Inspection on 02/02/10 for Lakeview House

This is the latest available inspection report for this service, carried out on 2nd February 2010.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lakeview House 31/08/06

Lakeview House 20/10/05

Lakeview House 03/05/05

Lakeview House 23/08/04

Lakeview House 19/05/04

Lakeview House 28/01/04

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 17/07/2010.

Key inspection report Care homes for older people Name: Address: Lakeview House 88 Churchill Avenue Northampton NN3 6PG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ansuya Chudasama     Date: 0 2 0 2 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Lakeview House 88 Churchill Avenue Northampton NN3 6PG 01604678810 01604642307 nocontact-AQAAinpost www.northamptonshire.gov.uk Northamptonshire County Council Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Michelle Kathy Mullen Type of registration: Number of places registered: care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: No person falling within the DE(E) category can be admitted where there are already 20 people of DE(E) category already in the Home. No person falling within the OP category can be admitted where there are already 41 people of OP category already in the Home. No person falling within the PD(E) category can be admitted where there are already 3 people of PD(E) category already in the Home. To be able to accommodate one named service user who has needs within the LD(E) category. Total number of service users in the home must not exceed 41 Date of last inspection Care Homes for Older People 1 0 1 0 2 0 0 8 0 0 0 Over 65 20 41 3 Page 4 of 27 Brief description of the care home Lakeview House is a residential care home providing care for up to 41 older people, including 20 people with Dementia and 3 people with physical disabilities. Northamptonshire County Council owns the Home. The Home is situated in a residential suburb of Northampton adjacent to nearby shops and easily accessible by public transport. The Premises consist of a 2-storey building providing lounge/dinning, bathing and toileting facilities and bedroom areas on both floors. The first floor is accessible by a lift. Single bedrooms are provided for everyone who lives there. We are told that the weekly charge for a bed placement at Lakeview House for 200910 is £488 a week. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Care quality Commission (CQC) policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. The report refers to we this is because the report is written on behalf of the Quality Care Commission. We last carried out a key inspection on the 6th of August 2006 and a Random Inspection was undertaken on the 10th of October 2008. The home completed an Annual Quality Assurance Assessment (AQAA) which is a self assessment tool that focuses on how well outcomes are being met for people using the Care Homes for Older People Page 6 of 27 service. It also gives us some numerical information about the service. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them wherever possible to obtain their views on the service. We also spoke to most of the other people who live in the home. Documentation relating to staff recruitment, training, supervision, medication administration, and complaints and health and safety were also examined. We had the opportunity to talk to some of the staff who were on duty and a tour of the home was also conducted. We are told that the weekly charge for a bed placement at Lakeview House for 200910 is £488 a week. All the people are charged the same fees regardless of the complexity of their needs and are financially assessed by Northampton County Council (NCC) as to their ability to contribute towards the cost of the care. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The home has recruited new staff to reduce their reliance on agency staff. The people have individually chosen pictorial name plate on their bedroom doors. They have increased their entertainment programme by having visiting entertainers and more celebration days for example having halloween, bonfire night and valentines Day. Changes have been made to the menus and food options by offering more cooked options at teatime. This was an outcome from a recent food survey that was carried out by the home. The policies and procedures were updated and made available to every one in the home. The Northampton County Council(NCC) medication policy was implemented in line with Care Homes for Older People Page 8 of 27 current regulations. Medication was moved out of locked kitchen cupboards and stored in medication trolleys and cupboards in the medication room. A controlled drugs cupboard was purchased and met the standard. The home has updated the individual information sheet in the medical records. A bereavement pack was produced for families/friends with useful information. Three bedrooms have been redecorated the in the last three months. Major repairs have been undertaken to the roof of Treetops bedrooms. A programme of cleaning florescent lights and replacement of environmentally friendly bulbs has been undertaken in the last two months. A review of all office space has been conducted and offices have been de cluttered and a manual handling room has been made available for storage of hoists and wheelchairs. Manual handling equipment was reviewed and all wheelchairs were serviced and paperwork was updated. Staff have been allocated a new staff room with facilities to meet their needs. