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Inspection on 20/07/09 for Falstone Court Nursing Home

Also see our care home review for Falstone Court Nursing Home for more information

This inspection was carried out on 20th July 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Unit manager and three other nurses have successfully completed the Dementia Care Cert from one of the local universities. The other three RGNs are soon to commence their training. The catering staff provide meals which are nutritious, nicely presented and in sufficient quantities. The residents and relatives commented that the food is always good. The staff engage the residents in various social and recreational activities. The activities organiser is very enthusiastic about his role and residents and relatives commented positively on his role and dedication. There are several indoor and outdoor fund raising activities organised by the staff to raise money towards the residents` funds. At the time of the inspection, preparations were underway for fund raising activities during the forthcoming Sunderland Air show. There are regular bus trips along the coast and to other local places of interest. The unit manager is very good at ensuring that the staff are aware of the needs of the residents, and support the staff to provide care that meets these needs. A number of staff and visitors commented on his professionalism and how he has greatly improved on the standard of care in the home through his leadership and example. The staff receive good training and the staff training record shows that most staff have received up to date training in all the areas of statutory training. The environment is very stimulating and residents seem to relate well to the environment which has positive effects on their behaviours. There are good arrangements in place for the residents to receive regular pastoral visits. The residents and relatives made very positive comments about the home and the staff. Staff were described as very caring, very good at their jobs and also very professional in the way they conduct themselves. There were eight surveys received from residents and relatives and and the comments were very complimentary of the care and the staff. Some of their comments in: "They treat me as an individual, with respect and kindness". "The clothes are cleaned regularly". "The manager is always available for any worries or concerns". "The home is very caring and staff are devoted to their jobs and the residents". "A good home with caring staff". "Staff always at hand and cope with my illness". "Made a good choice by choosing Falstone Court".

What has improved since the last inspection?

The quality of the care plans has greatly improved and staff seem more confident about the support they get from the unit manager and his senior staff.

What the care home could do better:

In the last inspection report, one requirement for improvement was made requiring the home to replace the small kitchens on the unit. One relative commented in their questionnaire with the following words, "Southern Cross should by now have replaced the kitchen at Falstone Court. It is essential for both staff and residents and is long overdue by three years". One relative also commented in their questionnaire that residents cloths often go missing and the home should address this. Apart from the unit manager, the senior staff have not received training in Deprivation of Liberty Safeguards. This training must be extended to all senior staff and eventually to all staff who work in the home. Some of the staff need refresher training in infection control.

