Inspection on 14/01/10 for Holmleigh

This is the latest available inspection report for this service, carried out on 14th January 2010.

CQC found this care home to be providing an Excellent 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

Holmleigh 03/01/06

Holmleigh 27/07/05

Holmleigh 22/02/05

Holmleigh 02/09/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 25/04/2010.

Key inspection report Care homes for older people Name: Address: Holmleigh Lincoln Road Navenby Lincolnshire LN5 0LA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Tobias Payne     Date: 1 4 0 1 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 27 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 27 Information about the care home Name of care home: Address: Holmleigh Lincoln Road Navenby Lincolnshire LN5 0LA 01522810298 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: manager@hchl.eclipse.co.uk Lincolnshire Property Investment Fund Limited care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home only- Code OP to people of the following gender: either, whose primary needs on admission to the home are within the following categories: Older persons, not falling within any other category- Code OP The maximum number of people who can be accommodated is 44. Date of last inspection Brief description of the care home Holmleigh Care Home provides personal care for up to 44 people of both sexes aged over 65 years. Most of the accommodation is in single rooms, all with en-suite facilities. The home is a former private house, which has been adapted and comprehensively extended. Thirty seven of the bedrooms are on the ground floor, all with patio doors leading into the garden; five single rooms and one double room are on the first floor of the older part of the house. In August 2009 they had a new 11 bed ground floor extension built which provided en-suite single bedrooms with a wet room, Care Homes for Older People Page 4 of 27 Over 65 44 0 0 0 Brief description of the care home bathroom and an addtional lounge/dining room. A passenger lift provides access rooms on the first floor. Other facilities in the home include a hairdressing room and a small library. There are three lounges and a dining room, all on ground floor. There is ample car parking for visitors to the side and rear of the home. The patio areas and landscaped gardens are attractive, colourful and easily accessible. The homes philosophy is that people are given dignity, respect and choice to be as independent as possible. The village of Navenby has a range of amenities including shops, a public house, church, chapel and a coffee shop. The home is also on a regular bus route to Lincoln. Information about the home including the statement of purpose and service users guide is available from the manager of the home. This information can also be made available in large print and in other languages on request to the manager. The fees on the day of our inspection visit ranged from £367 to £525 each week. Extra charges included hairdressing £9 to £25, chiropody £9, beautician £6 to £25 and personal newspapers and magazines. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The previous key inspection was on the 25/1/2007. At this inspection we reviewed all the information we had about the home and made an unannounced inspection visit to the home which lasted for 6 hours. The manager was present throughout the inspection visit and was given feedback at the end of the inspection. The main method of inspection used was called case tracking which involved selecting 2 people and tracking the care they receive through the checking of their records, discussion with them, the staff and observation of how the staff and people living in the home related to one another and the care practises in the home. We looked at a sample of care records, and policies and procedures as well as staff records and walked around the home to see the quality of accommodation and visited Care Homes for Older People Page 6 of 27 some of the bedrooms with the permission of the people living in the home. We spoke with 12 people living in the home, 5 visitors as well as 4 members of staff. An (AQAA) Annual Quality Assurance Assessment was completed by the manager and sent to us before our inspection. This is a self assessment document completed by the manager of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. We sent out surveys to obtain the views from the people living in the home and staff before we made a visit to the home. However at the time of producing this report we have received no responses. As a result of this inspection there was nothing to show that the needs of the people could not be met. Where the use of we or us has been used throughout this report it refers to the Care Quality Commission. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good up to date and clear information is provided to people to enable them make an informed choice of where to live. They are assessed before they come to the home which ensures that individual needs can be met within the home. Evidence: At the entrance to the home was information about the home, other important leaflets, a service users guide and a statement of purpose which had a copy of our last inspection report. All information in these documents was clear and detailed and up to date. Each person received a copy of this in their room which also had other useful information about the home. The manager told us that where a referral was made she would arrange to visit each person and make a thorough assessment of their needs involving the person and any other person involved in their care and support. Once a person agreed to stay, written confirmation was sent to them to confirm that based on the assessment the home could meet their needs. Through case tracking we looked at records for 2 people who had recently been admitted to the Care Homes for Older People