Inspection on 22/10/08 for Berengrove Park Nursing Home

This inspection was carried out on 22nd October 2008.

CSCI 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

Berengrove Park Nursing Home 11/12/06

Berengrove Park Nursing Home 16/02/06

Berengrove Park Nursing Home 24/06/05

Berengrove Park Nursing Home 31/01/05

Berengrove Park Nursing Home 24/09/04

Berengrove Park Nursing Home 22/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Berengrove Park Nursing Home 43 - 45 Park Avenue Gillingham Kent ME7 4AH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Elizabeth Baker     Date: 2 2 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Berengrove Park Nursing Home 43 - 45 Park Avenue Gillingham Kent ME7 4AH 01634850411 01634324436 berengrove@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Carole Frances Godden Type of registration: Number of places registered: Berengrove Limited care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service users to be aged 60 years or over. Date of last inspection Brief description of the care home Berengrove Park Nursing Home provides care for 36 Older People with nursing needs, including 12 beds designated for dementia care. There are eight double bedrooms and 20 single bedrooms. Two double and eight single rooms have en suite toilet facilities. Accommodation is currently provided on the ground and first floors. A passenger lift accesses bedrooms on the first floor. The lift also goes to the second floor. There is a small garden to the rear and side of the home. There is a car park to the side of home. The home is located opposite a large park, and Gillingham town centre and railway station are about one mile away. Busses are in walking distance. The latest inspection report is available on request at the home. Current range of activities include memory quizzes, chair exercises and physiotherapy, reminiscence and sensory sessions, board Care Homes for Older People Page 4 of 28 Over 65 0 24 12 0 Brief description of the care home games and one to one sessions. An external entertainer provides monthly sing along sessions. A church service takes place on the first Wednesday of every month. Current fees range from £517.68 to £680.00 a week. Additional charges are payable for hairdressing, newspapers, toiletries and chiropody. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Link inspector Elizabeth Baker carried out the key unannounced visit to the service on 22 October 2008. The visit lasted just over eight hours. As well as briefly touring the home, the visit consisted of talking with some residents, staff and visitors. Four residents, one visitor and two members of staff were interviewed in private. Verbal feedback of the visit was provided to the manager and a director during and at the end of the visit. At the time of compiling the report, in support of the visit, we (the Commission) received survey forms about the service from seven residents, six healthcare professionals and four members of staff. At our request the home completed and returned the Annual Quality Assurance Assessment (AQAA). Some of the information Care Homes for Older People Page 6 of 28 gathered from these sources has been incorporated into the report. Since the last visit on 11 December 2006 there has been one safeguarding investigation. The allegations were not substantiated. There have been no referrals to the Protection of Vulnerable Adults list. What the care home does well: What has improved since the last inspection? What they could do better: Although the general standard of cleaning was satisfactory and five of the seven returned surveys from residents indicated the home is always fresh and clean, the level of detail of deep cleaning needs reviewing and improving. This is particularly relevant in the clinical room. The home must continue with its programme of obtaining from residents and or their advocates meaningful end of life preferences and wishes so staff have ready access to this information at a sensitive time. The range and availability of activities should be reviewed to ensure the diverse needs, preferences and abilities of all current residents are met. Care Homes for Older People Page 8 of 28 So all residents are clearer about all available choices at meal times, menus should be reviewed and enhanced. The homes complaints procedure should be reviewed and expanded to include clear contact details of the provider and the local authority. The providers must continue with their replacement and refurbishment plan. Indeed survey respondents about the environment included Some of the physical environment could be improved, for example the decoration in the clients room could be altered; The lighting is dark in some rooms; The homes decoration could improve further; The environment could improve with regard to decoration. It has improved lately but there is still room for improvement. There needs to be a plentiful supply of hot water to meet the needs of residents in all areas of the home. Another director who is not involved in the day to day running of the home must undertake monthly monitoring visits and record the findings, as Care Home Regulations require. The fire safety log book should be completed as is intended for evidence purposes. There are no requirements but a number of good practice recommendations have been made throughout the body of the report. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents move into the home knowing their assessed needs can be met. Residents are treated equally in that they are all provided with terms and conditions for staying at the home. Evidence: The home has produced a Statement of Purpose and Service User Guide. These are generally provided to prospective residents and or their advocates when an enquiry about the home is received. The documents also include details of the homes services and facilities. The documents include details on how to make a complaint. So that existing residents also have all the information about the home the documents are available in bedrooms. However the practice of affixing the information to walls or sides of furniture does not provide easy access. For equality and diversity purposes, all residents, no matter how funded are provided Care Homes for Older People Page 11 of 28 Evidence: with a contract setting out terms and conditions of staying at the home. Where practicably possible the registered manager visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their individual needs. Information is also sought and provided from other agencies involved in the placement, such as the local authority or primary care trust. The information gathered during the pre admission assessment process is then used to inform the prospective residents individual care plan. Not all prospective residents are able to visit the home prior to admission. Where this is the case, their relatives or advocates do so, on their behalf. To minimise any anxieties new residents may have about moving into the home, flowers and a card are put in the bedroom as a welcoming gesture. This is good practice. The home is not registered for intermediate care. Standard 6 is not applicable. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of residents are met with evidence of multi disciplinary working taking place on a regular basis. Evidence: For case tracking purposes the records of four residents were inspected. Records contained pre admission and admission information, sponsors assessments, care plans and a range of supporting clinical and safety risk assessments. These include tissue viability, wound and body maps, depression, continence, falls, pain and bedrails. Care plans generally cover aspects of activities of daily living, although no social or death and dying plans were seen in the records inspected. Most of the assessments where complete, but in one case the pain assessment and property schedule were blank. The resident takes pain relief medication and has brought some of their own things into the home with them. Daily report records are maintained. However the information generally focused on residents health matters. It was therefore difficult to get a good picture of the residents quality of day experiences. Base line observations are taken on admission. This is good practice. Care Homes for Older People Page 13 of 28 Evidence: As well as support from the homes nursing and care staff, specialist healthcare is also provided from other professionals including GPs, dieticians, tissue viability nurses and community psychiatric nurses. Where there is an assessed need, hospital appointments are arranged. This includes physiotherapy referrals. The home has a dedicated room which is used for the safe storage of medicines and nursing sundries. However the level of cleaning of this room was not of a standard expected of a clinical environment. Floor and wall junctions required a thorough clean. And many notices are taped to the walls precluding effective cleaning. To ensure drug efficacy of medicines is not compromised daily records of the room and drug fridge temperatures are taken and recorded. Medicine Administration Record (MAR) charts are maintained to evidence prescribed medicines have been administered as required by the prescriber. A new cycle of medicines had just been delivered and new records commenced. However from the information available the charts had been satisfactorily completed. Residents were suitably dressed for the time of day and season. A hairdresser visits the home on a weekly basis. Some residents use this service on a regular basis. There is an additional cost for this service. Most of the residents living at the home will do so for the rest of their lives. Although brief funeral details were seen on two forms, the records inspected did not contain meaningful information of residents spiritual and cultural wishes and preferences in respect of death and dying. To address this, the home is in the process of implementing the Liverpool Care Pathway. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Meals offer both choice and variety. The current range of activities does not ensure all residents experience what they want to do. Evidence: Three different activities people are contracted to provide activities at the home three days a week. They currently provide a range of activities including memory quizzes, chair exercises and physiotherapy, reminiscence and sensory sessions and one to one visits. Care staff provide other activities such as board games and one to one support. Indeed the visit coincided with a reminiscence sensory session. A Church of England service, with hymns, takes place at the home on the first Wednesday of every month. And an external entertainer visits the home monthly for sing along sessions. An activities programme was seen stuck on a wall in one of the lounges. However it was difficult to access because of its location. Residents were seen in the different lounges or in their rooms. In one lounge a TV was on in while most of the residents looked asleep. One resident who was awake said the picture was fuzzy because it was too far away. In another lounge the TV was on with Care Homes for Older People Page 15 of 28 Evidence: the sound turned back. Irish music was playing from a musical unit in this room. Some residents have their own TVs and or radios in their bedrooms and many were on during the visit. However some residents did not seem to be engaged with the radio programmes being broadcast as they appeared to be asleep. The same radio station was heard throughout. Not all residents wish to or are able to join in communal activities. Where social contact is important to one particular resident, the resident said they get lonely and would like someone to talk to. Their pre admission details included the comment the resident had always been a socialable person. Out of the seven returned surveys from residents, four indicated they either always or usually can join in with activities but three others indicated this is either sometimes or never. Since the last visit the home has arranged for some residents to have one trip out in a mini bus. This is a contractual arrangement and it is hoped that this will be used more frequently in future. Residents said they can go to bed and get up when they wish to. However one