Inspection on 12/02/09 for Pelton Grange Care Home

This inspection was carried out on 12th February 2009.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

Pelton Grange Care Home 15/02/07

Pelton Grange Care Home 10/02/06

Pelton Grange Care Home 22/08/05

Pelton Grange Care Home 23/03/05

Pelton Grange Care Home 04/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pelton Grange Care Home Front Street Pelton Chester Le Street Durham DH2 1DD     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: Andrea Goodall     Date: 1 2 0 2 2 0 0 9 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. 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. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (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 29 Information about the care home Name of care home: Address: Pelton Grange Care Home Front Street Pelton Chester Le Street Durham DH2 1DD 01913701477 01913702580 pelton.grange@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Health Care (England) Limited Name of registered manager (if applicable) Miss Alicia Scott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Physical Disability. Persons with a physical disability may be accommodated commensurate with the home`s statement of purpose. Date of last inspection Brief description of the care home Pelton Grange is an established care home providing personal care and accommodation for up to 47 people. It is registered to provide care (including nursing care) for older people, people with physical disability, people who require palliative care, and people who require convalescence. People with or without nursing needs may be accommodated. People with nursing needs are accommodated on the first floor, but have access to all communal facilities throughout the home. The home is operated by the Four Seasons Health Care group. Care Homes for Older People Page 4 of 29 care home 47 Over 65 47 0 0 47 Brief description of the care home The home is purpose built, in the centre of Pelton. It is within easy reach of the shops and other local amenities. The home offers mainly single bedroom accommodation, although a small number of double bedrooms exist. There are no en suite services, but there are bathing and toilet provision around the home. There is a good range of communal sitting and dining areas. The home is surrounded by well-maintained gardens, has a very pleasant, accessible patio area, and ample car parking space for visitors. The weekly fees range from 390.50 for residential care to 535.00 for privately funded nursing care. The home should be contacted for up to date information about fees. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: Before the visit we looked at information we have received since the last visit on 15th February 2007, and the last annual service review on 10th June 2008. We looked at how the service dealt with any complaints or concerns since the last visit. We looked at any changes to how the home is run. We asked the Provider for their view of how well they care for people in their AQAA (an annual quality assurance assessment). We made an unannounced visit to the home on 12th February 2009. During the visit we talked with people who use the service, their relatives, staff, the manager and visitors. We joined residents for a meal and looked at how staff support the people who live here. We looked at information about the people who use the Care Homes for Older People Page 6 of 29 service and how well their needs are met. We looked at other records which must be kept by a care service. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around parts of the building to make sure it was clean, safe and comfortable. We checked what improvements had been made since the last visit. We told the manager what we 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 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. 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 Care Homes for Older People Page 8 of 29 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully assessed before they make a decision about moving here so that they know the home can meet their needs. Evidence: Pelton Grange has been open for around 20 years. Many of the people who come to live here are familiar with the surrounding area and some already knew of the home before they moved here. The home provides each prospective resident with an information pack about the service (called a service users guide) and these are also placed in bedrooms for reference by the people who move in. This home provides both nursing and residential care, and at the time of this visit there were 33 people living here. Before people come to live here their needs are assessed by health and social care professionals to see what sort of care they need. It Care Homes for Older People Page 11 of 29 Evidence: was clear that the home has very good working relationships with all care professionals. There was good evidence in recent residents assessment records to show that the home carries out comprehensive assessments of all prospective residents to ensure that the home can provide the right care they need. The home uses a new assessment format (called Care and Health Assessments) which includes all the potential needs of a new resident. This clear information is then used to set out a plan of care when the person moves in. It is good practice that the assessments also include peoples capacity to make their own decisions, as well as their social and health needs. The manager was able to describe occasions where people had not been admitted to the home because the assessment showed they needed a different type of care. For example the home does not provide care for people whose main care need is dementia. However if a residents needs changed over time the home would involve all relevant professionals in assessing whether the home could continue to meet their needs. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live here receive very good support so that their personal and health care needs are very well met. Evidence: Care plans are records that are used by all care services to show what sort of help each person needs and how staff will provide that care. For example how to help people with their mobility, diet, and emotional well being. The care plans at Pelton Grange are based on the new, comprehensive assessment of each persons needs. The care plans provide staff with very clear guidance which show them exactly how to support each person with their individual needs, and shows how the resident would like to be supported. The care plans are detailed, easy to follow, and up to date. The care plans are written in a respectful and sensitive way that values each persons needs, individuality, and their abilities to still do some things for themselves. For example, one person care plan states, Mrs A is unable to make any long term Care Homes for Older People Page 13 of 29 Evidence: decisions. Try to encourage her to make non-complex decisions such as when dressing give her the choice of clothes, and she is able to choose herself whether she wants a bath or shower. The care records also show that peoples health care needs are regularly assessed and are well managed. The homes detailed assessment records include mobility, nutrition, risk of falling, and risk of skin pressure. These are linked to the persons care plan so that staff know exactly how to support the person with their health care needs. For example one persons nutritional assessment showed a decline in her weight and this prompted the home to contact the GP, a dietician and to include extra high-calorie drinks to support her well-being. Pelton Grange provides both nursing and personal care so there are qualified nursing staff on duty at all times of the day and night. It was clear from care records that the home also has good contact with other health care services, such as GPs, Occupational Therapists and dieticians. A visiting social care professional commented, The social and nursing care here is very good. Both care and nursing staff are excellent in their jobs and are very caring. The manager confirmed that the home would support people to manage their own medication if they chose to and were assessed as capable of doing so. There are lockable drawers in each bedroom for residents to store private possessions, including medication. At this time none of the current residents manage their own medication so the nurses and trained senior care staff take responsibility for managing medication on their behalf. Medication is stored securely and safely, and records of the administration of medication were in good order and up to date. Residents, relatives and other visitors had many positive comments to make about the manner in which people are supported here. Residents felt they are treated with respect and said, the staff are all very nice. A visiting care professional said, Staff have a really nice attitude towards the residents. Residents and relatives also commented that people living here are very well supported with their personal appearance, and in this way their dignity is upheld. One resident said, Even though its a nursing home, its not clinical. The staff are very kind whatever they are helping you with. Weve got a lovely staff team - they are all very friendly. Some people choose to spend time in their rooms and their privacy is respected. Some Care Homes for Older People Page 14 of 29 Evidence: people have telephones in their rooms and there is also a portable pay phone that can be taken into bedrooms so that people can make or receive calls in private. There are locks on bedrooms doors but at the time of this visit none of the residents had been given their own key. It was stated that keys would be provided on request but people might not know that they have to request them. (Shortly after the inspection visit the manager confirmed that keys will now be offered to residents unless a risk assessment shows that they could not manage this.) Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have excellent support with social interests and can make choices about their own daily routines so that they lead a lifestyle that matches their individual preferences. Evidence: The home employs an activities staff (called a diversional therapist) who arranges activities and social events on most days. It was clear from discussions with residents and from records that people here enjoy a variety of activities including bingo, play your cards right, singing, and other social events. There were lots of coloured posters on display to advertise the activities, and there are daily discussions between the activity staff and residents for their suggestions. There are occasional visits from Beamish museum staff who bring artifacts for reminiscence discussions. One ground floor lounge has a pool table and television so it can be used as a games room for residents. There are fortnightly visits by Age Concern for exercise classes. It is very good practice that the manager produces a monthly Gazette for residents which also keeps them informed of any forthcoming events and any news about the home. Care Homes for Older People Page 16 of 29 Evidence: The manager has worked hard to make excellent links with the local community. Residents are supported to use the local shops and community centre, and there are occasional trips to the local pub. A volunteer visits once a week and does shopping for residents if they want. There are occasional visits by police dogs and their handlers, and a Christian group meets weekly at the home. The manager has fostered good relations with local youth groups, for example the local scout group now meets at the home for their meetings and to join in activities with residents. In this way the people who live here can continue to have excellent contact and involvement with their local community. Most of the residents and staff are from the local area so they have a shared knowledge of the history and culture of the village. There are clearly very warm relations between residents and staff. Residents knew all staff by their names and were engaged in chats and laughter with them throughout this visit. There were several relatives and visitors at the home on this day. Relatives had many positive comments to make about the sociable atmosphere in the home. One relative said, Its always so welcoming, warm