Inspection on 12/01/09 for Seabourne Residential Home

This inspection was carried out on 12th January 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Seabourne Residential Home 30/01/08

Seabourne Residential Home 20/08/07

Seabourne Residential Home 14/03/07

Seabourne Residential Home 01/12/05

Seabourne Residential Home 02/06/05

Seabourne Residential Home 02/11/04

Seabourne Residential Home 09/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Key inspection report Care homes for older people Name: Address: Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Martin Bayne     Date: 1 2 0 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ 01202428132 01202420050 orange07974@yahoo.co.uk www.luxurycare.co.uk Mr Sookdeo Gunputh,Mrs Shobha Luxmee Gunputh care home 48 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): 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 Additional conditions: Date of last inspection Brief description of the care home Seabourne is a care home registered to provide accommodation for up to 48 older people who do not have nursing needs owned by Mr and Mrs Gunputh. The home has been without a Registered Manager since 05 August 2007. Mr and Mrs Gunputh are now having less involvement with the management of the home and their son Kevin Gunputh is now taking an increasingly active role in the management of the home. The home is located in the Southbourne area of Bournemouth. It is a short walk from the home to the beaches of Southbourne. Shops and other community amenities are within walking distance. Accommodation is provided on 3 floors, which are accessible by either stairs or two passenger lifts. There are 48 rooms. Most rooms have en suite facilities. There is a large communal lounge and dining area on the ground floor. There is another large sitting room and dining area on the second floor. The garden is reached through patio doors from the lounge. There is a small car park Care Homes for Older People Page 4 of 27 Over 65 48 0 Brief description of the care home at the front of the home. There is further parking at the side of the building. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We, the Commission, carried out a key inspection of Seabourne Residential Home between 9:40 a.m. and 4 p.m. on the 12th of January 2009, and between 9:15 a.m. and midday on the 13th of January 2009. The aim of the inspection was to evaluate the home against the key National Minimum Standards for older persons and to follow up on the 15 requirements and 7 recommendations made at the last key inspection of the home on the 13th of January 2008. The inspection was carried out by one inspector, but throughout the report the term and we is used, to show that the report is the view of the Commission Social Care Inspection. We were assisted throughout the inspection by Mr Kevin Gunputh and by a manager who has recently been recruited to manage the home. On the day of the 12th, we were Care Homes for Older People Page 6 of 27 also assisted by the person who had been managing the home prior to the appointment of the new manager. Throughout the inspection we tracked the personal care files for four people living at the home and looked at the records that the home is required to keep up to date under the Care Homes Regulations 2001. At the time of our visit to Seabourne there were 36 people living at the home. During the inspection we spoke with two relatives of residents, four members of staff, a care manager who was visiting the home that day and with nine of the residents. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The home now has procedures and systems from ensuring that pre-admission assessments of prospective residents needs are carried out and recorded. The home has improved care planning and risk assessments systems to ensure that residents needs are met. There has been an improvement in ensuring that all complaints are logged, with evidence of investigations and outcomes. On this visit to the home we found that there were no unpleasant odours within the building, as found on the last visit to the home. Recruitment practices have improved since the last key inspection with all the requirements of Schedule 2 of the Care Homes Regulations 2001 being satisfied. Since the last key inspection the home has carried out a review of staffing levels with additional staffing being put in place to meet assessed needs of residents. Staff training has improved and now all staff have been trained in manual handling and Care Homes for Older People Page 8 of 27 basic food hygiene. We found that the home was now run more in the interests of residents than has been found in the past. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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 benefit from having their needs assessed prior to being offered a placement thus ensuring that the home can meet their needs. Evidence: At the last key inspection there was a requirement carried forward from the previous inspection concerning the need to carry out pre-admission assessments of people who wish to move to the home, as there had been no new admissions to evaluate whether the requirement had been met. All of the residents we tracked through this inspection had been admitted since the time of the last key inspection. We found that a preadmission assessment had been carried out for all four residents and the outcome recorded on a template that covered all of the topics detailed within the National Minimum Standards for Older People. The assessments were found to be detailed and evidenced that the home had determined that they could meet peoples needs within Seabourne Residential Home. We also found that where people had been admitted through care management arrangements, a copy of the care management assessment Care Homes for Older People Page 11 of 27 Evidence: and care plan had been obtained as part of the homes assessment process. In the case of one person, they had been admitted from a different county. The manager of the home had sought out information for the assessment from the persons family and from health professionals who were supporting that person. One of the relatives with