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Inspection on 11/11/08 for Montana Residential Home

Also see our care home review for Montana Residential Home for more information

This inspection was carried out on 11th 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.

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 home provides a modern attractive and homely environment where residents have the care they need given by experienced and trained staff but where they are encouraged to retain and exercise their own self care abilities for as long as it it safely possible for them to so do. Montana is run by a community of sisters and nuns who live on site and provide most of the care and are supported by lay staff.The home does not use agency staff and the staff work flexibly to cover sickness and annual leave.The home retains very good continuity of staff. Although the order is a Roman Catholic one, the home welcomes residents from all denominations. There is an chapel on site which is well used by residents and staff as well as by people from the locality. The home provides a wide range of activities and an excellent choice of menu.The home has had no complaints since the last inspection and has never had a POVA investigation. Comments from both service users and relatives were very positive about the home and the care provided.`The care is excellent given with genuine concern and compassion`.`I am completely happy with the care my relative receives all their physical social and spiritual needs are met and the staff make this a super home.``I have never encountered anything other than kindness and consideration for the residents`. ` Montana cares appropriately for its residents in a sensitive and homely manner`.

What has improved since the last inspection?

Since the last inspection a number of improvement and redecoration works have been completed in the home and to the gardens and new equipment has been purchased. Following consultation with the residents the activity programme has been enlarged and the menus revised and extended.The home has been awarded a Food Hygiene certificate by the local authority for the forth year running. All the care plans have been revised and reviewed so as to give better detail of how the assessed care needs should actually be met. The numbers of staff holding NVQ qualifications has improved since the last inspection.

What the care home could do better:

The Manager recognizes that despite the improvement in the care plan recording achieved over the past year work on this aspect should be ongoing. The homes reference request forms should contain a section asking for formal identification of the sender. The residents would benefit from the provision of sit on weighing scales. (These were ordered on the day following this inspection).

