record checks. The pharmacy carries out annual audits of the storage and administration of medication. The manager said that people are supported to manage their own medication if they wish to and that a secure storage areas are provided for them should to do so. Care Homes for Older People Page 13 of 28 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. People using the service are consulted on how they wish to spend their time and their interests and preferences are respected. They are supported to maintain contact with their family members. People have choices about their lives and daily routines and are encouraged to maintain their independence. People using the service enjoy the meals provided and are offered a choice of meals. The menus provides people with a balanced and nutritious diet. Evidence: Individuals social interests are identified through the assessment of need and the care plan addresses any specific needs they have in this area. Activities are provided in the home three afternoons a week including music, quizzes, games, singing and entertainers. In addition to the formal activities people can choose to watch TV, read, do puzzles, chat with staff and other residents and receive visitors. There are books, newspapers and magazines in the lounge. Some newspapers are ordered generally for the home and people can choose to have their own paper delivered. The manager said that some outings are arranged using the homes minibus. Care Homes for Older People Page 14 of 28 Evidence: Records show that visitors are welcomed at anytime and people using the service said they can see their visitors in private or in one of lounge/dining areas. They also said that tea and coffee are always offered to themselves and their visitors. Three people using the service were asked their views on the activities in the home and whether they feel there is enough to keep them occupied. The feedback was positive about the activities and entertainment provided in the home, but they said they would like more opportunities to go out for outings and to places of interest. Comments about the activities include The musicians are very good, the mornings here are relaxed, but there is often something that happens in the afternoon and we dont get the chance to go out of the home that often. The manager said that people are asked their views about the activities in the home through the quality assurance surveys. The senior carers said that they often chat with individuals about anything they would like to do. The daily records do not contain sufficient information about how people spend their time to allow the manager to effectively monitor that their social needs are being met as outlined in their care plan. The senior carers said that they have a good knowledge of each person in the home and what they enjoy doing and are aware those that choose not to participate in activities in the home. However, the senior staff acknowledged that the records of how peoples social need are met could be improved to allow better monitoring of this area of their care plan. There is a three week menu that is changed seasonally. The cook described how she talks to each person when they move into the home about the things they like and dislike and any specific dietary needs they may have. A number of dietary needs can be met by the home and currently there are some people that require a diet suitable for diabetics. The cook also said that alternatives to what is on the menu are always available and that people can have whatever they fancy. Snacks, fresh cakes and biscuits are available daily. At lunchtime the tables were set up with cutlery, condiments and jugs of water and people were supported to sit where they chose. The meal served was Roast Chicken and staff ensured that people were offered the condiments they wanted and gravy for their meals. The cook came out halfway through the meal to check everything was OK with the meal and to offer more chicken. Everyone appeared to enjoy their meal and the atmosphere was relaxed and pleasant. Trifle was offered for dessert and a second helping offered to all. Care Homes for Older People Page 15 of 28 Evidence: Following the meal the inspector spoke with two people that use the service to get their views on the meals. They gave positive feedback and one person said the food is excellent and there is always plenty of it and I am very happy with the care here and the food is very good. They confirmed that they can have something different to what is on the menu and that tea, coffee, biscuits and cakes are offered in the afternoons and evenings. Care Homes for Older People Page 16 of 28 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. People using the service know how to make a complaint if they need to and can be confident that the service will respond quickly to any concerns. People using the service are safeguarded from harm and abuse in the home by robust recruitment procedures and trained and supervised staff. Evidence: The home has a complaints procedure that is in an appropriate format for the people using the service to understand. The complaints procedure is given to each person when they move into the service as part of their information pack and service user guide. Either the manager of the home or the Registered Provider are in the home each day and talk with people using the service on an informal basis to ensure they are happy with their care. A Quality assurance service is sent out annually to all people in the home and their relatives to gather their views about the service provided. The manager told us, in the AQAA, that the care home has not received any complaints or concerns since the last inspection. The AQAA tells us that all staff are subject to robust recruitment checks before they are employed in the home and that they undertake training in safeguarding vulnerable adults. Three staff files were sampled and it was found that the staff had completed this training and that the appropriate recruitment checks had been made, although Care Homes for Older People Page 17 of 28 Evidence: the registered provider must ensure that a new CRB is applied for in respect of the member of staff that transferred into the home from the companys domiciliary agency. Feedback from people using the service, through discussion with them, tells us that they feel safe and happy in the home. They told us that they like the home and that it provides good care. Comments included I would recommend this home and the staff always take time to listen to you. The people using the service said they had not had any cause to make a complaint, but that they knew they could speak to any of the staff or the manager if they were unhappy with anything. There has been no safeguarding information received by the Care Quality Commission in respect of this service. