Inspection on 17/03/09 for Edward House Care Home

This is the latest available inspection report for this service, carried out on 17th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edward House Care Home 19/04/06

Edward House Care Home 08/09/05

Edward House Care Home 30/11/04

Edward House Care Home 29/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Edward House Care Home 175 Nottingham Road Eastwood Nottingham NG16 3GS     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: Lesley Richardson     Date: 1 7 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 28 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 28 Information about the care home Name of care home: Address: Edward House Care Home 175 Nottingham Road Eastwood Nottingham NG16 3GS 01773531591 F/P01773531591 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) : Edward House Care Home Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 32 The registered person may provide the following category of service only: Care Home only (PC) to service users of the following gender: Both 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 Edward House is a care home providing personal care for up to 32 people of both sexes who are over the age of 65 years. The property is a converted house in a residential location. The accommodation is arranged on two floors. There is lift access to the second floor. There is sufficient communal space to allow for a separate smokers lounge. There are twenty-eight single rooms and two shared rooms one of which has en-suite facilities. There is a small garden, which is accessible to wheelchair users. Edward House is situated within half a mile of Eastwood town centre, with shops, pubs, a library, and leisure and health facilities. The current weekly fees for the home range from 290 - 344 pounds depending upon service users needs. Hairdressing and chiropody costs are not included. Care Homes for Older People Page 4 of 28 Care Homes for Older People Page 5 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection of this service and it took place over 6 hours as an unannounced visit to the premises by 2 inspectors. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. 5 of the requirements from the last inspection have been met, 1 requirement has not been met. There has been 1 further requirements and no recommendations made as a result of this inspection. Information obtained from the Annual Quality Assurance Care Homes for Older People Page 6 of 28 Assessment (AQAA) and from returned surveys was used in this report. The AQAA is a self-assessment document that managers and owners of care services complete every year. It asks them to tell us how well they are providing services to people who live at the home. We received 10 surveys from people living at the home. Information from an expert by experience, who visited the home with us, was also used in this report. An Expert by Experience is a person from a voluntary organisation (in this case Help the Aged) who has experience of care. They look at areas we ask them to look at, but from an ordinary persons point of view. What the care home does well: The home is a large adapted residential house and it is situated in its own grounds. There are 2 lounge areas, plus other quiet areas for people to use if they wish. Its clean and people had a lot to say about where they live, You can put what you like in your room, It is all right here. Pretty good. Very clean, Being here is quite favourable. I have a very nice room, with personal furniture and ornaments in it. Staff members are polite and talk to people with respect. We talked to people during this inspection and they said the staff are nice, respect their privacy and one person said, very satisfied with the care always make family and friends welcome. Assessments are completed before people move into the home, and they say they have enough information before they move in. Comments from one person who returned a survey was, has said that (they) had a good welcome. The amount of information written in care plans is good. They give staff members details about how people like to be looked after and what they should do in particular circumstances. People are referred to health care professionals, like dentists, opticians and dieticians. These visits are recorded in their care records. People can have visitors when they want and there are places where they can meet in private. 2 people who live at the home said, You can invite any visitors. There is no set time and Visitors are welcome at any time, including children. There is a choice of main meal each day and staff members stay with people who need help to eat. Everyone we spoke to said they like the meals and the food is good. There were lots of good comments about the food at Edward House, The meals always smell good. There is a choice of 2 items at mealtimes, The staff are very obliging. At 8 oclock in the evening, they bring us a drink and biscuits and sandwiches. Some people have had cereal or porridge in the past. I think this is very good, The food is nice, with choice. We are given more than enough, The food is beautiful. I cannot fault it. There have been no complaints made to the home in the last year. People said they know who to talk to and how to make complaints and one person said, If I had a complaint, I would tell (deputy manager) as she listens to us. She would help if she could. Staff members have training in how to keep people safe and what to do if they think abuse has happened. There has been 1 safeguarding referral in the last year. The home reported this incident correctly. Recruitment checks are completed properly before people start working at the home, so that new staff members are safe to work there. Staff members are given induction training when they first start working at the home. There are updates of mandatory training when this is needed, and staff have other training, such as care of dementia, to help them care for people properly. Records are kept to show money kept by the home on behalf of people living there. This means that there is information to show