resident remarked that they had been told to turn their television off at 10pm despite the resident enjoying the programme. Although meals were not sampled on this visit, an appetising lunch was seen. The home has limited dining room facilities and the majority of residents eat their meals in their rooms or sitting in armchairs in the main lounges. Meals are brought to residents on trays. The plated meals are covered. Quite a number of residents require assistance with their meals, and in the main staff were seen providing this in an unhurried manner. However in one case one plated and covered meal was left on a tray while the carer assisted another resident with their meal. This is not good practice. A number of residents have their meals liquidised because of swallowing difficulties. Meal portions are liquidised separately and plated in the same manner. This is to retain the separate textures and taste. However some of the liquidised meals seen being given to residents by care staff had actually been mixed up. Residents survey responses about the meals were mixed. Four of the seven respondents indicated they always or sometimes like their meals. The other respondents indicated they sometimes like the meals. Comments received from residents during the visit included Meals are not bad and I always get what I want; I can have anything I want to eat here; Meals are OK and Very good food here. Four weekly menu plans are used and indicate a choice is available at lunchtime and tea time. One resident indicated how much they would like to be offered cheese on toast or a jacket potato at tea time occasionally. The resident was of the view that the only available choices at this time are sandwiches and soup. Indeed the menus state Care Homes for Older People Page 16 of 28 Evidence: soup and sandwiches every day, although there are five days when an additional item is stated such as sausage rolls. Residents are regularly weighed and their weights recorded. Specialist advice is sought from dieticians if there is an assessed need. The home is just introducing a new assessment to monitor residents nutritional needs. And training has been provided for this. The dietician involved in this has complimented the home on its use of food supplements. 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. Residents and their advocates can be satisfied their concerns and complaints are listened to and acted upon. Evidence: A complaints procedure is displayed in the reception hall. Reference to complaints is also included in the Statement of Purpose and Service User Guide. Although the procedure refers to the provider it does not actually give details of the providers address. Neither does the procedure include Social Services contact details. For ease of reference these should be added. The home keeps a record of formal complaints. However it has not been the homes practice to keep a log or record of all types of complaints, including verbal comments and niggles. Recording this information may help the home in monitoring trends for quality assurance purposes. Six of the seven returned resident surveys indicated the respondents know how to make a complaint and who to speak to if they are unhappy about something. Arrangements are made for residents to exercise their civil rights by voting in elections if they wish to. The training matrix provided at the visit shows the majority of staff have received adult abuse training. Staff interviewed described appropriately the action they would take if they suspected abuse had taken place. The home has not made any referrals to Care Homes for Older People Page 18 of 28 Evidence: the Protection of Vulnerable Adults list. We have not received any complaints about the service. However we were contacted by a relative about the care afforded to a resident. This matter was already being dealt with under the countys multi agency safeguarding procedures. The investigations did not substantiate the allegations. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Further improvements to the environment will enhance the quality of life for all residents. Evidence: In January 2008 an environmental heath inspection of the kitchen was carried out, resulting in three matters requiring attention. The provider said these have all been done. The home has a secluded rear garden and paved patio area for residents to use in good weather. The returned AQAA records that environmental improvements within the last 12 months include re-carpeting hallways and landing areas on the first floor, re-carpeting all through lounges, obtaining new lounge furniture and old radiators in eight bedrooms have been replaced. However, sadly with the passage of time and continuous wear and tear the decorative state of parts of the home is looking tired and institutional. Numerous doors, walls and doorframes are contact damaged by wheelchair or other mobility aids. Some windows look dirty because the double glazing units have blown. The carpet on the main Care Homes for Older People Page 20 of 28 Evidence: staircase has worn patches and the join in a bedroom carpet had started to fray. To secure a nurse call lead to the wall in this room, yellow and black tape had been used. This was in a prominent position near to a residents bed. In one double bedroom a number of tubes of creams where left in a jumbled state by the side of the wash basin. The non-slip flooring in a large shower room on the ground floor looked dirty, although it is regularly cleaned. Numerous paper notices were seen in all areas of the home. One was dated 2000. This practice precludes effective cleaning. And as mentioned previously, the standard of cleaning in the room storing medicines and nursing sundries is not of the level expected of a clinical environment. As required of homes providing nursing care, the home has designated sluice rooms, one on the ground floor and one on the first floor. The clean incontinence aids in one room looked dirty as they had been scored damaged by constant use over a period of time. The home has a range of pressure relieving and preventative equipment. Since the last visit the home has increased its number of