whom we spoke, told us that they had been provided with good information about the home by means of the homes Statement of Purpose and brochure. We were told that relatives and prospective residents are made welcome to visit the home and are able to stay for a meal or activities when visiting, to assist them in choosing the right placement. We evaluated the home against the standards for intermediate care, as the home has two beds funded by the local Primary Care Trust (PCT) under a scheme called the delayed discharge initiative. This scheme allows people who have been in hospital, but not yet ready to be discharged home, to be admitted to Seabourne Residential Home for a short period to continue their rehabilitation before returning home. We found that the home complied with the standards for intermediate care, providing specialised facilities and equipment to promote activities of daily living mobility. Staff at the home have also received specialist training through the PCT, who also provide support through physiotherapy and occupational therapy services. Care Homes for Older People Page 12 of 27 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 improved care planning systems that ensure that assessed health needs are met. Medicines were generally found to be administered safely within the home, although some improvements could be made to reduce the risk of harm to residents. Residents at the home were found to be treated with respect and dignity by members of staff. Evidence: At the last key inspection requirements were made in respect of care planning and assessment of risk in meeting residents health care needs. Specific reference was made concerning nutrition, medication administration and ensuring that the privacy and dignity of residents is maintained. We found at this inspection that all these requirements had been complied with. We were told that when a person is admitted to the home, a full assessment is carried out within 72 hours of their admission, that includes peoples weight, fluid intake, nutrition, skincare, medication and moving and handling needs. Following the assessment, the care plan is developed with the person and the degree to which the Care Homes for Older People Page 13 of 27 Evidence: persons needs should be monitored is then determined. We looked at the personal care files for the four residents tracked through the inspection. The files were generally well ordered and divided into 12 sections allowing for easy access to information. As well as a full detailed care plan that had been developed from the assessments and risk assessments within peoples files, there was a precis care plan, All about me. The staff we spoke with told us that they found this most useful, as it summarised in an easily digestible format, expectations of how the staff should care for that particular person . We were told that in the event of a person having to go into hospital, this document would be sent with them, so that the hospital would know how to care for that person. The care plans we looked at were comprehensive, covering peoples social and health care needs. We saw that body maps were completed for any bruise or marks on a persons skin. We saw evidence of the resident or their relative being involved in this process by their signing the care plan. Care plans are kept within residents bedrooms so that both staff and the resident concerned have got access to the file. We were told that any confidential information would be kept within the office, such as information about finances or information gained from a third party. We spoke with three of the residents whose personal files we tracked through the inspection and found that the care plans reflected social and health care needs of those particular people. There was evidence that peoples health care needs were being met through GP visits, assistance from district nursing for any nursing needs, and appointments with the dentists and opticians. One of the deputy managers talked us through medication procedures and how medicines were administered to residents. When a person is admitted they are assessed as to whether they can manage their own medicines. Should they be able to self-medicate a risk assessment form is completed and there is the facility of a small medication cabinet and a locked drawer within their bedroom. For residents who have medicines administered by the staff, these are stored in the medicine cabinets within residents bedrooms, with only the staff delegated that day for medication administration holding the key. The home use as a unit dosage system and any surplus medications or dressings are kept in the main medication cabinet. We looked in the main medication cabinet and also one of the cabinets within a bedroom and saw that medications were stored correctly, with the exception of prescribed creams. In one room we saw that prescribed creams were stored on top of the medication cabinet. We were told that the reason for this was to ensure that these medicines were available to the care staff when providing personal care in the mornings. We recommend that all prescribed medication be stored in a lockable area, as they pose a Care Homes for Older People Page 14 of 27 Evidence: potential risk of harm to residents . We saw that controlled medications were kept in a suitable wall mounted lockable area within the main cabinet. We found that there had been an error in recording within the controlled drugs register. We recommend that a written explanation to account for such errors be recorded so that there is a transparent record of how the error occured. We looked at the medication administration records for one section of the home. We saw that there was a photograph on the front of each persons medication records, so that they could be easily identified. We saw that any known allergies were recorded as well as details of the persons GP. We saw that the medication records were being completed in full with no gaps in the record. We saw good practice of a second person checking and signing where hand entries were recorded on the records. Further good practice was the maintenance of a sample of staff signatures of those