Inspection on 13/07/09 for St Georges Care Home

This inspection was carried out on 13th July 2009.

CQC found this care home to be providing an Adequate 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

St Georges Care Home 27/06/08

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Georges Care Home St Georges Road Beccles Suffolk NR34 9YQ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tina Burns     Date: 1 3 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: St Georges Care Home St Georges Road Beccles Suffolk NR34 9YQ 01502716700 01502716228 julie.whiting@hotmail.co.uk 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) : Weldglobe Ltd care home 28 Number of places (if applicable): Under 65 Over 65 0 28 dementia old age, not falling within any other category Additional conditions: 28 0 The maximum number of service users who can be accommodated is 28 The registered person may provide the following categories of service: Care Home only - Code 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 - Code OP Dementia - Code DE Date of last inspection Brief description of the care home St Georges Care Home is a single storey establishment that caters for up to 28 older people, including people with dementia. It was first registered in 1982 by its previous owners. The current owners are Weldglobe Ltd, they have been the registered providers since January 2008. The registered manager has remained the same. The home is located in a quiet residential area close to the centre of Beccles. The nearest shops and other facilities of the town are less than a half-mile away. The home is surrounded by flower beds and lawned areas and there are small car parking areas to the front and the rear. Where access to the main entrances are not Care Homes for Older People Page 4 of 29 Brief description of the care home level ramps are provided. There is a paved walkway round the building. The home has 26 single bedrooms and one room large enough to be shared. All bedrooms have en suite washing and toilet facilities. The main communal lounge is at the front of the building, with patio windows giving good views of any comings and goings. There are two communal dining rooms, one large and one small, and a second quiet lounge is available at the rear of the home. At the time of inspection fees ranged from £355 weekly to £650 weekly depending on the room size and the level of care required by the resident. Additional charges include hairdressing, chiropody, toiletries and newspapers and magazines. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced key inspection which focused on the core standards relating to older people and was undertaken by regulatory inspector Tina Burns. The report has been written using accumulated evidence gained prior to and during the inspection. The homes manager Miss Julie Whiting was present during the inspection and fully cooperated throughout the process. People living at the home were referred to as residents and this term will be used throughout this report. The inspection included a tour of the building and grounds and observations throughout Care Homes for Older People Page 6 of 29 the day. The inspector also spoke with several residents and relatives, various members of staff and the manager. Records examined included three residents care plans, three staff files, and a range of health and safety and maintenance records. Information was also provided in the homes Annual Quality Assurance Assessment that was completed by the registered manager and submitted to us in April 2009. We also received completed survey forms from nine residents, ten members of staff and one health care professional. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 29 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their representatives can expect to be provided with the information they need to make an informed choice about whether the home is suitable and will meet their needs. Evidence: The homes certificate of registration was on display in the foyer together with a copy of their Service User Guide and Statement of Purpose. Brochures about the home were also available for people to take away. Nine out of the nine residents that completed surveys told us that they had received enough information about the home before they moved in so that could decide if it was the right place for them. They also told us that they had received a contract covering the terms and conditions of residency. The manager told us that there had only been one admission since our previous Care Homes for Older People Page 11 of 29 Evidence: inspection and although they had undertaken an assessment the paper work had been archived and was not available for inspection. The manager agreed to ensure that all further pre admission assessments are held on file and available for inspection as required. The homes admission procedure was discussed and the manager explained that following an expression of interest the prospective residents and/or their relative or representative are invited to have a look round the home. If they remain interested this is followed up with a home visit by the manager and a colleague. During this visit a pre admission assessment is completed and further information about the home and its terms and conditions are provided. If the home seems suitable the individual is then invited to spend a day at the home so that they can experience it first hand. The manager advised that before anyone moves into the home they carefully consider the individuals needs, the level of support and assistance they require and whether their needs or personalities will impact on other residents. We were provided with a copy of the homes pre admission assessment tool. It looked appropriate and covered a wide range of areas including; family involvement, personal and health care needs, social and spiritual needs, communication, eating and drinking, mental health and capacity, continence, personal risk, mobility and manual handling. The manager advised that twenty out of the twenty six people currently resident have dementia care needs. They told us that they did not intend to offer any further places