Inspection on 24/03/09 for Stirling House

This inspection was carried out on 24th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stirling House 25/10/06

Stirling House 28/02/06

Stirling House 01/09/05

Stirling House 12/10/04

Stirling House 13/05/04

Stirling House 11/02/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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: Stirling House Honicknowle Green Honicknowle Plymouth Devon PL5 3QA     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: Kim Fowler     Date: 2 4 0 3 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: Stirling House Honicknowle Green Honicknowle Plymouth Devon PL5 3QA 01752704881 01752778024 caroline.paterson@plymouth.gov.uk www.plymouth.gov.uk Plymouth City Council care home 32 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 physical disability Additional conditions: Date of last inspection Brief description of the care home Stirling House is a detached 3-storey, purpose built property situated in the residential area of Honicknowle, Plymouth, close to local shops and amenities. The Home is owned and managed by Plymouth City Council. The home provides accommodation for a maximum of 32 persons. The Home has 32 single bedrooms, none of which have en suite facilities. Both the 1st and 2nd floors have 2 dining rooms/kitchen areas and 2 lounge rooms, one of which is designated as a smoking lounge. On the ground floor are the main kitchen, a large dining room, lounge and a separate sun lounge/activities room. A shaft lift provides access to all floor levels. The rear garden is spacious, including a patio and grassed area, and accessible for all the Service Users. The current fees are 525 pounds but may vary depending on needs. 0 0 Over 65 32 32 Care Homes for Older People Page 4 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 unannounced inspection took place over 1 day and started at 9:40am and finished at 2:30pm on the 24th March 2009. One of the homes duty managers was available throughout the inspection. The Registered Manager was unavailable during the day. The inspector made a tour of the building and spoke to most the people living at the home and four professionals visiting at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection surveys had been sent to the care home to allow people who live there to comment upon their experiences. Eight surveys were returned to the Commission. Five staff surveys were also received as well as three professional feedback cards. Care Homes for Older People Page 5 of 27 Any comments are discussed in the relevant section of the report. Care Homes for Older People Page 6 of 27 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 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 7 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 8 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. People who are considering admission to the home can be confident that a full assessment with be completed before admission to ensure the home can meet their individual needs. Evidence: Files examined held individuals contracts and included the terms and conditions of occupancy. These contracts were with the placing authority. All files examined contained a pre-admission assessment. Also in place were the placing authoritys detailed care plans. The Manager will visit any prospective new admission to gather information to completed the pre-admission assessments. The duty manager confirmed that the home continues to accept admissions via the Care Management team and the local authority care break scheme, offering respite service to people who require it. Care Homes for Older People Page 9 of 27 Evidence: The one respite admission and three permanent admissions plans were examined and all held a completed pre-admission assessment either by the placing authority or Stirling House referral/initial assessment form. The homes AQAA said, Review after 4 weeks and an annual review takes place to ensure the placement is still meeting the needs of the clients. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Two people living in the home confirmed that they had visited the home before they moved in. Stirling House does not offer intermediate care. Care Homes for Older People Page 10 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. Access to health care is maintained to promote the wellbeing of all who live in the home. Stirling House staff team provide good personal and health care support to people who live at the home. Ensuring the promotion of privacy and dignity at all times. Evidence: All files examined held an initial assessment and a full assessment, both giving clear information detailing care needs and showed comprehensive care plans. Some files held information on family history to enable staff to be fully aware of individuals background and needs. Evidence was recorded that care plans are updated regularly. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with peoples approval. This is particularly important if the people living at the home have limited communication skills. Care Homes for Older People Page 11 of 27 Evidence: All peoples assessment and daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. The duty manager confirmed that the risk assessments are reviewed regularly and updated as and when needed. One person who uses a wheelchair did not have a risk assessment held on their file. All people living at the home have access to all health care services and information was recorded onto a medical visit record sheet in each persons file that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. During the inspection a District Nurse was visiting the home, as was a Phlebotomist. Observation showed the duty manager discussing individuals health care needs and any changes that the home had recorded and noted recently. Both the District Nurse and Phlebotomist confirmed that the home has a designated file for each person and that the home and the staff support them with any treatments that need to be carried out and all treatment was carried out in private to promote privacy. Evidence was recorded on individual files that people are referred to the District Nurse team as necessary. This provides access to any health care professional at any time ensuring that all service users health needs are consistent. Previous inspections showed the home met regularly with the District Nurse team to review the health care needs of each person. The homes AQAA states, Restart the District Nurse meetings. The files examined showed that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. Many of the people living in the home were spoken with and some were able to confirm that their health care needs were met and one person said, I saw the District Nurse recently. A professional survey returned to the Commission said, Always carry out advice and instructions to improve and enhance patients health. Each person in the home has a designated key worker to assist individuals with completion of individual care plans and an overview of individual needs. The duty manager and a member of the care team were observed carrying out a medication round. Both talked through the procedure with the inspector and confirmed that the homes policy is that two staff always carries out the administration of medication. Both staff witnessed the dispensing of medication and sign when the