Inspection on 09/12/08 for Cornelia Heights

This inspection was carried out on 9th December 2008.

CSCI found this care home to be providing an Excellent 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

Similar services:

Treloar College

Rush Court

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cornelia Heights 93 George Street Ryde Isle of Wight PO33 2JE     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: Mick Gough     Date: 0 9 1 2 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 29 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 29 Information about the care home Name of care home: Address: Cornelia Heights 93 George Street Ryde Isle of Wight PO33 2JE 01983564326 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Sanjay Prakashsingh Ramdany,Mrs Sandhya Kamapi Ramdany Name of registered manager (if applicable) Mrs Marion Hilton Type of registration: Number of places registered: care home 23 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: The maximum number of service users to be accommodated is 23. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) Physical disability (PD). Date of last inspection Brief description of the care home Cornelia Heights is a large GradeII listed building and is situated in Ryde on the Isle of Wight and is close to the local shops and it is a short walk to the seafront at Ryde. Accomodation is over 3 floors and thre is a passanger lift and also stair lifts to enable Care Homes for Older People Page 4 of 29 Over 65 0 23 0 23 0 23 Brief description of the care home suitable access to the home for all residents. Individual accommodation is in either double or single some of which are en-suite. There are suitable WCs and bathing facilities and there is ample communal space for residents. Fees at the home are dependant on the type and level of support required and an up to date scale of fees are available from the home. Care Homes for Older People Page 5 of 29 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 report details the evaluation of the quality of the service provided at Cornelia Heights and takes into account the accumulated evidence of the activity at the home. The home has changed ownership since the last visit to the home and as such this is the first visit since the new owners took over the running of the home in May 2008. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA), which was returned prior to the visit. Comment cards were sent out to residents, staff, healthcare professionals and care managers and we received responses back from 10 residents, 6 members of staff, 2 care managers and 2 health care professionals. All comments recived back were positive about the service provieded. Further evidence for this report was obtained by touring the home, reading Care Homes for Older People Page 6 of 29 and inspecting records and by observing the interaction between staff and residents. It was also possible to speak with 3 members of staff, 6 residents, 1 visiting GP, 1 visiting care manager and also homes manager who assisted the inspector throughout the visit. The home is registered to provide support for 23 residents and at the time of the inspection there were 21 residents accommodated at the home, with 2 residents in hospital. What the care home does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this visit, however some other points, which need to be addressed to help improve the service provided for service users are contained within the main body of the report, general observations were: Review notes in care plans did not always provide information on how the care plans were working. Some review notes seen had very little information and they would benefit from more information and evaluation on how the care plan has been working and should provide information on progress of lack of it as the case may be. The fact that the home is a Grade II listed building presents problems with any alterations to the home, the homes laundry would benefit from some attention and currently there are no hand washing facilities and the home needs to ensure there are suitable signs to direct staff to the nearest had washing facilities. Care Homes for Older People Page 8 of 29 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 29 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 29 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. No one moves into the home without having their needs assessed. The home does not provide intermediate care. Evidence: The home carries out an individual needs assessment prior to residents moving into the home and there is a clear admission process and assessments were on file at the home and were looked at for the 3 users of the service who were case tracked. Assessments were made using a needs assessment form and residents were visited by the homes manager and her deputy before they moved into the home. Assessments seen included information on; mobility, personal hygiene, dressing, bathing, sight, hearing, continence, behaviour, pressure areas, nutrition, communication oral care and any particular needs. Care management assessments were also on file where appropriate. The manager told us that she would visit potential new service users in Care Homes for Older People Page 11 of 29 Evidence: their own homes or in hospital and would arrange a visit to the home prior to moving in. We were told that the initial assessment forms the basis of the residents plan of care and the completed AQAA told us that a thorough assessment takes place and that the prospective resident, their family, friends and social worker are all involved in the assessment process. Intermediate care is not provided at the home. Care Homes for Older People Page 12 of 29 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. Residents health, personal and social care needs are set out in a plan of care and staff have the information they need to provide the support that residents need and in the way they prefer. Risk assessments in care plans provide clear information for staff on how identified risks can be minimised. The home