staff trained to administer medication and evidence of medication entering the home being regularly audited by one of the managers. The two relatives and all of the residents with whom we spoke, told us that the staff were very supportive, kind and respectful of dignity and privacy. On the day of inspection all of the residents were dressed in clean clothes with attention paid to their personal grooming. We observed the interaction between staff and residents and there appeared to be good relationships between the two. Care Homes for Older People Page 15 of 27 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 benefit from being involved in planning activities, having their spiritual needs assessed and met, and through being provided with a good standard of food. Evidence: The home employs an activities coordinator to meet residents social and recreational needs. We were also told that in the afternoons one of the care staff is delegated to assist the activities coordinator. Residents spoke highly of the activities coordinator and the activities arranged within the home. An example being one person telling us about a project with the activities coordinator of writing their life story. We saw evidence of both communal and individual activities undertaken with residents. We saw that the home had won a commendation under the Breath of fresh air initiative to ensure that all residents had access to fresh air within a period of one particular week. All the residents had been taken out to view the Bournemouth air show and the Sea Cadets had visited to the home and put on a display for residents. The activities coordinator has developed a newsletter for the home and residents are encouraged to contribute. A residents and relatives group has also been formed and this is chaired by an outside person. We saw minutes of meetings and saw examples of the contribution the group had made towards things like the writing of the homes Care Homes for Older People Page 16 of 27 Evidence: complaints procedure, choosing decor within the home and arranging activities and menus. We saw that residents spiritual needs were assessed when they were admitted to the home. The relatives we spoke with told us that they were made welcome to visit at any time. They also told us that they were kept informed by the home of any incidents or accidents. We saw that the home had procedure and forms for the staff to complete, in the event of resident sustaining an accident that relatives relatives needing to be informed of. In general there were very positive comments about the standard of food provided in the home and as described above we saw that residents were involved in planning the menu. We were told that there was a choice of meals and that specialist diets were catered for. Residents are able to have meals within their room or in the dining room. We saw that each resident had had their nutritional needs assessed. Peoples likes and dislikes are recorded as part of their assessment when they moved to the home. Care Homes for Older People Page 17 of 27 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 benefit from well-publicised complaints procedures and through the staff being trained in adult protection. Evidence: At the last key inspection a requirement was made concerning complaints, as not all complaints had been logged and investigated. The residents we spoke with told us that they knew how to make a complaint and that they had confidence their complaint would be investigated. One resident we spoke with told us that they had made a complaint. We looked at the homes complaints log and saw that their complaint had been investigated and responded to. We looked at the homes complaints procedure and agreed some change to the wording concerning the role of CSCI in complaints. With respect to safeguarding of residents, we found that all the staff had been trained in the protection of vulnerable adults and over the year the home has worked closely with the local authority in ensuring that residents are better safeguarded. Care Homes for Older People Page 18 of 27 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 a well maintained, safe environment. Evidence: At the last key inspection a requirement was made concerning the elimination of offensive odours in the building. On the day of our visit the home was found to be clean, free from unpleasant odours, in good decorative order and furniture and fittings in a good state of repair. The home was also found to be warm, with some residents even saying that at times they felt too hot. Residents however, are able to regulate the temperature of the room as thermostats are fitted to radiators in the majority of rooms. The upper floor and part of the ground floor extension have been fitted with underfloor heating and we were told that this too could be regulated. We saw that residents were able to personalise their rooms with their own possessions and as detailed earlier in the report, residents had been involved in choosing colour schemes within the home. We also saw that some adaptations had been made to assist particular residents. The home has liaised with the RNIB to assist one partially sighted resident. Light switches and other fittings had been highlighted in strong fluorescent colours to assist the person in seeing where their fittings are located. We also saw that for those residents with memory problems, their bedroom door was of a different colour to help them in identifying their room. We saw that the staff had been provided with protective clothing such as gloves and Care Homes for Older People Page 19 of 27 Evidence: aprons in the interests of infection control. We also saw that alcohol gel dispensers were strategically placed around the building with information on the front reception area on good infection control for both staff and visitors. We found that the home had a dedicated laundry area sited away from food preparation areas, that is fitted with commercial machines. Handwashing facilities are provided and walls and floor surfaces easily cleanable. Care Homes for Older People Page 20 of 27 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 benefit from