Inspection on 12/01/09 for Rydal Mount

This inspection was carried out on 12th January 2009.

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

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

Other inspections for this house

Rydal Mount 30/01/07

Rydal Mount 16/02/06

Rydal Mount 14/11/05

Rydal Mount 03/03/05

Rydal Mount 20/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rydal Mount Station Hill Wigton Cumbria CA7 9BJ two star good service The quality rating for this care home is: 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: Ray Mowat Date: 1 2 0 1 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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. 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Rydal Mount Station Hill Wigton Cumbria CA7 9BJ 01697349266 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Community Integrated Care Name of registered manager (if applicable) Mrs Janice Coates Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 learning disability Additional conditions: The home is registered for a maximum of 4 service users to include: up to 4 service users in the category of LD (Learning Disability) Date of last inspection A bit about the care home Rydal Mount provides the services and care for four people with a learning disability and is operated by Community Integrated Care. Rydal Mount is a detached bungalow set in its own grounds on the outskirts of Wigton. The home is near to the local services and facilities. The home is set on a hill at the end of a steep driveway. The people who currently live in the home need to use the vehicle when leaving or entering the grounds. There is a large accessible patio area with seating, to the rear of the home, overlooking the garden. Inside the home there is a large lounge room with dining area and a smaller second lounge. There are four single occupancy private bedrooms, a well equipped kitchen and a utility/laundry room. There are two bathrooms with specially adapted bathing and toilet facilities that are fully accessible. Information about the home is made available to people considering moving in and is also available in the home, including the most recent inspection report. The fees for the home are approximately £991.46 with variations dependent upon an assessment of needs, with additional charges for personal expenses such as toiletries and the hairdresser. 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people who use the service experience good quality outcomes. This inspection visit took place over one day. During this visit we (The Commission for Social Care Inspection) met with people living in the home and also spent time with the manager and care staff on duty. We also met with care staff individually and talked to them as they went about their duties. The manager completed a self assessment questionnaire called an Annual Quality Assurance Assessment (AQAA) and sent it to us before the inspection visit. This provided us with information about how the home is run and the managers views on what the home does well, where they have improved and plans for the future. It also includes information about the people who live in the home and the staff working there. Surveys were sent out as part of this inspection to people living in the home, staff and other professionals with their views being used to formulate the judgements in this report. We examined records relating to the running of the home that are required by law, which included care plan files, these record individual needs and wishes and guide staff in supporting people to achieve their goals and lead independent lives. We also examined staff files and records relating to the maintenance and safety of the home. The last inspection on this service was completed on 30th January 2007. What the care home does well Detailed assessments of need are completed before people move into the home, which makes sure the home is suitable for them and the staff have the skills and resources to support them. Based on the assessments personalised care plans are agreed with the individual or their representative that ensures staff are aware of individual preferences about how they want to live their lives and what is important to them. These are looked at regularly with each person to make sure they are up to date and accurate. Staff have helped each person to put together a pictorial record of events and activities they have taken part in. This is easier for them to understand and therefore more meaningful to them and is used to help people communicate their choices about future activities. All the people have been on an annual holiday, which was planned with them taking into consideration their individual needs and interests. These have proved both popular and successful in enabling people to enjoy new experiences. Health records were good with informative pen pictures included with the medical record sheets that explain what medication people are taking and why they need it. Health and safety records were up to date and accurate with clear risk assessments in place that make sure people who live and work in the home are safe at all times. These are looked at regularly to make sure they are up to date. The home is enjoying the benefits of having a stable staff team who have developed good relationships with people and have a clear understanding about individual needs and how people like to live their lives. Over 50 of staff are now working toward or have completed their National Vocational Qualifications (NVQ). The manager provides good leadership and support to the people living in the home and staff. Good systems are in place to make sure peoples views are heard and the home is run in their best interests. Regular meetings are arranged so that people can contribute to the management of the home and feel their views are valued. Key workers work closely with people to make sure their needs and wishes are recorded and they can achieve their goals and lead a fulfilling and independent lifestyle. What has got better from the last inspection The home is working closely with other agencies to make sure peoples needs are being met and staff have the skills and knowledge to support them. People have enjoyed different types of holidays based on their needs and interests, which have enabled them to enjoy new experiences in their lives. Care