has a satisfactory system for storing and administering medication. The health care needs of service users are met and service users at the home are treated with dignity and respect at all times. Evidence: Care plans were inspected for 3 residents and these were comprehensive documents which gave information on, Personal History, relationships and social contacts, behaviour, washing, dressing, undressing, bathing, elimination, personal hygiene, oral hygiene, daily routine, night time routine, likes and dislikes, diet and food preferences, medication, mental condition, skin care, safety, social needs and spiritual needs. Care plans were simple and easy to follow and gave staff clear guidance on how care should Care Homes for Older People Page 13 of 29 Evidence: be delivered and also how residents wanted their care to be provided. Daily recording takes place to provide details of care delivery and care plans were reviewed monthly, however, some care plans had reviews for each section of the care plan while others had a review for the care plan as a whole. Monthly review notes did not always provide information on how the care plans were working and the reviews for plans, where recording was in each section were generally recorded as No Change and those seen had very little information. The reviews carried out for the plans where there was recording for the whole care plan provided more information, however these would still benefit from more evaluation on how the care plan has been working and should provide information on any progress of lack of it as the case may be, this would also provide evidence that residents are involved in the review process. All care plans seen had manual handling assessments in place and these provided good information for staff on what support was needed to mobilise around the home. Risk assessments were in place and these provided information on any identified risk. They were 3 step risk assessments with details of significant hazards, information on who was at risk and also gave staff information on control measures to show how any risk could be minimised. Residents at the home are registered with 3 different GP surgeries and they may keep their own GP if possible. Community Nurse services are provided and call into the home on a regular basis. The manager told us that she has an excellent relationship with all the health care professionals who visit and we had the opportunity to speak to a visiting GP who was very positive about the care that the home provided. Dentists are arranged through a local domiciliary dentist who calls at the home and a visiting optician service also calls. The manager told us that some residents have their own dentist and optician and the home supports them to attend appointments when required. The home also has a contenence advisor who is available and a visiting chiropodist who calls on a regular basis. Residents spoken with said that they were well treated at the home and we spoke to a number of residents who were all very positive about the care they received, comments included The staff are wonderful, I couldnt ask for better and I am well looked after. All of the residents spoken with and all who completed surveys told us that they were well cared for and their health care needs were met. The completed AQAA told us that residents health care needs were met and that individuals plans of care ensured that residents were well looked after. Medication procedure at the home were looked at and there is a clear policy and procedure for the receipt, storage, administration and disposal of medication and all staff who are authorised to administer medication receive appropriate training. The home uses a monitored dose system provided by a local pharmacist and medication administration records were checked and these were in order with no gaps. Controlled Care Homes for Older People Page 14 of 29 Evidence: drugs were stored appropriately and there was a controlled drugs book, which kept accurate records of medication administered and also contained 2 signatures. One resident at the home self medicates and there was an appropriate risk assessment in place and lockable storage was provided in the residents room for the safe storage of her medication. Staff were observed interacting with residents appropriately and they were seen to treat them with dignity and respect. Staff were heard to use residents preferred form of address when talking to them and staff were seen to knock on residents doors before entering. It was clear from observing staff supporting residents that they got on well together and their was a very pleasant atmosphere in the home. All of the residents and staff spoken with were very positive, residents told us that the staff were wonderfull and were always around, they told us that staff spent time to sit and chat and that if they wanted anything all they had to do was ask. The staff members told us that they enjoyed chatting to residents and that respected their privacy and dignity at all times. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a range of activities for residents, which meet their expectations and the religious and recreational interests of residents at the home are provided for. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and they are provided with a balanced diet in pleasant surroundings at time convenient to them. Evidence: One of the homes senior carers organises a range of different activities for residents and these include; board games, bingo, manicures, hairdressing, gentle exercise, videos and arts and crafts. Currently residents are making Christmas cards and decorations. Residents who we talked to told us that they were satisfied with the activities provided, some told us that they liked to watch others taking part and some preferred to spend time in their rooms, whilst at the home we saw that residents enjoyed talking to each other and staff were also seen to spend time with residents. The manager told us that in the summer months she hires a mini bus to take residents out in to the community and that she has organised individual shopping trips for Care Homes for Older People Page 16 of 29 Evidence: residents. The home also have visiting entertainers who call once per week and the manager told us that she is looking to organise carol singers and there is also a Christmas party being organised and family and friends are welcome and encouraged to attend. One resident who is Roman Catholic told us that she enjoys visits from the Nuns who call to see her and a Church of England vicar also calls at the home. The manager told us that they would arrange for any resident to attend church services of their choice if they wanted. The homes completed AQAA told us that residents enjoyed the activities provided and that the majority of residents take part and surveys received back were all positive about the activities provided. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway. Residents told us that their visitors are always made welcome and the manager told us that visitors are welcome to stay and have a meal. Residents were observed to be free to choose where and how they spent their time and there were no restrictions imposed upon them. We observed staff supporting residents and they were able to make informed choices and are able to control their own lives as much as possible. Residents told us that they are free to get up and go to bed when they want and that staff will support them in whatever they choose to do. A tour of the home showed us that a number of residents had bought some of their own possessions into the home and rooms had been personalised. The home operates a four week rolling menu and residents told us that they were very happy with the food provided by the home, they stated that the food was plentiful and good. Residents are offered a choice at meal times and staff informs residents what is on each day and this is also displayed in the home. The home has 2 small dining rooms and residents can eat their meals in the dining room or elsewhere if they prefer. Breakfast was flexible and ran from 0630 until the last resident was up and about, the manager told us that the majority of residents had breakfast in bed and that they had a choice of cerals, toast, fresh fruit or a cooked breakfast. The main meal of the day was at lunch time, and on the day of the visit lunch was roast chicken and fresh vegetables or chicken curry. The cook told us that if the choices available were not to residents liking than an alternative would be provided. The evening meal was a snack type meal such as egg on toast, corned beef hash or sandwiches and supper is also provided for residents and this is normally cheese and biscuits or sandwiches. We were told that the kitchen is always open and staff will make residents a drink or snack at any time. We observed lunch being taken in the dining room and meals were unhurried and staff provided suitable support for residents if needed. 4 residents require their food to be pureed and items were pureed separately to provide an appealing meal with different colours and textures. The completed AQAA told us that Care Homes for Older People Page 17 of 29 Evidence: when the home completed its own survey on meals and food 20 people said that the food was excellent and 3 said it was good Care Homes for Older People Page 18 of 29 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. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures protect residents from any form of abuse. Evidence: The home has a clear complaints procedure, which contains all of the required information and there is a complains log where any complaints made to the home are recorded, together with the actions taken to investigate the complaint and gave information on the homes response. Residents told us that were confident about raising any concerns they may have. Staff members spoken to were aware of the complaints procedure and said that they would support anyone to make a complaint if they wished to do so. The homes completed AQAA told us that there had been no complaints made since the last inspection and the manager confirmed this when we visited. Staff receive training on adult protection and the home has a whistle blowing policy and also a copy of the local Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place. We spoke with the manager and she was aware of her responsibilities in this area. Care Homes for Older People Page 19 of 29 Evidence: Care Homes for Older People Page 20 of 29 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. Residents live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities, they are provided with the specialist equipment they require and the home was clean, pleasant and hygienic and free from offensive odours. Evidence: We conducted a tour of the building and this included all communal areas of the home including bathrooms, toilets and lounges. The kitchen and some bedrooms were also seen. All areas of the home were clean and tidy and furniture was in a good state of repair. Residents who we spoke with told us that they were were happy at the home and that the home was always warm and told us that they would not want to live anywhere else. The home is a Grade II listed building so any changes to the layout of the property is challenging. The completed AQAA told us that the home had an environmental visit in November 2008 and that the home received a 5 star rating. Infection control procedures were observed to be followed and their were hand gel dispensers situated around the home. All bathrooms and WCs had hand washing facilities with soap and towels available. Care Homes for Older People Page 21 of 29 Evidence: The laundry at the home contains an industrial washing machine and tumble drier. Care staff at the home carry out laundry tasks and they told us that suitable protective equipment is provided. The laundry area does not have any hand washing facilities available and we pointed out the need for the home to have signs in place to direct staff to the nearest hand washing facilites. The home was clean pleasant and hygienic throughout. Care Homes for Older People