Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Inglewood Residential Care Home 139 Dalston Road Carlisle Cumbria CA2 5PG The quality rating for this care home is:
three star excellent 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: Nancy Saich
Date: 0 4 0 8 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: Inglewood Residential Care Home 139 Dalston Road Carlisle Cumbria CA2 5PG 01228526776 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) : Mrs Sylvia June Clark care home 26 Number of places (if applicable): Under 65 Over 65 26 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 26. Date of last inspection Brief description of the care home Inglewood is a care home providing residential care for up to 25 older adults. The home is an older property, which has been adapted for its present use. It is situated approximately one mile from the city centre. The accommodation is provided on two floors, and there is a passenger lift and stair lift. There is one double bedroom; the remaining rooms are for single occupancy. A large number of the bedrooms have ensuite toilet facilities. There are bathrooms and a new shower room, which are equipped to assist people with a disability. There are two communal lounges and a dining room. There is a designated area for people who wish to smoke. The home has a pleasant garden to the front of the home with seating and there is a small car park. The manager has produced information booklets about the services the home can Care Homes for Older People
Page 4 of 28 Brief description of the care home provide and a copy of the latest inspection report is available at the home. Both these documents are available from the manager on request. The scales of charges are from £386 to £410 per week. 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: 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: This was the main or key inspection for the year. The lead inspector, Nancy saich, sent the manager a document called the Annual Quality Assurance Assessment (the AQAA) some weeks prior to the visit. It is a legal requirement for registered persons to complete this annually. We ask for updates to how the home operates and for statistics about care and staffing. We also ask for information about future planning. We received the AQAA within timescale and it was very detailed and comprehensive. We then sent out postal surveys to the residents representative who distributed them to residents and relatives. We also received some surveys from visiting professionals. In the main the responses were very positive and we quote from them in the report. Care Homes for Older People
Page 6 of 28 We then made an unannounced visit that started before 9 a.m. and lasted until mid afternoon. We spoke to all the residents, observed their day and read files and documents that backed up what was said and what was seen. We also observed staff during their working day, read staff files and spent some time talking to them. What the care home does well: This service makes sure people have enough information before they come into the home so that they can make the right decision about their future needs. The manager makes sure that everyone has a detailed, written plan of care that helps staff give people what they need and want in life. Care plans are kept up to date and give us (staff) all information needed to care for the residents, medication records are easy to follow and are always in order. The service my relative receives is excellent. They cater for all his needs whatever they may be. I have a care plan - I was asked about my needs and preferences and they have written instructions for all the staff to help me. Health care matters are dealt with correctly and people told us they were supported to be as well as possible. A relative told us: They are quick to respond to individual medical needs and very good at keeping me informed when problems arise. Medication held on behalf of people was managed correctly and staff receive good levels of training. We saw a staff team who treat people respectfully and are careful to give everyone dignity and privacy. The staff here are very good, kind and thoughtful. I have no complaints. The service is able to support people in the last stages of life so that they get the right levels of physical and psychological care. People in this home are actively encouraged to be part of the decision making process and their opinions are sought and taken into consideration. People told us they were very happy with the meals and snacks provided. Good food, plenty of choice. We shared a pleasant meal with people and they told us that they enjoyed both the food and the company in the dining room. Visitors are made to feel welcome and next of kin kept informed. When I went abroad I e-mailed the home and they printed it off for my relative and read her the message. Its little things like that that reassures me she is well looked after. The manager encourages people to speak up if there is anything they dont like or want happening in the home. We saw evidence to show that day to day matters are dealt Care Homes for Older People Page 8 of 28 with appropriately. There have been no formal complaints in the home. People felt confident that any concerns would be dealt with promptly. There had been one matter of safeguarding in the service and the manager had informed Social Services and then dealt with the issue appropriately. Staff knew how to protect people and the residents we spoke to said there was nothing untoward happening in the home. The house was clean, orderly and well decorated and furnished when we visited. People told us they were happy with the way staff cared for their environment and their possessions. The home is clean, comfortable and caring. There are good systems in place to prevent cross infection and people were happy with the way their clothing and bed linens were cared for. The home has sufficient staff who are well trained and experienced. People were happy with the way the staff team cared for them. Everyone is very kind and caring, nothing is a trouble to them. Most staff have qualifications in care and there is an ongoing training programme. Staff also told us that the manager worked along side them and that they had opportunities to talk about their work and improve their practice. Staff are friendly and communicate well with residents and visitors. They