and friendly. A visiting care professional said, Its very homely and the quality of care is very good. It was clear that people can continue to lead their own lifestyle, for example some people prefer to spend much of the day in the privacy of their own room. Some people also prefer to dine in their own rooms and said they are fully supported to do this. There are two married couples living at the home and they have been supported to have their own individual bedrooms whilst still able to spend their days together. Two other residents have recently become engaged and discussed how the home has supported them to plan their wedding, which will be held at Pelton Grange in the summer. The manager has helped them to manage the local and national media attention. It is excellent practice that people can make their meal choices when they sit down at the table to dine. This means they can make their choices based on what they fancy at that time. There are also written menus in the dining rooms for resident to see the weeks menu options. All the people who took part in these discussions described the quality of catering as very good. There are dining rooms on both floors, where tables were well presented with tablecloths, condiments, serviettes, cutlery, and flowers. The ground floor dining room is a particularly pleasant dining area which looks out over the back garden. There is a little less room in the dining area on the first floor but people are offered the choice of dining downstairs if they prefer. Care Homes for Older People Page 17 of 29 Evidence: Residents have chosen to have their main meal at teatime because they prefer a lighter lunch. At the time of this visit the lunchtime meal choices included ravioli, salads, or scrambled eggs on toast. Staff were attentive and friendly when serving residents, and offered a good range of drinks, side dishes, and dessert during this meal. All the meal choices were appetising, nutritious and very well presented. It is good practice that the catering staff have individual discussions with each new resident to determine their favourite foods and nutritional needs. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their representatives have clear information so they would know how to make a complaint. The staff team have had suitable training so they know how to protect residents from abuse. Evidence: People have good information about what to do if they are not happy with the service. There is an information pack in every bedroom that clearly tells people how to make a complaint. It is good practice that this information is also available in the home on DVD for people who may find it difficult to read. Residents and their relatives also have opportunities at their individual meetings with the manager to comment on the service. The complaints procedure is also displayed in the entrance for all visitors to see when they are signing in. It was also clear that the manager and staff make themselves available to people to discuss the service at any time. Residents and relatives said that they would feel comfortable about mentioning any concerns, if they had any, and were confident it would be put right. Several residents said we can discuss anything with Alicia (the manager). The homes complaints records are clear and detailed. There has been only one complaint which was fully looked into by the manager and has been resolved to the Care Homes for Older People Page 19 of 29 Evidence: satisfaction of the complainant. It is good practice that the home also keeps a record of any informal comments about the service which shows it takes all comments seriously in order to continually improve the service for the people who live here. The home uses the safeguarding adults arrangements that are promoted by Durham County Council. These are robust procedures for dealing with suspected abuse.The manager is familiar with her responsibilities in this area. All staff have previously had training in protection of adults, and new staff receive this training as part of their induction. There are also notices in the staff room to remind staff of their responsibilities to report bad practice. In this way the home makes sure that staff know what to do to protect the people who live here. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, warm and comfortable, but some areas remain worn so it is not a fully well-maintained environment for the people who live here. Evidence: Pelton Grange is a purpose-built care home that has been operating for about 20 years. It is in the centre of the village but is sited at the bottom of a steep driveway. There is level access into the entrance hallway, which then opens out into a large lounge reception area. This is a welcoming area with several sofas, an aquarium and background music playing. Much of the home is homely, warm and comfortable. There is a good range of lounges and seating areas on both floors. Since the last inspection two years ago some bedrooms have been redecorated and one room is being converted into a walk-in shower room and hairdressers. It is good practice that the manager successfully applied for a grant from the Council which has been used to upgrade the gardens and patio area with water features, widened paths for wheelchairs, a pergola, raised flower beds, and new seating at the top of the drive that overlooks the main street in this quiet village. Due to the age of the building bedrooms do not have en-suite facilities but there is a Care Homes for Older People Page 21 of 29 Evidence: range of toilets and bathroom around both floors. Bedrooms are not spacious but have been highly personalised by the people who live here. One resident said, I like my room. It looks onto the garden. Some visitors described the bedrooms as small but cosy. However the bathrooms are in a worn state with scuffed paintwork, cracked tiles, bare boxing to pipes, stained radiators and tired decor. This makes bathrooms appear shabby and uninviting, and detracts from the otherwise welcoming and homely accommodation. One assisted bath on the ground floor has been broken for some time. A resident said, I have to go upstairs for a shower because the bath downstairs is still broken. Sometimes Id rather have a bath, but it needs fixed. Overall the standard of odour control and cleanliness around the home was very good. It is clear that housekeeping staff work hard to keep this busy home so clean and hygienic. However light pull cords in toilets and bathrooms are becoming grubby, and they are difficult to clean in their current state and this could compromise the otherwise good infection control within the home. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides suitable, competent, trained staff to ensure that the people who live here are protected and that their needs are met. Evidence: The staff team consist of the manager, deputy manager, four RGNs (Registered General Nurses) two senior carers and 22 care staff, as well as housekeeping and catering staff. The home also benefits from administrative, activities and maintenance staff. There is a good mix of age, experience and gender within the staff team. It is good that there are three male care staff who can provide gender-appropriate support for the gentlemen who live here. At the time of this visit there were 33 people living here. There is always at least one qualified nurse, a senior and four or five care staff on duty during the day. There are four staff on waking night duty, including one qualified nurse. These are satisfactory staffing levels to meet the number and needs of the people who currently live here. This meant that staff were able to respond quickly to requests for support, and there was good staff presence around both floors of the home. Pelton Grange enjoys a low turnover of staff, and this means there is good continuity of care for the people who live here. It was clear that several residents (and relatives) Care Homes for Older People Page 23 of 29 Evidence: knew the staffs names, and they had many positive comments to make about the staff. A visiting care professional commented, Many of the staff have been here for years, and whenever I visit they seem so friendly and happy working here, so they must feel valued. Four Seasons Health Care is an equal opportunities employer and uses robust recruitment and selection processes to make sure that only suitable staff are employed here. It was clear from personnel records that no staff starts work here until satisfactory checks, references and police clearance (called a CRB disclosure) have been received. All new staff receive induction training before they start supporting people. This includes fire safety, moving & assisting and safeguarding adults training. The home has clear training records that show individual staff training achievements, and individual development plans that show their future training needs. At the time of this visit just under 50 of care staff have attained a care qualification (called NVQ level 2 or 3). This falls slightly short of the national minimum standard for training for staff, and is below average for care homes of this type. The manager indicated that the Provider has plans to improve the NVQ training for staff by introducing NVQ Assessors into its homes so that they are more accessible to staff to progress their training and qualifications. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 is run in a way that upholds the best interests of the people who live here. Evidence: The manager has worked here for around 20 years, mainly as a qualified nurse. She has been the registered manager of the home for the past seven years. She has attained NVQ level 4 and the Registered Managers Award. In this way she has demonstrated that she is suitably qualified and experienced in her role. The manager is supported and supervised by a Regional Manager of Four Seasons Health Care. The staffing structure of the home includes a deputy manager, nurses and senior carers who are responsible for supervising the care of residents. In this way there are clear lines of accountability within the organisation and within the home. Care Homes for Older People Page 25 of 29 Evidence: The Providers quality assurance processes include a number of audits of the home and at least monthly visits by a representative of the organisation to check on its operations and report on its progress. The home also seeks the views of the residents and their relatives at Residents Meetings. The manager has recently changed these to individual meetings with each resident and their relative (where applicable). It was clear from minutes of these meetings that this gives each person good opportunities to discuss in private any particular suggestions or comments they have about their individual service. In discussions residents and their visitors also felt that the manager is approachable at any time. If requested the home will support residents to keep small amounts of their personal monies safely. These monies are kept in a bank account. Using computerised statements, the home can then debit their account for services and purchases, such as hairdressing, chiropody and toiletries. Receipts are kept for each transaction. An amount of cash is securely stored in the home so that any resident who wants to withdraw money can do so. This system also provides clear printed statements for residents or their named financial representative. These records were in good order. Staff are trained in all relevant health & safety matters, for example there are clear records of recent fire drills and fire safety training. The maintenance staff carries out and records routine health & safety checks of the building and equipment, for example water temperatures and fire alarm systems. These were in good order and up to date. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 21 23 The Provider must address 01/08/2009 the redecoration and refurbishment of bathrooms. This is to ensure that there is an acceptable standard of decoration and facilities in all areas of the residents accommodation. 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 21 26 It would be better if the broken assisted bath was repaired or replaced. Dirty light pull cords should be replaced and be included on the cleaning schedule. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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