Inspection on 02/12/08 for Green Acres Nursing Home

This inspection was carried out on 2nd December 2008.

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

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

Other inspections for this house

Green Acres Nursing Home 14/12/06

Green Acres Nursing Home 01/02/06

Green Acres Nursing Home 04/05/05

Green Acres Nursing Home 01/02/05

Green Acres Nursing Home 14/07/04

Green Acres Nursing Home 06/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Green Acres Nursing Home Rigton Drive Burmantofts Leeds Yorkshire LS9 7PY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Paling     Date: 0 2 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Green Acres Nursing Home Rigton Drive Burmantofts Leeds Yorkshire LS9 7PY 01132483334 01132406278 greenacres@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynn Hart Type of registration: Number of places registered: Southern Cross (LSC) Ltd care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One specific service user under the age of 65, named on variation dated 18th December 2006, may reside at the home. One specific service user under the age of 65, named on variation dated 22nd November 2006 may reside at the home. (V36708) Date of last inspection Brief description of the care home Greenacres is a purpose built home located about a mile and a half from Leeds City centre. Regular bus services pass by the home and there are shops, pubs and other amenities close by. The home provides care for up to fifty service users requiring personal and nursing care. Five of those places are for intermediate care. The building meets national minimum standards for the environment. Bedrooms are generously sized and exceed space requirements. All bedrooms are designed for single occupancy with en-suite facilities. The home is on two levels, the first floor being serviced by Care Homes for Older People Page 4 of 28 Over 65 62 0 Brief description of the care home stairs and a shaft lift. Operationally, each floor functions as a working and living unit. Both units provide lounge and dining areas. The current charges range from five hundred and thirty six pounds eighty three pence to seven hundred and seventy pounds forty pence. There are additional charges for hairdressing, papers, chiropody, escorts to hospital and taxis. This information was given by the manager at the December 2008 inspection. The home should be contacted directly for up to date information about fees. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced visit by two inspectors over the course of one day. We were at the home between 09:50 and 17:45 on the 2nd December 2008. The purpose of our inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live there and in accordance with requirements. Before the inspection we looked at accumulated evidence about the home. This included looking at any reported incidents, accidents and complaints. We used this information to plan the visit. Care Homes for Older People Page 6 of 28 We looked at a number of documents during the visit and visited all areas of the home used by the people who live there. We spent significant time with people who live at this home including a short observational framework inspection (SOFI) that lasted two hours and took place in one of the lounges. Detailed observations were made of the care given and interaction with staff. These observations were followed up by discussions with staff and the manager. We asked the home to provide some information before the visit by completing an Annual Quality Assurance Assessment (AQAA). We sent survey forms to the home providing the opportunity for people to comment on the service, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. The last key inspection of this service was 14th December 2006. 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with information to enable them to make an informed choice about the home. The admission process is good and includes visits wherever possible. Evidence: The manager wrote in the AQAA, Green Acres has a service users guide and a statement of purpose on display in the main reception area and in each service users bedroom. These documents contain a comprehensive guide to the services we provide including a description of the accomodation, what catagories the home is registered for and the number of places available within the care home. All prospective service users are assessed fully prior to admission, this assessment is undertaken by a member of the homes senior staff. This assessment, forms the basis of our decision making process regarding our ability to meet the needs of the client. A prospective service user will only be offered a place within the home if the manager can be assured that Care Homes for Older People Page 10 of 28 Evidence: the individuals needs can be met in full. All prospective service users are encouraged to visit the home and discuss the package of care they require and meet the nursing team. A trial period of admission is offered if required.On admission each service user signs a contract containing the terms and conditions of their stay. This encompasses the overall care and services provided, the fees payable the rights and obligations of the service user and the registered provider. Pre-admission assessments are carried out by senior members of the staff team before people are admitted to the home. Everyone is encouraged to visit the home before they move in and families usually visit on their behalf. We saw that there is a whole range of information available to people and there is a copy of the Service User Guide in every room. Information collected before admission is used to develop draft care plans so that there is information for staff on how to look after someone as soon as they come into the home. Details about people admitted for intermediate care are initially given over the telephone and followed up with further information faxed to the home. The manager and her staff use this to make sure that people admitted for rehabilitation can be properly looked after at the home. Intermediate care beds are in a self contained area of the home, although people do use the communal araes of the home and are welcome to mix with those living at the home long term. The intermediate care team visit the home every day and develop the care plans for people admitted for rehabilitation. The team also have the support of the visiting Community Geriatrician. He spoke well of the service provided by the home, describing it as, A truly personalised, flexible service. Some people, admitted for intermediate care become permanent residents. People said, Mum came in with the ICT to be assessed and just stayed when a place became available. We liked the home so didnt move her. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is enough detail in the care records for staff to know how to look after people properly. Medication practices are safe. Staff respect the privacy and dignity of the people they care for. Evidence: The manager wrote in the AQAA, All service users have a comprehensive plan of care generated from a comprehensive assessment of their needs. Each service users has a comprehensive personal hygeine record which is completed on a daily basis by the care staff. Nutritional screening is undertaken using a nationally recognised tool and service users weights are recorded monthly or weekly if required. If weight loss is evident then the general practitioner is made aware and a plan of action is then developed. Appropriate intervention is recorded in the care plan if the service user is at risk of developing a pressure sore, and the appropriate equipment used and intervention from the tissue viability nurse is requested. A range of specialist and medical services can be accessed within the home, these include:- Chirodody, Dentistry, Pharmaceutical,Audiology, Tissue viability and Palliative care. Care and Care Homes for Older People Page 12 of 28 Evidence: comfort are afforded to service users who have reach the end of their life, and their death is handled not only in accordance with their wishes and those of their next of kin but with dignity and compassion. We looked at a small selection of individual case records. We saw that there is a comprehensive system in place with a range of risk assessments completed including nutritional risk, manual handling risk falls risk and the risk of skin damage. Care plans are developed from the initial assessment information and further information collected after admission. Care plans were sometimes rather clinical and consisted of a list of instructions about care rather than detail of personal preferences. For example, ensure to supervise with his meds which alone means very little. However this was developed to include more detail, needs assistance to put it into his mouth and wants a couple of tablets at a time. Another example, ensure that he visits the toilet regularly. This statement does not provide staff with enough information to know how often someone wants to go to the toilet or what help they actually need. Care records should include personal prefences and individual strengths so that staff look after people in the way they want. There are a number of monitoring charts in use to help those supervising care to make sure that people are turned as needed, bathed and helped with diet and fluids. We saw that these charts were kept up to date and provide evidence of the care given to more dependant people. Care plans are reviewed monthly and together with daily records they told us about the health and well being of people at the home. We saw clear records of the involvement of other healthcare professionals and of communication with relatives. There are a small number of beds specifically for those people who need palliative care. Staff have received specific training at local hospices and the home is keen to further develop this service. The staff team are continuing to develop skills in approaching discussions about end of life care. This is to make sure that they are aware of and can respect peoples wishes about their care at the end of their life. People said, The majority of staff are caring and attentive, they seem to work together as a happy team and do their best to keep residents comfortable As far as I can tell Mum seems to like it here and classes it as her home and family. Cares imaginatively for old people Love it! Care Homes for Older People Page 13 of 28 Evidence: Senior staff oversee medication practices and the manager completes a weekly medication audit. All staff involved in the administration of medication have regular update to make sure safe practices are followed. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to maintain contact with family and friends. They are encouraged to make choices about their day to day lives. People have a good and varied diet. Evidence: The manager wrote in the AQAA, Service users are assessed by the nursing team to determine their interests but also their level of physical and psycological and cogantive ability and aquity. This information is casscade to the care staff and the activities organiser. Evidence can be found within the care plans and the records of activities. We constantly strive to ensure that all service users are afforded the opportunity to excercise autonomy and choice if they are capable. Service users are actively encouraged to develop social and personal relationships within the home and service users relatives and friends are encouraged to visit and participate in the planned activities. No restrictions on visiting times, affords greater access to family and friends. The home has planned trips out, to local places of interest or longer trips to the seaside, A company mini bus can be accessed via one of our sister homes on request. This can be evidence via the Monthly Activities Bulletins and the Relatives/Residents monthly meetings. Residents are accompanied to family events or special occassions by the homes staff, if required. Every effort is afforded to include our residents with Care Homes for Older People Page 15 of 28 Evidence: major family events such as weddings and christenings. We have maintained links with the the local community, the local church, primary school and local nursery; invitations are extended for all our activities especially the homes summer and winter fayre. Out side entertainers are provided on a regular basis, singers, comedy acts, and therapists. This provides entertainment,stimulation, conversation and maintains links with the local community. The home provides all residents with a varied, appealing, nutritious, wholesome diet,a varied choice of menus. We carried out a detailed observation, in the upstairs lounge/dining room, on the unit that houses people who are more dependent. 