show both care and interest in their work. The manager of the home is suitably qualified and experienced. Staff and residents held her in respect and trusted her. There are good systems in place to make sure that the quality of care and services are kept as high as possible. There are regular checks on the delivery of care and of the systems that keep the house safe and well maintained. People are encouraged to look after their own money and any cash held on their behalf is properly accounted for. There are good systems in place to ensure that health and safety is in order. We saw that risk assessments and management plans are in place; that staff are trained in manual handling, food and fire safety and in managing medicines. Environmental health had rated their food safety systems as Very Good and the fire log book showed frequent updates for staff. What has improved since the last inspection? Since our last visit the manager has started to produce a newsletter for the home that keeps everyone up to date with any news or developments. Care Homes for Older People Page 9 of 28 Care plans have become more detailed and there is now a separate plan for care at night. The manager has started to use a new style of person centred approach that makes plans much more about the wishes of individuals. There is a new activities organiser who is helping people make choices about activities and entertainments. People told us they get out more and have more in-house activities like quizzes, games, gardening and craft work. Various parts of the home have been decorated and carpets, curtains and furniture replaced. The main kitchen has been upgraded. One of the lounges is now set out as a quiet area, visitors room and bar where people can entertain relatives and friends. The upstairs sluice is being improved so that infection control is maintained. The manager continues to make improvements to all the systems that help the home operate smoothly. 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 10 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 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home gives people suitable information and also makes sure they can give new people the appropriate levels of care and services and that they will fit into the existing group. Evidence: We had evidence to show that this home provides up to date information for people who are considering making Inglewood their home. They also provide information for people who buy care on peoples behalf. Information is in a written format but there is also a CD Rom available. The manager told us she produces a regular newsletter and is planning to set up a website. We read a number of files in the home that showed that a very full assessment is undertaken by the manager of the service. We met some people who had only been in the home for a short time. They confirmed that they had been visited by the manager
Care Homes for Older People Page 12 of 28 Evidence: and encouraged to look around the home before they made their decision. We looked at one file where we saw evidence that the manager had made lots of arrangements for support and training before admitting someone who needed a specific type of care. Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in this service receive dignified and personalised health and personal care from a respectful team of staff. Evidence: We spent some time observing the life of the home. We saw people who had lots of different strengths and needs. We met most of them and had discussions with a number of people. We then read some of the written plans of care. These care plans were up to date and very detailed. The picture they painted reflected the needs of individuals we had spoken to or observed. People told us they had been consulted on these plans. We thought that the plans exceeded the standards for a number of reasons. There was a great deal of detail so that people could have the kind of care they wanted without telling staff every time. They included nutritional plans, manual handling plans and guidance for staff on things like psychological and social needs. This home also has night time care plans and these gave very personalised plans for each individual that covered risks, sleep patterns and personal care preferences. Individual files also had life stories so staff understood the whole person. Some plans
Care Homes for Older People Page 14 of 28 Evidence: reflected hopes and aspirations and gave staff guidelines about helping with these. We found that the manager had started to do some new work on a person centred planning system and we look forward to seeing how this develops. We also looked at health care matters in the files. We found that people saw their GP whenever they wanted or needed them. People get support to see consultants and people like chiropodists and opticians. We saw instructions from speech therapists and other specialists. People in the home looked well and said they were well cared for and that any health problems were dealt with quickly. We met a health professional on the day and she was happy with the way the staff team used her services. She said staff always follow the treatment plans. Relatives and residents told us in surveys that they judged that health and personal care standards were extremely high. We checked on the medicines kept in the home. These were being ordered, administered and disposed of correctly. We saw residents being persuaded to take medication and informed about why these were important. Staff are trained on the system used and have completed full training on safe handling of medicines. No one takes all of their own medicines but a number of people have their own inhalers and creams. Every person is informed about their medicines and good medicine management plans were in place. Our surveys and discussions with residents gave us very complimentary evidence about staff attitude and approach. People used words like kind, caring, decent and polite. We observed staff working with residents and we saw a very patient team of staff who treated people in a friendly yet respectful way. People told us that all the staff, both day and night, were just as careful to be respectful. We saw some interactions where staff were very discreet and when we later spoke to the person involved she said that she appreciated the way they helped her retain her dignity at all times. Staff files showed that staff are trained and supervised in their practice and that the manager expects her staff to share the common values of dignity, privacy and respect. We also checked on the care of a person at the end of life and we found that good guidelines were being followed, that the District Nursing service were in attendance and that a full case review had been held so that the home could ensure they were doing all they could. We saw on the day that this person was receiving very good levels of care. 