Care Homes for Older People Page 12 of 27 Evidence: medication is administered. Thus ensuring that individuals receive the correct medication prescribed. The staff spoken with were able to confirm that the local pharmacist carries out their medication training. Two people currently self medicate and the home has devised new forms for people who are able to self medicate and these forms will hold risk assessments. However one person who currently self medicates does not have a risk assessment in place. A professional survey returned to the Commission said, Very organised with medication and very supportive with patients own meds. Most of the people living in the home were spoken with during the inspection and many were able to confirm that the staff respects their privacy and dignity. One person confirmed that the staff always shut their bedroom door when carrying out personal care. Two people were able to state that they receive visitors in private and also that medical consultation or other professional visits are carried out in the privacy of individual bedrooms. Care Homes for Older People Page 13 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. Stirling House offers a wide range of social activities for the enjoyment of all. The food served is always freshly prepared with individual choice taken into consideration. Evidence: People were observed moving freely around the home. Some people remained in their individual bedrooms and one person said, I like to stay here and the staff visit me often. Staff were seen interacting with people and discussing everyday topics and included assisting individuals when needed showing staff were aware of the needs of people living in the home. The home was advertising a detailed activities list that included BBQ, a trip to Looe on a coach and a trip to the local garden centre. Many of the people spoken with were able to confirm that there is regular activities provided and these activities were either organised by the staff or by visitors to the home. All family visits and contact is recorded into individual files and daily records examined showed recent family visits for several people living in the home. Care Homes for Older People Page 14 of 27 Evidence: Some of the people spoken with felt that they were able to make individual choices about everyday issues in their lives. These choices also included choosing food from the daily menu on offer. The home only holds the money for one person. This was checked and discussed with the homes administrator. The records showed a clear audit trial of income, expenditure and receipts were held. All other people are encouraged to hold their own money or use family members when possible. The home has installed a safe in each room to protect individuals valuables. All bedrooms visited contained personal possessions and items and one person living at the home said that the home encouraged them to bring in items from home. All people who were able to made positive comments about the food provided. One of the cooks was spoken with during the inspection about the menus and food on offer. The homes 4 weekly menus was displayed for all to see and showed a varied and nutritional diet. A record was also held to ensure that all people received the food they like. It was evident from the food seen served at lunchtime, sausage egg beans and home made chips, a particular favourite with everyone, with a second choice of corned beef, that everyone enjoyed the food. This was followed by home made dessert of jelly and ice cream. Other menus showed that the home offers a varied choice and many fresh products used. The meal was well presented and freshly prepared. The comments received from people living at the home about the food provided included, Homemade chips are excellent! One person said of the lunch observed being served, My favourite meal. Care Homes for Older People Page 15 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. People living in Stirling House can be assured that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The local authority, Plymouth City Council (PCC) who has its own complaints department, owns Stirling House. All complaints received are dealt with by the home and overseen by PCC. The homes complaints procedure is displayed in the main entrance for easy access to the people living in the home as well as all visitors. The homes designated complaints file was discussed with the duty manager, this showed two complaints received by the home. Correspondence held on each compliant showed that the home had dealt with each complaint and recorded were timescales and outcomes of each. The Commission had received one complain; however this was sent to the home to deal with and a satisfactory outcome recorded. Several people spoken with were able to confirm that they were aware that the home has a complaints procedure and some people stating that they would either talk to their family or the management of the home. Care Homes for Older People Page 16 of 27 Evidence: One person said, I have never needed to complain. Each bedroom holds a copy of the homes Service Users Guide that has a copy of the complaints procedure for individuals to access at all times. The duty manager stated that many staff had completed the Safeguarding Course provided by the local authority. The AQAA stated, To continue to ensure that staff are trained in POVA. (Protection of Vulnerable Adults). However the staff files examined were inconsistent in their recording to show that the staff team had completed Safeguarding training with some staff records showing some staff have not had Safeguarding training since 2004. The local authority policy is staff updates their training every 3 years. The manager of the home responded to the inspection feedback and stated that. 2 x laundry staff, 1x Assistant Cook and 1x Kitchen Domestic were unable to attend this training and are awaiting the new dates, but both kitchen staff have received in house training. All other staff have received the POVA training as well as in house instruction on No Secrets which is about to be completed again. Care Homes for Older People Page 17 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. Stirling House continues to maintain a clean and suitable environment for its stated purpose and the people who live at the home can be assured that they will live in an attractive and comfortable home that is regularly maintained. Evidence: The home is suitable for its stated purpose it is very comfortable, warm and light home. The home is registered for 32 older people. However it currently only admits a maximum of 28 due to room sizes. Many bedrooms are under size, however none of the people spoken with raised any concerns about the size of their rooms. The bedroom sizes are recorded into the home Statement of Purpose, with this document made available to all potential new admissions. One staff member wrote in a returned survey under what the service could do better, To provide en-suite bathrooms, bigger rooms for comfort and safety for clients and staff. The home employs a maintenance person who carries out everyday repairs and redecorations as required. The duty manager confirmed that the home has continued to update and decorate individuals bedroom as needed and a tour of the home showed that the home decoration is completed to a high standard. A new bathroom has been