4 people were observed closely for a period of 1 hr 45 mins. However, within that time there were 2 interruptions, when visitors wanted specifically to speak to us. In general, there were very positive attitudes and approaches by staff with positive responses from people. There was very little time when people were just left to do nothing, even when waiting for their meals there was conversation and activity. The people observed were displaying frequent signs of well-being. Staff interactions were very good whilst people were sitting at the table awaiting their lunch. The staff were engaging them in conversation and in a brief game of cards. When the meals and drinks arrived, people were assisted discreetly and unhurriedly. The whole mealtime was conducted in a very quiet and dignified manner and the whole lunchtime experience was very good. When people were being assisted to move before and after lunch, wheelchairs and lifting belts were seen in use and being used correctly. Staff explained to people what they were going to do. Peoples dignity was maintained. Visitors appeared to be comfortable and at ease. Some arrived whilst the meal was taking place and were offered drinks and a meal themselves. One ladys husband accepted the offer and sat at the table with his wife. The lunchtime meal (there was a choice) looked very good and people were enjoying it. Visitors were very keen to speak about their experiences of the home, which were all very positive. Three separate families/individuals were spoken to. Comments were: If I was infirm myself and had to live in a home, Id come here for definite, The staff are very good, they allow xxxx to think independently, which means that hes settled well, Ive never had to make a complaint. If there is a problem I just tell the staff and they sort it out straight away, There seems to be plenty for people to do here, The staff are so good at maintaining xxxxs dignity, I have confidence in the staff, they are all excellent. I feel reassured that they let xxxx have his own mind, for Care Homes for Older People Page 16 of 28 Evidence: example, he was up watching TV until 3.00am this morning and the staff are fine with that, I feel confident that xxxx is being cared for very well. From the family of a lady who died a few days earlier: This has been an excellent home. We wanted to say how good we think they are. People are usually negative about care homes, but we cant fault this one. Activities: we spoke to the member of staff who co-ordinates activities. She works 5 days a week. She described how she spends time getting to know new people, finding out what they like, for example, she had just been speaking to a new man who really enjoyed watching sport and cowboy films on TV. She spends one to one time with people in their rooms if they are not able to be involved in a group, through preference or because of ill-health. They have access to a minibus, which is very popular, making sure that those who enjoy going out can still do this. Pub carvery lunches are popular venues, as are Garden Centres, especially with the Christmas decorations at the moment. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel listened to and have their concerns taken seriously. People can feel safe at the home. Evidence: The manager wrote in the AQAA, A written record is kept of all complaints which includes details of the investigation and subsequent actions undertaken. This is evidenced in the Complaints file and documented in the Home Managers/Operation Managers Monthly Audits. We encourage an open and honest atmosphere within the home, and we encourage service users, staff, visitors to express their concerns and opinions within a non judgemental environment. We involve the local Protection of Vulnerable Adults Team if we feel it necessary. We have comprehensive policies and procedures on the Protection of Vulnerable Adults and staff are encouraged to read these policies. We provide training for all staff on Abuse Recognition and the actions to take if abuse is suspected. All staff are checked against the Protection of Vulnerable Adults Register and have a Criminal Records Bureau check, these can be evidenced through the staff personel files. We saw that the complaints procedure is displayed in the home and information about how to complain is also provided in the Service User Guide in every room. There is a complaints file where all concerns and compaints are recorded. These records showed us that complaints are dealt with properly. Some people told us Care Homes for Older People Page 18 of 28 Evidence: that they had had to raise issues and that their concerns had been sorted out. The vast majority of staff have had safeguarding training and this means that people are protected from abuse. People feel confident to speak out. People said, I have had to complain about a member of staff, the situation was sorted out Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, comfortable and well maintained environment. Evidence: The manager wrote in the AQAA, The home was purpose built in 1997. It is well maintained and the fabric and decoration of the home is of a good standard. There is an on going programme of refurbishment planned, which includes redecoration, new carpets and replacement furniture. Communal spaces include TV lounges, small quiet lounge, a large dining room. Lighting is sufficient