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 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 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are assessed to ensure that the service can meet their needs. Evidence: The AQAA says We provide a comprehensive Statement of Purpose and service user guide which is also available in a visual format for those who are hard of hearing or suffer from dementia. Families/friends/advocates are offered the opportunity to visit the home and view current Inspection reports. It was also said that we take into account their needs and views as well as those of concerned professionals, families and advocates, to ensure we are able to meet their needs. The people spoken to all informed us that they had wanted to live at the home. It was said that their relatives and they had chosen the home to live at. One person living in the home told us that I wanted to come here, I picked the place and they were very nice. It was said that now I have to find somewhere to live because the place is Care Homes for Older People Page 11 of 27 Evidence: closing. It was said that there used to be around 5 to 6 people in their unit but now there are only two people and they were very sad. One relative told us that they had several choices of homes to choose from. However it was said that they looked at this home and it was better, good and very welcoming. Another family told us that they visited a few homes and got a great feeling about this place, it was clean and liked it and showed mum the room and she choose the home. Other family members also visited the place and liked the home. We were also told by families that they were given information about the home. The AQAA says that we plan to design a more compact care plan to provide immediate essential information for the immediate emergency admission which can be developed if the placement is more than 48hrs this will run alongside the development of NCC emergency admission policy and procedure. We were told that the home holds reviews with the people to find out if they are happy with the placement. All reviews are recorded and a copy is kept in the peoples files. All the people in the home have contracts and this was confirmed by talking to relatives and the people at the home. Care Homes for Older People Page 12 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. The peoples personal and health care needs are met by the home. Evidence: All the people in the home had care plans. The AQAA says a careplan is started on the day of assessment if the service user is to be admitted to the unit. This needs to be developed over the first few days after admission ensuring that information is accurate and relevant. We inspected two care plans and this contained information on health and personal care, however there was some information in the care plans that had not been updated and completed fully. We had a discussion with the manager after the inspection and we were told that all the care plans had been updated. The peoples representatives are asked to get involved in providing information about their life history so there fore staff have good information about the person to meet Care Homes for Older People Page 13 of 27 Evidence: their needs. The people spoken to tell us that the staff helps them with getting washed and dressed and they shut the door of the bath. It was said I go to bed when I want to go to bed. The people told us that if they did not feel well, they would tell the staff and they would ring the doctor. The manager informed us that they had improved relationships with the local GP surgeries and district nursing agencies, by discussion and the understanding of the professional requirements of all parties, therefore improving the service available to residents.One surgery provides an in house weekly surgery at the home. We are told that the people are able to access free NHS chiropody services and NHS Opticians. The home has sent us regulation 37 notifications when a medication error occurred in the home. We were told by the manager that medication used to be stored in the kitchen cupboards in the units. It was said that because of the noise and being very busy in these areas, mistakes were made by staff. However the manager changed this system to having a secure medication room where medication trolleys are locked to the wall. The home has a locked storage unit for monthly stock and returns. A metal C.D. cupboard for the storage of controlled drugs which meets the Misuse of Drugs act was purchased. We are told that the senior staff team administer medication and this was working well. The AQAA says that We have updated the individual information sheet in the medical records and produced a bereavement pack for families and friends with useful information and words of comfort. For our plans for improvement in the next 12 months is To further develop our practices in palliative care, to include guidance from the Liverpool Care pathway and the DoH End of Life Care Programme Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Meals served are nutritious and plentiful with a menu that changes each week so the people receive a balanced diet with choices. Evidence: The people tell us that they are very happy at the home. One person said that they had a lovely lounge, lovely views, and they can see the birds from where they were sitting. Another person told us that I adore this place, but its got to go so I might as well go. Other comments from the people include as soon as they brough me here, I started to eat and put on weight and got better, but now I have to find some where else to go. All the people told us that they enjoyed the food and it was said that if we do not like what is on the menu we can have some thing else. The manager carried out a food survey and we are told that the people are offered five choices. The staff were observed being kind and talking to the people in a respectful manner. The people also told us that the staff are lovely and helpful. Relatives spoken to also said that the staff are wounderful and they look after them well. The home was having an activity organiser from another home to get more staff Care Homes for Older People Page 15 of 27 Evidence: motivated to undertake more activities with the people. The activities taking place are displayed on the notice boards of the units in the home. A tour of the home showed photographs of the people enjoying activities that had taken place at the home. The home has a small shop that sells toilettries. The people who due to their fraility are not able to access the shops are able to buy gifts, crafts and clothes from people who come to the house to