insulted since the last inspection. A adjustable bath and hoist has been made available in this bathroom to aid the comfort of people living in Care Homes for Older People Page 18 of 27 Evidence: the home. The home has a CCTV camera fitted covering the main entrance of the building for the security of the all who live and work in the home. The home has plenty of communal space and all rooms were well used through out the day. The home provides a smoking room for people who wish to smoke. Other facilities on offer within the home are a call bell system. All bedrooms have fitted wash hand basin, lockable doors and a lockable safe in each bedroom. A full tour of the premises found the home to be clean, pleasant and hygienic throughout. There is a laundry shute available to transport soiled laundry from the upper floors to maintain infection control. And the home has an infection control policy in place. One professional feedback card sent to the Commission quoted, Very caring and homely environment. And went onto say, Not all rooms have paper towels and soap dispensers, individual cleaning clothes not available. Some of the people spoken with commented that the home is always clean and tidy with one person stating, my room is always kept clean. Care Homes for Older People Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Regular training would ensure that all staff are trained to meet the assessed needs people using the service. Evidence: The staff on duty were observed throughout the inspection responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activities sessions observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. Several staff members spoken with felt that the home has sufficient staff on duty to meet the needs of people living in the home. The staff interviewed confirmed that there was sufficient staff on duty to met the current needs of people living in the home. On the day of the inspection there were 25 people living in the home with a duty manager and 4 care assistants. Administration Care Homes for Older People Page 20 of 27 Evidence: staff supported these staff and auxiliary staff including a cook, laundry and Kitchen assistant, one domestic and a general assistant were also in attendance. One staff confirmed that the management will use additional staff if anyone is unwell or requires extra support. One staff wrote on the survey returned to the Commission, Some days staff shortages, agency staff not been here before. Observation showed that the staff members on duty were aware of individuals needs and how best to support them. There is also a duty manager on each shift and these managers also carry out sleep in duties to answer emergencies and for extra help when needed. Examination of staff files showed that some staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. The duty manager confirmed that Plymouth City Council (PCC) Human Resources department obtain all the relevant employment checks and inform the home when each person is cleared to commence work. Of the four staff files checked not all contained the relevant information required. One file did not have confirmation that a CRB clearance had been obtained and 2 other files did not hold copies of references. However the duty manager confirmed that PCC recruitment checks are through and no staff would be employed without all satisfactory checks in place. One staff members files showed the CRB applied for and a follow up letter requesting further information and that this staff member commenced work under supervision without a CRB check in place. However there was no confirmation held on the file to say this person had received a CRB clearance. This is particularly important if the CRB application form hold disclosures. Consistency in information held on staff files would ensure all staff has the required employments checks in place to meet this requirement. The staff files checked were not consistent in the information held on training course completed. There was no clear indication that staff had completed mandatory courses in the last 12 months. It was also difficult to ascertain if people had completed regular mandatory training in line with legislation. The manager sent the Commission an updated training record after the inspection and this showed that many staff had completed Manual Handling training but the updates Care Homes for Older People Page 21 of 27 Evidence: were now overdue. The manager confirmed this course has now been booked. The homes AQAA returned said, A draft training protocol has been developed to raise awareness of roles and responsibly for attending statutory training, this needs to be monitored. One agency worker currently working at the home said of the staff team, Very friendly home and went onto say they had receive a good handover and Induction to the home. 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 manager and the staff team strive to provide a homely, stimulating environment that respects and protects people who live at the home. Evidence: The Registered Manager Caroline Patterson has worked at the home for a number of years and has many years experience in working in care. She was unavailable during the inspection but was contacted by telephone for feedback after the inspection. The staff and people living in the home made positive comments about the manager all stating that she was approachable. A staff member commented on their survey form, The duty manager is always approachable and with any concerns confidentially is always observed and another said, More confidentiality needed when having supervision and yearly appraisals. The home has monitoring forms to be completed by people living in the home. One commented, Could not have had a better time during their stay at Stirling House Care Homes for Older People Page 23 of 27 Evidence: over the Christmas period. The completed Quality Assurance surveys were available and no issues of concern recorded. The home remains under the Plymouth City Council accounting and finance policies and procedures. The home only holds the money for one person living in the home. The system was discussed with the home administrator and the money managed by the home was examined and checked during this inspection. This showed a clear audit trial of income, expenditure and respites held. Staff files showed that supervision and yearly appraisals were carried out and several staff members spoken with were able to confirm this. One staff survey wrote, As well as staff meeting I also go to meeting with my line manager. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. The manager confirmed that staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Care Homes for Older People Page 24 of 27 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 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 1 29 18 All staff must have updated training to meet the needs of people using the service. Regular staff training would ensure that only suitable qualified, competent and experienced staff are working in the home to protect the health and welfare of all. 26/06/2009 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 29 All staff files should hold a copy of the required documents including CRB checks, references and application forms. 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. 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