all rooms have en-suite toilets which can accomodate a wheelchair or specialist lifting equipment. There are two secluded, secure gardens with a range of garden equipment for the service users use. The building is compliant with fire service regulations and environmental health & Safety regulations. This can be evidenced through records of Fire Inspections and Health& Safety Audits. The home is purposely built and meets all the requirements with regard to service users own rooms. The home does not have any shared rooms. All rooms are fully furnished, either by the home, or some residents have brought in items of their own furniture. Profiling beds are provided for those service users who require them. The home meets all requirements regarding heating and lighting. All services comply with the Water Supply Regulations 1999. The home is clean, pleasant and handwashing facilities are provided and each unit has its own sluice are for the disposal of clininal waste. Staff receive training in Infection Control and adhere to the Care Homes for Older People Page 20 of 28 Evidence: companies Infection Control Policys and Procedures. The homes aim is to maintain and improve the environment to a high standard with the ongoing redecoration and refurnishing programme. We visited all areas of the home used by the people who live there. All areas were clean and fresh smelling. The home is welcoming and there are plans in place for the ongoing refurbishment of the home. This will make sure that it continues to provide the right facilities for the needs of the people who live there. The home has been successful in an application for grant from the local authority. The grant is to be used to improve the garden to include raised flower beds. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by a well trained and competent staff team. People are protected by robust recruitement practices. Evidence: The manager wrote in the AQAA, Green Acres has an appropriate complement of staff and skill mix, which enables us to meet the assessed needs of the service users at all times. We provide on going training and development which in turn facilitates a culture of respect and empowerment. We have a thorough and robust recruitment procedure, which enables us to ensure the protection of our clients. There is a comprehensive Induction Training and Supervision Programme which is evident within the home. This ensures that staff fulfill the aims of the home and meet the changing needs of its service users. The staff team have been at the home for a long time, in particular the senior staff and this provides stability and continuity for the people who live there. There are clear lines of responsibility and strong leadership for the staff. The staffing levels are kept under review depending on the needs of the people living at the home. Additional staff can be deployed in response to the changing needs of people. There is a clear committment to training and everyone has their own individual Care Homes for Older People Page 22 of 28 Evidence: training file and there is an annual training plan in place. This means that staff are suitably trained to do their job and look after people properly. Seventy three percent of care staff have achieved a National Vocational Qualification (NVQ) in care at level 2. Several care staff are now working towards a NVQ at level 3. Staff are well supported with an established system of formal supervision in place. Staff said, I enjoy my job We looked at recruitment records and saw that all the required checks are completed before people start work at the home. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people who live there. Evidence: The manager wrote in the AQAA, The Registered Manager is qualified, experienced and competent to run the home and meets its aims and objectives. The managers style and ethos is open and honest, friendly with a positive focus on ensuring the best care provision for all service users. Staff are regularly supervised and appraised. The health welfare and comfort of the residents are promoted at all times. The manager actively works towards ensuring the health, safety and welfare of residents and staff so far is as reasonably practicable. There are constant quality assurance and assessment monitoring through out the home, in respect of meeting the aims objectives and statement of purpose of the home. There are comprehensive accounting and financial procedures visible within the home and this is evidence of an effective business management structure. Care Homes for Older People Page 24 of 28 Evidence: The home manager holds a managers surgery once per month in the evening, or by appointment, to enable relatives to access the manager if they cannot do so during the normal working day. The registered manager has been at the home for a number of years and along with her senior staff provides stability and consistency at the home. She provide clear leadership and is committed to running the home in the best interests of the people who live there. She continues to strive to develop the service and facilities. There is a system of audits in place to help the manager to monitor the service and she provides regular monthly returns to the company. The operations manager also visits the home at least monthly, as required, as part of the monitoring systems in place. Records of these visits were available at the home. Six people using the service are surveyed each month as part of the quality assurance systems. People who have used the intermediate care service are also surveyed. People are kept in touch with events at the home through the regular Newsletter, information on notice boards and meetings. Staff also meet regularly with the manager and we saw there were notes available of these meetings. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Information in care plans should be person centred. This will make sure that people are cared for in the way they want. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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