profiling beds, which are suitable for residents with nursing needs. For lifting and transferring residents safely, the home has a number of hoists and other aids. The home has two small laundry rooms, one of which is situated on each floor. Only residents personal clothing is washed in the laundry as bed linen is contracted out for laundering purposes. The two laundries are very small and provide limited space to hang residents personal clothes or to iron them. A number of jumpers were seen hanging in one room but the garments were creased. Indeed a respondent commented that the laundry service could improve by ironing residents clothes more. Some rooms visited were very warm whereas others were cool. These were to the individual residents own preferences. During the visit it was identified that the availability of hot water in some en suite rooms of the Peter Russell unit is not consistent and this sometimes necessitates hot water having to be brought to the rooms from other parts of the home. It is the providers responsibility to ensure that there is a constant supply of hot water in all areas of the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive care and support from an enthusiastic, trained and caring workforce. Evidence: As well as care staff, staff are employed for cooking, cleaning and maintenance. One of the providers provides full time administrative and business support. The home is staffed 24 hours a day and a roster is maintained. Two registered nurses and five care assistants normally cover the morning shift, two registered nurses and three care assistants cover the afternoon and evening shift and night shift cover comprises one registered nurse and two care assistants. The registered manager, who is also a registered nurse, is included in the figures. Her administrative duties are carried out in addition to the care time. However, it has not the homes practice to differentiate the duties on the off duty rosters, for auditing purposes. Overall, staff were seen carrying out their care duties in an unhurried manner. However as mentioned previously, one resident was left waiting for their meal because the member of staff was assisting another resident. Since the return of the completed AQAA, more unregistered staff have completed their NVQ level 2 or above training. This is good practice and should provide care assistants with the skills and knowledge required to perform their roles. And ancillary staff are also encouraged to undertake NVQ training relevant to their roles. Care Homes for Older People Page 22 of 28 Evidence: Staff spoken with described the training they had received recently. This included an extended palliative care course, moving and handling, infection control, food hygiene and wound care. The training matrix supplied to support this visit indicates some staff have received training in subjects including abuse, first aid, food hygiene, dementia, Mental Capacity Act awareness and COSHH. Two staff files were inspected. As part of the homes vetting practices, references are sought and obtained, POVAFirst is accessed and Criminal Record Bureau checks undertaken. The application form requires applicants to state employment histories for the last 10 years. However Regulation 19 requires full employment histories are now stated. To ensure new applicants provide this, the form should be amended. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager and director understand what needs to be done to improve the home further for the benefit of residents and are actively striving to bring this about quickly. Evidence: The registered manager is a registered nurse and has successfully achieved the Registered Managers Award. She has many years experience of working in elderly care environments. The home is owned by a small private company. One of the two directors works at the home on a full time basis as the administrator. The registered manager and director were open and receptive to comments made during the visit. Comments received about the registered manager and director included The manager is accessible and approachable; The manager and owner are very approachable and managers have been very kind and restored my confidence. Staff receive supervision and records are kept of matters discussed. Staff interviewed Care Homes for Older People Page 24 of 28 Evidence: said they attend staff meetings and receive supervision. A member of staff interviewed said access to the homes policies and procedures are always available. The AQAA records the homes policies are reviewed regularly. This should ensure that staff work in line with current regulation and good practise. As part of the providers quality assurance programme, feedback from relatives and professionals is sought every six months, although the results are not always analysed. The home is a member of a care home association. The association keeps the home up to date on policies and documentation. Currently monthly Regulation 26 visits are not carried out as is required. It is the providers responsibility to ensure that this is done and to provide the home with a record of the findings. Resident and staff meetings take place. The meetings are recorded for reference purposes. The home maintains personal monies for about five residents. Separate records are kept and receipts obtained of the transactions carried out. The records are audited by a financial officer of the local authority on an annual basis. The returned AQAA indicates the homes equipment has been serviced and tested since the last visit as required by the manufacturer or other regulatory body. Details of accidents are recorded and kept with due regard to confidentiality. The home has a fire safety log book. However it was difficult to establish from this whether all in-house checks are being carried out because the book is not being completed as is required. This could be a problem if an investigation needed to be carried out. 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 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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. 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