Inspection on 07/11/08 for Cornelia Manor Residential Care Home

This inspection was carried out on 7th November 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:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

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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: Cornelia Manor Residential Care Home 60 Watergate Road Newport Isle Of Wight PO30 1XP     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: Annie Kentfield     Date: 0 7 1 1 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 27 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 27 Information about the care home Name of care home: Address: Cornelia Manor Residential Care Home 60 Watergate Road Newport Isle Of Wight PO30 1XP 01983522964 01983530781 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Robert Henry Francey Type of registration: Number of places registered: Hillview Care Ltd care home 34 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 34 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) Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Cornelia Manor is a detached period building located in a quiet residential area on the outskirts of Newport. The building has been converted and extended to provide mostly single bedrooms on three floors, most of them with en-suite facilities. There is limited parking close to the house with additional parking in the road. The building is accessible and access to the upper floors is via two passenger lifts, stairs or stair lifts. Care Homes for Older People Page 4 of 27 34 0 34 Over 65 0 34 0 Brief description of the care home Residents have a range of communal space including a large sitting room, two dining rooms and another room that can be used as a small private sitting room. There is a garden area with seating for residents at the front of the building. The weekly fees vary according to the room occupied and the level of care provided. There are additional charges for hairdressing, chiropody, toiletries and other personal items. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is the outcome of the first inspection of Cornelia Manor since being registered under new ownership six months ago. We made an unannounced visit to the home on 7 November 2008. This was with one inspector (Annie Kentfield) and the visit lasted for 6 hours. We spoke to six of residents in the privacy of their own rooms, the manager, head of care, some of the staff, and two relatives who were visiting someone in the home. During the visit we looked at all of the communal areas of the home, some of the bedrooms (with residents permission), bathrooms and the laundry room and sluice room. We looked at a range of records kept by the home, including care plans, medication records, staff recruitment and training records, and some of the health and Care Homes for Older People Page 6 of 27 safety records. Before the visit we received the annual quality assurance assessment (AQAA) from the home. This is a self-assessment that tells us what the service does well and where further improvements are planned. The AQAA also gave us some numerical information about the service. We sent surveys to 10 residents, 10 members of staff, and 5 health and social care professionals. We received completed surveys from 9 staff, 3 residents and one health care professional who visits the home. All of the feedback that we received was positive about the quality of care provided by the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and/or their representatives have the information needed to make an informed choice about moving into the home and the services provided. Prospective residents can be confident that their care and support needs will be assessed before moving in and that the home will be able to meet their assessed care needs. Evidence: We looked at the assessment records for one resident who had recently moved into the home. We spoke to six residents and received surveys from three residents. We also looked at the available information about the home (brochure and statement of purpose). The statement of purpose for the home clearly states that the manager and head of Care Homes for Older People Page 10 of 27 Evidence: care make all decisions about prospective residents moving into the home based on the assessment of care needs and the capacity of the staff to meet those care needs. The statement of purpose also states the homes commitment to admitting people to the home regardless of ethnic origin, religious or political belief or cultural background, and will not discriminate on the grounds of different funding sources for care, (private or public funding). Prospective residents and or their representatives are encouraged to visit the home before they make the important decision to move into the home. We spoke to some of the residents who confirmed that they had received enough information about the home and had either visited the home or had received help from family or friends when looking for a care home. The service regularly reviews their assessment process to ensure that they gather all of the relevant information about new residents and this covers health and personal care needs, social and psychological needs, and personal preferences and choices. The service has a policy for emergency admissions to the home and will gather as much information as possible beforehand and carry out a detailed assessment as soon as possible after someone moves into the home. When we spoke to the manager and head of care, we noted that the assessment process has recently been amended to include information about the number of care staff needed to meet assessed care needs. This provides clearer information for the home, and for the care staff, about how residents health and care needs must be met and the service can be confident that the staff team can provide the level of care needed. Information about the service is easily available and copies of the brochure and statement of purpose are left in leaflet racks in the main entrance of the home. The manager told us that if residents or their representatives needed information about the home in other formats or languages, they would do their best to meet any request. The statement of purpose also provides up to date information for prospective residents about the management and staffing structure for the home and details of training and qualifications achieved by the staff. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 the residents are met with privacy and dignity at all times. Every resident has an individual plan of care. Residents receive their medication, as prescribed, at all times. The procedures for the safe administration of residents medication are efficiently organised. Residents are supported to manage their own medication if they choose to, in a safe way. Evidence: We looked at three care plans and medication records and spoke to some of the residents. We also looked at the storage of medication in the home, related records, and what the home has told us in the annual quality assurance assessment. Residents receive effective personal and healthcare support that is provided based upon the rights of dignity and respect. Staff are aware that the way in which care is given is very important for people using the service. This was confirmed in the feedback we received from residents and a health care professional visitor. One Care Homes for Older People Page 12 of 27 Evidence: resident told us that if they wanted to see their GP, they asked a member of staff and the head of care made the arrangement straight away. Other residents told us that they always receive the care and support they need. A health care professional told us Care staff are very conscious of each individuals privacy and dignity, ensuring doors are closed to bathrooms/toilets/bedrooms when appropriate, and talking in low voices when discussing things with people. Everyone in the home is well cared for. The service has developed an efficient care planning system and has sought professional advice to ensure that individual care plans demonstrate that personal care and support is flexible and consistent and is able to meet the changing needs of the residents. The individual care plans are comprehensive and provide clear guidance for care staff on how care is to be provided. Individual risk assessments provide guidance for care staff on how risks can be managed and how to respond to events in the home. The service is sensitive to the wishes and preferences of people who are terminally ill. The service told us that some of the staff have done some training in palliative care and they have developed end of life care pathways in line with current best practice. The head of care told us that the benefit to residents is that staff can provide coordinated and consistent care and staff have clear guidance on providing palliative care that respects the wishes of people using the service. The home has good working relationships with health care professionals who visit the home. This was confirmed in comments from a community nurse who told us Any problems with patients are brought to the attention of the district nurses that day, either by phone or in person when we visit. Also a message book is used for district nurses to check daily for any non-urgent issues. Care plans also record contact with GP, chiropodist, dentist and other health care services. Care records are checked daily and reviewed at least every month to ensure that changing care needs are identified and needs met. The home has a procedure for monitoring and recording any risk to residents from developing pressure areas and if presssure care equipment is needed, the home will obtain this. The care plans provide prompts for staff to regularly monitor weight and other areas of care to ensure that care needs are not overlooked and residents receive consistent levels of care and support. The home has developed efficient medication policy and procedures, and practice is monitored daily to ensure that residents receive their medication, as prescribed, at all times. Residents medication is dispensed by staff who have received training and this was confirmed when we looked at staff training records. The head of care told us that she monitors practice with care staff who dispense medication to ensure that practice is safe. At night, there is a designated member of staff who dispenses medication. The home supports residents who wish to self-medicate and this is on the basis of a risk assessment that is reviewed each month with the individual care plan. The home Care Homes for Older People Page 13 of 27 Evidence: ensures that they keep up to date with best practice guidance on the safe administration of medication and they confirmed that they have reviewed the storage of controlled drugs and this meets current regulatory requirements that have been recently amended for care homes. 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. The home aims to offer residents a choice of entertainment or leisure and social activities to meet different preferences. The home also aims to offer a varied and wholesome menu with daily choices for each meal. Evidence: We looked at what the home told us in the annual quality assurance assessment and looked at what residents told us in the surveys and in person, when we visited the home. We also looked at comments from staff in the completed surveys. The weekly programme of activities is displayed in the entrance to the home. The manager is aware (following resident feedback) that in order to offer leisure and social activities that meet all preferences and choices, the home could improve in this area and told us that a member of staff has been delegated to co-ordinate and arrange activities based on residents comments. Entertainment and activities range from musical entertainment and games, to garden fetes and seasonal events. The home also aims to meet spiritual and religious needs by ensuring that residents have the opportunity for religious worship in the home. The home could also consider arranging specific activities that meet the needs of residents who have specialist needs related to Care Homes for Older People Page 15 of 27 Evidence: dementia or who would prefer one to one activities rather than group activities. Some of the residents told us that they would like more opportunity to go out whilst some of the residents told us that they were happy with their own company and their own personal activities such as reading, listening to the radio or sewing. One resident told us that they had enjoyed being taken out in a