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Inspection on 24/09/08 for St Albans House

Also see our care home review for St Albans House for more information

This inspection was carried out on 24th September 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living in the home say that everyone is friendly and helpful; that staff are very good and they get all the assistance they need. People have a variety of opportunities to take part in activities and events organised by the home. They have a say about the activities and entertainments arranged. They can also go on outings that they have chosen. People enjoy good food and are involved in the planning of the menus. People say they have no complaints about the home and they know that staff will listen to them if they have any worries. People have a say about what goes on in the home because the manager listens to them and regularly seeks their views. They can also attend residents meetings` to discuss things and make suggestions. Changes are made as a result of listening to them. Staff are well trained and have sound knowledge of good care practices. This is because they have excellent training opportunities provided. Eighty-one percent of the staff have a national vocational qualification (NVQ) in care and they have also attended lots of short courses. Staff say that as a result of this, they feel confident that they are giving the right care. People appreciate the stable staff team, saying that the staff know them well and they feel safe. The management continually look at the way they provide their service and how they can improve the quality of life for people living in the home. They have a development plan, which they work to. This shows that changes have been made throughout the year and further changes are planned.

What has improved since the last inspection?

Staff have continued to complete a variety of short courses. Care staff have completed a palliative care course. Staff say this has helped them to feel confident that they know the right things to do when looking after people who are approaching the end of their lives. One of the deputy managers has completed a higher level national qualification in care and three more carers have achieved a care qualification. This helps to ensure that people will be supported by competent and qualified staff In the past year, all ground floor toilets have been refurbished and a new stand aid has been purchased. This is in addition to the ongoing redecoration of rooms as needed and the refurbishment of the medication room and the laundry in the previous year. All of this helps to make sure that a safe and homely environment is maintained for the benefit of people living and working in the home.

What the care home could do better:

The management have a five year development plan for the home, which is reviewed annually. This is based upon people`s views and as they have identified things that could be done better, they have made plans to bring about the changes. They currently have a number of plans in place that they are working on, or towards. We talked to the manager about involving staff more in the care planning and developing the monthly reviews. We also spoke about having foot operated pedal bins for clinical waste, as an added precaution for the prevention of infection within the home. A review of the numbers of staff on duty at some times of the day and week, if undertaken as part of the home`s quality monitoring processes, might reveal where adjustments are needed, to reflect busy times and changing needs of the people living in the home. This is something that could be done on a regular basis to make sure that staffing numbers are always adequately maintained to meet people`s needs. Staff files would be easier to assess if they were reorganised in a way that holds the information more securely within the file, so that loose papers do not get out of order, or misplaced. The manager made a commitment that these things will be considered in discussion with the providers and action taken where necessary.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Albans House 12-13 The Grove Deal Kent CT14 9TL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Grafton     Date: 2 4 0 9 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 28 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 28 Information about the care home Name of care home: Address: St Albans House 12-13 The Grove Deal Kent CT14 9TL 01304374243 Telephone number: Fax number: Email address: Provider web address: stalbans2007@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Deborah Kim Harris Type of registration: Number of places registered: Deal Old People`s Housing Society Limited care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 19 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: Old age, not falling within any other category - OP Date of last inspection Brief description of the care home St Albans House is a 19-bedded residential home for older people, set in a quiet residential area of Deal, and owned by a Charitable Housing Trust. Deal is a seaside town, which benefits from good amenities and public transport links. The town centre is approximately half a mile from St Albans House. The home is set over three floors and comprises of spacious communal areas including lounges, a large dining room and a galley conservatory. All bedrooms are currently used for single occupancy, are well Care Homes for Older People Page 4 of 28 Over 65 19 0 Brief description of the care home equipped, and thoughtfully decorated. There are large gardens and car parking to the rear and side of the home. The current fees for the service at the time of the visit range from 406 pounds 13p per week. Information on the Homes services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Care Homes for Older People Page 5 of 28 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: This was a Key Inspection of the service, which means that we reviewed all the information we have received since the last inspection and it included a visit to the home. We carried out an unannounced visit to the home on 24th September 2008 between 10:30 hours and 16:20 hours. We spent time talking with people that live in the home, plus a visitor, the manager and staff. We also observed an activity taking place, as well as the home routines, staff interactions with the people