Page 10 of 27 Evidence: home. We could see that a detailed pre admission assessment had taken place and that the person had received a letter confirming the home could meet their needs. We also spoke to the 2 people who confirmed this and told us when I came here I received a very warm welcome and received a thorough assessment before I came here and they answered all my questions and it is fantastic here. We also spoke to the family of a person who had been admitted as a result a family crisis. They had fulsome praise for the manager and told us, The manager has been simply brilliant. She spent so much time assessing her needs to ensure that it went well. I was full of anxiety and I have so have been impressed and relieved by their help. I am so grateful. The service does not offer intermediate care. Care Homes for Older People Page 11 of 27 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. Each person had a detailed care plan giving details about their care and support which staff followed. This ensured their needs were met. Medication was safely given by staff who knew what they were doing. Evidence: We saw care records were very detailed giving details about the care and support provided to the people living in the home. Each included a photograph of the person, details of their assessment at the time the person moved into the home, care plan, moving and handling and risk assessment. In addition, there was information about the person including their life history, communication needs, personal hygiene, nutritional assessment using a nationally recognised tool, daily and evaluation reports. The amount of information had clear instructions about how staff could meet the needs of the person. The care plan outlined each persons needs and risks and what interventions or actions were required to enable the persons needs to be met. Each entry was dated with a signature of both the key worker and where ever possible the person receiving the care and support or their advocate. As part of the quality assurance procedures the manager carried out regular audits of the care records 4 Care Homes for Older People Page 12 of 27 Evidence: times a year and monitors them every month. Evaluations and reviews were clear and entries were signed and dated. We spoke with a visiting dentist who was very positive about the home and comments included, We only provide a service for quality services and whenever we come here staff know who we are, what we are here for and know about the needs of each person. We are very satisfied with the professional response from the manager. People we spoke with were very positive about the way staff attended to their needs. Comments included, They are simply brilliant, kind and understanding, I cannot fault the staff, I always find them kind and considerate and they are always very polite and respectful. Throughout our visit we saw staff being polite and courteous and helped people in a calm, kind, sensitive and unhurried manner. Throughout our visit we heard staff greeting visitors and laughing and talking with the people living in the home. Where required, people living in the home were referred to their local doctors, Community Nurse, Tissue Viability Nurse, Continence Nurse, Speech and Language Therapists, Physiotherapist, Opticians, Dentist, Chiropodist and other specialists. The manager told us that senior care staff gave out medication. There was a policy and procedure for this and following training the manager assessed each person before they were considered safe to administer medication. Records we saw were clear and well maintained with a good audit trail. The manager told us that the people were encouraged by the staff team to self medicate and on the day of our inspection visit one person took responsibility for this. Other people needed a degree of assistance in order to ensure they took their medication safely. They received regular pharmacy inspections the last being on the 30/11/2009 with no concerns. Regular audits were also carried out by the manager and the last one was on the 30/12/2009. Care Homes for Older People Page 13 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able and supported to make their own choices about how they want to live their lives, and what they want to do. Social activities are varied and provide stimulation and interest for people living in the home. People enjoy varied and nutritious meals. Evidence: On admission to the home details were obtained about each persons interests and life history and this information was contained in their care records. Each new person was seen by one of the 2 activities co coordinators and information was obtained about their likes and dislikes, interests and a this is your life (information about the persons life) was completed by them, a relative or with the member of staff. There was a written activities programme available and displayed on a notice board near the the dining room. The manager told us that activities are reviewed taking into account the views of the people living in the home. One of the activities co coordinators told us that activities were provide Monday to Friday from 9.30 am to 4.30 pm. They also met each person to find out what they like to do and arranged activities to suit their needs. Such discussions have resulted in a book of poems Little Book of Odes being produced and the person was keen to explore other opportunities for the people to get involved in activities. Activities for the week of our inspection visit included Bingo, Care Homes for Older People Page 14 of 27 Evidence: games including dominoes, floor games and a weekly shopping trolley. In addition they arranged for an outside entertainer to visit once or twice a month as well as a beautician 4 times a month. They have a hairdressing room and on the day of our visit a hairdresser was visiting. In addition there is a newsletter every 2 months. Comments