Inspection on 08/11/08 for Pinewood

This inspection was carried out on 8th November 2008.

CSCI found this care home to be providing an Adequate 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

Pinewood 09/11/07

Pinewood 11/07/07

Pinewood 05/06/06

Pinewood 31/01/06

Pinewood 21/06/05

Pinewood 07/10/04

Pinewood 09/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pinewood Pinewood Tringham Close Ottershaw Surrey KT16 0HL     The quality rating for this care home is:   one star adequate 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: Robert Pettiford     Date: 0 8 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Pinewood Tringham Close Pinewood Ottershaw Surrey KT16 0HL 01932872489 Telephone number: Fax number: Email address: Provider web address: penny.lamb@surreypct.nhs.uk Name of registered provider(s): Name of registered manager (if applicable): Welmede Housing Association Ltd The registered provider is responsible for running the service care home 5 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home Pinewood is small home accommodating up to five people over 65 years of age, who also have a learning disability. The home is a purpose built, single storey property, with five individual bedrooms and a spacious lounge / dining room. A garden is available to the rear of the property and there is a large driveway, with parking space for a number of vehicles. Pinewood is one of a number of homes operated by Welmede, a local housing association. Pinewood is situated in a residential cul-de-sac Care Homes for Older People Page 4 of 29 Over 65 0 5 Brief description of the care home in Ottershaw, which has a range of local facilities, including shops, post office, pubs and public transport. The larger town of Woking, with its greater range of shops and leisure facilities, is a short drive away. Pinewood is adjacent to Copse Lea, another home in the Welmede group, and the two homes have historically shared one manager. At the time of the previous inspection the fees were said to be GBP1039.00 per week. 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: one star adequate 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 inspection took place on 8th November 2008. We agreed and explained the inspection process with the deputy manager present at the time of the inspection and the supervising manager who joined later. The focus of the inspection was to assess Pinewood in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Older Persons. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. We used a varied method of gathering evidence to complete this inspection, preCare Homes for Older People Page 6 of 29 inspection information such as the previous report and discussion and correspondence with the registered provider/manager was used in the planning process to support the inspector to explore any issues of concern and verify practise and service provision. The home has completed an annual quality assurance assessment questionnaire (AQAA), which was received on time. This provided us with information relating to What the home considers it does well, What we could do better, What has improved within the last 12 months and plans for improvement. The judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the CSCI to be able to make an informed decision about outcome areas. Further information can be found on the CSCI website with regards to information on KLORAs and AQAAs. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. Other areas viewed included risk assessments, pre-admission assessments, rotas, training records and recruitment records. In addition an environmental tour took place. We identified several residents for case tracking. In addition the inspector had the opportunity to speak with several of the residents and a number of staff. Additional evidence was gained to inform judgements following the observation of many of the residents and their interactions with staff. What the care home does well: What has improved since the last inspection? What they could do better: The home does not currently have a manager and the management of the home is overseen by another manager from one of the providers other homes. Whilst it is accepted that the deputy manager has been instrumental in ensuring that the care needs of the residents are met, the home is required in accordance with regulation 8 of the Care Home Regulations 2001 to have a Registered Manager. The deputy manager is to be commended on her efforts to maintain standards of care. Shortfall in the provision of a registered manager could however put the residents at risk and impact on other areas of the home. The provider must appoint a suitably qualified person. Care Homes for Older People Page 8 of 29 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 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. Residents can be confident that their needs will be properly assessed prior to moving to the home. Evidence: The standard relating to the assessment of residents prior to them moving into the home was met from the previous inspection. No evidence or intelligence would suggest that the process does not continue to meet with the required standard. Records showed at the previous inspection that residents have an assessment, which identifies their individual needs prior to or on admission to the home. This is then reflected into the care plans and these are developed in agreement with the individual where possible. The assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the needs of the individual. Care Homes for Older People Page 11 of 29 Evidence: The AQAA also confirmed detailed information with regard to ensuring that the home can meet the needs of residents. The assessment process as shown in the AQAA recognises cultural needs and the importance of promoting equality and diversity rather than just meeting needs in a reactive manner. The home evidenced in its AQAA and discussions with the Deputy manager that it reviews it equalities and diversity policy and ensures that all of the information and policies relating to residents are inclusive to all members of the community. The AQAA stated that all staff receive Equality and Diversity training. It was stated in the AQAA that residents attend the local church regularly. One resident attends mass monthly with a registered volunteer and so benefits from one to one time and a valued friendship. Some residents have their own valued role with the home, gardening, cleaning and shopping. Established long term relationships with weekly floating support staff. Adult education and a variety of clubs. Individuality is promoted through choice, inclusion, decorating and activities. Residents also attend a monthly meeting at Welmede to air their views. Residents attend meetings for the Reach Standards to answer a set of questions to find out what they think of the service that Welmede provide to help improve services if need be.The Residents guide is recorded on tape for accessibility for all. 