Care Home: York Lodge

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What the care home does well Staff were observed to be kind and attentive to the people living at the home. Positive comments were received from people spoken to during the visit. One visitor said `this is a brilliant home` and one lady living at the home said `you get first class care here`. The atmosphere in the home felt relaxed and happy. Staff spoken to said there was a good staff team and one member of staff said there was `a real family atmosphere in the home, a bit like having an extended family`. People have an assessment of their needs before being admitted to the home to make sure that all of their needs can be met and people are encouraged to come and visit the home before making a decision to move in. Staff said that where possible people are encouraged to make their own choices around their day-to-day lives and this was confirmed by people spoken to during this visit. People spoken to were all complementary about the quality, quantity and choice of food provided. Staff confirmed that people can have drinks and snacks whenever they want. A visitor spoken to said that they were made to feel welcome when they visited and staff were good at keeping them informed of anything to do with their relative. Staff spoken to also confirmed this. People spoken to said they knew how to make a complaint but nobody had wanted to . There are daily activities that vary from a choice of in house activities based on what people want to do that day to outside entertainers or trips to the local shops and coffee shop. One visitor was describing a trip to Blackpool that her relative recently went on and really enjoyed. One person spoken to said she was never bored as there was something going on every day. The manager was committed to continually improving standards within the home. He was very visible and all the people living a the home seemed comfortable in his company. One lady said `the manager is marvelous`. Staff said he was very supportive to them. What has improved since the last inspection? Since the last inspection visit the first floor corridor has been repainted as well as several bedrooms. Some bedrooms and the music room have had new carpets fitted. Also some new bedroom furniture has been bought. A new call bell system has been installed in all bedrooms and communal areas and a new internal phone system has been fitted. All bedrooms now have a telephone and if outside calls come in they can be put straight through to people`s bedrooms. A new laundry system and dryers have been installed since the last visit. Both requirements made in the last inspection report had been met. One requirement was relating to the need to obtain a drugs cupboard to comply with the changes in the storage of controlled medication and the other one was relating to the need to inform us of any event that affects the health, safety and welfare of people living at the home. What the care home could do better: Not all staff had done safeguarding adults training . This lack of training could have the potential to put people at risk harm or abuse. The staff training records were not up to date so it was impossible to see if staff were receiving appropriate training to meet the needs of the people living at the home. Since the last inspection visit one member of staff has been recruited. However on the day of this visit the file was not available for inspection. All staff files should be available for inspection. Key inspection report Care homes for older people Name: Address: York Lodge 54-56 Crofts Bank Road Urmston Manchester M41 0UH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Geraldine Blow     Date: 0 2 1 1 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 29 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 29 Information about the care home Name of care home: Address: York Lodge 54-56 Crofts Bank Road Urmston Manchester M41 0UH 01617482315 F/P01617482315 alanmachen@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Alan M Machen,Mrs Ann Elizabeth Crowe care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 22 Date of last inspection Brief description of the care home York Lodge is a private care home providing personal care and accommodation for up to 22 older people. The communal facilities include three lounges, a dining room and a conservatory, which was being used as a smoking area. The furnishings and fittings were domestic in nature and of good quality. The conservatory was bright and airy with a small balcony seating area immediately off. The home is owned by Mr Alan Machen and Mrs Ann Crowe, and managed by Alan Care Homes for Older People Page 4 of 29 0 Over 65 22 Brief description of the care home Machen. There is a ramp to the front entrance to facilitate disabled access to the home. The home is situated in a residential area of Urmston and is close to shops, pubs, the post office and local amenities. The last inspection report is availabe on request. The fees charged by York Lodge for accommodation range from £368 to £390. 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 report is based on information gathered by the Care Quality Commission (CQC) since the last inspection visit on 9 October 2007 and supporting information received in the Annual Quality Assurance Assessment (AQAA) submitted prior to this visit. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. This visit was unannounced, which means that the manager and staff were not told that we would be visiting. The visit took place on Monday 2 November 2009. This report is an overview of what we found during the visit. References to we or us in this report represent the CQC. As part of the visit we spent time examining relevant documents and files. We also spent time talking with some people living at the home, several members of staff and a Care Homes for Older People Page 6 of 29 visitor. We also walked round the home and looked at the communal areas and some bedrooms. Feedback was given to the manager during the course of the visit. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? Since the last inspection visit the first floor corridor has been repainted as well as several bedrooms. Some bedrooms and the music room have had new carpets fitted. Also some new bedroom furniture has been bought. A new call bell system has been installed in all bedrooms and communal areas and a new internal phone system has been fitted. All bedrooms now have a telephone and if outside calls come in they can be put straight through to peoples bedrooms. A new laundry system and dryers have been installed since the last visit. Both requirements made in the last inspection report had been met. One requirement Care Homes for Older People Page 8 of 29 was relating to the need to obtain a drugs cupboard to comply with the changes in the storage of controlled medication and the other one was relating to the need to inform us of any event that affects the health, safety and welfare of people living at the home. 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 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 moving into the home are given information about the home and have their needs assessed so they will know if their needs can be met there. Evidence: The service user guide and the statement of purpose is a combined document that gives people all the information about the home so they can decide if York Lodge is the right place for them. The manager confirmed that everybody is given a copy on admission to the home and copies are also available on request. Admissions to the home only take place after a pre admission assessment of the persons needs has been undertaken, to ensure that those needs can be met. In addition to the homes own assessment they also receive an intra agency assessment of needs. Evidence was seen of the assessments undertaken by the manager on the care files looked at during this visit. Care Homes for Older People Page 11 of 29 Evidence: The manager stated that people, where possible, are encouraged to visit the home, have a look round, have a meal or stay overnight before they make a decision about moving in. This was confirmed by a visitor spoken to. She told us that when she visited the home unannounced she was made to feel very welcome and was given all the information she needed prior to a decision being made about her mother moving in. 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. The health, social and personal care needs of people are being met by staff that respected their privacy and dignity. Evidence: We looked at a selection of care plans to see if care needs were clearly identified and what support was needed to meet those needs and encourage independence. Since the last inspection visit they had introduced the use of a key worker system. The manager said that the system was still in its early stages of implementation. We found that care plans were well organised and detailed peoples needs, personal preferences and how care was to be provided. There was a strong emphasis on involving people living at the home or their relatives in the care planning process. When care plans are reviewed every month or if they are reviewed due to a change of care needs all relatives or advocates are sent a copy of the updated care plan and are encouraged to discuss them with the manager. This is seen as good practice. The regular reviews of the care plans means that when peoples needs change this is Care Homes for Older People Page 13 of 29 Evidence: identified and a new care plan is put in place. This makes sure that the person receives the right level of support. Appropriate risk assessments had been undertaken and reviewed monthly to ensure that any identified risks are minimised. The individual risk is scored and then there is an overall monthly score so that any trends can be easily identified at a glance. There was a record of health care professional visits which enable at a glance to see what health care needs have been provided. The care plans include a life history which provides staff with an insight into peoples past lives and history. People spoken to during the visit were complimentary about the staff and the care received. One man said that he felt very well looked after and the staff were all very helpful. A visitor said that the home provides top class care and cant be faulted. Staff were seen to be kind and patient when helping people. They seemed to have good relationships and had a good knowledge of peoples needs, personalties and personal preferences. We examined the records and stocks of medication to make sure that people were getting their medication as prescribed by their GP. There was evidence of monthly and spot checks audits, which included a tablet count and liquid measurement for medication that was not supplied in the blister packs. There was also a record sheet to document any shortfalls and action taken . This is seen as good practice. The GPs original prescription does not come to the home for checking. The home should have sight of the original prescription so that they can check the medication received from the pharmacy is the same as was prescribed. We saw that they kept a record of any medication received into the home. They had a lockable trolley to store peoples medication and a system of recording the disposal of unused medication. All unused medication is returned to the pharmacy a the end of the month. They do not keep stocks of medication. We looked at the medication administration record sheets. We saw that that there were photographs of each person to reduce the risk of giving a person the wrong medication. There were no gaps in recording and when medication was not given a recognised code was being used. As required in the last inspection report a new controlled drug cupboard had been purchased. Also as recommended in the last inspection report all medication with a limited shelf life had the date of opening recorded on the medicating bottle to ensure Care Homes for Older People Page 14 of 29 Evidence: that out of date medication is not given to people. Staff, a visitor and people living at the home confirmed that people were treated with respect and dignity and that their care needs were met. Staff were observed to approach people with respect and dignity. We saw staff knocking on peoples bedroom doors and waiting to be invited in. 