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Montana Residential Home East Barton Road Great Barton Bury St Edmunds Suffolk IP31 2RF     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: Jan Sheppard     Date: 1 1 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 26 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 26 Information about the care home Name of care home: Address: Montana Residential Home East Barton Road Great Barton Bury St Edmunds Suffolk IP31 2RF 01284787321 01284788012 superior@montanagtbarton.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Thayawathy Moses Type of registration: Number of places registered: Grace & Compassion Benedictines care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Montana is a residential home for 19 older people situated in the village of Great Barton. The house is owned by the Grace and Compassion Benedictines, and is run by nuns of the Order. The home was opened in 1969 as a single storey detached building, which has been extended and refurbished over the years. Oakampton House, a sheltered housing complex of 18 flats, accommodating older people who are semiindependent, is sited next to Montana. The homes enjoy close links with each other and the occupants of Oakampton House may join residents in Montana for meals, social activities and worship in the chapel. For current fees please contact the home manager. 0 Over 65 19 Care Homes for Older People Page 4 of 26 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 unannounced inspection took place over seven hours during a weekday and was undertaken to assess the core standards of the National Minimum Standards of the Care Standards Act 2000.This report has been written using accumulated evidence gathered prior to and during the inspection including information from thirty four surveys returned by service users, relatives and other professional who have an interest in the service. Information was also gathered from the Annual Quality Assurance Assessment (AQAA) that had been completed by the manager prior to the inspection.The AQAA gives the service the opportunity of recording what they do well, what they could do better, and what has improved since the last inspection. During this inspection the inspector spent time talking with a number of staff and Care Homes for Older People Page 5 of 26 residents and examined a number of the homes records. The Registered Manager and the Deputy Manager were available throughout the day and gave very helpful assistance to the inspection process. 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 7 of 26 Care Homes for Older People Page 8 of 26 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 26 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. Prospective service users can expect to be provided with all the information they require to enable them to make an informed decision whether or not to move into the home. They will be invited to visit the home and will have had an assessment of their care needs prior to admission. Evidence: The homes Manager visits all prospective applicants in their own homes or other setting to carry out a full assessment of their care needs and to ascertain that these can be met at Montana. The prospective new residents and their relatives if they wish this will always be invited to visit the home and participate in activities or share a meal with other residents prior to them making any decision for themselves about admission to the home. Appropriate medical and social information relevant to the application is gathered. as part of the assessment process. Three residents care plans were examined and all were found to have had an initial Care Homes for Older People Page 10 of 26 Evidence: needs assessment, and a contract with terms and conditions as well as a statement of their fees and the method of payment chosen. All prospective applicants receive a brochure of the home including a service users guide and a copy of the homes most recent quality satisfaction survey.Information on all the residents pre inspection questionnaires confirmed that they had received good information about the home and that their admission process had been managed at a pace that suited them. All confirmed that they had settled very happily in the home. One recently admitted resident said the staff did everything possible to help me make the transition to living in Montana which I now feel is my home. The homes does not offer intermediate care so standard 6 does not apply. Care Homes for Older People Page 11 of 26 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. Residents can expect to receive planned care to meet their assessed needs and that this will be delivered in a responsive and dignified way. Residents are protected by the safe administration and storage of medication. Evidence: The care plans for three residents were examined and time was spent with these residents and talking with the staff to check that the level of support written in the care plan reflected the care actually given.The manager explained that a key worker system was in operation for all residents and that since the last inspection all the care plans had been reviewed and updated with better detail of how each assessed care need was to be met now being recorded.Residents were seen to beable to sign their care plan reviews if they wished to.The care records evidenced that any falls were recorded and an appropriate risk assessment was completed.It was discussed with the manager how any trends in falls could be identified and better recorded. Residents with nutritional difficulties were seen to have these assessed in conjunction with their GP and where required a referral to a dietitian was made. Residents weights were seen Care Homes for Older People Page 12 of 26 Evidence: to be regularly recorded although it was identified by staff that for some less mobile residents this procedure was becoming increasingly difficult. Immediately following this inspection the manager confirmed that a pair of sit on scales had been ordered by the home these to assist staff with the process of weighing. Visits by other health care professionals i.e.district nurse chiropodist dentist or optician were seen to be recorded. Since the last inspection the home has worked closely with the local hospice and training concerning end of life care has been attended by some staff; End of life care planning has been introduced.Information on the AQAA , annual quality assurance assessment ,stated that the home would continue to work closely with St. Nichols Hospice and the MacMillan Nurse team to ensure the continual implementation of the End of Life Care planning was maintained.Where ever possible a residents wish to spend their last days at Montana were accommodated and the home assists relatives who may wish to contribute to the care of their loved one at this time to do so. All the residents and their relatives who returned pre-inspection questionnaires, 32 in all,said that they were very happy with the care they received . Comments such as Staff are well trained to meet the residents needs and give them good choices and independence.and I am very happy in Montana and thankful that I am so well cared for,evidenced this.Evidence stated in the AQAA, and this was confirmed by residents with whom the inspector spoke during the inspection said that Residents are given choices and can choose who helps with with their personal care, what time they go to bed and how they liked to be bathed. The home is fortunate in having the services of a chaplian who confirmed that he is regularly available to talk with residents relatives and staff and that residents are able to choose which if any services they attend in the homes own chapel and that staff will assist them to