from the people included, there are enough activities going on which I like and I like to keep myself to myself which suits me and the staff understand my wishes. People were also were encouraged to attend village activities and Womens Institute meetings and maintain their interests and hobbies. Information about each persons food preferences was passed on to the catering staff having been obtained during the admission process. The people living in the home were offered 3 main meals a day plus snacks. North Kesteven District Council awarded the home 5 stars (excellent) on the 30/11/2008 following an inspection, in recognition of the catering service provided. We looked at the records for food temperatures, menus and cleaning rotas and found them well maintained and up to date. Meals were served in the dining room or in their bedrooms on a trays. We saw staff were assisting those people who needed assistance in a dignified, unhurried, calm and sensitive manner. All the people we spoke with were complimentary about the food. Comments included, the food suits my needs, there is plenty of variety, it is always well presented and well served and I am very satisfied. Care Homes for Older People Page 15 of 27 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 are protected from abuse by robust and safe recruitment procedures. Visitors are made to feel welcome and involved. Evidence: Each person received a copy of the complaints procedure in the service users guide and this was also in the statement of purpose and displayed at the entrance to the home. During our visit none of the people living in the home, visitors or the staff had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a person living in the home. Information provided for us by the manager before this visit also confirmed that there were policies and procedures in place to follow in order to safeguard the people living in the home. This also showed that they had received no complaints over the last year. The service had an up to date copy of Lincolnshire County Councils Adult Protection Policy and all staff received regular training. We spoke with 4 staff who confirmed they had received this training, knew what abuse was and showed knowledge about their role and what they would do if abuse was suspected. We have received over the last year no complaints or safeguarding adults issues. All staff were correctly recruited including a check by the Criminal Records Bureau (CRB) and during their supported induction each member of staff received information Care Homes for Older People Page 16 of 27 Evidence: about abuse. We saw they were keeping clear records with receipts and signatures where the people living in the home had asked the home to look after their personal money. We spoke with 5 visitors during our visit. Comments were very positive and included, I can visit whenever I wish to do so and everyone is very kind, welcoming whenever I visit. I always receive a warm and friendly welcome, staff keep me informed of any changes and I have confidence in the staff and find the manager brilliant in all she does. Care Homes for Older People Page 17 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in clean, comfortable, safe and well maintained accommodation. The infection control policy is followed and a safe environment is maintained. Evidence: The home was well maintained and decorated throughout. There was a new 11 bed extension with lounge and dining area, bathroom and wet room. There were three lounge areas and other seating areas where people could sit and well maintained accessible garden areas. Many of the rooms overlooked the garden areas. Rooms were very individual with items of furniture, pictures, televisions and personal mementos. All bedrooms were en-suite. During our visit we walked around the home and found all areas of the home were clean, tidy and odour free. We saw throughout our visit housekeeping staff cleaning all areas of the home thoroughly and showing pride in their work. People we spoke with told us they were very satisfied with the decoration and cleanliness of the home. They also spoke of how they liked their bedrooms. They told us they were encouraged to bring into the home small items of furniture, television, pictures and personal items. People told us, I like my room, where ever we go or whenever we visit there are no odours and the home is very clean and well maintained, they look after my clothes very well and my room suits my needs and everything is so clean and looked after. We saw people sitting in the lounges had their belongings with them at side tables as well as in their bedrooms. Some of the people were in their bedrooms reading, watching television or talking to one another. Care Homes for Older People Page 18 of 27 Evidence: The manager told us that on account of the increased number of beds the laundry will be extended during the year. The staffing hours however had been increased to meet the extra demand. The gardens were colourful, stimulating and well maintained. All footpaths were clear from hazards and garden seating was available for the people to use so they could sit outside in warmer weather. Communal areas were spacious with sufficient space for those people who use wheelchairs to move around freely. Care Homes for Older People Page 19 of 27 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. There is a safely recruited, well-trained, supported staff team available who have the skills to meet the varying needs of the people living in the home. Evidence: People we spoke with did not express any worries about the level or availability of staff. During our inspection visit we saw staff attended to the needs of the people promptly and in a calm and friendly manner. Throughout our visit people we spoke with felt the home was adequately staffed with staff who were experienced and competent to care for the people living in the