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. There were a range of activities on offer and people were offered a varied and balanced diet. Evidence: On admission to the home a social history was taken which includes peoples hobbies, interests and religious beliefs and a plan of care is then developed. The manager said that they have regular services within the home from various local parishes and if anybody wishes to attend a local church then this can be facilitated. The home employs the services of an activity coordinator. The manager said that every evening they have an activity. A record is kept of all activities undertaken. Some of group activities included an outside entertainer, bingo, cards, puzzles, skittles, a film club and singing and dancing. Some of the entries of the group activities included the people who attended and some entries just recorded the activity undertaken. It was discussed and agreed by the manager that he would request staff record who attends all the activity sessions. As well as the group activities they have one to one activities which included taking people to the local shops or for a coffee and a slice of cake at the local coffee Care Homes for Older People Page 16 of 29 Evidence: shop. Several people spoken to said they enjoyed going out to the shops or for a coffee. One visitor said that her mother had recently enjoyed a trip to Blackpool and another trip out for lunch. A copy of the menus was seen. The meals were varied and nutritionally balanced. There was an alternative to the main meals provided and a menu was on display in the main reception for people to see what was available on a daily basis. Nutritional risk assessments had been undertaken on a regular basis to ensure that people were not at risk of malnutrition and peoples weight was monitored weekly. People spoken to were all complimentary about the size and quality of the meals provided and said that they could have drinks and snacks when they wanted and could eat their meals wherever they wanted. The manager said that they provide a silver service and people are asked at each meal what they would like to eat. They have a monthly resident and relatives meeting where activities and meals are often discussed. People living at the home, a visitor and staff spoken to all confirmed that visitors were made welcome to the home and could visit whenever they liked. Staff stated that visitors are always offered a cup of tea or coffee. From speaking to people living at the home and staff it appeared that people were encouraged to exercise choice and control over their lives. One lady told us she can go to bed or get up when she likes. The manager has recently completed two Deprivation of Liberty Safeguard (DoLs) assessments which came into force on 1 April 2009 and forms part of the Mental Capacity Act. Booklets were available on request and the manager confirmed that he was in the process of accessing training for staff. 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. There were policies and procedures in place to safeguard people from harm and people are encouraged to express any concerns. Evidence: There was a complaint procedure which is included in the service user guide and the combined statement of purpose document that all people are given on admission to the home. This is to ensure that people are made aware of how to make a complaint or raise any concerns. The manager was very visible and everybody living at the home knew who he was and said how nice he was. He told us that he encourages people to raise any concerns they may have straight away so that they can be dealt with immediately. People spoken to during the visit said they would talk to Alan the manager if they had any problems. One person said that she had never wanted to make a complaint because she was very happy but she would feel happy to tell Alan or any of the staff and they would sort out any problems for her if she had any. The AQAA detailed and the manager confirmed that they have received one complaint in the last 12 months. There is a record maintained of comments or complaints made and the action taken to remedy the identified problem. There was a copy of the Safeguarding Adults in Trafford policy and procedure and Care Homes for Older People Page 18 of 29 Evidence: the manager was able to clearly describe the correct procedure to follow in the event of an allegation of abuse being made. The manager confirmed that not all staff have received safeguarding adult training. The staff spoken to were aware of what to do if an allegation of abuse was made but this lack of training could have the potential to put people at risk of harm or abuse. Following a Regulation 37 notice that was sent to us informing us of an incident that adversely affected a person living a the home we had some concerns that the incident had not been appropriately handled by the care staff. Following a long discussion with the manager during this visit it appears that appropriate action had been taken. However the manager is going to send a report to us within two weeks of this visit detailing the action that was taken. 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. A clean and comfortable environment is provided at York Lodge. Evidence: There is a visitors book in the conservatory entrance and visitors to York Lodge are encouraged to sign in and out of the book. This is to ensure that if there is an emergency situation everyone in the building can be accounted for. During this visit a tour of the building was undertaken which included the communal areas and peoples bedrooms. The home was clean and tidy and all the people spoken to said that the home was always kept clean. There were policies and procedures relating to infection control, COSHH and RIDDOR. Staff were provided with personal protective equipment such as gloves, aprons and wipes to reduce the risk of cross infection. We saw a sample of bedrooms. We saw that people had brought some of their own belongings from home. This means that people were surrounded by familiar things. There was evidence of ongoing maintenance and improvements made since the last inspection visit are detailed in the summary section at the front of this report. We had received some information that a bedroom windowsill was in poor condition and the window would not shut properly. This was discussed with the manager who Care Homes for Older People Page 20 of 29 Evidence: evidenced that a new window and frame was on order. We looked at the window in question and it was found to be properly shut. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were employed in sufficient numbers but evidence could not be provided that staff had received appropriate training. Evidence: The staffing levels appeared sufficient to meet the needs of the people living at the home. The manager confirmed that if for any reason more staff were required then they would be rostered on duty. People spoke to said they thought there was enough staff on duty. Since the last inspection visit one member of staff had been recruited. On the day of this visit we were unable to view the staff file as it could not be located. We received confirmation in an e-mail following the visit that the file had been found and contained all the appropriate safety checks. Staff spoken said that there was a stable staff team and staff turnover was very low which made good working relationships and a good knowledge of peoples individual needs and personalities. The AQAA stated and the manager confirmed that 13 care staff were employed and 10 of those had successfully completed National Vocational Qualification (NVQ) Level 2 or above. Staff spoken to said that they were encouraged and supported to undertake Care Homes for Older People Page 22 of 29 Evidence: the training. An induction booklet was seen for the person who had been recruited since the last inspection visit. However the booklet was not fully completed. The only entries were on the first day of her employment. The booklet was not based on the Skills for Care Induction program. Each member of staff had an individual training record. The manager described training events that staff had attended. Some of the training included Moving and Handling, Dementia Awareness, Medication, Diabetics and First Aid Fire awareness. However the training records were not up to date and therefore an accurate record of staff training could not evidence that this training had been attended. 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 in the best interests of the people living there. Evidence: The people living at York Lodge benefit from a committed staff team. The manager operates an open management style and encourages people and staff to make use of the open door policy. We spoke to staff who said that the manager was always available and was very supportive. The visitor spoken to and the people living at the home expressed satisfaction about the care received and the friendly homely atmosphere at the home. The home does not have the responsibility for managing peoples finances. However they did hold small amounts of money given to them for safe keeping from peoples relatives or advocates. There were systems in place for managing this money. Receipts were given but not routinely signed by the person handing over the money for safe keeping. We saw that there was a quality assurance system in place to get Care Homes for Older People Page 24 of 29 Evidence: peoples views about the care they received. They told us that quality questionnaires are completed at peoples monthly care plan reviews and comment sheets are also sent out when people are sent copies of the reviewed and update care plans. In addition to this a monthly feedback sheet is completed with people living at the home. There are monthly resident and relatives meetings that is also a forum for obtaining peoples views on the service provided. There is a policy and procedure file that the manager has responsibility for reviewing and updating in line with current legislation and good practice advice. They told us in the Annual Quality Assurance Assessment (AQAA) that maintenance records were up to date. Fire safety checks were looked at and found to be up to date. This means that the home is safe for people to live in. Care Homes for Older People Page 25 of 29 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 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 17 13 All staff must receive appropriate safeguarding adults training. To ensure that people are not put at any potential risk of harm or abuse. 31/12/2009 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 8 It is recommended that the home have a copy of the GPs original prescription so that medication received from the pharmacy is the same as was prescribed. It is recommend that the manager send to CQC within the agreed two week time frame a detailed report of the Regulation 37 report that was sent to us informing us of an incident that adversely affected a person living at the home. All staff files should be available for inspection so we can check the reqired documentation is in place and the necessary safety checks have been made. It is recommended that there is an up to date training record to evidence that staff have attended training appropriate to the work they are performing. Page 27 of 29 2 18 3 29 4 30 Care Homes for Older People 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 5 30 It is recommended that the home register with Skills for Care and review their induction booklet in line with Skills for Care. It is recommended that when a receipt is given when any money is received by the home for safe keeping that it is signed by the member of staff receiving the money and the person handing over the money. 6 35 Care Homes for Older People Page 28 of 29 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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