to people without dementia and agreed to ensure that the Statement of Purpose and Service User Guide was updated to reflect this. Seven out of the nine residents that completed surveys told us that they always receive the care and support they need and two said that they usually received the care and support they need. Information from staff surveys, training records examined and discussion with care workers on the day of inspection confirmed that staff are provided with relevant training and have the appropriate skills and knowledge to support people living at the home, including those residents with dementia. Comments from relatives included Very well looked after, very well indeed, They have a good understanding of dementia, they helped me a lot because I didnt understand it and They are very, very attentive. The home does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to have their personal and health care needs met. Further more, they can expect to be treated with respect and have their dignity maintained. Evidence: The AQAA tells us that the quality of individual care plans has improved since the last inspection and this was confirmed when we looked at three care plans during our inspection. The care plans we looked covered a wide range of needs and included areas such as; Personal and health care, medication, behaviour and mood, social activity and interaction, dietary needs, continence, skin care, communication, sleep, vision and hearing, oral health, chiropody, hair care, mobility, moving and handling, and managing personal risks. The assistance required in the morning, throughout the day and at night was specified. Daily records were maintained and evidenced that the care being provided corresponded with the needs and preferences detailed in peoples care Care Homes for Older People Page 13 of 29 Evidence: plans. The records we looked at did not include any information about individuals backgrounds or life histories but people we spoke with and observations we made confirmed that staff had got to know residents well and had a good understanding of their needs. However the manager acknowledged the benefits of incorporating life histories into the assessment and care planning process as it can help staff supporting people with dementia by providing an insight into their behaviours and enabling them to better determine the right support for that individual. The manager said that they intended to develop in this area and this was also stated in the homes AQAA. Feedback we received and records we examined confirmed that the service appropriately supports people with their health needs. There was good evidence of close working relationships with local GPs and district nurses and relatives told us that staff were attentive and responded quickly and appropriately if their relative became unwell. Seven out of nine people that completed surveys told us that they always receive the care and support they need and two said they usually receive the care and support they need. Nine out of nine people told us that they always received the medical support they need. Since the last inspection the service has had an extension built which has enabled them to move the medication cupboard and trolley out of the dining room and into a purpose built medication room. The medication room included storage facilities for district nurses and appropriate secure storage for all medication, including controlled drugs. Training records confirmed that the senior care staff responsible for handling and administering medication had undertaken appropriate training and there were appropriate policies and procedures in place. A Monitored Dosage System was used and Medication Administration Records (MAR charts) were clear and included photographs of the resident concerned. The MAR charts we looked at had been appropriately completed with the exception of one gap on one chart which should have been completed with staff initials or a code. As soon as this was identified appropriate action was taken to investigate the matter and the outcome was that the medication had been given as required but not signed for. Discussion with staff on duty and records seen confirmed that gap would have probably been identified and investigated during an audit later in the month. However, the manager accepted that this would not have been a satisfactory timescale and agreed to ensure that records were checked for gaps on a daily basis. Care Homes for Older People Page 14 of 29 Evidence: Nine out of nine residents that completed surveys confirmed that they felt staff always listened to them and acted on what they had to say. Observations on the day of our visit were that all personal care was given in private and residents dignity was maintained. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to maintain contact with their families and friends, participate in recreational activities of their choice and enjoy healthy and appetising meals. Evidence: We observed visitors coming and going throughout the day and those we spoke with told us that they visited regularly and were always given a warm welcome by the home. Residents could meet with their visitors in the privacy of their own rooms or in one of the communal areas. Communal areas consisted of the main lounge at the front of the premises, a small seating area near the main dining room and a more private lounge at the rear of the home. There was not a planned programme of activities displayed and records maintained by the activities co-ordinator were not accessible at the time of inspection due to their being on leave. However nine out of nine people that completed surveys told us that there were usually activities arranged for them to take part in. People told us that they particularly enjoyed playing bingo on a weekly basis and other activities included board games, quizzes and sing-a-longs. It was also positive to hear that people were given Care Homes for Older People Page 16 of 29 Evidence: the opportunity to get out and about with staff support during the summer months. Residents had bedrooms of their own and those we saw were personalised with possessions and personal