Inspection on 08/04/10 for Devon Lodge Retirement Home

This is the latest available inspection report for this service, carried out on 8th April 2010.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Devon Lodge Retirement Home 02/02/06

Devon Lodge Retirement Home 01/09/05

Devon Lodge Retirement Home 01/12/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for older people Name: Address: Devon Lodge Retirement Home 18 Theydon Avenue Woburn Sands Milton Keynes Buckinghamshire MK17 8PL     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: Chris Schwarz     Date: 0 8 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Devon Lodge Retirement Home 18 Theydon Avenue Woburn Sands Milton Keynes Buckinghamshire MK17 8PL 01908281470 02074355168 zoe.hutchins@tesco.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Amberley Healthcare Ltd care home 26 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 26. 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 Devon Lodge is situated in the centre of Woburn Sands, close to local amenities. The service has twenty single bedrooms and three double bedrooms. There is a communal sitting room, a dining room and a quiet lounge with a library. The service has three assisted bathrooms with toilet facilities and two shower facilities. There are two passenger lifts and a garden at the rear, which is well maintained. The current weekly fees start at £600. 0 Over 65 0 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: 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 unannounced key inspection was conducted over the course of a day and covered all of the key National Minimum Standards for older people. The last key inspection of the service took place on 5 April 2007. Annual Service Reviews were carried out in 2008 and 2009; a thematic inspection looking at protection from abuse took place in April 2008. Prior to the visit, a detailed self-assessment questionnaire, the Annual Quality Assurance Assessment, was sent to the manager for completion and surveys were sent to a selection of people living at the service, staff and visiting professionals. Forty five replies were received, which have helped to form judgements about the service. Information received by the Commission since the last inspection was also taken into account. The inspection consisted of discussion with the manager and other staff, opportunities Care Homes for Older People Page 5 of 28 to meet with people using the service, observation of practice and a tour of the premises. Some of the required records were looked at such as care plans, medication administration records, staff recruitment files, training records and health and safety checks. A key theme of the visit was how effectively the service meets needs arising from equality and diversity. Feedback on the inspection findings and areas needing improvement was given to the manager at the end of the inspection. The manager, staff and people who use the service are thanked for their co-operation and hospitality during this unannounced visit. 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. Care Homes for Older People Page 7 of 28 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 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 9 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 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 assessed prior to admission and are given opportunity to visit beforehand to ensure it meets their needs. They have a range of information to help them make a decision if this is the right place for them to move in to. Evidence: We were advised in the Annual Quality Assurance Assessment that assessments are undertaken of prospective service users and that the statement of purpose is made available to people. The manager told us that contracts of residence are made available shortly after admission. Statistical information showed that five people had been admitted to Devon Lodge in the past twelve months. A statement of purpose and service users guide were in place to provide people with information about the aims and scope of the service and what they could expect if they moved in to Devon Lodge. The current fees were included in the service users guide. Care Homes for Older People Page 10 of 28 Evidence: During the visit to the service a sample of pre-admission care assessments were looked at, showing that peoples needs had been identified before a placement was offered. Information recorded included name, date of birth, next of kin, current medication, a brief outline of physical health and mental health, any aids or adaptations needed, nationality, allergies and the persons doctor. People who completed surveys said they had received enough information about the service to help them decide if it was the right place for them. They also said they had received a contract outlining the terms and conditions. Intermediate care is not provided at this service. Care Homes for Older People Page 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of people living at the service are met and they receive their medication in a safe and consistent manner. Evidence: Information provided in the Annual Quality Assurance Assessment showed that a care plan is in place for each person and that senior staff have undertaken training in developing and maintaining these. The manager told us that people are encouraged to contribute to and sign their care plans. The manager told us that the staff induction programme covers all aspects of care. We were advised that peoples privacy was safeguarded by the practices in place at Devon Lodge. The manager told us that she oversees medication practice and that there are regular training updates from a pharmacist. Risk assessments were said to be in place and reviewed regularly. Five health care professionals returned surveys. They said that the services arrangements for assessing people always ensured that accurate information is gathered so that the right service is planned. They said peoples health and social care needs were always properly monitored and reviewed and that advice was always Care Homes for Older People Page 12 of 28 Evidence: sought and acted upon to meet peoples needs and to improve their well being. They said people were supported to manage their own medication, or if this was not possible that the service managed it correctly on their behalf. They said peoples privacy and dignity were always respected and that staff had the right skills and experience to support people and to be able to respond to diverse care needs. Additional comments included Devon Lodge staff are always welcoming and give assistance to our service as required, communication is always very good with dealing with any on going treatment, they provide a very personal and caring environment for people who have lost their independence. They care about the residents and always try to do their best for them, I would be very happy to have a member of my own family cared for in Devon Lodge, should the need arise and I am impressed by the care provided to the residents. People using the service said in surveys that they receive the support they need and that there are staff available when they need them. They also said they receive the medical support they require. During the visit to the service, care plans were seen to be in place for each person. A sample were looked at and each contained a range of information including a photograph of the person, a section on personality and life at the moment, a care plan changes/update sheet, sections on areas such as washing, mobility, eating and drinking, foot care, continence, emotional state, sleeping, social and spiritual needs, mouth care and hair care/grooming. Care plan files also contained daily notes, which were up to date. Basic risk assessments were seen for areas such as swallowing, bathing and mobility. Falls and fracture assessments were also included. Assessments had not been undertaken for the likelihood of developing pressure damage and advice was given to introduce these at the service. A pressure relieving mattress was being used for one person who was being cared for in bed and charts were in place to show that the person was being turned regularly and fluid intake monitored. Records were being kept of peoples weight and health care visits and appointments. The manager advised that some of the people using the service have been able to retain their doctors although there is a surgery close by which was providing a very good service, if people need to register with another practice. Medication was being managed well. One of the senior staff takes responsibility for medication practice and she was able to demonstrate the practices used at Devon Lodge. A monitored dose system was in place and photographs of each person were contained with the dosette boxes to easily identity people. Medication administration records were in good order with initials beside all prescribed dose times in the sample Care Homes for Older People Page 13 of 28 Evidence: of records that were viewed. Records were in place for receipt of medication into the building and when it is transferred from the stock cupboard to the medication trolley. Records of returned medication were also being kept. Records showed that regular medication audits were also taking place. A lockable medicines fridge was in place and contained mainly eye drops, all open packets with date of opening written on. The senior member of staff advised that only senior staff handle medicines and that the pharmacy provide the training. Care Homes for Older People Page 14 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. Activities are available to people using the service to provide them with stimulation and contact with family, friends and the community is supported to maintain social links. Food is well prepared and presented attractively to make sure that nutritional needs are met. Evidence: Information provided in the Annual Quality Assurance Assessment told us that there is a weekly activities programme which is displayed in the hallway. The manager advised us that funding has been made available for accredited training in activity provision. We were advised that a daily menu is displayed and that meals are freshly prepared at the service. Special occasions such as peoples birthdays were celebrated, we were told. Statistical information showed that nutritional screening is carried out for all people admitted to Devon Lodge and that this is repeated where people are at risk of malnutrition. During the visit to Devon Lodge it was possible to see that the current weeks activities were displayed in the hallway. On the day of this visit, a beautician visited in the morning and a singer came in the afternoon. Easter decorations were being taken down; a member of staff showed a photograph of how the tables had been set for a Care Homes for Older People Page 15 of 28 Evidence: special Easter meal, which looked very attractive. Another photograph showed St Valentines day had also been celebrated with a special themed arrangement. Care plan files contained social activities assessments and records of activities that each person had taken part in. These included visits from friends and relatives, church services, knitting, quizzes, baking, music, bingo and play your cards right. Devon Lodge also has a hairdresser on the staff team. People using the service said in surveys that there are activities available for them to take part in. The dining room was attractively presented with table cloths, napkins and table decorations. A four week menu system was in place with the daily menu displayed in the dining room. The cook checks each persons lunch and tea time requirements and a range of other options is available if people do not want what is on the menu. People spoken with during the inspection said they had enjoyed their lunch time meal and that they enjoyed food at the service, as did those who completed our surveys. A member of staff commented in a survey provides the best home cooked nutritious food, care given for diabetics. 