sell these items. The home has a payphone that the people can use. The home has a hairdresser who comes on a weekly basis and the people enjoy having their hair done. They also have a resident cat and a Pat Dogscheme where a dog with their owner visits the home on a fortnighly basis. We are told by the people that they enjoy this and it brings them good memories of their pets. The people tell us that they like their bedrooms and the rooms seen were personalised to each person. We are told that they are provided pictorial name plates to all the bedroom doors to promote individually and independence. The manager and staff told us that they had started to celebrate special days for example, halloween party was held recently and the people and staff dressed up and had a special menu and all enjoyed this. The AQAA says that we have increased the incoming entertainment and trips out to the shops etc and to utilise the enclosed garden areas for coffee sessions in the warmer weather and gardening projects for both flowers and vegetables. To assist in implementing this we are hoping to recruit an activities co-ordinator. Our plans for improvement in the next 12 months the home says We would like to implement residents have individual activity plans which incorporate their hobbies and interests and whether they are a doer or a watcher. The home also plans to have weekly cinema evenings with popcorn and ice cream for the people to enjoy. Care Homes for Older People Page 16 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. Concerns raised are listened to and acted upon by management to ensure the peoples needs are met. Evidence: The home has a complaints policy and information about how to make a complaint to the home is included in the service user guide. The home had received complaints and these were dealth with satisfactory. The people and relatives spoken to said that they know who to speak to if they had any concerns about the care in the home. Some concerns were raised about staffing but it was said that this was now much better now. We had also visited the home due to concerns that were raised to us about the use of temporary staff. The home was told to ensure that when temporary staff were used, they were able to meet the needs and preferences of the people who live at the home. We were told by the manager at this inspection that the home did not use many temporary staff and this was confirmed by talking to the staff and the people. The staff spoken to had done training on safeguarding the people and how to recognise abuse. They also showed that they had very good understanding of the needs of the people to know when they were happy and when they were not feeling well. We were told by the manager that the senior staff team had received training in Deprivation of Care Homes for Older People Page 17 of 27 Evidence: Liberty Act and all staff had awareness training on the Mental Capacity Act. The AQAA says we are planning to make these further changes to promote equality and diversity: We are planning to use the Mental Capacity Act, and the advocacy service to assist residents who lack capacity to make choices about how and where they live. We are looking at the implications of the Deprivation of Liberty Act and how it impacts on the service we provide. Concerns were raised by relatives and the people regarding the closure of the home. Evidence showed that the proper procedures were undertaken by the home by ensuring that the people and their representatives were communicated about the closure. The AQAA says We are assisting families and residents to discuss their views and wishes regarding their concerns over the homes future and sign posting advocacy agencies where appropriate. Care Homes for Older People Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Apart from a few minor issues which arose, the home is well maintained and the necessary equipment and systems are in place to protect the peoples health and safety. Evidence: A Tour of the home showed that the place was clean and homely. The people spoken to told us that they liked their bedrooms and the home. One person told us that they enjoy sitting in the garden in the summer months. Concerns were raised about the noise the call bell system by the people who lived at the home and by their relatives. We also found that the noise was very unplesant. Comments such as the noise of the buzzer in the night is worst because it is very quiet. One person said they had to get used to this when they came and it was not very nice. This was discussed with the manager and it was said that they were dealing with this and they had discussed this with their management. We are told that three bedrooms have been redecorated in the last three months. Major repairs have been undertaken to the roof over Treetops bedrooms. A programme of cleaning florescent lights and replacement of environmentally friendly bulbs has been undertaken in the last two months. Care Homes for Older People Page 19 of 27 Evidence: The offices were de cluttered so the staff were able to find the information easily. A room was made available for the storage of hoists and wheelchairs. The wheelchairs were serviced and all the paperwork was updated. The staff had a new staff room to meet their needs. However there were some areas in the home that were in need of decoration and some furniture was in need of replacement. This was discussed with the manager and it was said that they were sorting this out. The AQAA says that our plan for improvements for the next 12 months is to individualise the clinical toilet areas with borders and pictures. We plan to redecorate and upgrade the hairdressing room, to provide a suitable area for pamper sessions and as a sensory room. We hope to continue to redecorate and upgrade bedrooms and communal areas as finance becomes available within the NCC works plan. The managers office will be located downstairs making her more available to residents, families and visitors. The existing Clerks office will be turned into a training room, with the clerk moving to the old managers office