that they look after and staff practices in general. We looked at some records, communal areas of the home and several bedrooms. Care Homes for Older People Page 6 of 28 The manager sent us some information prior to the visit, in the form of the homes annual quality assurance assessment. This gave us the information we asked for and has been used in the planning of the visit and the overall assessment of the service. Information from the previous inspection and that received since then has also been considered. At the time of the visit, there were a total of 17 people living in the home. The atmosphere was warm and welcoming. The weekly fee at the time of this visit is 406 pounds 13 pence. What the care home does well: What has improved since the last inspection? Staff have continued to complete a variety of short courses. Care staff have completed a palliative care course. Staff say this has helped them to feel confident that they know the right things to do when looking after people who are approaching the end of their lives. One of the deputy managers has completed a higher level national qualification in care and three more carers have achieved a care qualification. This helps to ensure that people will be supported by competent and qualified staff In the past year, all ground floor toilets have been refurbished and a new stand aid has been purchased. This is in addition to the ongoing redecoration of rooms as needed and the refurbishment of the medication room and the laundry in the previous year. All of this helps to make sure that a safe and homely environment is maintained for the benefit of people living and working in the home. Care Homes for Older People Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 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 28 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. People considering moving into the home are given the information they need to decide if it is right for them. They have an assessment that tells staff about them and the support they need. This helps to make sure that their needs can be met. It is not the general policy of the home to admit residents for specialist intermediate care, so standard 6 was judged as not applicable. Evidence: People considering moving into the home are given written information about it in an informative Service Users Guide that tells them everything they need to know. They can also see the home’s Statement of Purpose and have a copy of this if they wish. The manager says these documents are available in large print and they are currently looking into providing audio versions. Care Homes for Older People Page 11 of 28 Evidence: We looked at a care plan for a person who had been admitted since the last inspection. This contained an assessment that had been completed by the manager before the person moved into the home, which helps the home assess if they are able to fully meet the persons needs. Further information is gathered on admission, when a full assessment is completed and a care plan is drawn up. This shows what sort of help the person needs and contains instructions for staff on how to give the right assistance. We spoke to two carers who have a good knowledge of the persons particular needs. The also described the practical ways they help other people with their everyday living needs, such as: help with washing and dressing, or moving about. We spoke to the new person who says that the home has provided everything necessary to help them settle in and that the staff are very helpful. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that they will have a plan of care that has the right information to make sure they get the health and personal care they need. They can be assured that their medication will be dealt with safely, that staff understand their needs and will be treat them with respect. Evidence: Each person living in the home has a care plan that has all the individual, pertinent things recorded about them, so that staff know how to support them. We looked at three of these plans and saw that they contain detailed information, covering a wide range of needs, such as: washing and dressing, eating and drinking, mobility, continence, physical well-being, personal safety and risks, interests and psychological well-being. This is recorded in a way that helps staff to know about the person, what they need to do and why. Two of the plans we looked at were for people that have difficulties with mobility and Care Homes for Older People Page 13 of 28 Evidence: need two carers to assist them with all movement. Both care plans have very detailed risk assessments for using a hoist, or stand aid, with clear instructions for staff. For example, one specifies that one carer should support the person on their weak side, while the other carer manoeuvres the stand-aid, wheelchair and commode; to explain what they are doing and make sure that the person is happy to carry out the manoeuvre before continuing. Care plans contain information showing that peoples health is closely monitored and doctors are consulted as necessary, with detailed records of any treatments prescribed, or referrals to other professionals. Carers write in the daily records, but do not routinely write the care plans, or reviews. We saw dates indicating that monthly reviews have been carried out, with some changes made to the care plan where needs have changed. The manager and two deputies write the care plans and we discussed that these could be further developed by recording more detailed monthly reviews and involving key workers more in the process. We spoke to six people that all say the carers are good and give them the assistance they need. One person spoke about their key worker, saying that they like her and know she understands them. We spoke to two carers about their key worker responsibilities. Both have a good knowledge of the peoples needs and know the little individual ways that they like to be supported. One described with good insight, a particular way a person, with a physical problem, likes to be supported. We spoke to the three people whose care plans we looked at and found that what they told us, plus what the carers say, confirmed what is written in the records. We looked at the way peoples medicines are managed and found that things are in order. Since last inspection, there is now a completely refurbished medication room that has been