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care home is clean, comfortable and safe for the people that live there. the environment is well maintained. People using the service benefit from single bedrooms and access to a range of bathroom facilities. There are a number of communal areas they can use including a rear garden. Evidence: The home is well maintained and is kept clean and comfortably furnished for the people that live there. Some areas of the home have been redecorated since our last inspection of the service and the manager said there is a rolling programme of redecoration. There are two lounges and dining room, all fully furnished with comfortable seating, coffee tables, cushions and reading lamps. The manager carries out regular walk round checks of the home to ensure any required maintenance issues are noted and actioned. People using the service told us that they are happy in the home and find it comfortable. One person said it is always spotlessly clean. Three people were asked if they were happy with the facilities in the home and they responded positively and confirmed that they had everything they needed in their rooms. All the bedrooms in the home are single with ensuite facilities. Care Homes for Older People Page 19 of 28 Evidence: There are two baths that are suitable for people with limited mobility and there are some bedrooms with ensuite showers. The remaining rooms have ensuite toilets and basins. During the inspection people were able to get around the home either independently or with the use of walking frames and handrails. People were seen to be asked where they would like to spend their time and some people chose to spend their time in their rooms or the quieter lounge. The bedrooms that were seen during the inspection appeared personalised and comfortably furnished. Some people said they have phones in their rooms and this was seen in several bedrooms. The manager said people are asked when they move in if they would like a telephone line in their room. This is an additional cost. Residents can also use the homes telephone if they wish to. All staff are trained in infection control and domestic staff are employed to carry out the majority of the cleaning in the home throughout the week and weekend. The cook monitors the hygiene of the kitchen. There is a garden that is accessible for people with limited mobility. There is seating and planted areas. The manager said that some people enjoy tending the flowers and pots on the patio. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a team of staff that are competent and qualified in meeting their individual needs. Evidence: The home employs two senior carers and a team of care staff that provide support on a 24 hour basis to the people living in the home. There are three to four staff on duty at all times in the day and two at night. In addition to the care staff there is a cook, junior assistants and domestic staff. The rota confirmed the above staffing numbers and showed that agency workers are not required in the home. Observations throughout the inspection showed that the staff have an excellent relationship with the people they are supporting and understand their needs and preferences. They demonstrate respect for individuals and patience and kindness in their approach. The people using the service told us that they like the staff in the home and feel they are able to meet their needs. Comments included the staff are very good and come very quickly if you ask them for something. The recruitment records were seen for three staff members. These demonstrate that robust procedures are followed for recruiting new staff to the home. This includes an application form with employment history, written references, criminal records check and an interview with the manager and senior carers. The senior carers said that Care Homes for Older People Page 21 of 28 Evidence: sometimes people are asked back for a second interview that may involve meeting some of the people in the home. One person had been moved from the companys agency to work in the care home, but there was not a Criminal Records Disclosure on file. The Registered Provider must ensure that a Criminal Records Disclosure is applied for in respect of this person. The training records were inspected for the same three members of staff. These showed that they undertake an induction using the skills for care standards. The manager said that staff undertake training in a number of areas including safeguarding adults, medication, moving and handling, infection control and health and safety. The records of staff training reflected some but not all of the training the manager said they had done, however it was evident through records in the diary and discussion with staff that they had completed the courses. Some staff would benefit from updates in some areas of their training as the courses were completed some years ago. The manager agreed to review the training records to ensure they accurately reflect the training completed and to identify any updates that are required. 9 out the 18 staff have completed an NVQ award in care. Care Homes for Older People Page 22 of 28 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 home is managed effectively and is run in the best interests of the people using the service, but the manager has not yet been registered with the Commission. People are consulted regularly on their views of the service and their opinions shape the improvements that are made. The health and welfare of everyone in the home is assessed and action taken to maintain this. The financial interests of people that use the service are safeguarded. Evidence: The manager of the home is not yet registered with the Care Quality Commission. An application must be made as a matter of priority. The manager of the home is supported by the registered provider who visits the home on a daily basis. The manager is attending training in the Mental Capacity Act and Deprivation of Liberty Safeguards with the local authority. He has completed the Registered Manager Care Homes for Older People Page 23 of 28 Evidence: Award, but has not yet completed a relevant qualification in care. The manager carries out annual quality assurance audit that includes sending surveys to people using the service and their relatives. The information is collated and action taken to address any issues. The recent surveys have been received and the manager described the action taken, although a formal report collating the responses and action had not yet been drawn up. In addition to the formal quality review of the service the manager spends time talking with people in the service on a daily basis to ensure they are happy with the care they are receiving. The AQAA tells us that the equipment in the home has been regularly serviced and safety checked and that policies and procedures are in place to protect staff and users. The manager said that the policies of the care home are in the process of being reviewed. Systems are in place to safeguard the financial affairs of people in the home and accurate records are maintained. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 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 12 16 The registered person should ensure that systems are in place for monitoring that peoples social needs are met through the care plan. To ensure that people are supported to participate in activities that are of interest to them and to be suitably occupied. 07/08/2009 2 29 18 The registered person must 07/08/2009 ensure that a CRB disclosure is applied for in respect of the staff member that transferred into the care home from the agency. To ensure that people using the service are safeguarded. 3 30 19 The registered person must ensure that an accurate record is maintained of the training staff undertake. 07/08/2009 Care Homes for Older People Page 26 of 28 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 To ensure that staff receive the training they need to safely support people using the service. 4 31 8 The registered provider must ensure that the manager of the home applies for registration with the Commission. To ensure the manager is assessed as fit to be registered in respect of the home. 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 28/08/2009 Care Homes for Older People Page 27 of 28 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). 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