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. Procedures are in place to respond to complaints and safeguarding issues, to make sure that people using the service are listened to and protected from risk of harm. Evidence: Statistical information provided by the manager showed that there had not been any complaints received at Devon Lodge in the past twelve months and no safeguarding referrals or investigations. The manager also told us there had not been any occasions where restraint was used. The manager advised that all service users and families are made aware of the complaints procedure and that a copy is displayed in each bedroom. We were also told that people are reminded of how to make a complaint during residents meetings. The manager said that all staff receive annual safeguarding training and are made aware of the whistle blowing policy. Information showed that the service has a safeguarding policy and a copy of local authority procedures. Thorough recruitment practices were described to protect people from potentially unscrupulous workers. Staff who completed surveys said they knew what to do if anyone raised any concerns about the service. People using the service said in surveys that staff listen and act on what they say and that there was someone they could speak with informally if they were not happy. They also said they knew how to make a formal complaint. A complaints procedure and notice were in place at Devon Lodge. The manager was Care Homes for Older People Page 17 of 28 Evidence: advised that the notice contained out of date information about the organisation regulating the service, which needs to be amended. The complaints procedure contained the correct name of the regulator but had out of date contact details which need to be updated. The manager confirmed that no complaints had been received at the service. A safeguarding procedure was in place which included the need to notify the local authority of any suspicions, allegations or occurrences of abuse, as well as the regulator for the service. The details for the regulator need to be amended to make sure that staff have correct information to hand. Training records showed that staff had received safeguarding training recently, which included catering staff, housekeepers and the maintenance person. A copy of the local authority inter agency safeguarding procedures was available on the premises to refer to. The manager confirmed that no safeguarding issues have arisen at the service. The Commission has not received any information relating to complaints or safeguarding issues for this service during the period under review. The staffing section of this report identifies a couple of areas where tighter safeguards in recruitment practice could be in place to fully protect people using the 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 premises are clean, well decorated and adequately maintained, promoting a positive environment for the people who live there. Evidence: We were advised in the Annual Quality Assurance Assessment that the service employs a maintenance person to ensure that the property and grounds are well maintained. Two housekeepers are employed to maintain standards of hygiene and all staff were said to have undertaken training in infection control. We were advised that people using the service are encouraged to personalise their rooms. The manager advised that fire doors were being updated to comply with current fire regulations. A member of staff commented in a survey the home is kept very clean. People using the service who returned surveys said the building was always fresh and clean. Devon Lodge is located in a residential street close to the centre of Woburn Sands. The property is a detached residence with a car park at the side. There are twenty three bedrooms, three for shared use. All but one have en suite toilets and wash basin. Those bedrooms that were seen had been personalised and were well maintained. Communal areas of the service are bright and airy and have been pleasantly arranged to reflect a homely environment. People can choose to sit in the main lounge or a smaller quiet lounge. The main lounge and dining room overlook the Care Homes for Older People Page 19 of 28 Evidence: patio and a well maintained garden which had tables and seating. Kitchen and laundry areas, although small, were meeting needs of the size of the service and were clean and in good order. There was a passenger lift for access between floors for people with mobility problems. Toilets and bathrooms were clean with adaptations to meet needs of people with physical disabilities. No visible hazards were evident at the service. There was good regard for infection control and training records showed that staff had received training in this area of practice. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides staff cover to meet needs and there is effective training to ensure staff have the right skills and competencies to support the people who live there. Some attention is needed to recruitment procedures to supplement practice. Evidence: Information provided in the Annual Quality Assurance Assessment showed that the service has a staff development programme which meets the National Minimum Standards for older people and that satisfactory recruitment checks had been returned for new staff starting in the past twelve months. We were advised that all staff receive regular supervision and that regular staff meetings take place. Distance learning courses have been provided by the local college in the past year to supplement the training programme. 