Page 22 of 29 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. Staffing numbers and the mix of staff currently meets the needs of residents. Staff morale was good and there was a good rapport between residents and staff. Residents are protected by the homes recruitment procedures and the home provides training for staff to enable staff to support people effectively. Evidence: The homes staff rota was examined and this showed that the home provides 4 members of staff on duty between 8am to 2pm, between 2pm and 9pm there are 3 staff on duty and between 9pm and 8am there are 2 staff members awake throughout the night. The manager is in the home 5 days a week and she is in addition to the care staff, she told us that she is available at any time. There is also a cook and 2 domestic staff and also a handyman. Staffing numbers were discussed with the homes manager and we were told that at present she felt that staffing levels were sufficient. However she will continue to monitor staffing levels based on residents needs. Residents told us that were always staff around to provide help and support and we observed that staff went about their tasks enthusiastically and were able to spend time with residents. Staff told us that the staffing levels were about right and that they all get on well together and help each other out. The home employs a total of 19 care staff, and of these 16 already hold a minimum of Care Homes for Older People Page 23 of 29 Evidence: NVQ2 and that two staff members are working to achieve National Vocational Qualifications. This exceeds the national minimum standards and the home was commended for its commitment to supporting staff to obtain relevant qualifications. The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 3 staff members; All records seen contained all of the required information including; application form, refs x 2, CRB & POVA check, Photo and birth certificate. The homes completed AQAA told us that the home has robust recruitment procedures and this was confirmed at our visit to the home. We discussed staff training with the manager and she stated that there is a clear induction procedure for new staff and staff files contained completed induction booklets, which were based on skills for care guidelines. Training records showed us that staff receives training in Adult Protection, fire safety, moving and handling, first aid, medication, infection control, communication and hearing aid maintenance. The manager told us that the new providers were providing the resources to enable her to provide appropriate training and the completed AQAA told us that staff development and training was a key priority for the new owners. Residents told us that they felt that they were in safe hands and staff told us that the home provided them with the training they needed to carry out their roles effectively. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements in place at the home are excellent and the home operated in the best interests of residents. Quality assurance procedures are in place and service users financial interests are protected by the homes policies and procedures and the health, safety and welfare of residents and staff are promoted and protected by the arrangements in the home. Evidence: The manager at the home has been running the home for 17 years, she has the skills and experience needed to manage the home and all of the staff spoken with told us that she is very supportive and is always available if they need any guideance or support. Surveys returend by health care professionals and care managers told us that she was instrumental in ensuring the home provided good care and support for residents and she told us that she operates an open door policy and that the new providers were very supportive and provided her withthe resources she needs to manage the home Residents told us that she is wonderful and always spent time to Care Homes for Older People Page 25 of 29 Evidence: chat with them. The homes manager told us that satisfaction surveys have been sent out to residents, relatives, GP surgeries, district nurses and a number of replies have been returned. She told us that all responses to surveys had been positive. Regulation 26 visits are conducted every 2 months by an outside consultant who provided a comprehensive report on his findings after each visit. The providers are in the home on a regular basis and carry out their own audit when the consultant does not visit. There are regular staff and residents meetings and the manager told us that the minutes of these meetings are kept and that the providers make themselves available to attend. The completed AQAA told us that the home received 37 responses to their own surveys and of these 37, 34 said that the quality of the management was excellent and 3 respoders rated it as good. Financial arrangements in the home are satisfactory, the majority or residents have family who deal with their financial arrangements and the manager is appointee for one resident. The home holds personal spending money for some other residents and there are clear records of all transactions and these provide a good audit trail. Health and Safety policies are in place and available to all staff members and staff have undertaken training in health and safety. The homes completed AQAA told us that regular testing of equipment takes place and we saw records that the fire equipment was last tested in October 2008, the passenger lift was tested in February 2008, the fixed wiring was inspected in May 2007 and the gas Safety certificate was dated March 2008. The fire log was inspected and all relevant training and testing is carried out within the specified timescales. All residents and staff spoken to were happy with the health and safety arrangements in the home. Care Homes for Older People Page 26 of 29 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 27 of 29 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 28 of 29 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 29 of 29 - 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!