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. Residents benefit from having clear individual plans that are comprehensive, identify their needs and are specific to the individual. Care plans showed that residents are enabled to make decisions and choices and enabled to take responsible risks through a thorough risk assessment process and that their health care needs are met. Residents can feel confident that medication is managed in accordance to current guidance. Evidence: The key principles of the home for delivering a quality service are based on the belief that residents should be able to take control of their lives. The staff of the home are strongly committed to supporting all residents including those with limited communication or learning disabilities to make informed decisions, understand the range of options which are available to them and have the right to take responsible risks. Evidence of this was gathered through taking to the residents, staff, and the deputy manager. Care Homes for Older People Page 13 of 29 Evidence: Medication was not inspected on this occasion. This standard was met at the previous inspection and no intelligence or information has been received to suggest that this standard does not continue to be met.The Deputy manager stated that all staff who administer medication have received training. The care plans fully documented all physical and emotional health care needs and where able residents filled in or were supported to fill in appropriate forms. Within the care plans records of health care provided by G.P, chiropodist, dentist, and opticians were evident. Residents physical and emotional health is monitored on a daily basis. Through their daily records and these correspond with records held in the care plans. This system ensures that all Residents receive continuity of care and supports potential complications and problems at an early stage. It is evident through records that the emotional health support is of a high priority to this home and the staff are pro-active in maintaining and supporting residents with their emotional needs in order to maintain their quality of life. There were clear guidelines in respect to routines and supporting the residents with their needs. The deputy manager confirmed that these are reviewed with health care professionals, relatives and residents where possible on a regular basis. We viewed a sample of two care plans, which showed short and long term goals. The plan focuses on current need. The plans of care follow the principles of person centred planning. Staff support and encourage the individual to be fully involved. Residents rights to make decisions are respected and the care plans reflected their ability to make an informed judgement where possible. Care plans included information concerning the preferred lifestyle and choices. We visited the home at 8:00AM. During the inspection we noted that residents were seen making choices about their lives and were seen to be part of the decision process where possible. A relaxed atmosphere was noted with the residents interacting with staff. We found that the home has a genuine commitment to supporting residents to contribute in the day to day running of the home. Staff were responsive and receptive to the residents input. Examples of such included choosing activities and planning of the day ahead. Care Homes for Older People Page 14 of 29 Evidence: There were guidelines in respect to routines and behaviour. The member of staff confirmed that these are reviewed with the residents on a regular basis and the families are supported to be involved where possible. Daily records were not wholly comprentaneous however in that they had gaps and full names of staff were not seen. It was strongly recommended that the home follow the Nursing and Midwifery Council guidance: Guidelines for records and record keeping. Residents rights to make decisions are respected and the care plans reflected their ability to make an informed judgement where possible. One resident spoke of his interests and the activities he enjoyed. Care plans include risk assessments. Management of risk takes into account the specialist needs and age of people who use the service, balanced with their aspirations for independence, choice and normal living. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that they are offered a range of opportunities for personal development and feel part of the wider community. Residents engage in a good level of activities which are appropriate to their needs and capabilities.Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The residents benefit from the appetising meals and balanced diet offered at the home. Evidence: Discussion with staff and residents confirmed that the level of activities were of a good level and that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. We joined residents at 8:00am while they were getting ready for the day. We had the opportunity to speak to several of the residents who expressed their opinion of the home and the activities they participated in and enjoyed. Other residents were Care Homes for Older People Page 16 of 29 Evidence: observed participating and interacting with staff. Residents have been enabled to and encouraged to participate in hobbies and activities which they had an interest in, such as maintaining and building on personal collections and specific recreational activities. The service actively encourages and provides varied opportunities for Residents to develop and maintain social, emotional, communication and independent living skills at Pinewood. The staff have a good ethos and focuses on involving Residents in all areas of their life. It was confirmed that residents are enabled to maintain contact with relatives and friends where they wished to do so. Examples of such included provision for relatives and friends to visit the home and support being provided to enable services users to visit relatives or friends outside the home. The AQAA showed that residents are encouraged to use all aspects of their home according to their ability and wishes - these include laundry, cooking, cleaning and gardening. Residents are encouraged to pursue activities, hobbies and interests both inside and outside of the home. Staff encourage spontaneity and will often take advantage of good weather and vehicle availability to undertake outings. The home uses volunteers to help service users pursue their interests. Service users undertake a wide variety of activities including, bingo, train spotting, cinema, theatre, bowling, crafts, adult education, clubs and social functions. Key workers encourage integration within the community. From observation, records viewed it was evident that residents were offered a choice of menus that meet their dietary needs and individual preferences. Meal times are flexible to suit the residents activities and schedules. Residents are able to choose where to eat, and also have facility to make drinks, meals and snacks for themselves and others with staff support should they wish. Residents on evidence seen have had been involved in planning and choosing what to eat where possible. Care Homes for Older People Page 17 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 can feel confident that their concerns and complaints are taken seriously. Residents are are protected from the risks of abuse. Evidence: A copy the complaints procedures was reviewed. The procedure included details of how to complain, timescales for response and information for referring a complaint to the service provider. The complaints procedure is highly visible within the service and is more readily available in different formats. Residents within the service have an understanding of how to make a complaint as their capacity and understanding allows. No complaints have been received from information contained within the AQAA. Systems are in place to ensure that these are dealt with appropriately. The homes Policy for the Protection of Residents and staff Whistle blowing procedure was discussed. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training has been provided for staff. The home promotes an open culture where Residents feel safe and supported to share any concerns in relation to their protection and safety. Care Homes for Older People Page 18 of 29 Evidence: The deputy manager stated that Criminal Record Bureau Checks (CRB) had been obtained for all staff . Evidence was later supplied to the Commission. These had been updated within the last year following a recommendation made in the last report. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a good well maintained environment which provides a homely warm atmosphere with safe access to comfortable indoor and outdoor communal areas. Residents are protected by the homes infection control procedures and policies Evidence: It was apparent that the individual and collective needs are being met in a comfortable environment. The standard of internal decoration and fixtures and fittings are well maintained and of a good quality. The home benefits from a wide selection of communal areas thus affording residents space should they so wish desire. The premises are kept exceptionally clean, hygienic throughout and systems are in place to control the spread of infection. The laundry facilities currently meet the needs of the residents living within the home. The AQAA stated that a new fence has been erected ensuring more privacy for the front garden. A new kitchen has been installed. New flooring to the kitchen and utility room. Garden has been landscaped with summer bedding planted. All doors have now been installed with self-closing mechanisms in line with health and safety Care Homes for Older People Page 20 of 29 Evidence: requirements. However the bathroom floor was not properly sealed and the light pull cords were very dirty throughout the home. The deputy manager stated that this would be addressed as a priority. The home does not at present benefit from a separate office to provide a private space for residents or other professionals to talk. This was recognised as a shortfall in the last report. The only solution to this would be major costly building works. The home has minimised the impact of not having a office by utilising the office at the adjoining home also managed by the same provider. Whilst this is not ideal it would appear that there are limited other practical solutions. The requirement from the last report has been removed. The previous reported stated that lighting within the hallway was limited and a requirment was made to address this. However following discussion with the deputy manager it was brought to the attension of the Commission that one of the residents will only sleep with the bedroom door open. It was said that brighter lights would disturb the residents sleep. The point was taken and the deputy manager is looking into alternative solutions. The requirment from the previos report has been removed. The emergency call bell system was requested in the last report to be made more accessable. We requested that this be suitably risk assessed as not all of the residents were at risk from falls. The manager is looking into a pendant call system worn around the neck and will be obtaining quotes. We are confident that this will now be addressed and the requirment has been removed Care Homes for Older People Page 21 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. Residents care, social and emotional needs are promoted by the employment of caring staff in such numbers to support their needs who put the interests of the residents first. The