wheelchair to visit the nearby garden centre. Outings are dependent on staff time and fine weather conditions because the home does not have dedicated transport that is accessible for residents. Some of the staff told us that they would like to have more time to take residents out or spend time with residents in social activities that were not care tasks, particularly with those residents who may be at risk of becoming socially isolated. The manager has identified this as an area that the home could improve on. Residents told us that they thought the meals in the home are good and were offered daily choices that they liked. Of the three surveys that we received, 2 people said the meals are always good and 1 person thought they were sometimes good. The menu board displays the daily menu although one person told us that the menu board is not completed at weekends. We shared this comment with the manager to address. The menu board has recently been improved to list what the alternative choices are, so that residents can make a pro-active choice of meals on offer. When we looked at the homes records we noted that care is taken to ensure that all dietary needs are met and care is taken to make sure that food is hot, and attractively presented. One resident who likes to spend time in their room told us that they could have meals in their room if they wanted but care staff will come and encourage them to have lunch in the dining room in the company of others, if they want to. Both dining rooms are attractively furnished with co-ordinated tables and chairs, table linen and placemats to make the meals an enjoyable social occasion for the residents. 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. The home has an open and positive approach that allows residents and others to express their views and concerns either informally or through the accessible formal complaints procedure. There are robust policies, procedures and practice for safeguarding people using the service from the risk of harm or abuse. Evidence: We looked at what the home has told us in the annual quality assurance assessment and how the home responds to feedback from people using the service. We also looked at what people using the service told us in the surveys, and information we have received from other people or organisations. The home has developed a number of ways to make sure that the service is responsive to feedback about the service provided. There are formal customer satisfaction questionnaires that residents, relatives and professional visitors are asked to complete on a regular basis. The home has a formal complaints procedure that is on display in the entrance to the home - this states that complaints or concerns are welcome and all concerns will be responded to promptly. The home told us that they have not received any formal complaints and none have been received by the Commission. The manager told us that he has also developed more informal ways of seeking feedback from Care Homes for Older People Page 17 of 27 Evidence: residents and will aim to speak to all residents individually, sometimes at the weekends when there is more time. Safeguarding people using the service is a strong area of practice in the home and the manager supplies staff with personal cards which enables them to report any concerns anonymously as part of the whistleblowing policy. The home notifies us of any events that happen in the home. This is a legal requirement. Our records show that the home have demonstrated that they know how to respond to any concerns about the safety or welfare of people using the service. Training for staff in the procedures to follow if residents are suspected to be at risk of harm or abuse, is regularly updated and 21 out of 34 of the staff have updated their safeguarding training this year. 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. Residents live in a safe, clean and comfortable home environment and have access to any equipment that they need to assist their mobility and care needs. Evidence: We looked at all of the communal areas of the home and spoke to some of the residents, in the privacy of their own rooms, wherever possible. We also looked at what the home has told us in the annual quality assurance assessment. During our visit to the home we noted that all areas of the home were clean and tidy, the home was warmly heated and the decor and furnishings were attractive and homely. We spoke to six of the residents and they told us that the home is always clean and warm. Two of the residents told us that they prefer to have their bedrooms quite cool and were able to control the heating and open the windows to do this. The home employs cleaning staff and there is a daily cleaning schedule that is made available in the entrance to the home. The manager told us that the home places importance on providing an efficient laundry service for residents and that all personal items are laundered and returned to residents as soon as possible. Care Homes for Older People Page 19 of 27 Evidence: The service has plans to make improvements to the sluice room and the kitchen. The sluice room needs decoration and new flooring and the kitchen needs refurbishment. Some work has already been carried out to improve the kitchen storage and utility room. We were told that some of the kitchen equipment has been replaced, and commodes have been replaced with wheelchair commodes. The home has three hoists for use when needed. These are stored in different parts of the home or can be taken to different floors using the lift. The annual quality assurance assessment told us that all equipment is regularly serviced and checked. Since the last inspection a part/time maintenance person has been appointed and the home has a system for reporting any faults or areas that require repair or maintenance. There are policies and procedures for maintaining good hygiene and controlling infection or the risk of cross infection in the home: including staff training in good practice, provision of gloves and aprons, cleaning schedules, hand washing facilities and antiseptic spray dispensers. Antiseptic spray dispensers are placed in the entrance to the home and around the building for residents, staff and visitors to use. 