effects that they had brought with them when they moved in. Some people told us that they preferred to occupy themselves in the privacy of their own rooms with their crosswords, music or TV, for example. Others were said to rarely use their rooms, enjoying the company of others and the activities on offer. The home had two dining areas and residents could eat in either one of them or in the privacy of their own rooms. The dining areas were pleasant, bright and cheerful, tables were attractively set and the lunch provided looked wholesome and appetising. The menu on display confirmed that there is always a choice of two main meals, on the day of inspection the main lunch time options were Toad in the Hole or Quiche. Of the nine residents that completed surveys four said that they always liked the meals provided and five said that they usually like the meals. The relatives we spoke with confirmed that meals always looked healthy, nutritious and appeatising. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can expect their complaints to be listened to, taken seriously and acted upon. Further more they can expect to be safeguarded from abuse. Evidence: The home has an appropriate complaints procedure in place that is detailed in the Service User Guide and clearly displayed in the entrance to the home. Discussion with the manager and information provided in the AQAA tells us that there have been no formal complaints made since the last inspection. People we spoke with confirmed that the manager and staff are approachable and issues that arise are normally dealt with promptly and outside of the complaints procedure. Nine out of nine residents that returned surveys told us that they knew how to make a complaint and they knew who to speak to if they were not happy. They also confirmed that staff listened to them and acted on what they had to say. The AQAA tells us that there have been no safeguarding referrals made in the previous twelve months and the Commission has not been alerted about any concerns. The manager advised that they continued to work within the local authority multi agency guidelines for safeguarding adults. Feedback from staff and records examined confirmed that care staff are provided with training on recognising the signs and symptoms of abuse and how to report concerns. Care Homes for Older People Page 18 of 29 Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a safe, clean and well maintained environment. However, they cannot be entirely sure that the physical design and layout of the premises will meet their needs. Evidence: At the time of inspection the home was safe, clean and tidy with no unpleasant odours. Five out of nine people completing surveys told us that the home was always fresh and clean and four said it was usually fresh and clean. The AQAA tells us that the environment is pleasant, homely and well maintained and this was confirmed on our visit. The furniture, decor and facilities provided were comfortable and pleasant and created a homely and relaxing environment. There had also been some significant improvements to the building since our last inspection. A small extension had been built to accommodate a new medication room and hair salon; a disused shower room had been replaced by a new fully assisted bathroom and the kitchen had been fully refurbished. At the last inspection we identified some issues regarding the limited communal space available to residents and these issues still existed. There were two lounges, the larger of the two at the front of the home and the smaller at the rear. The larger of the two Care Homes for Older People Page 20 of 29 Evidence: lounges is the main lounge and this is where everyone tends to congregate, this means that there can be times when it is overcrowded because of the number of residents, staff and visitors using it. The smaller lounge still tends to be used as a visitors room or meeting room rather than as an additional lounge. Further more, at the last inspection there was evidence that the limited communal space impacted on residents experiences. This was particularly the case in the main dining area which was shared by residents with and without dementia. At this visit we were advised that twenty out of twenty six residents had dementia and although any conflict was less noticeable on this occasion people still raised concerns about the lack of independent facilities for people without dementia. The manager acknowledged that the lack of separate facilities was not ideal for both groups of people and confirmed that although they intended to continue to support their current residents they did not intend to accommodate anyone else without dementia in the future. Further more, they told us that the homes improvement programme included plans to extend the communal facilities available in the future. With the exception of the corridors to the rear of the home, corridors are narrow and not entirely suitable for wheelchair users or people that use mobility aids. To enable people to pass one another, people have to move aside or step into doorways of private bedrooms. This raised some concerns about health and safety. We were particularly concerned that frail, elderly residents might feel pressured to rush instead of moving at a pace suitable to them. However, there was no evidence that this was the case and staff were observed throughout the day patiently waiting for people to pass them and taking the opportunity to exchange a few pleasant words before going about their business (see also management and administration section). The laundry room was appropriately equipped with two commercial washing machines and a tumble dryer and procedures were in place to ensure that soiled linen was handled safely. There was a stock of disposable aprons and gloves for staff use and suitable hand washing facilities were available throughout the home. The manager advised that there were plans to install a state of the art laundry room in the coming year. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to be safeguarded by the homes recruitment procedures. Further more, they can expect to be supported by care workers that are trained and competent to do their jobs. Evidence: Three out of ten residents that completed surveys told us that staff were always available when they needed them and six said that they were usually available. Seven said that they always received the care and support they need and two said usually. Out of ten care staff that completed surveys one said there was always enough staff to meet the individual needs of residents and nine said there was usually enough staff. On the day of our visit people we spoke with said that they felt staffing levels at the home were suitable and our observations were that people were provided with the assistance they required in an appropriate and timely manner. Three staff recruitment records were examined and included all documentation required including copies of staff applications, photographic ID, evidence of ID checks, Criminal Record Bureau checks (CRBs), written references and declarations of health. Feedback from surveys, discussion with staff and training records examined confirmed Care Homes for Older People Page 22 of 29 Evidence: that new carers are provided with thorough induction programmes and established staff keep their knowledge up to date by attending ongoing and refresher training. The records we looked at confirmed that training is provided in areas such as safeguarding adults, health and safety, fire safety, food hygiene, infection control, manual handling, safe administration and handling of medication and dementia care. The homes Annual Quality Assurance Assessment tells us that over fifty percent of care workers hold or are undertaking NVQ level 2 in care or above. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Overall residents benefit from the management approach of the home but quality assurance systems need to be more robust to ensure that their health and safety is protected and the home is run in their best interests. Evidence: Julie Whiting is the registered manager and has worked at the care home for many years. The Statement of Purpose tells us that she has a higher diploma in the management of care services, NVQ level 4 in management, NVQ Assessors Award and City and Guilds 325/3 Advanced Management for Care. Although Ms Whiting is managing a service for people with dementia she has not completed dementia training beyond a basic level, however she confirmed that she was interested in undertaking training in dementia mapping and told us that she would be looking to do this shortly. Ms Whiting was fully receptive to the inspection process and welcomed discussions about how the home might improve. Feedback from staff, residents and relatives Care Homes for Older People Page 24 of 29 Evidence: confirmed that the manager was approachable and well respected. Comments included; Julie the manager always gives a personal touch which is very reassuring to the family, Im very happy with the management of the home, my relatives being looked after well and Its a nice place to work, we work well as a team, Julies very good. Records we examined evidenced that since the last inspection the manager has addressed the matter of monitoring hot water temperatures to ensure that they are maintained close to 43 degrees centigrade. Health and safety records included a fire extinguisher certificate, a gas and electric certificate, portable appliance test certificate, fire system checks and services, emergency lighting checks and servicing of hoists. There was also a copy of the most recent food hygiene inspection report which included four requirements that had all been addressed. However, having raised concerns about the narrow corridors it came to light that the homes fire risk assessment, which had had not been reviewed since June 2007, had not considered the potential hazards associated with narrow corridors, particularly during a fire evacuation. Further more, it was also evident that an audit of hazards and risks started in 2004 had never been completed and there were no environmental or task related risk assessments in place. The manager agreed to ensure that both matters were dealt with as a matter of priority and we were later advised that a fire consultant had visited the home within forty eight hours to provide a suitable fire risk assessment. Staff training records examined confirmed that staff had been provided with health and safety training such as manual handling, food hygiene, appointed person first aid, COSHH (control of substances hazardous to health), fire safety and Infection Control. The Service User Guide says St Georges Care Home operates a Quality Management System in conjunction with Cared4 Quality Management Systems and this is externally audited by Bettal Quality Consultancy. However the manager could provide no evidence that this was the case. Furthermore the service had not undertaken a quality assurance review since our last inspection and the AQAA that was completed and sent to us in April 2009 said Quality Assurance under review. The AQAA itself was sparsely detailed and did not clearly evidence what the service does well and how it intends to improve. The manager confirmed that they planned to address the matter of quality assurance in the coming months and agreed to amend the Service User Guide without delay. Regulation 26 visit reports were viewed and confirmed that the owners visit on a monthly basis to discuss matters of the home with the manager, the staff and the Care Homes for Older People Page 25 of 29 Evidence: residents. The manager confirmed that they did not act as agent or appointee for any of the residents bank accounts or benefits. Residents manage their own finances with assistance from their relatives or representatives as appropriate. Lockable facilities are provided in residents rooms for small amounts of cash and valuables. Feedback from staff confirmed that they receive planned one to one supervision. Six out of ten staff that completed surveys told us that they meet with their manager regularly to discuss how they are working and four said that they meet with their manager often. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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