staffing levels that meet their assessed needs, through staff being recruited in line with good practice and the Regulations, and through the staff being appropriately trained. Evidence: At the last key inspection requirements were made that the home should: undertake a review of the staffing levels, ensure that two references are obtained before a staff member starts working at the home and training be provided in manual handling, food hygiene, first aid and record-keeping. We found at this inspection that staffing levels had been increased since the last inspection following a review of the staffing levels. The home employs a manager, two deputies, four care team leaders, healthcare assistants, a receptionist, maintenance person and kitchen staff. We were told that on weekdays in the mornings there is one care team leader and seven care staff on duty. In the afternoons, six staff, as well as the manager and deputy (who are supernumerary). At weekends, staffing levels remain the same with a deputy on duty. We were shown a copy of the duty rosters and this reflected the above staffing. During the inspection we spoke with four members of staff, all of whom told us that they thought that the staffing levels now met the needs of the residents. We found that the residents we spoke with also shared this view. Care Homes for Older People Page 21 of 27 Evidence: We looked at the staff recruitment records for four members of staff. These were generally well ordered and there was evidence of all the records and checks of Schedule 2 of the Care Homes Regulations 2001 being complied with. We saw that for each member of staff, two written references had been obtained and in cases where people had been employed in care positions, a reference had been obtained from this employer, as required. The requirement was therefore met. Recommendations were made however the staff application form be amended to seek a full employment history from candidates, not just a period of five years. It also recommended that applicants be asked to account gaps in the employment history and that one reference should be sought from the persons last place of work with vulnerable adults or children of more than three months duration. It was agreed that the health declaration that newly recruited staff complete, should be amended, as it asked for information not appropriate to the work that they are to perform in the home. We looked at the training provided to the staff. The home has achieved a level of above 50 of staff trained to NVQ level 2 or above. We saw a training matrix that recorded all staff training. We saw that staff are provided with mandatory training in such areas as fire safety, health and safety, first aid, infection control, moving and handling, and first aid. We were told that the home had just purchased a comprehensive range of training videos to supplement training courses provided to staff. The requirement concerning staff training was therefore met. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the interests of the residents. Evidence: At the last key inspection a requirement was made for the organisation to register a manager of a home with the Commission. Since that time a manager was appointed, however before they were registered, they were appointed to oversee management of other homes within the group. A new manager was recruited to manage Seaborne Residential Home and has now been registered with the Commission. We found that standards of care and management within the home have improved since the last key inspection. The care manager we spoke with told us that care managers now had more confidence that residents placed at the home receive good outcomes. We found there was an improvement in ensuring that the home is run in the interests of residents. People who live at the home are fully involved in the running of the home as evidenced by residents meetings that feeds in to decision-making and signage around the building put in place to assist residents orientation. In the case of one Care Homes for Older People Page 23 of 27 Evidence: resident admitted under an emergency, the home also accommodated their dog, which had made the placement possible. At the last inspection a requirement was made as it had not been possible to establish that peoples financial interests were being safeguarded. The home safe keeps small sums of money from some residents. We checked the records and balances of money held for three residents. We found that detailed records were being maintained off money withdrawn and deposited. The requirement was therefore met. We saw that accidents were being recorded and being analysed for trends or potential hazards. We looked at the fire log book. Tests and inspections of the fire safety system were being carried out with the exception of a visual check of the firefighting equipment each month. It was also difficult to evidence that initial fire safety training had been offered to new staff. It is recommended that this is better evidenced. It is acknowledged that the registered provider is fully involved in the running of the home, however we recommend that written reports of unannounced visits be made to inform of the conduct of the home. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes R 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 1 31 8 An application for the post of 26/01/2009 Registered Manager must be submitted to the Commission. The previous timescale of 31/10/07 has been revised. Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 9 9 We recommend that all prescribed medication be stored in a lockable area. We recommend that where errors are identified in medication records, a written explanation allows for an audit trail of the error. It is recommended that the staff application form be amended to seek a full employment history from candidates, not just a period of five years. It also recommended that applicants be asked to account gaps in the employment history and that one reference should be sought from the persons last place of work with vulnerable adults or children of more than three months duration. 3 29 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!