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 service is committed to providing staff with ongoing training and development to make sure that the care needs of the residents are consistently met by a skilled and competent staff team. The process for recruiting new staff is thorough and demonstrates that staff are suitable to work with people using the service. Evidence: We received 9 surveys from staff in the home. We looked at some of the staff training and supervision records and the recruitment records for a member of staff who has been recently employed by the home. The annual quality assurance assessment for the home stated: All staff are encouraged to see their role within the home as an important one and essential to the provision of good quality care for the people using the service. This was confirmed in the comments received from staff in the home and evidence of a planned and ongoing staff training and development programme. The home have developed their own induction to care programme using elements of the nationally agreed common induction standards for care, for new staff. We saw records of the annual training plan demonstrating that all staff receive training and regular updates in all areas of safe Care Homes for Older People Page 21 of 27 Evidence: working practice: fire training, safe medication training, safeguarding adults, safe moving and handling, infection control, health and safety and food hygiene. Of the 34 staff, 16 have already achieved level 2 or 3 in the national vocational qualification (NVQ) in care and 2 people are working towards this. In addition staff receive training in health and work related topics such as continence care, first aid, skin care and stroke recognition. A member of staff has recently been appointed as training coordinator and is the homes accredited trainer for safe moving and handling. The manager, head of care and the training co-ordinator all have delegated areas of skills training for which they have accreditation and the training for the home is undertaken with a combination of in house training and using independent training providers. Anciliary staff are supported to achieve relevant qualifications in food hygiene, catering and domestic work. We spoke to the training co-ordinator who is still in the process of developing this new role. We were told that the process for staff supervision and appraisal has been reviewed and supervision is shared between senior staff. Staff receive formal supervision every two months but senior staff are available for staff to discuss any issues at other times. Some of the staff told us that the supervision process has identified that staff would like more training in dementia care and there are plans for this to be organised. The home has a low turnover of staff and since we last visited the home there has been on new member of staff recruited. We looked at the recruitment records for one person and found evidence of thorough practice and satisfactory checks in place before staff start working in the home. We received comments from some of the staff and two of the residents that there are not enough staff on duty at the weekends. The manager told us that he has taken steps to address this concern and is planning to employ another member of staff to work at weekends. We received positive feedback from staff surveys with constructive comments on what they would like to improve. Two members of staff would like the opportunity for more frequent staff meetings to discuss training and practice issues. This has also been identified in the AQAA as an area that the home could improve. 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 service is efficiently and effectively managed with a focus on continuously improving the service to provide good quality care for the people using the service. The health, safety and welfare of the residents and staff is promoted and protected with clear health and safety, and safeguarding, policies and procedures. Evidence: The annual quality assurance assessment (AQAA) that was sent to us by the home contains clear and relevant information that is supported by a wide range of evidence, including the outcomes of the homes quality monitoring systems. The AQAA lets us know about changes the home has made and where they still need to make improvements. It shows clearly how they are going to do this. The evidence within the report already indicates and supports the fact that the home is efficiently managed and the home has consistently provided a good quality of care and Care Homes for Older People Page 23 of 27 Evidence: is committed to ongoing review and improvement for the benefit of people using the service. The evidence includes: good record keeping and care planning, quality monitoring and evaluation of the service based on feedback from residents, management of complaints and safeguarding issues, positive recruitment procedures, staff training and supervision and well maintained premises. The service has a management structure and clear lines of accountability with regular management meetings, regular inspections by the registered provider, and regular inspections by a professional consultant who audits the service for compliance with the Care Homes Regulations 2001 and in line with the National Minimum Care Standards. This demonstrates the services commitment to continually improving the service, and sustaining those improvements so that they are part of the practice of the home. The health and safety of the residents and staff is appropriately managed. The AQAA confirmed that equipment and services to the home are regularly maintained. We looked at records that confirm that fire safety equipment is regularly serviced, the fire log was up to date, and the home carry out regular but unannounced practice fire drills. Health and safety information is clearly displayed for staff and health and safety training is maintained. The last inspection for food safety and hygiene gave the home a 4 star rating. Personal monies for residents are managed satisfactorily. We looked at the systems and records for looking after small amounts of personal money and records of transactions and monies balanced. The systems are regularly audited. 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: 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 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!