Key inspection report Care homes for older people Name: Address: Falstone Court Nursing Home Rocklodge Road Roker Sunderland SR6 9NQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Sam Doku     Date: 2 0 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Falstone Court Nursing Home Rocklodge Road Roker Sunderland SR6 9NQ 01915496699 01915497799 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.southerncrosshealthcare.co.uk Apta Healthcare (UK) Ltd care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 41 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Dementia Code DE, maximum number of places: 41 Date of last inspection Brief description of the care home Falstone Court Nursing Home provides accommodation and nursing care for 41 older people with a dementia type illness. Falstone Court opened as a purpose built home in 1995 and is next door to a sister home Falstone Manor. A General Manager oversees both homes and is based at Falstone Manor, as are personnel records and financial information. The Home has two floors with communal rooms available on both floors. All areas within the Home are accessible to people with mobility difficulties. En-suite toilet facilities are available in the bedrooms and toilets and bathrooms are available throughout the Home. The home is on the sea front and can easily be seen when driving along the sea front main road towards the city centre. A car park is provided and the home is accessible to wheelchair users. The scale of charges for the home Care Homes for Older People Page 4 of 27 Over 65 0 41 Brief description of the care home starts at 490.00 to 621.30 Pounds per week. Other charges relating to continuing healthcare and self-funding are available in the home. 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: The quality rating of this service is 3 Star. This means the people who use the service experience excellent quality outcomes. The inspection was unannounced and commenced on 20 July 2009 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last inspection visit on 24 August 2007. How the home dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the service. Information that we have received in the form of questionnaires from staff, relatives and residents. Care Homes for Older People Page 6 of 27 During the visit the inspector did the following. Talked to the people who use the service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: In the last inspection report, one requirement for improvement was made requiring the Care Homes for Older People Page 8 of 27 home to replace the small kitchens on the unit. One relative commented in their questionnaire with the following words, Southern Cross should by now have replaced the kitchen at Falstone Court. It is essential for both staff and residents and is long overdue by three years. One relative also commented in their questionnaire that residents cloths often go missing and the home should address this. Apart from the unit manager, the senior staff have not received training in Deprivation of Liberty Safeguards. This training must be extended to all senior staff and eventually to all staff who work in the home. Some of the staff need refresher training in infection control. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information, including an invitation to visit the home, which enables prospective residents to make decisions about whether they want to live there. All residents are assessed before and on admission, to make sure that the home has the necessary skills and facilities to look after the residents, thus promoting their wellbeing. Evidence: Information is available for all prospective residents and their families in the form of a service user guide. The guide contains good information about the home and the company. The guide is readily available and relatives who were spoke with confirmed that they have received copies of the service user guide. It is the policy of the service to invite people to visit the home and to see the place Care Homes for Older People Page 11 of 27 Evidence: and assess it for themselves before making decisions about coming to live at Falstone Court. Two visiting relatives described how they visited the home on behalf of their mother and the help that they received from the staff. The manager indicated that because of the mental health dificulties of most of the residents, it had not always been possible for prospective residents to visit the home and see it for themselves before admission is arranged. However, in most cases relatives or advocates visited the home on the prospective residents behalf when residential care or nursing care was being considered. The residents files show that the home always carries out a pre-admission assessment. The files also contain assessments carried out by social workers and nurse assessors. These assessments form the basis of care plans for looking after people. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents receive care that is consistent with their personal and healthcare needs. Furthermore, the home has excellent procedures in place for the administration and safe handling of medication, which ensures that the residents health wellbeing is safeguarded and promoted. Evidence: Detailed care plans are available for each resident and these are regularly updated and reflect the current care needs of the residents. The plans provide staff with details of how nursing and care staff are to support each residents in meeting their personal and healthcare needs. A summary of each residents care plans is available in a file that is immediately available to all the care staff. All the care plans are reviewed on a monthly basis and where possible, relatives and residents are included in the review process. Some relatives have signed the care plan to indicate their involvement in drawing up the plans. Care Homes for Older People Page 13 of 27 Evidence: The unit manager has developed a Work Allocation Sheet, and the purpose of this is to allocate specific care tasks to named staff who would be responsible for making sure that the identified care task is carried out as outlined in the care plan. The residents files and the daily report book contain information to indicate that the residents have access to healthcare facilities including GP support and other healthcare professionals including psychiatrist, speech therapist, tissue viability specialist nurse, optician, chiropodist, dentist, occupational therapist and dietitian. A number of relatives were spoken with and they all expressed the view that the residents receive good healthcare from GPs and other healthcare professionals. The consultant psychiatrist carries out regular review of the residents under his care. The home has details policies on the storage and administration of medicines. These are followed by the nursing staff who have overall responsibility for the administration of medicines in the home. A random check of the medicines administration system was undertaken by the inspector. There were no discrepancies noted. All the drugs administration records were appropriately maintained. The unit manager has an excellent system for auditing the medication system. This makes it easier for any errors to be detected in less than 24 hours. A number of care practices were observed which show that the staff treat the residents with respect and give due regard to their dignity. The inspector observed the interaction between the staff and one resident who was very challenging to the staff and the service. The staff were very confident in the way they handled the residents and did so in a calm and consistent manner, allowing the resident to remain calm and settled throughout the day. The inspector later checked the care plan for the resident in question and the Challenging Behaviour Record provided staff with information on triggers to look for and how to manage his specific challenging behavours. Another example of good care practice was the way one resident was assisted with his lunch. The staff member allowed plenty of time to concentrate on what she was doing and described every action she was taking, including telling the resident exactly what was on the spoon and describing it to him before she put the food in the residents mouth. The resident evidently enjoyed his lunch and was able to eat all his lunch. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents engage in meaningful and fulfilling activities which enhance the wellbeing of the residents. Furthermore, the spiritual needs of the residents are promoted by suitable arrangements for pastoral visits to the home. The residents are provided with good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: Relatives and visitors continue to comment very positively on the role of the activities coordinator. There are regular bus trips for the residents and in-house social and recreational activities are evident in the home. The activities board displays the activities of the day which have been planned for the residents. Activities are often organised to include the residents from the Manor. On the day of the inspection, there was such an arrangement and a number of the residents went to the Manor to join in exercises, singing and quiz games. Care Homes for Older People Page 15 of 27 Evidence: Care plans identify peoples recreational, social and spiritual needs. One care plan asks staff to ensure that the resident attends Communion every Sunday. The care plans and the practices observed show that the residents are able to make choices and are supported to make decisions for themselves. Relatives confirmed that they are consulted and are involved in the care of the residents. The dining areas are pleasantly decorated and furnished. Some residents have their meals in places that they prefer. For example, on the day of the inspection, one resident decided to have his lunch in the sitting room and was supported by staff to do so. The dining tables were appropriately set and residents had their meals in a pleasant and comfortable environment. Examination of past menus show that the home provides choice of menu for the residents. Those residents with special dietary needs are catered for. The presentation of liquidised meal was excellent. The chef presented the meal in a way that showed clearly the meat, the potatoes and the two separate vegetables. This looked appetizing and did not look very different from the normal meals. 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. Residents and relatives have information about how to make a complaint and are confident that any concerns raised would be acted on by the home, thus promoting their right to express their views about the service and influence improvements. Staff are aware of safeguarding adults procedures and have received suitable training which safeguard the safety and welfare of the residents. However, training in Deprivation of Liberty Safeguards must be provided to all staff to safeguard the rights of the residents. Evidence: The complaints procedure is posted in the reception area and a summary of the procedure is in the service user guide. The inspector had a look at the complaints book and it was evident that the home takes complaints seriously. The record shows complaints that have been received and details of how they have been addressed. Relatives were spoken with about the homes complaints procedure and they all said that they are aware of the procedure and would know what to do if they have any concerns. One visitor stated that when he had concerns about issues he approached the unit manager and immediate action was taken to address his concerns. Care Homes for Older People Page 17 of 27 Evidence: Relatives feel that the home is good at addressing any concerns they raise. Staff have had training in safeguarding adults. The training record shows that 90 of the staff have received training in safeguarding. Staff who were spoken with were familiar with the homes policy on safeguarding vulnerable people. However, the training in Mental Capacity Act Deprivation of Liberty Safeguards must be extended to all staff to provide greater awareness and to ensure that the staff are aware of their duty to safeguard the rights of the residents. The inspector examined the system that is in place for managing the residents personal allowances. The system is good and receipts of all purchases made on the residents behalf were available on file. Computer printout were presented to the inspector showing how much is in each residents account and the up to date balance. 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. The home provides a safe, secure, clean, warm and pleasant environment for the residents to live in. However, the small kitchens on the units need refurbishment to bring them to acceptable standard and provide a service provides flexibility to respond to needs. Evidence: The home is clean and maintained to good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. People have been encouraged to furnish their rooms with personal items which enhanced the homeliness of their rooms. There are good arrangements in place for regular maintenance work in the building. The maintenance book shows that the handyman has kept on top of any safety work that is needed to maintain a safe environment. These include fire safety checks and fire drills. The home has suitable infection control policies in place. Staff have had training in infection control and the home has adhered to effective infection control procedures. However, a number of staff need refresher training in infection control. Care Homes for Older People Page 19 of 27 Evidence: The central kitchen was noted to be clean and maintained to very high standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Records relating to food temperatures and other food hygiene measures are maintained. However, at the last inspection in August 2007, a requirement was made for the two small kitchens on the ground and first floors to be refurbished but no action has been taken by the provider to address this. One relative expressed concern about the lack of action on the part of the provider to bring the two kitchens up to standard. The laundry was found to be well ordered, and appropriate COSSH notices are in place. The laundry machines are suitable for cleaning foul linen. 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 staffing numbers are satisfactory and promote the safety and welfare of the residents. Furthermore, the company adheres to good recruitment practices, which safeguard the residents from unsuitable carers. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. The inspector had discussions with staff and relatives about the staffing levels and whether or not they feel this is suffcient to meet the needs of the residents. On the whole both staff and relatives feel that there is always sufficient staff on duty. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was confirmed in the staff training log showing the percentage of staff with relevant training. Four files belonging to staff who have been recently appointed were examined to check on the recruitment process by the registered manager. Care Homes for Older People Page 21 of 27 Evidence: These showed that the home has been following the companys policy on recruitment. All the files contain completed job applications, copy of job description, appropriate references, evidence of CRB checks and record of training. The manager confirmed that all staff have received enhanced CRB check. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, and supported by a unit manager who runs the home for the benefit of the residents. There are suitable arrangements in place for ensuring that the staff receive regular supervision. This promotes the quality of the service that the residents receive. The safety and welfare of residents is protected by regular equipment servicing and the safety arrangements that are in place. Evidence: The registered manager has long experience of managing a residential care home. She is the registered manager for the two services and manages both from the Manor. She is supported by a unit manager who is responsible for the day to day management of the home. The provider has a quality assurance system in place for seeking the views of the Care Homes for Older People Page 23 of 27 Evidence: residents and visitors to the home. The registered manager described the procedure for ensuring that the service is under constant review, taking into consideration the views from area manager, residents and relatives. The monthly quality assurance checks include catering, medication system, accidents, complaints and servicing and maintenance. Remedial action is formulated to address any faults in the system. Personal allowance records and receipts of transaction show that there is a good system in place and that the residents monies are safe and properly accounted for. There are suitable arrangements for staff to receive one-to-one supervision from the unit manager and the registered manager. Staff have received individual supervision on regular basis. Staff commented that they find the supervision sessions useful. The companys Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). Staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests are maintained in the home. All the servicing records were up to date. These included servicing of passenger lift, hoists, water treatment, electrical installation and gas servicing. Fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Residents and relatives commented that the unit manager and the manager run the home for the benefit of the residents. 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 1 17 12 Deprivation of Liberty Safeguards training must be provided for all staff to ensure that staff are aware of their duty to safeguard the rights of the residents. The registered manager has received the training but this needs to be extended to rest of the staff. 10/09/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 19 26 The two small kitchens should be refurbished as these are currently suffering from wear and tear. All staff should receive up to date training in infection control. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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