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. This home has improved opportunities for activities and people told us they were keen to participate and satisfied with what was on offer. Evidence: We asked people in the home about their lifestyle. They told us that they got up and went to bed as they wished; could spend time alone or in the company of others. They told us they were asked about their previous lifestyle and current preferences. When the inspection started some people were up and about but others preferred a more leisurely start to the day. Most people came to the dining room for lunch as this was also a good chance to socialise. On the day of the visit one person went out, some people spent long periods in their room watching TV or reading. One or two people used the conservatory to read the paper or just spend quiet time looking out at the garden. Some people preferred to sit in the main lounge and converse, follow their hobbies or listen to music. Our surveys told us that people wanted to have more activities and on the day we saw a group of people who were keen to take part in the organised activities. The home
Care Homes for Older People Page 16 of 28 Evidence: has a new activities co-ordinator who is very enthusiastic and people told us that opportunities for activities and outings had improved tremendously. She spent time with a group of people but later in the visit she was doing some work with individuals who dont like to join in group activities. We were told about trips out, quizzes and bingo in the home and about entertainers who visited. The garden has a small vegetable patch and residents were involved in this. People also have the support to continue with former friendships and activities. People told us they were satisfied and were looking forward to doing more activities. We met a number of visitors on the day and received comments from them in surveys. They told us they were always made very welcome and kept up to date with their relatives progress and with events in the house. Local groups from the community visit and there are regular visits from local churches. People told us that their opinions and preferences were sought on a daily basis and that the manager had both formal and informal meetings with them. We also learnt that when people found this difficult relatives and friends were asked their opinions. We saw examples of people leading different kinds of lifestyles and having lots of options and choices offered to them. Staff were very good at asking people what they wanted and then carrying this out with them. People told us that staff wanted to give them as happy a life as possible. We shared a well cooked and nicely presented lunch with residents and they told us they were satisfied with the food provided. They said they had plenty of choice and the opportunity to have snacks and drinks at any time. We checked the kitchen and found it to be clean and well stocked with a good range of food. 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 in this home are listened to and protected from harm by a team who understand their responsibilities towards vulnerable people Evidence: The manager told us that she had received no major complaints about her service. We have received no complaints about the care or services provided. People told us they knew how to complain and would have no hesitation in talking to the manager or senior carers. Copies of their complaints procedure were available in the home. The manager keeps a record of minor issues and the action taken. We looked at this and asked residents and relatives about day to day complaints. They were happy that things were dealt with straight away. We had been informed by the manager of one matter of Adult Protection. She had referred this to Social Services straight away and she then took suitable action after they had looked at the issue. We saw that staff had received recent training from an outside provider and that people spoke about this in supervision. We asked staff about what they thought was abusive and how they would deal with it. They had a good understanding of their responsibilities. We also asked residents, relatives and other visitors and everyone said there was nothing untoward happening in the home. Residents said they could talk to staff about anything worrying them about their care or about the treatment of people who, due to frailty, could not speak
Care Homes for Older People Page 18 of 28 Evidence: up for themselves. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This house is kept clean and fresh and people feel relaxed and at home in the building Evidence: This home is situated in a residential area of Carlisle and is near to all the amenities of this border city. The home is near to a bus stop and there is a visitors car park to the front of the property. The entry to the home is ramped and there are suitable adaptations in place for people with restricted mobility. The home has a good sized garden with walkways and seating areas. A number of people told us they used the garden a lot. There is a small vegetable plot that is tended by residents. We arrived just before nine in the morning and we walked around the building with the manager. Even at this time of the day everything was clean and tidy. We saw evidence to show that decorating is ongoing and that the manager has replaced and repaired furniture, floor coverings and furniture. People who live in the home make good use of their bedrooms. A number of people spend most of their time in their own rooms, watching TV or following their own interests. They are encouraged to personalise their rooms and most rooms have a toilet and wash hand basin ensuite. Care Homes for Older People Page 20 of 28 Evidence: There are a number of areas where people can spend time together. There is a dining room and two lounges, a large conservatory