plan records about a person’s health have improved with staff more aware of peoples wishes and respecting their choices about health interventions. The home now has a full compliment of staff with all vacant posts filled, including two senior support workers and relief staff to cover vacancies. This makes sure people know who is coming into their home and the staff know what people need. What the care home could do better The manager should make sure all staff complete safeguarding training so that they can identify the different forms of abuse and understand their role and responsibilities in reporting concerns. Individual training records should be updated and a training programme implemented that will make sure peoples training and development needs are met, giving them the skills and knowledge they require. Management visits to the home have recently not taken place as required, these should now be taking place each month with a record of the visit maintained in the home. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ray Mowat Unit 1, Tustin Court Port Way Preston PR2 2YQ 017 7273 0100 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 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has good systems in place to make sure peoples needs are assessed and recorded and staff are able to respond to them consistently. Evidence: All the people living in the home have a comprehensive assessment of their needs and abilities completed, which is kept under review to make sure it is up to date and accurate. This included information about all aspects of a persons personal and healthcare needs as well as daily living skills, social care needs and emotional needs. Based on these assessed needs a care plan is developed with the person and their representatives that will guide and support staff in providing appropriate levels of care and support. Based on discussions with staff they are aware of the importance of being aware of each persons individual needs and preferences, so that they can promote their independence and respect their wishes about how they like to live their lives and understand what is important to them. This is of particular importance for people with limited verbal communication skils. We spent time talking to people who live in the home, care staff and the manager and based on these discussions and our observations, it was evident staff have developed good relationships with people. Staff provided unobtrusive support using verbal and gestural prompts that encouraged people to take control of a situation therefore promoting their independence. The staff work closely with other agencies to get relevant support and guidance when specialist needs are identified, a good example being the Epilepsy management plan and monitoring charts that make sure staff are aware of how to support someone and keep them safe. Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 . Detailed assessments and care plans make sure people receive a personalised service that meets their individual needs and they are encouraged to lead an independent lifestyle. Evidence: As described previously the manager completes detailed assessments that enable her and the staff team to develop, with the person or their representative, a suitable care plan. There was evidence this care plan is looked at regularly to make sure it is up to date and reflects peoples changing needs. This includes a good range of risk assessments that keep the person and staff safe, both in the home environment and when in the local community. Manual handling risk assessments were detailed and regularly reviewed to ensure the safety of the person being supported and staff. The care plans include a pen picture and give the reader a good insight to the persons individual personal and healthcare needs and the type and level of support they require. Key workers are appointed who take a lead role in recording relevant information and ensuring the care plans reflect individual needs and preferences about how people like to live their lives. There was evidence of regular review meetings taking place with the person themselves to look at the care plan. There are good monitoring systems in place to ensure all significant events and health interventions are recorded in detail, to make sure all staff are aware of changes and can maintain a consistent quality of service. A daily handover diary is also used to record daily events and the personal care provided, with reference to individual care plans for more complex issues, which keeps the staff team up to date. How people communicate their needs is also recorded, which helps staff to support people with decision making in their lives. Staff were seen to take on an enabling role Evidence: encouraging people to make everyday choices such as what activities to undertake and what to eat. There was evidence that peoples personal preferences have influenced what activities they take part in. A good example of this was the recent holidays that people had enjoyed. Venues were chosen based on peoples interests and needs, resulting in one person going to an Air show and another enjoying a seaside resort holiday. All personal and confidential information was appropriately stored but was accessible to the person and staff as required. Staff spoken to were aware of maintaining confidentiality at all times including how and where to record personal information. Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are taking part in a good range of activities both in the home and in the local community and are enjoying a good quality of life. Evidence: Two of the people living in the home have effectively retired from formal vocational and educational activities and are enjoying a relaxed lifestyle, where they can dictate what they do, at the pace of life they prefer. Staff have a good awareness of individual needs and interests, so make sure each person has the opportunity to pursue their personal interests and hobbies. This inludes in-house activities such as a relaxing foot spa, listening to music, watching horse racing or baking, as well as more active things in the home and in the local community, such as darts, arts and crafts, going out for walks, visiting a cafe or pub, shopping and attending a social club. The home has an adapted vehicle that is fully accessible for use by the people currently living in the home , which ensures they are able to access the local community when they choose. The other two people enjoy attending a local day service, one person for five days and the other for two days each week. This provides them with an opportunity to meet their peers and take part in a range of both developmental and leisure activities. This includes a good range of activities such as swimming, sailing, walking, socialising, sewing and arts and crafts and other table top activities. The people spoken to said they enjoyed the day service and liked to meet their frends. They also talked about the holidays they had enjoyed, which they obviously valued and looked forward to. The staff keep a photographic record of acitivies and holidays that they use with people to talk about what they have enjoyed and to plan future activities. The Evidence: manager described how effective these records have been as people find them easier to understand and more meaningful to them. One person is able to keep their own record of daily events in their own diary, which is important to them and useful for staff to prompt conversation. Menus and mealtimes are very flexible with staff very aware of peoples individual likes and dislikes and nutritional needs. Food and fluid intake is closely monitored when concerns are raised but on the whole people enjoy a healthy balanced diet. We joined a group of people for lunch, which was served at the dinining room table. It was a relaxed social occasion, with people enjoying the choice of food on offer. Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 . Personal and healthcare needs are well documented, which helps staff to provide a personalised service that reflects individual wishes and beliefs. Evidence: As part of the overall care plan each person has a Health Action Plan (HAP), which is used to record individual health care needs, including all routine and specialist health interventions and appointments. They include a record of all medication explaining why and how it is administered or what support people require to manage it. The files examined, recorded routine visits to the GP and Dentist as well as more specialist input from the community health team. A hospital file is also included, which goes with the person if they are admitted to hospital, providing hospital staff with valuable personal information about the person and what support they will need including how they communicate and their likes and dislikes. As described previously the detailed care plans help staff to provide personal support in the way the person prefers or requires, this could range from intimate personal care to offering verbal prompts, dependent upon the needs of the person. Staff were aware of the need to promote and maintain peoples independence when providing support to them. There are sound systems in place that make sure all medication coming into or leaving the home is accounted for and safely managed in line with current good practice guidelines. We randomly checked some medication held against the Medical Records (MAR) and found these to be up to date and accurate, with all medication administered being signed for and the stock held balancing with the records. Individual pen pictures relating to the persons medical needs and what medication they require were held with the MAR charts, this included PRN (as and when required) medication. Peoples spiritual and religious needs including their wishes upon death are recorded in the initial needs assessment and in their care plan. This enables staff to provide Evidence: sensistive support that respects peoples individual wishes and beliefs. Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 manager is working closely with staff to make sure peoples voices are heard and they are safeguarded from abuse. Evidence: There have been no formal complaints received by the home or the Commission since the last inspection visit. Feedback from discussions with people living in the home and the staff working there and from the surveys sent out as part of this inspection, confimed that people are aware of how to complain or that staff are aware of their responsibility in raising concerns on someones behalf. The complaints policy is displayed in the home and is issued to people in the service user guide. Based on examining the training records of staff and our discussions with them they are in need of further training in relation to Safeguarding Vulnerable Adults (abuse) training. This will ensure they will recognise the different types of abuse and their responsibilities in reporting concerns. The manager explained that this training was planned for February. A refresher session in relation to the organisations whistleblowing policy and procedures recently took place at a staff meeting, to improve staffs understanding about reporting procedures if they suspect or see evidence of abuse. There have been no recent adult protection referrals in relation to the home. 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 . Rydal Mount is a comfortable, well maintained home that is decorated and furnished to a good standard. It provides a homely living environment suitable for the needs of the people living there. Evidence: All areas of the home are decorated and furnished to a good standard. Routine maintenance and repairs are taking place as required with all areas of the home safe and well maintained. There is ramped access to both the front and rear of the home making it fully accessible for people with limited mobility. There is a large lounge room with a dining area. The kitchen was recently refurbished and is suitable for the size of the home and is well equipped. All the bedrooms have been tastefully decorated and furnished and reflect individual tastes. Although the garden is not accessible to people because of the steep gradient the rear patio area is fully accessible and provides good space for people to get out in the summmer months. Plans are in place for the summer to introduce more flowers and shrubs to create a sensory garden. There are two good sized bathrooms one with a toilet and accessible bath and the other with a walk in accessible shower, a specialist bath and toilet. There are suitable aids and adaptations in use such as grab rails, walking aids, specialist bath and a hoist that help people to maintain their independence around the home. There are plans in place to replace the seating in the lounge as the current chairs are very low, which makes it difficult for people to get up, so they will be replaced with something at a more suitable height. Clinical waste bins are used to store all soiled products and the laundry facilities are well ordered, clean and hygienic and suitable for a small domestice situation. Cleaning routines are in place that ensure all areas of the home are clean and hygienic. 