when money is spent and what it is spent on, so that people can feel safe in having the home take care of it. Care Homes for Older People Page 8 of 28 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 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 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 10 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 have enough information before moving into the home, which means they are able to decide if they would like to live there. Their needs are assessed before moving in, which means the home knows whether staff can care for the person properly. Evidence: Almost all (7 out of 9) of the people who we received surveys from said they had received a contract and that they had enough information before moving to the home. All of the visitors who returned surveys said they had enough information about the home before their relative moved there. Assessments are completed before people move into the home and assessments by health and social care teams are also obtained to provide more information. We looked at the care records of 2 people who had moved into the home since the last inspection. There were written assessments completed by the home that included information about the persons needs, and likes and dislikes, and one person also had a health and social care assessment. Care Homes for Older People Page 11 of 28 Evidence: We spoke to people living in the home who said either they or their relatives had visited before they moved in, or they had asked friends what they thought. Some of the things people said are, (person) came in to E House independently was aware of E House as lives local. (person) has said that (they) had a good welcome and knew about Edward House as lived local. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. Care Homes for Older People Page 12 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. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. Evidence: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection and that staff knock on doors before entering rooms. People we spoke to said staff are nice and 2 comments we received were, If I did not (get care and support needed) I would shout and very pleased with the care and medical support. Care plans for 4 people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. Care Homes for Older People Page 13 of 28 Evidence: We found the care plans give staff members advice about how to meet peoples needs. Care plans for care needs tell staff how each person likes to be cared for and what their preferences are, and there were some plans that gave staff a lot of information about people. For example, one persons plan tells staff what to do if they are low in mood, what they should talk to them about, but that they should also listen to what they also say to them. Plans are reviewed monthly and we saw that information and changes are recorded, and the plans are rewritten to give staff updated guidance. Everyone (10 people) who returned surveys said they receive medical attention when they need it. Comments they made show most people are happy with the medical attention they get; If you are ill, they would definitely call a doctor. When I have a hospital appointment, a member of staff goes with me. The Expert by Experience spoke with visitors who said that a chiropodist and optician visit the home regularly. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. Medication administration records (MAR) were looked at for 13 people, including some some of the people whose care records we looked at. The MAR sheets are completed and there are no records with entries missing. Entries for medications that have not been given show the reason for this. However, there are instances for 3 people where the amounts of medication remaining in blister packs of medication do not tally with the amount the MAR says are remaining. Because we found this is only a small number of MAR sheets and medication packs we feel the requirement made at the last inspection has been met. However, staff who are responsible for administering medication must not sign for medication and state the reason for non administration if it has not been dispensed. Staff keep information about as required medication with the MAR sheets. This gives staff a good amount of advice about the medication, what it is given for and what to do if it doesnt appear to be working. The deputy manager told us that medication is reviewed by the pharmacist once a year. One of the GP practices also looks at medication with the pharmacist and includes the deputy or senior carer in the discussion. Medication fridge temperatures are taken and recorded as being at an acceptable level for the safe storage of medication, although storage room temperatures are not taken. We talked to the deputy manager about the need for this as there is an upper temperature limit for safe medication storage to make sure medication remains clinically effective. Care Homes for Older People Page 14 of 28 Evidence: We watched the deputy manager completing a medication round, which she did safely. She told us about her medication training and was able to tell us what she would do if medication is refused. She gave us good examples of why it is important to tell a health care professional quickly if some medication has not been taken. Other staff members who also give out medication, have training given to them by the manager or the deputy manager. They then complete a questionnaire provided by the local pharmacist. While there is nothing to show staff do not have adequate training and knowledge of medication administration, this method of training relies on passing on information rather than staff obtaining it directly from a health care professional. We expect staff to be able to improve these areas in safe medication handling and storage without the need for a requirement, as they affected such a small number of the records we looked at. Care Homes for Older People Page 15 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. Staff members have a good understanding of peoples needs, and care records show how people are supported to live as they would like. Evidence: Staff are responsible for arranging for entertainers to visit, and activities and events in the home. Notices are placed around the home to tell people about planned events. We saw notices for an Easter Bonnet and colouring competition. 