finished to a good standard. We looked at a sample of records completed each time a medicine is dispensed and saw that they are correctly completed. We also looked at two records in more detail and saw that the remaining stock matched with the records. Staff gave good examples of how they maintain peoples privacy and dignity, such as, making sure people are nicely dressed and that doors are closed when assisting people with their people personal care. We saw that the interaction between the staff and people living in the home is friendly and respectful; there is a nice atmosphere. People we spoke to praised the staff, saying, The staff are very pleasant, you can have a laugh with them. Care Homes for Older People Page 14 of 28 Evidence: You can talk to the them. I like it here, the staff are all friendly and helpful. Care Homes for Older People Page 15 of 28 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. People benefit from having opportunities to take part in activities of their own choice, from being able to keep in contact with families and friends, and being offered good food. Evidence: The manager told us in the annual quality assurance assessment about the social activities and events held at the home. We saw that what she said matches with what was found at the last inspection and is still happening. People living in the home spoke about the activities they like and take part in. These include visiting singers and entertainers, weekly bingo, aerobics sessions and a fortnightly church service. We were told that the church services alternate between two different denominations. A group of people recently went out on a theatre trip, which they thoroughly enjoyed and several spoke about the homes summer fete. One person said, The garden fete was exceptionally good. Another said, We have a hairdresser that comes in, you get your shopping done, we have our newspapers delivered and the food is very good. Care Homes for Older People Page 16 of 28 Evidence: We saw people chatting with each other, reading newspapers and a group of people taking part in the weekly bingo, which they later said they had enjoyed. One person spoke about their hobby of painting and of how they have been encouraged to continue with this at the home. People spoke about their visitors, saying they have lots of family contacts and visitors are always made welcome. We spoke to one visitor who also confirmed this. One person spoke about keeping in telephone contact with a relative, who lives some distance away. People spoke about their daily routines, saying, there are no restrictions and they can choose what to do, when they want. They are encouraged to make their bedrooms homely by bringing in their own personal things, such as photographs and ornaments. We saw examples of this in bedrooms we looked at. People are given the details of an independent advocacy service, so that they can find someone to act in their interests if needed. People say they enjoy good food and have plenty to eat. There is a four-week menu plan that offers two choices for dinner and tea and shows a varied diet, with a range of alternatives. Menus are discussed at residents meetings and preferences are incorporated into the menus. Care Homes for Older People Page 17 of 28 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. People can be confident that any complaints will be listened to and sorted out. They can be assured that staff practices in the home will safeguard them from harm. Evidence: People say that the staff are all very approachable and listen to them if they have anything they need to talk about. They are also confident to approach the manager, as well. They praised the home saying that they do not have any complaints. There is a clear complaints procedure, which is displayed for all to see and each person has their own copy, in their service users guide. We discussed this with the manager who said there have been no complaints since the last inspection. If however, there was a complaint where the person was not happy with the way it had been dealt with, they could pursue it through the committee of trustees. In practice the manager says that things are usually sorted out before they escalate into something more serious. Staff training records show that all except one carer have received training about protecting people from abuse. We spoke to two carers about this and both have a good understanding of this issue, the signs that would alert them if something was wrong, and what action to take. They both say they would speak to the manager, or her deputies, if they suspected something was not right (whistle blow) and they know they can contact social services. One said that there is nothing to worry about at the home, Care Homes for Older People Page 18 of 28 Evidence: as there is a stable staff group who are all well-trained and do a good job. Care Homes for Older People Page 19 of 28 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. People benefit from living in a comfortable and homely environment. They are protected by the practices followed to maintain hygiene and prevent the spread of infection in the home. Evidence: There is a five year development plan for the home that is updated annually. We saw that most of the things identified for improvement have either been completed, or are on-target. Since the last inspection, these have included, an extra ramp at the back of the building; the refurbishment of the laundry; the painting of the outside of the building; the refurbishment of all ground floor toilets, and the relocation and refurbishment of the cleaners cupboard. A new stand aid has also been purchased out of money raised by a member of staff doing a sponsored event. We looked at communal areas and a sample of bedrooms. We saw that bedrooms and lounge areas are comfortably furnished, clean and homely. There are some areas where the paintwork is chipped around doorways and corridor skirting boards. The manager said she has already identified this and put in a request to the committee for it to be done. People we spoke to say they like their bedrooms and find the lounge areas Care Homes for Older People Page 20 of 28 Evidence: comfortable. They also spoke about the bathing facilities and about having the choice to shower if they prefer. We saw people using the lift to access upper floors and saw them moving about between the lounge areas and other parts of the home. The garden is well maintained and accessible for people using wheelchairs. We saw that the home is clean and free from any unpleasant odours. Fourteen staff have completed an infection control course, which they did over a period of three months. Several have also done a one day update. We saw staff following good practices to prevent the spread of infection in the home. These include hand washing, use of protective clothing and gloves, with plentiful supplies of liquid soap and paper towels. There is a well-equipped laundry room and a sluicing facility for the cleaning of commode pans. We discussed with the manager that a further measure to ensure good infection control, is to provide foot operated bins for clinical waste to save the necessity of touching the lids. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that they will be supported by competent and qualified staff, and protected by the homes recruitment practices. Evidence: We looked at the numbers of staff on duty and saw that overall, these are adequate to meet the current needs of people living in the home. During weekday mornings staff numbers consist of two carers, plus the manager, who works some of her time on the floor, a cook, a cleaner and an administrative assistant is also in the office on some days and available to answer the door and deal with some enquiries. At weekends there are two carers, plus a deputy manager and cook in the mornings. Afternoon staffing numbers fall to two carers between 14:00 and 16:00 hours, with a third person coming on duty to work from 16:00 to 21:00 to do the teas and then help with care. There are two carers at night, but one sleeps in from 24:00 hours to 05:00 hours. People living in the home tell us that they get the help they need and they say the staff are good and nothing is too much trouble for them. Staff tell us that they usually have enough time to spend with people, but there are times when they are stretched, for instance, in the afternoons and at weekends. We saw that in the afternoon many people spend time in their bedrooms and if they need help, this means that because of Care Homes for Older People Page 22 of 28 Evidence: the layout of the building, the two staff could be at different parts of the building at any one time, leaving no staff in the communal areas. We discussed with the manager that a review of care staffing levels might identify where some adjustments could be made for the benefit of both the people living in the home and staff. The home has exceeded the recommended proportion of staff with a national vocational qualification (NVQ) in care. Thirteen out of sixteen staff have achieved their NVQ level 2 or above, in care, including six who have NVQ level 3. Since the last inspection, three more staff have gained their NVQ level 2 and the deputy manager has achieved her NVQ level 4 in care. As well as this there is a comprehensive training programme that encourages staff to attend a wide variety of short courses that give them the knowledge and skills to care for people safely. Earlier this year, all care staff, except one person, completed a palliative care course. Staff spoke about their training with enthusiasm saying it has given them confidence that they are doing things right for the benefit of people living in the home. We saw that all staff have comprehensive induction training when they first start work at the home. There has been a stable staff team. One carer commented, It is really nice and friendly here, we work well together as a team, we dont have many staff off sick, the training is excellent. Another carer confirmed this, saying, They do the training really well here. A number of security checks are carried out on new staff before they start work at the home. We looked at two staff files and saw that checks had been done, including: past employment history, written references, checking identity and criminal records bureau checks. This is important to make sure that new staff are trustworthy and safe to be around the people living in the home. We discussed with the manager that staff files would be easier to assess if they are reorganised in a way that holds the information more securely within the file, so that loose papers do not get out of order, or misplaced. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident that it is managed in a way that safeguards their best interests, promoting and protecting their health, safety and welfare. People benefit from the quality monitoring processes that the management have developed, to make sure they act as a result of listening to them. Evidence: The manager has been in post for six years and has the right qualifications and experience to run the home. The staff and people living in the home say she is approachable and the atmosphere is relaxed and friendly. There are two deputies and a relief manager who support the manager in her role. A carer says they get good support from the management team. The home is run bay a charity with a board of Trustees who hold regular committee meetings and members take an active interest in the home. They have a five year Care Homes for Older People Page 24 of 28 Evidence: development plan for the home which is updated annually. They have established good quality monitoring systems that include sending out questionnaires to people living in the home, relatives, professionals and staff. We saw that they have listened to peoples views and make changes as a result of this. People have a say about such things as the menus, activities and entertainments. People either manage their own money, or have help from their families, solicitor or other people who advocate for them. The home holds small amounts of monies on their behalf and this is properly recorded and receipts kept. The annual quality assurance assessment (AQAA) gave us the information we asked for and showed where improvements have been made and what plans there are for the future. It indicates that the homes equipment is regularly serviced and no safety hazards were observed. Health and safety is promoted through meetings, training and practice. Care Homes for Older People Page 25 of 28 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 26 of 28 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 Care Homes for Older People Page 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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