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is a good skill mix among the staff team who have developed good relationships and an understanding with people living in the home and work well together to ensure people are supported and protected. Evidence: Job descriptions are issued to staff during the recruitment process giving them an insight to their roles and responsibilities. Through regular team meetings and supervision, practice issues, policies and procedures are reinforced making sure staff are knowledgeable and competent for their role. There are sound recruitment procedures in place that make sure staff are safe and suitable for the role, with all refernces and checks completed. People living in the home are involved with the recruitment process, which is good practice. Some staff said the induction process was very good and made sure they had the right skills. Staff complete an induction work book that is in line with common induction standards. Two new staff are currently working toward their National Vocational Qualification (NVQ) at level 2 and two more experienced staff are working toward their NVQ level 3 award. This means that over 50 of the staff team have completed or are working towrds a relevant NVQ qualification. Training records were inconsistent and reflected the fact that there were shortfalls with the training provided to some staff. This was aknowledged by the manager who explained that a new online system was being introduced by the organisation to monitor and record training activity, which will improve the planning process. The manager was in the process of identifying training gaps and organising both core skills and specialist training courses including subjects such as, safeguarding, medication, first aid, positive communication, Epilepsy and person centred planning. This will ensure staff have the relevant skills and knowledge to meet the needs of the people currently living in the home. The home enjoys the benefits of a stable core group of staff who have developed good relationships and an understanding with the people living in the home. Based on discussions with the manager and examining the staff rota all vacant posts have been Evidence: filled. The manager is very hands on and will support staff on shift to enable people to go out in the local community. There are two staff who work the early shift and two staff on a late shift, with the manager working days to enable her to see both sets of staff. The manager needs to continually monitor the staffing levels to make sure peoples needs are being appropriately met at all times. Regular staff work extra hours to cover absences, which ensures a good continuity of care for people. Two senior staff have been appointed, which has proved a good support for the manager and also to the care staff in the Managers absence. Staff talked about good support networks and being able to talk to seniors about anything. Another person described how friendly and supportive the manager and supervisors were making it easy to slot in. We examined staff supervision records that reflected discussions taking place about practice issues and the developmental needs of staff. It was evident from these records and discussions with staff that supervision was taking place regularly and the support they receive is valued by staff. Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 manager is running the home efficiently and effectively and in the best interestst of the people living there. Evidence: The manager is suitably qualified and experienced and provides clear leadership to the staff team. Based on our discussions with staff and their responses in the surveys we sent out as part of this inspection they feel valued and there is a mutual respect between the manager and staff. Staff talked about contributing to the running of the home and feel part of a team who work well together. In addition to individual supervision where staff can share their thoughts and feelings, regular staff meetings are held, which enable a flow of information between the manager and staff and make sure people are up to date with changes. The last senior management visit to the home conducted under regulation 26 took place in August 08, these should be taking place on a monthly basis. Records of previous visits were held in the home and available for inspection as required. Quality monitoring is taking place with people living in the home, their relatives and staff, with questionnaires sent out by the organisation being used to get feedback from people. The manager has also produced an easy read questionnaire using symbols and pictures that is easier for people to understand and more meaningful to them as it is more relevant to the home. All the records examined were securely stored and were up to date and accurate. Routine health and safety checks are taking place and risk asessments are supporting and guiding good practice to maintain the safety of people living and working in the home. We sampled various maintenance and safety records and found these to be up to date and accurate including COSHH (Hazardous substances) risk assessments, fire safety records and risk assessment, fridge and freezer temperature checks and a Evidence: monthly health and safety checklist. Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description 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 23 All staff should now complete the planned safeguarding training to help them identify and report suspicions of or actual abuse. The manager should implement the planned training programme and keep an up to date training needs assessment for each member of staff. Senior management monitoring visits to the home should be taking place on a monthly basis. 2 35 3 43 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. 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