attend services in other denomination churches else where if they wish. A medication audit had been completed by Boots on 4 August 2008 and medication administration records (MAR) sheets examined during this inspection were found to be accurately recorded and the storage and administration of Controlled Medication was also found to be correctly maintained. The staff who administer medication had all undertaken additional training since the last inspection. An audit record of all medication received into and leaving the home was seen to be being accurately kept.Lockable wall cabinets for the storage of self medications are available in every residents room although no resident was administering their own medication on the day of this inspection. Throughout the time of this inspection staff and residents were seen to be interacting together in a kind friendly and appropriate manner.Staff were seen to knock on residents doors to promote their privacy and dignity. and residents were referred to by their preferred names. Care Homes for Older People Page 13 of 26 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. Residents can expect to access a choice of positive lifestyle opportunities to beable to regularly meet with their relatives and friends and to choose their preferred meals. Evidence: The Manager explained that all the residents have an activities needs and likes assessment when they first enter the home and that this is continually reviewed so as to accommodate any changes in their preferences.Evidence of this was seen in the care plans examined.The home offers a wide range of activities and are fortunate in having a number of volunteers who visit to lead particular activities or to run groups. On the day of this inspection a chair exercise class and a singing group were seen to be taking place and two residents were taken out accompanied by staff or relatives. Residents who wish to go out into the community are given their own door key to assist them. An activities pro gramme for the forthcoming week is given to every resident and was also seen to be displayed in the dining room along with photographs of recent outings and events held in the home including a very successful Curry Evening and a display of Indian Dancing.Residents told us in their completed surveys that they now had many more opportunities for activities both in groups and individually and that they were free to attend or decline these events as the Care Homes for Older People Page 14 of 26 Evidence: wished.One said staff are always available to listen and we have a very good range of interesting activities. Seventeen relatives completed survey questionnaires prior to this inspection and all were entirely positive about the life style choices and activity opportunities that are available for their relatives and with the good communication links that the home maintains with them.Comments such as the staff are well trained to meet the service users needs whilst giving them good independence and choices and The sisters always keep me informed of any changes for my relative and she appreciates that they respect her wishes to stay mostly in her room only joining in with one or two activities. The home has an active Friends of Montana Group that meet regularly and helps with the planning and running of outings and other social events. The serving of lunch was observed during this inspection.There was a relaxed atmosphere and staff were observed to be assisting those who needed help discretely. The dining room was cheerful and well appointed with tasteful crockery and table linen. Since the last inspection new chairs with arms and skids for easy movement have been purchased and residents were seen to beable to sit in small groups with their chosen friends.All the comments about the menus and the variety of alternatives available were entirely positive. One resident told the inspector that if she doesnt fancy what is on the menu for that day the cook will always provide an extra alternative dish of her choice. Several others said the food is always delicious and is usually served at the right temperature.Residents spoken with said that they knew if they wanted to have their meals in their room this would be facilitate. Another commented favorably about the fact that a cooked breakfast was always available. The cook who has worked at the home for over twenty five years explained that since the last inspection the kitchen and bulk food store have been redecorated and the home has following an Inspection from Environmental Health been awarded an Excellent Star rating this for the forth year running.The cook said that since the last inspection she has consulted individually with all the residents about their food preferences before revising the menus. It could also be evidenced from the records kept how the special nutritional needs of some residents are met along with records recording how much food is actually consumed. Care Homes for Older People Page 15 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents can expect that complaints and matters of protection will be taken very seriously.The residents will be protected by the homes complaints and protection policies and procedures. Evidence: A copy of the complaints policy is displayed in the entrance of the home and is included as part of the statement of purpose and service users guide a copy of which is given to all new residents.Without exception all the answers on the residents and relatives surveys evidenced that they knew about the homes complaints procedures and how to make representation if they ever needed to. The home has received no complaints since the last inspection neither has the CSCI received any complaints about the home. The home retains any complimentary communications that it receives and a number (5) received since the last inspection were shown to the inspector. The home subscribes to the local authority policy and procedures developed by Suffolk Social Services on the protection of vulnerable adults (POVA). The home has detailed policies and procedures for the safeguarding of residents from abuse of violence and this documentation is available for all staff to read. POVA training has been updated since the last inspection and all staff have completed this refresher training. Although there have never been any POVA incidents in the home staff spoken with during this inspection demonstrated their good understanding of adult protection and whistle Care Homes for Older People Page 16 of 26 Evidence: blowing policies and procedures and of what their role might be in reporting any suspicions if they were ever to have any. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a home that is clean hygienic and odour free. Evidence: A tour of the home found it to be clean and tidy to be very well appointed and with a good maintenance routine. All the residents have single bedrooms with en suite facilities and these were seen to be personalized with furnishings and colours to reflect the occupants individual tastes and choices in a comfortable and homely manner. Many bedrooms have picture windows looking out onto fields or over the homes well maintained gardens. Bird boxes and tables had been positioned near to some windows so that the residents can enjoy watching the bird life.Since the last inspection the layout of the gardens has been redesigned this to ensure that residents can have full access to them and more benches have been provided to provide a resting place during their walks. Others improvement works to the building and its environments completed since the last inspection have included the redecoration of some bedrooms the provision of a new intocare call system in each bedroom bathroom and toilet, the building of a new sluice room, a new summer house and provision of more storage areas for wheelchairs along with the resurfacing of the entrance driveway. A new laundry washing machine has been purchased and various items of small cooking equipment replaced. Some new seating has been ordered for the lounges. Care Homes for Older People Page 18 of 26 Evidence: The home has a communal lounge with comfortable chairs a television and music centre and next door is another quiet lounge room. A small library well stocked with books and tapes was not seen to be being used by residents on the day of this inspection but several residents told the inspector that they often borrowed books to read in their rooms and mentioned that the mobile library van also regularly visits the home with new stocks of books. The home has a spacious assisted bathroom and since the last inspection a new shower facility had been fitted to another bathroom. All the bathrooms were found to have a homely fresh appearance and were inviting locations in which to take a bath. They laundry room is of a good size has its own access to the garden for exterior drying and has two washing machines one dryer hand washing facilities and good storage and work space for ironing and the folding of linen into separate containers for each resident. All the comments about the quality of the laundry were very positive. The laundry assistant had a good understanding of infection control measures and red bags have been introduced to further assist with this. She confirmed that good supplies of gloves aprons and other washing materials was always maintained. Care Homes for Older People Page 19 of 26 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 can expect the home to provide sufficient numbers of staff who are skilled and trained to meet their needs and that these staff have been robustly recruited to ensure their safety. Evidence: The staff rota seen on the day of this inspection reflected the number of staff found to be on duty.Information on the surveys from both residents and relatives all except one said that staffing levels were always good. The home is fortunate in retaining a very stable core group of staff many of whom have worked at the home for many years which provides very good continuity.The manager said that agency staff never have to be used as a number of the sisters live on site and can always be called upon to give cover in emergencies.During this inspection it was noted that call buzzers were answered promptly and carers all seemed to have very good knowledge of individual residents care needs and how these should best be met to accord with their individual preferences. At the time of this inspection the home was fully staffed so the recruitment records of the three most recently appointed staff members were examined. It was evidenced that all the required references and security and CRB checks had been made and it was noted that two of the applicants had relevant previous experience and qualifications. An induction pro gramme and a further training needs assessment had Care Homes for Older People Page 20 of 26 Evidence: been carried out for each. One recently appointed staff member told the inspector that she had been very well supported as a new member of staff and that she felt she had fitted into the homes work pattern quickly. Since the last inspection the percentage of staff holding NVQ qualifications at either levels 2 or 3 has increased to over 80 and several other staff are currently completing this training. One of the housekeepers as recently achieved an NVQ 2 in Housekeeping. The training pro gramme for the home evidenced that all the mandatory training in the core subjects is maintained up to date and that a range of other more specialist training to meet the particular needs including Mental Capacity Act Training ,End of Life Care Planning and Equal Opportunity training have also been completed.All staff have completed a refresher course on Adult Protection. Care Homes for Older People Page 21 of 26 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. People can expect this home to be responsively managed by a trained and experience manager who will address any concerns or worries. Quality assurance processes and staff supervision can be consistently assured. The accurate maintenance of records and the following of the homes safety procedures ensure the safety and good welfare of the residents. Evidence: The Manager and deputy Manager were both available throughout the day of this inspection and could access all the information and records required very promptly.It was seen that records are well maintained and kept up to date this to ensure the safety of the residents. There have been no changes to the management team since the last inspection and they demonstrated that a good team working relationship existed between them where their individual strengths and skills were used to the overall benefit of the home. The manager has attained the registered managers award NVQ at level4 and was Care Homes for Older People Page 22 of 26 Evidence: registered with the Commission in 2006. The deputy Manager who trained as a nurse overseas also holds qualification NVQ at level 3 ;both are experienced in working with this client group and in the management of residential services. Comments in the pre inspection surveys all reported positively about the manner in which the home is managed. They included The home is well managed the Manager is kind and compassionate and leads the staff efficiently and any problems are always sorted out promptly. I have never encountered anything other than kindness and consideration for the residents all the staff put the needs of the residents first. The home could evidence that annual quality audit is carried out where residents relatives and other interested professionals are consulted and from which a report of the results is compiled. A copy of this report is given to all the residents and a copy is available in the homes entrance hallway along with the latest CSCI inspection report. Detailed minutes are kept of the regular meetings for the residents and staff and these demonstrated the inclusive manner in which the home is run. One relative visiting on the day of this inspection told the inspector that the home does everything it can to keep relatives informed and encourages us to be involved with the life of the home if we wish to be. The records relating to staff supervision evidenced that a formal meeting is arranged regularly and that being a small home the staff also have the opportunity to speak with a manager or senior staff at any time .Staff confirmed that they were well supported by their managers. The home does not act as agent with regard to any residents finances and the manager said that where ever it is possible and safe for them to do so residents are encouraged to retain control of their own personal finances. Where the home does retain small amounts of personal monies for a resident it was seen that receipts of any expenditure are kept and the correct financial accounting records maintained. Three accounts were checked and the logbook and balance found to be correct. The standard of record keeping for all areas was found to be very good this ensuring that the good health safety and welfare of the service users is being promoted. Care Homes for Older People Page 23 of 26 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 24 of 26 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 29 The registered manager must ensure that the proof of origin of references from previous employers is clear. Care Homes for Older People Page 25 of 26 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). 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 26 of 26 - 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!