Care Home: Wynfield House

Similar services:

• SignHealth
• Mere Hall View
• Beechfield Lodge
• Christopher Grange (Rhona House)
• Sense
• Auden House
• Deafway
• Sign, 100 Bowfell Road

What the care home does well This is a service where we found staff are highly motivated in making sure residents receive a good quality of care Comments included, "I find working with the residents really rewarding, and they all have their own ways of how they like doing things and we respect that", "we make sure there is always something going on, including trips and things going on in the home". We found the home provides care in a flexible way, so that residents have the opportunity to live their daily lives as they choose to. Comments included, "we are very flexible in how we work and this benefits the residents". " We know the residents well enough to know what they like and don`t like". The way we saw staff speak and treat residents told us they do it with sensitivity, and they make sure residents needs are being met. This is especially important as communication is limited in some instances due to the levels of sensory impairment. We saw a number of staff have skills in sign language so that residents are not disadvantaged by way of communicating their needs. What has improved since the last inspection? We found there have been improvements in all areas of the home including record keeping, medication administration, environment, social activities and staff training and supervision. Comments we received included, " I like the way we have themed nights now they are really good", " I feel supported by the manager and we all feel involved in getting things done in the home", "the home is nice and warm all the time wherever you are". What the care home could do better: In order to meet the requirements of medication management it is recommended regular audits are taking place to ensure the safe control of medication, in addition the home is waiting for the delivery of a suitable store facility for controlled drugs which will further ensure the safe management of medication. It is important to make sure records where risk is identified are completed in a sequential order so that the information can be clearly followed by staff and for review purposes. We found one record where an issue was identified and whilst being recorded the information was difficult to link together due to it being reported in various areas of the file. Whilst safeguarding training is taking place in house for the staff team. The documentation used is not up to date to follow current good practice. This is being looked at by the management team so that Department of Health guidance is to be used in future so that the staff team receive training based upon current good practice guidelines. We found two call bell leads had limited lengths which could have the potential to hinder a resident calling for assistance when in bed. There must be access toassistance at all times for residents using the service. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jacqueline Riley     Date: 1 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ 01253392183 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Blackpool & Fylde Society For The Deaf care home 19 Number of places (if applicable): Under 65 Over 65 0 sensory impairment Additional conditions: 19 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: Sensory impairment - Code SI. The maximum number of service users who can be accommodated is: 19. Date of last inspection Brief description of the care home Wynfield House is registered under the Care Standards Act 2000, to offer accommodation and personal care to up to 19 adults with a sensory impairment. The accommodation consists of 7 twin bedrooms and 5 rooms for single occupancy. There are 2 lounges on the ground floor and a dining room. A passenger lift operates between the ground and first floor. The home is relatively close to local amenities and facilities with good transport links. In appearance the premises blend in with the neighbourhood. There are spacious gardens to the rear of the property that are well maintained, some of the residents like to help in the gardening activities. Care Homes for Older People Page 4 of 29 2 1 1 0 2 0 0 8 Brief description of the care home The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. The current fees per week are £368.78 Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good 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 an unannounced inspection and took place over a five hour period, on 12th March 2009. We spoke to the manager, four staff members, and a number of residents. We spent time in and around the communal areas of the home making general observations to get a flavour of how the home operates on a daily basis. As part of the inspection process we talked to people using the service including visitors and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. We also invite others using the service to pass on their opinions if they wish, however due to sensory impairment Care Homes for Older People Page 6 of 29 some of the comments were limited. We had some responses from questionnaires sent to people who use the service for their views on how they experience the service. Comments were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of the service. We use this information, in part, to focus upon our inspection activity. We looked at recruitment and training records of two staff members. We walked around the building and watched people living and working in the home to see how everyone supported and talked to each other. What the care home does well: What has improved since the last inspection? What they could do better: In order to meet the requirements of medication management it is recommended regular audits are taking place to ensure the safe control of medication, in addition the home is waiting for the delivery of a suitable store facility for controlled drugs which will further ensure the safe management of medication. It is important to make sure records where risk is identified are completed in a sequential order so that the information can be clearly followed by staff and for review purposes. We found one record where an issue was identified and whilst being recorded the information was difficult to link together due to it being reported in various areas of the file. Whilst safeguarding training is taking place in house for the staff team. The documentation used is not up to date to follow current good practice. This is being looked at by the management team so that Department of Health guidance is to be used in future so that the staff team receive training based upon current good practice guidelines. We found two call bell leads had limited lengths which could have the potential to hinder a resident calling for assistance when in bed. There must be access to Care Homes for Older People Page 8 of 29 assistance at all times for residents using the service. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given information, and have their needs assessed before deciding to move into the home so they know that their needs can be met. Evidence: We looked at the records of three residents living at the home. Two of the residents had lived at the home for a number of years and one resident had moved into the home in the last two years. Residents who have been living there for a number of years had reviews from social workers in place, another resident had assessment and pre admission assessment details in place identifying the needs of the resident. The information showed the home is informed through the assessment of the needs of the residents. Staff spoken to said they use this assessment information to determine the level of care the resident needs. Comments received said,the social workers and the manager make sure assessments are taking place so we have the necessary information to provide the right level of care. Care Homes for Older People Page 11 of 29 Evidence: We saw there is up to date information about the home and what services it provides. This information is given to residents and to prospective residents or their families or advocates, so that they know what the home can provide and make an informed decision. Comments received told us the information is very useful and helps people to decide if the home is suitable for them. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously, peoples welfare is monitored and health needs are met. Evidence: As part of the visit a pharmacist inspector checked how medicines were being handled because a previous visit had found some serious shortfalls. We found some good improvements in the way medicines records and stock were organised. Records of medicines received, given to people and disposed of were clear and accurate that made accounting for medicines simple to do. Care plans and supporting paperwork were detailed about prescribed medicines to help make sure they were given to people correctly. We checked a sample of medicines and found they usually added up showing they had been given to people correctly and at the right time. We saw some examples of good practice for people that were asleep because staff were returning to give their Care Homes for Older People Page 13 of 29 Evidence: medicines later when they had woken up. Giving medicines at the right and best time for people respects their privacy and dignity. We checked how controlled drugs (medicines that can be misused) were stored and recorded. The acting manager said a proper controlled drug cupboard had been ordered from the pharmacy and this was to be delivered soon. No controlled drugs had been handled recently so we could not assess how well staff made records. Secure storage and detailed records help make sure controlled drugs are not mishandled or misused. We looked at how medicines were stored and found the arrangements to be clean, tidy and secure. Stock was now well organised and medicines were promptly disposed of when no longer required. We looked at how staff were trained to give medicines safely. All staff had received medicines handling training and the new acting manager had begun formally assessing staff regularly to help make sure they have the necessary skills. We gave some advice to the manager on how to check and audit medicines stock and records to help make sure the recent improvements are maintained. Three care planning records we looked at were accurate and up to date. There was good information about individual healthcare needs as well as how those needs are going to be met. Staff we spoke to said the information is clear and they can follow the plans to maintain and support residents who live in the home. A resident spoken to said staff talk to us about what we need and how they are going to care for us. The records we looked at show there are risk assessments in place for residents, which highlight what the risk is, how it can be managed and what the outcome is for the resident. In one instance an issues had been identified and there was limited information about how it was being managed. We spoke to the manager about this and the information was found elsewhere in the file. In order for continuity of information, the recording of actions should be clear and in one place so that staff and managers can clearly see the steps being taken in any one area of care. The care plans we looked at are being reviewed regularly so that the changing needs of residents are identified and their needs met. Senior care staff are involved in this process as well as key workers and those spoken to said, we think it is important to review a residents needs so that any changes can be made for their comfort and well being. By looking closely at the records we found there is a good link between the home and Care Homes for Older People Page 14 of 29 Evidence: other healthcare professionals including, doctors district nurses and associated healthcare professionals including chiropodists and opticians. There was also evidence of specialist sensory professionals being involved with individual residents who have specialist needs for sensory impairment. We saw residents privacy and dignity is respected during the visit by looking at how staff talk to and respond to residents. We found staff to be respectful and sensitive to individual residents needs throughout the inspection. Most of the staff were seen to communicate with residents using British Sign (BSL). his ensures residents are not disadvantaged by way of communication. We spoke to the manager about how residents are alerted if they are in their rooms. We were shown how they slightly open the door before flickering the light switch so the resident knows someone wishes to enter. Two residents said they know the routine and like the way its done and feel their privacy is protected by it. Staff spoken to told us they respect residents rights to privacy as they would expect their privacy to be respected at all times. Living in a care home doesnt mean your privacy and dignity should be ignored by people caring for you. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had choice and support to meet their expectations and preferences regarding their lifestyle. Meals and mealtimes are designed to be a positive experience for residents. Evidence: We spoke to some of the residents and staff about routines in the home. They said they are flexible and residents can get up and go to bed when they choose. We spoke to a number of residents during the inspection who told us there is no problem with what time they get up and go to bed and how they choose to spend their day. We saw residents moving around the home freely during the inspection. There are no constrains in how people choose to move around the home. A resident said they like to go out during the day. Some residents went out into the garden area for a smoke. Another resident has a late breakfast in the dining room and other residents used the two lounges available to them, where they were seen to chat amongst themselves or watch television, which was on with sub titles for residents with sensory impairments. The lunchtime meal was being prepared and seen to be wholesome and nutritious. A resident said, they liked the meals very much and there was always a good choice. Care Homes for Older People Page 16 of 29 Evidence: The dining area was seen to be pleasantly arranged with table cloths, and a choice of drinks available to residents. Menus we looked at were balanced and the use of fresh produce is made available whenever possible. We spoke to the cook, who told us that,they know the likes and dislikes of individual residents and they respect this. We were told that there have been instances where special diets are necessary, but the staff always work with the doctor or other health professional for advice and guidance. Residents and visitors spoken to said they liked the fresh baked cakes which are provided every week. The cook showed us evidence of records being kept for the weekly healthy eating club, where residents have the opportunity to talk to the cook and for records to be made of personal favorites as well as special dietary needs. Resident said they liked the idea and felt part of the menu planning process. In addition there are regular baking classes which have recently been introduced and were well attended by residents. Staff said they are popular. There has been a review of social activities so that there are a range of activities available. On the day of the inspection residents were going out on a bus trip. A number of residents said they like the regular trips out which take in local venues around the Fylde area. I look forward to going out, theres always something different to see, it breaks the routine and you get a breath of fresh air. In addition to regular trips out, the residents can go out independently if they wish and can do. There is a local social club some residents choose to go to in the evening and a local pub which is used on occasion by some residents. Staff said they are available to assist any resident should they wish to go anywhere specifically or need assistance. There are films shown in the lounge areas and themed nights on a monthly basis, which include special menus. Residents spoken to said they liked the themed evenings as everyone joins in. There are no restrictions for visitors to the home, and visitors were spoken to as part of the inspection process, they told us they were satisfied with the care their relatives received at the home. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for recording and responding to complaints are good making sure people feel listened to. Staff training for the protection of service users does not use current policy guidelines and has the potential to leave staff vulnerable. Evidence: We looked at the homes complaints procedure, which is made available to residents and their relatives or advocates during the admission process. We were told by staff and residents spoken to, they are aware of the complaints procedures and how to use it. Comments included, If Im not happy abut something I know what to do and who to go to. There have been no complaints recorded in the homes records and CSCI have not received any complaints since the key inspection in July 2008. We looked at how staff are trained in safeguarding people and found that whilst training is taking place in-house based upon the homes training manual. The home is not using current good practice protocols based upon Department of Health guidance, which would ensure the staff team have training which reflects current good practice so that people are protected. By talking to the managers we were made aware of the intentions for the home to use external training in this area so that staff have the necessary current knowledge and skills. Care Homes for Older People Page 18 of 29 Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a well adapted, clean and comfortable environment with pleasant grounds. Call bells in two rooms had limited extension leads which could be detrimental for residents requiring assistance once in bed. Evidence: There have been improvements to the home since the previous inspection in July 2008. We found the issues relating to health and safety including the heating system, Gas and Fire servicing have all been addressed and are safe. The heating is now suitably regulated so that the environment is comfortable at all times. We toured all areas of the home and found it to be clean and free from offensive odours in all parts. The home is generally well furnished and decorated. Residents we spoke to said they liked their rooms and the home in general. I think its really homely. The manager told us there is an ongoing maintenance programme and this was confirmed by talking to the resident maintenance employee. The communal lounge and dining area is very comfortable with a range of seating for residents with a variety of mobility issues. In addition there are suitable adaptations including walking aids, wheelchairs and hoists so that residents with limited mobility are assisted. Care Homes for Older People Page 20 of 29 Evidence: In two of the resident rooms we found the call bell required extension leads so that residents could call for assistance with ease if they are in bed. There is a large rear garden area which has seating areas which residents with poor mobility have access to. The garden is private and not overlooked. A number of residents said they like using the garden in the warmer months. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for recruiting staff are good, ensuring the safety and protection of residents. Training and deployment of staff is being developed so that they are meeting the needs of residents. Evidence: We looked at the duty rotas and discussed staffing levels with the manager. The home has increased staffing numbers during the day so that there are sufficient numbers of staff with various skills and experience to meet the needs of the residents living there. Staff we spoke to said they were happy with the way they are supported and how they work in the home. Comments included, we work well together as a team, and feel supported, there have been changes to some of the shift patterns and its better now. The way staff are trained is being reviewed and we saw there is evidence the staff team are going on courses to meet the needs of residents living in the home. Staff training files are being reviewed on an individual basis by the management team so that any gaps are being identified and the necessary training updated. All staff recruited are enrolled on British Sign Language training so that they have the basic skills for communication with residents who have sensory impairment. Staff spoken to said this was necessary for the basic communication needs of residents. Care Homes for Older People Page 22 of 29 Evidence: We looked at two staff files. They showed us staff are recruited safely using procedures which take into account full information about them including application records, references which have been checked, Criminal Record Bureau (CRB). Protection of Vulnerable Adults (POVA)checks to make sure they are safe to work with people who may be vulnerable. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well with systems and policies in place for the safety and protection of residents. Evidence: We saw the manager is running the home on a day to day basis in the best interests of residents and staff. Comments included, we feel really supported by the manager, I feel I can go in and ask about things I am not sure about. We noted there is a new manager not registered with the Commission as well as a general manager who has many years experience in running the home. In order to meet the requirements of registration there must be a registered manager in post. We spoke about this requirement to the general manager who said they were aware of this and the manager has enrolled on a care management course to gain the necessary qualification in order to register with the Commission For Social Care Inspection. The manager demonstrated a good level of knowledge and skills in the day to day Care Homes for Older People Page 24 of 29 Evidence: management of the home. We looked at how the home gains the views of residents and staff and found there are minuted meetings taking place which have agendas, and records of issues discussed and action taken in areas which have required some action. Staff told us they feel listened to as part of the change programme which has been taking place in order to improve the quality of service. I feel part of the change programme, we have all been working together and it has come together now. Comments we received on the day and from surveys we received told us people are happy with the service and how it is being managed. We found that all records and systems in the home have been reviewed or are at the review stage, so that the information is comprehensive and up to date. Staff were able to follow clear instructions in the records for the health and welfare of residents. We saw there is a clear line of management responsibility and that staff communicated well with the manager throughout the inspection process. We were told there is an audit system being set up for the views of users of the service so that they can be looked at and any trends picked up for the development of the service. The way the home manages residents allowances means there is a clear audit system in place which is reviewed by the deaf society accounts department on a quarterly basis, so that residents money is protected. By looking at records we saw regular tests and servicing of essential equipment including, gas, electric and fire they were safe. Care Homes for Older People Page 25 of 29 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 9 13 There must be a controlled 28/04/2009 drug cupboard available that meets the requirements of the law. This will help prevent mishandling and misuse. Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 There is a requirement to ensure there is a registered manager in day to day control of the home. As this service is part of an organisation there is a requirement to appoint a manager registered with the Commission For Social Care Inspection. 30/09/2009 2 19 23 Call bell leads in two rooms require extension leads so that residents are able to call for assistance when in bed. The leads of two call bells had limited extension on the lead which may cause difficulty for the resident to summon assistance when in bed. 30/04/2009 Care Homes for Older People Page 27 of 29 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 When risk is being recorded on care plans the information should be in a sequential order so that there is some continuity to show how it is being managed Regular recorded audits (checks) should be made of the medicines to help make sure they are handled safely. Safeguarding training for staff should be based upon current Department of Health guidance and protocols so that staff have up to date practice guidance in Safeguarding people. 2 3 9 18 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!