standard relating to staff recruitment procedures was not inspected. Evidence: From discussions with the deputy manager, observations and reviewing the staff rotas more than sufficient staff were on duty at the time of inspection to meet the residents needs. Staff are receptive to residents needs and work together as a team. The staff training records indicated planned and undertaken training in all the key areas. Core training in Infection control,Moving and Handling, Basic Life support, fire training, food hygiene, Equality and Diversity and Adult protection has been provided. The deputy manager evidenced that individual and group staff training needs had been identified. Core courses are undertaken by staff to maintain current qualifications and for protection of residents. However The home does not currently have a manager and is being managed by a deputy manager and overseen by another manager from one of the providers homes. The shortfall in the provision of a manager could put the residents at risk. Staff have achieved NVQ qualifications in Care to level 2 or above, Care Homes for Older People Page 22 of 29 Evidence: thus meeting with the required standards. The supervising manager confirmed that the home has a development programme for all new staff, which meets Sector Skills Councils workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users, and that all members of staff receive induction training to specification. Evidence was not readably available at time of inspection. The inspection of the recruitment files at the previous inspection evidenced that the required checks had been carried out and that the standard was met. however a reccomendation was made with regard to the frequency of the renewal of the CRB (Criminal Record bureau Checks). Evidence had been recieved subsequent to this inspection that CRBs have been updated and are now more current. Care Homes for Older People Page 23 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are currently being met however they can not be confident that the home is managed appropriately due the lack of a Registered Manager and that the quality assurance of the service has the potential to be monitored inconsistently. Evidence of health and safety safety checks were not fully inspected on this occasion. Evidence however was in place that the home has a system to ensure that fire doors are kept open. This showed that a previous requirement re fire safety had been met. The deputy manager stated that fire risk assessments had been reviewed Evidence: The deputy manager is actively involved in the day-to-day management of the home and works with staff and residents. She has 16 years of experience caring for others. Outcomes for the quality of care are good. Residents expressed a great deal of satisfaction of the care provided and the staff are very supported of the deputy manager and have a positive ethos. The home does not however currently have a Care Homes for Older People Page 24 of 29 Evidence: manager and the management of the home is overseen by another manager from one of the providers other homes. Whilst it is accepted that the deputy manager has been instrumental in ensuring that the care needs of the residents are meet she is not the manager and therefore the home does not benifit from having a Manager and one which is registered. Shortfall in the provision of a manager who is registered could put the residents at risk and impact on other areas of the home. The provider needs to appoint a suitably qualified person as a priority. There is strong evidence that the ethos of the Home is open and transparent. The views of both residents and staff are listened to, and valued. A development plan is now in place which satisfies the requirment from the last report. Quality assurance was discussed and the views and opinions of many of the residents and stakeholders sought. The residents spoken with confirmed a great deal of satisfaction living within the home and felt confident that their views and opinions were valued by both staff and management. Surveys have been carried out by the home to contribute to the quality assurance process. The home operates a key worker system to identify an individual staff member to directly to work with a service user on a one to one basis. An appointed person of the registered provider of the home does regularly visit the home and complete what is known as a Regulation 26 visit. This requires the provider to assess the quality of care within the home and ensure that it is meeting with the required National Minimum Standards. However the quality of such Regulation 26 visits viewed could be improved and made more comprehensive and consistent. This role is not carried by one person. Presently upwards of six different people carry out these audits. It is the view of the inspector that this did not contribute to them being consistent. The provider was reccommended to appoint one person to carry out this role. No requirment has been made at this time. Residents do not at present have a safe and secure storage place as is required of standard 35.5 The home is requested to review its compliance with this standard. No requirment has been made at this time as the Deputy manager stated that this would be addressed and the Commission is confident that this will happen. Evidence of health and safety safety checks were not fully inspected on this occasion. Evidence however was in place that the home has a system to ensure that fire doors are kept open. This showed that a previous requirment re fire safety had been met. Additionally as highlighted previously the flooring has been replaced in the kitchen and laundry. The deputy manager stated that fire risk assessments had been reviewed Care Homes for Older People Page 25 of 29 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 31 8 The registered provider shall 08/02/2009 appoint a suitably qualified and experienced manager to manage the home and register with the Commission. To ensure that residents needs are met and their health and safety is protected Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 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. 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!