90 of staff were said to be trained to National Vocational Qualification level 2 or higher. Staff who completed surveys said they are always given up to date information about the needs of people they support. They said their employer carried out checks before they started working and that their induction covered the areas they needed to know about very well. All staff who replied said that they receive training that is relevant to their role, helps them understand and meet the individual needs of people, keeps them up to date with new ways of working and gives then enough knowledge about health care and medication. Staff said they regularly receive support from their Care Homes for Older People Page 21 of 28 Evidence: manager. They said the ways in which information is shared worked well and that there were always enough staff to meet the needs of the people who use the service. Staff considered they had enough support, experience and knowledge to meet the different needs of people at Devon Lodge. Additional comments included provides a kind, caring environment with a feeling of their own home, well kept, well run and a good team of carers and well looked after residents, Devon Lodge is a very good care home. We take pride and care with the residents and the up keep of the home, the residents are well cared for, every individual need is always catered for. All staff are trained well and treat all residents with dignity and respect, staff are loyal to the home, work very well and professionally as a team. Good communication and trust. On the day of this visit, the service was being staffed with a mix of carers, senior staff, the manager, catering and housekeeping staff and the maintenance person. The atmosphere within the building was unrushed and relaxed with staff taking care to go at the pace of people using the service. Records showed that staff undertake the Skills for Care induction, which provides them with a very good introduction to care practices and procedures. An in house induction had also been undertaken to familiarise staff with procedures particular to Devon Lodge. No agency staff were being used at the service at the time of the visit. The manager advised that where they have been required in the past that the same agency and workers are used, who know the service and can provide continuity of care. Recruitment files for four newer staff were looked at. Each had an application form, satisfactory Criminal Records Bureau clearance, two written references and a photograph. Two of the files did not contain any evidence of proof of identity; this needs to be checked as part of the recruitment process and evidence retained on the persons file alongside other required recruitment checks. A requirement was made following the thematic inspection in 2008 to improve recruitment procedures and retention of supporting documentation, which included proof of identify. The requirement set at that time was partly being met now but a fresh requirement is made to ensure that the service complies with the need to check peoples identity. In some cases, new staff had commenced employment with preliminary Independent Safeguarding Authority Adult first clearance, whilst their full Criminal Records Bureau clearance was awaited. The manager was advised to consider putting written conditions in place for the duration of these arrangements, signed by both the employee and manager, setting out restrictions on working practices until full and satisfactory clearance has been received. This provides an added level of safeguarding Care Homes for Older People Page 22 of 28 Evidence: for people living at Devon Lodge. Training records showed that staff undertake all mandatory courses to make sure they are up to date with practices. Care Homes for Older People Page 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the service promote continuity and quality of care for the people who live there and ensure that risk is safely managed to reduce the likelihood of injury or harm. Evidence: We were advised in the Annual Quality Assurance Assessment that the manager has achieved the Registered Managers Award and holds appropriate National Vocational Qualification level 4 awards. She told us that she keeps her training up to date and is part of local networking groups. We were told that there is regular monitoring by the provider. Statistical information showed that equipment was being maintained in good order, such as gas appliances, electrical appliances and hoists and that there were written assessments in place for handling of hazardous substances. The manager told us there was an action plan in place to deliver best practice in the prevention and control of infection and that staff were trained in infection control. The manager was on duty throughout the inspection and co-operated fully with the Care Homes for Older People Page 24 of 28 Evidence: process. Staff, service users and visitors seemed relaxed in her company. Training records showed that she has kept her training up to date. A member of staff commented in a survey the home runs well with excellent working relationships between management and carers alike. The certificate of registration was displayed in the hallway. The provider visits the service on a regular basis to assess quality of care and records of these visits were recorded and available to see. A quality assurance questionnaire exercise had been carried out at the end of 2009 and returned surveys reflected general satisfaction with a couple of areas for improvement identified. The manager advised that a report would be compiled of the findings. No money was being managed on behalf of service users. Policies and procedures were available in the office and being updated at the service at the time of this visit. A sample of health and safety records were looked at. Up to date certificates were in place for gas safety and electrical hard wiring, portable electrical appliances had been checked in November last year and accident records were being completed as necessary. There were numerous health and safety policies and procedures to refer to. Staff training in health and safety related areas such as first aid, fire safety, moving and handling and infection control, was in good order. The service was awarded five stars by environmental health in May last year in its Scores on the Doors food hygiene programme. Care Homes for Older People Page 25 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 26 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 29 19 Staff files are to contain proof of the persons identification. This is to ensure that the full range of required recruitment checks are in place. 01/05/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 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). 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. 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