home. All the comments were very positive. The home had senior care staff, care assistants, activities coordinators, housekeeping, administration, catering, gardening and maintenance staff. The people we spoke with told us the staff are brilliant and so kind and considerate, they go about their work in a calm and efficient manner, they always have time for chat and although mother is in bed whenever they pass her door they speak to her and I am very satisfied with their approach. The manager told us she monitored the dependency and varying needs of the people. We examined the files for 2 new members of staff. Records were clear, detailed and showed that staff were safely recruited in accordance with the regulations. This Care Homes for Older People Page 20 of 27 Evidence: included a check by the Criminal Records Bureau (CRB). When new staff started work at the home they received a supported nationally recognised induction programme during which time they learnt about the policies and procedures of the home and how to provide the necessary care and support to the people living in the home. There continued to be a wide range of training provided. Staff are encouraged and supported to obtain training in care to National Vocational Qualification standards. The manager told us that 79 of staff had an NVQ level 2. In addition staff are encouraged to train for NVQ level 3 to further develop their skills. Training over the last year had included fire prevention, first aid, food hygiene, infection control, safeguarding adults, moving and handling, Mental Capacity Act 2005, dementia awareness and managing challenging behaviour, health and safety and continence. We spoke with 4 members of staff who told us, when I first came here I had a very comprehensive interview and everyone was so welcoming, I enjoy what I do, I love working here, the care is brilliant, it is a happy home to work in and because of this we all work together and It is the best home I have worked in and hope to start my NVQ level 3 in the future. Care Homes for Older People Page 21 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people and staff benefit from the positive leadership of the management team. Evidence: The manager is a registered nurse with many years of experience in managing the home and care of older people. She also had a management qualification. People living in the home, visitors and staff we spoke with told us they had a good relationship with the management team and felt they were open and supportive. People and visitors we spoke with echoed these views. Comments from people living in the home included, I cant fault them, If I have any worries or concerns I can talk to the staff and manager, I love living here and Hazel is brilliant in all she does. Staff comments included, I receive regular support and supervision, the manager is very kind and supportive, Hazel is brilliant and supportive and It is a great place to work. There was a comprehensive established quality assurance procedure. This consisted of internal audits by the manager of specific issues throughout the year. The audits Care Homes for Older People Page 22 of 27 Evidence: covered medication, fire, finance, infection control, hoists, care plans, kitchen and bedrooms. Each audit had a report produced with action plans where improvements have been required to be carried out. There was an annual survey to obtain the views of the people living in the home. The manager told us that the survey had just been sent out and no responses had been received at the time of our inspection visit. The manager told us and we later had this confirmed in a phone conversation that the responsible individual over the last 6 months had not been able to make unannounced monthly monitoring visits to the home and produce reports as a result of these visits. He agreed to arrange for these to be done as soon as possible. The manager also told us staff received supervision every 2 months and staff we spoke to confirmed this was taking place. There were a range of policies and procedures which were regularly reviewed and updated. Information was in place, which was easily available for staff to refer to covering aspects such as personal care, health and safety matters and staff codes of conduct. Records were in place to show that risks have been assessed relating both to individuals and the environment in order that action can be taken to minimise them. There were comprehensive health and safety policies which staff followed having received training. There were also detailed and up to date risk assessments and a fire risk assessment. There were regular tests of the fire system as well as regular fire drills and monthly monitoring of hot water temperatures. There were also infection control policies. Records we looked at showed that equipment was regularly checked and serviced and there were systems to monitor any maintenance issues. Care Homes for Older People Page 23 of 27 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 24 of 27 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 33 26 The registered person must 14/03/2010 ensure that they carry out monthly unannounced visits to the home. As a result of these visits they must also produce a written report. These reports must show that they have interviewed with their consent such service users and their representatives and people working in the home as appears necessary in order to form an opinion of the standard of care provided at the home. In addition they should inspect the premises, examine its record of events and records of complaints received. Reports must be available to be examined by CQC during visits to the home. Care Homes for Older People Page 25 of 27 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 This will ensure that there are robust and effective quality assurance monitoring systems in the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!