6 of the 10 people who returned surveys to us said there are activities that they can take part in, but 3 (one third) said that activities are only sometimes or never available to them. People were able to tell us about things they do during the day, like reading, watching TV or listening to the radio and another person said they like the bingo. However, when the Expert by Experience talked to people about activities, many said there was little to do and they would like more. One person confirmed the bingo does happen but this is only once a month, another person said there used to be a library service but this was stopped as only a few people used it and had difficulty returning the books. Although there is a library room with a bookcase of paperbacks brought in by staff, one person told the Expert by Experience that some people may like to have Care Homes for Older People Page 16 of 28 Evidence: large print books, which are available from the library. Staff members bring in magazines and newspapers are delivered to people who request them each morning. We saw no activities taking place while we were visiting the home and there is little information about trips out. One person told the Expert by Experience, I have not been out the door since last year. There is a religious service every month, offering readings, prayers and communion. People are able to make everyday choices about when to get up and go to bed, what to have to eat, and when and where they can have visitors. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. One person told the Expert by Experience, I choose what time I get up and go to bed, but everyone who spoke with us said they can do what they want, when they want. The home has an open visiting policy and people can have visitors at any time of the day. 2 comments people made to the Expert by Experience were, You can invite any visitors. There is no set time and Visitors are welcome at any time, including children. People living at the home are able to keep in touch with their friends and relatives. One person said, There is a telephone, not a public one, but you just have to ask to use it. The main meal is served at lunchtime and there is a choice of two hot meals every day. We saw lunch being served in dining rooms, where most people choose to eat. Food was served appropriately in a relaxed and unhurried way and drinks were offered throughout the meal. Everyone we spoke to said they like the meals and the food is good. Staff help people if they need this and we saw them being attentive and concentrating on what they were doing without being distracted. We received a lot of comments about the food and meals at the home. Some of these are: The meals always smell good. There is a choice of 2 items at mealtimes, The staff are very obliging. At 8 oclock in the evening, they bring us a drink and biscuits and sandwiches. Some people have had cereal or porridge in the past. I think this is very good, The food is nice, with choice. We are given more than enough, The food is beautiful. I cannot fault it. Another person also told us that, Visitors from a distance are offered a meal. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: 7 of the 10 people returning surveys said they know who to speak to and all of them said they know how to make a complaint if they have to, and that staff listen to what they say and act on it. Everyone we spoke to during the inspection also said they know what to do if theyre not happy about something. They also said they are happy with the service given to them. Visitors at the home also said they would be able to speak with staff, particularly the deputy manager. We were told before the inspection there have been no complaints made to the home in the last 12 months. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. There were records of issues that had arisen and how these had been dealt with by the manager and staff. We looked at new staff records to see whether they have received training in safeguarding (adults protection) since starting at the home. The training has been given. Information provided to the Care Quality Commission before the inspection shows there have been no safeguarding referrals and investigations in the last 12 Care Homes for Older People Page 18 of 28 Evidence: months, although there has been one since this information was provided to us. We talked to the deputy manager, who told us what staff had done and the homes response to the allegation. They acted appropriately in dealing with this. One of the people who spoke to the Expert by Experience said, I do not feel vulnerable here. Care Homes for Older People Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and provides a safe environment, giving people a pleasant place to live. Evidence: The home is a large adapted house situated close to the centre of Eastwood in Nottinghamshire. People living at the home have access to a number of communal areas in each house, including a small garden. One person said, 3 or 4 seats in the garden where we can sit when the weather is good. The general decor is satisfactory, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is clean and tidy and people at the home said the home is clean. However, the deputy manager told us that food products are still being stored in the laundry without a risk assessment to show how the risk of cross infection has been reduced. The practice of storing food in this area must be stopped. The requirement made at the previous inspection has not been met and we will be taking legal advice about this. We will also contact the local environmental health department and advise them of this continued practice. People were very complimentary about the environment in which they live. We received a lot of comments from people during the inspection about the home, some of Care Homes for Older People Page 20 of 28 Evidence: them have been included here. You can put what you like in your room, It is all right here. Pretty good. Very clean, Being here is quite favourable. I have a very nice room, with personal furniture and ornaments in it. Another person told the Expert by Experience about other services that are available at the home, If you put out your washing at night, it is done for the next morning. You have to have your room number on it. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members have the training and skills to be able to care for people properly, although staffing levels make this difficult sometimes. Evidence: We looked at new staff members files to see what training they have been given since starting work at the home. These show they have induction training, which includes mandatory health and safety training. Additional training is sometimes available to staff so that they are able to properly meet peoples needs. We saw training certificates for dementia training and staff confirmed they had received this training. However, the manager said in the AQAA that additional training for staff is an area where the home could do better, and we saw no other records in the files we looked at for other training. We spoke to staff members who told us they have National Vocational Qualifications (NVQ) at level 2 or above. Information provided to us in the AQAA shows the home has completed the Skills for Care national minimum dataset for social care. This gives details of how many staff are working at the home, how many have left and the number with a NVQ. When we contacted Skills for Care, the reference number provided by the manager was not correct and we could not access the information. We know there are staff members with the qualification, but we were not able to confirm Care Homes for Older People Page 22 of 28 Evidence: how many this is. The recommended number is 50 of care staff. All of the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. Two comments from the surveys were, yes when I need summat [sic] and I would look for you and understaffed sometimes but always do their best to try and help us. People we spoke to during the inspection said there is usually enough staff on duty during the day, but that there are sometimes problems. One person said, There are not enough staff. I am able to walk so that leaves the staff to help others who need it. Four staff have left in the last year and not been replaced. We looked at the staff rota for a week in March 2009. This shows there are 3 staff members on duty during the day and in the evening, and occasionally 4 staff members. However, there is little information about night duty and the rota only shows one staff member on duty for 2 out of the 7 nights. We think this is likely to be poor record keeping as one person we spoke to said, The staff come and check that we are all right during the night. But, accurate records of staffing levels must be kept. We spoke to staff members during the inspection and they clearly like working at the home. 3 comments were, I love it here, Were a team and We all work well together. However, they also said there have been staff shortages recently. One staff member has been suspended and is going through the disciplinary process and the manager is on maternity leave. The deputy manager has taken on the managers role until she returns, but is also having to continue her senior carer role. It is apparent that this is difficult at times and 2 visitors we spoke to said that although the deputy is very good, it was difficult for her to do both roles. We looked at recruitment records for three staff members employed since the last inspection and they all contained the appropriate recruitment documents including references, application forms, and PoVA/CRB checks. 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 home is a safe place to live and people are asked their opinion so that things they are not happy with are changed. Evidence: The manager is a nurse and is registered with the Nursing and Midwifery Council. She is registered as manager with the Care Quality Commission and has sixteen years experience in hospital and community settings. She is working towards the Registered Managers Award. At the time of this inspection the manager was on maternity leave and her position was being covered by the deputy manager, who is working towards a National Vocational Qualification at level 4. A quality assurance survey is carried out by the home every 6 months and any issues that are found are fed back to people in residents meetings. People living at the home are asked about new staff members and how they are working. We saw a questionnaire in one staff file about this. We asked the home to complete and return Care Homes for Older People Page 24 of 28 Evidence: an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. The home keeps some money on behalf of people who live there. Accounts are kept of transactions of money put in and taken out. We looked at 3 of these records; all three are clearly written and show how money has been spent. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home; this has been tested within the last 12 months. Fire safety checks are completed and records kept of these, and a record has also been kept of fire drills and when these are carried out. Hot water checks are carried out by the person who carries out maintenance around the home and these are also recorded. 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 12 16 There must be enough 31/07/2009 activities provided to engage people. This is to prevent social isolation and maintain social contact and stimulation. 2 26 13 A risk assessment must be completed or the food must be moved to a safe storage area. This is to make sure that cross contamination of food does not occur due to current storage arrangements. 31/08/2009 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 Care Homes for Older People Page 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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