upstairs. Care Homes for Older People Page 20 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. The homes recruitment procedures are robust to ensure the people are kept safe. Evidence: We inspected 4 staff recruitment files, and evidence showed that the relevant information was being obtained before a member of staff started work at the home.The staff were also receiving their induction training. The home provides training for all the staff working at the home. The manager told us that all care staff are expected to achieve NVQ level 2 and 3. Evidence showed that most of the staff had this training. It was said that the staff who did not provide personal care had basic dementia training so they understand the needs of the people in the home. The staff also told us that they received good training from the home. The manager told us that they had a senior member of staff on all shifts and they are trained to undertake this level of responsibility. Staff receive training in all aspects of personal care, dementia care, manual handling, food hygiene and safeguarding of vulnerable adults. The staff spoken to told us that they enjoyed working at the home and with the people. The staff were also sad that the home was closing because they had lots of people in their 90s who had been living at the home for a long time and the staff got Care Homes for Older People Page 21 of 27 Evidence: to know the people well. It was said that they worked well as a team and they recently had a full team meeting. It was said that the home had lots of changes in management and staffing but they were happy that they had a new good permanent manager. We were told that staff were having supervision but this was not happening six times per year. We discussed this with the manager and it was said that this had now started. When we last inspected the service, concerns were expressed about a high level of agency being used in the home and the people were not happy as their needs were not being met. This was discussed with the manager and we were informed that they had reduced the level of agency staff used. This was confirmed by talking to staff and the people. The AQAA says for our plan for improvements in the next 12 months is to recruit an additional member of senior night staff to bring the team up to a full compliment. It also says to continue to access DVD in house training and increase in house training in our planned training facility. It also talks about increasing the onsistency of supervision and appraisals in line with new NCC guidelines and to continue to monitor sickness and absence to reduce relief and agency usage. Care Homes for Older People Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an experienced and committed manager who ensures strong leadership and safe working practices so that the peoples health, welfare and safety are safeguarded. Evidence: The AQAA says that NCC decided to move their Registered Care Managers around their ten homes in October 2009, this was to meet some organisational issues and to spread the varying skills around the units. Lakeview House had undergone a period of disruption in its senior team and management previously and a new senior team and a manager where installed in the unit in mid October 2009. The homes manager is an experienced registered manager and she has worked with this client group for over 20yrs. She holds the Registered Managers Award and has NVQ Level 4 in care. She was also the winner of the regional East Midlands Care Award for a Registered Care Home she managed in 2009. She was also a member of the steering group, which set up the Daventry and South Northants Alzheimers Care Homes for Older People Page 23 of 27 Evidence: Society group. The staff spoken to stated that the manager was good and listens to them and works very hard. She had also made good changes in the home to meet the peoples needs. The relatives spoken to said that every one was really nice and it was a happy enviroment and their relative loved it here. In July 2009 the Northamptonshire County Council completed its period of consultation on Transforming accommodationbased care for older people in Northamptonshire. The outcome of this consultation in November 2009 was that Lakeview House was one of the homes earmarked for closure with an approximate closure date of March 2011. From the 4th of January 2010, permanent admissions to Lakeview home were stopped. At present the home only admits respite and emergency admissions. The Manager is fully aware of the NCCs medium and long term plans and its implecations for the unit and staff, and remains updated through attendance at meetings and in supervision with her service manager. She is also aware of the changes that need doing in the home to meet the peoples needs. The manager receives supervision on a monthly basis from her manager to monitor her practice. It was said that support from her management was very good. All required testing of systems and equipment was being carried out and the home had good policies and procedures in place in relation to safe working practices. All necessary risk assessments had been undertaken and staff were able to describe the action they would take in the event of a fire. . The home had not carried out the peoples surveys to find out how the home was meeting their needs. However we were informed after the inspection that the manager had undertaken the peoples survey and they were waiting for the completed surveys to come back to the home. We are told that the home receives statements during service user reviews and regulation 26 visits, that indicate that our residents feel well cared for and that their needs are met. Relatives spoken to told us that they give money to the home so their relative can purchase small items. It was said that they get receits from the home to say how the money is spent. We were told by the manager that the peoples money kept in the home is audited by NCC. Care Homes for Older People Page 24 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 25 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!