and a small smoking area. The manager has also arranged one room as a visitors room/ bar area. There is no TV in this room but residents can take visitors there and make hot drinks or have a small alcoholic drink. There were biscuits and snacks available and one or two visitors said they used this for some private time with relatives. The staff use the dining room for activities but also sometimes use this quiet area to spend private time with individuals. One person said he enjoyed using the conservatory as it had good light to read by and he could see out over the garden. The home has a radio controlled call bell system which works well. We had a discussion with the manager about her plans to include some extra security features in the home that could be part of this system. She agreed to keep us informed of the progress of this. The manager was in the process of upgrading the sluice area upstairs. This is the second time this has been done and she hopes to improve this facility. The laundry was tidy and well organised. The home has good supplies of hand gels, soaps and protective clothing. Staff are trained in infection control and we had evidence to show that cross infection is kept to a minimum. People told us that they judged the home to be clean and tidy. Only one person commented adversely on decor and cleanliness in surveys. On the day of the visit the home was clean, odour free and tidy. Residents were happy with the way bed linens were kept and were satisfied with the way staff did their laundry. On the day household linens were fresh and clean and people wore clean, well pressed clothing. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home has suitably trained and experience staff in sufficient numbers to give people high standards of care and services. Evidence: We looked at the staff roster for the four weeks prior to our visit. We could see that the home has three staff on to deliver care by day and two at night. The manager is in the home most days and there are housekeeping staff and an activities co-ordinator. We learned that there had been some staff shortages but new people have joined the established team. We spoke to staff and residents who told us most people had worked in the home for some time and the team is well established and experienced. The rosters show who is trained in first aid and in managing medications. We could see a good mix of experienced and trained staff and newer team members on each shift. Around 70 of current staff have National Vocational qualifications at level 2 or 3. New staff told us they have been registered for the award. Two senior carers are working on the level 4 award for people who manage residential homes. We checked on a number of staff files, both new staff and experienced team members. We could see that all of them had been trained in all the core skills needed in the work and that they had also received updates to changes in legislation. The manager gave
Care Homes for Older People Page 22 of 28 Evidence: us a copy of her training plan for the coming year. This is delivered by an outside trainer and staff said they enjoyed these sessions. Staff also access other outside training events and update their knowledge and skills by being observed, talking to their manager and by group learning. We looked at the files of two recent recruits. The recruitment had been done fairly and all the checks on background, aptitude and character had been completed before they started the induction. Only then did new staff have direct contact with vulnerable people. One of these new staff confirmed this and said how much she had enjoyed the training she had been given. She had already completed a lot of training despite only being quite new to the home. All staff have new personal development folders that include training, supervision notes and records of appraisal. There are individual development plans in place showing that each member of staff is given good opportunities to improve their skills and knowledge. 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. This is a well managed home with a lot of ongoing improvement to systems that allows people to live comfortable and safe lives. Evidence: The manager of this home has been in the role for a number of years and she is suitably trained and experienced. People who live in the home and the staff team were happy with the management of the home and they felt that they were involved in planning for the future. We could see that the manager knew the residents very well and that she was fully aware of what was happening in the home. Staff told us she was in the house most days and was very much a hands on manager. She has developed a number of systems over the years that allows her and her staff team to check on the quality of care and services provided. There are regular checks on housekeeping, maintenance and the provision of care. There are meetings with residents and relatives and checks on each individuals care. There was evidence on
Care Homes for Older People Page 24 of 28 Evidence: the day to show that when people asked for improvement this was, where possible, carried out. We judged that the manager is monitoring quality and working on improvements all the time. We looked at how the home helped people manage their own money and this was being dealt with correctly. We looked at a number of health and safety files and we also made observations around the various parts of the home. We saw people being helped to move and this was done correctly. There are risk assessments in place for all aspects of care and services. Systems in the home are working well with equipment being maintained and repaired properly. Food safety measures were in place and a recent Environmental Health inspection had rated them as a 4* Very Good service for food safety. Fire safety is being done correctly with all staff having instruction and drills every three months. This is more frequent than we expect. Generally we judged that the home was being managed well and were told of a number of ways the manager planned to continue to improve things in the home. 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 22 It is recommended that external doors are suitably alarmed to alert staff of people entering or leaving the building. 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. 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!
