Inspection on 27/11/08 for Swanland House

This inspection was carried out on 27th November 2008.

CSCI found this care home to be providing an Excellent 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

Swanland House 28/11/06

Swanland House 30/01/06

Swanland House 27/10/05

Swanland House 27/01/05

Swanland House 06/09/04

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Snydale Care Home

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Larchfield Manor

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Swanland House 41 West End Swanland North Ferriby East Yorkshire HU14 3PE     The quality rating for this care home is:   three star excellent 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: Janet Lamb     Date: 2 7 1 1 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 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Swanland House 41 West End Swanland North Ferriby East Yorkshire HU14 3PE 01482634159 01482633328 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Anne Stevenson Type of registration: Number of places registered: Mrs Elizabeth Anne Stevenson care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Swanland House is a privately owned residential care home and is a Grade II listed building. The home is registered to offer care and accommodation to 20 older people. The interior is decorated to a very high standard, in a traditional fashion. There are eight shared rooms and four single rooms. Many rooms have en-suite facilities. There are very pleasant gardens around the home and ample car parking spaces for visitors, as well as extra off street parking. The home is close to the centre of the village and local amenities, including shops, chemist, cafe and hairdresser. The home is accessible to all service users by using ramps, a passenger lift and a stair lift. Weekly fees determined on the day of the site visit are between £350.00 and £520.00 per week; this does not include hairdressing, chiropody, toiletries, newspapers and other Care Homes for Older People Page 4 of 29 Over 65 20 20 0 0 Brief description of the care home sundries. Information about the home can be obtained in the Statement of Purpose and the Service User Guide, upon request. 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: three star excellent 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 key inspection of Swanland House took place over a period of time and involved the sending of an annual quality assurance assessment (AQAA) document to the home in September 2008, asking for information on the service provided, the policies and procedures and practices within the home as well as information about people living there and numerical data. The AQAA was returned to the Commission in October 2008 and surveys were then sent out to people living in the home and staff working there. Information received in surveys and throughout the year in notifications from the home as well as other information provided by placing local authorities and stakeholders was used to determine what it must be like living there. Then on 27th November 2008 Janet Lamb carried out a site visit to interview people living in the home, the manager Care Homes for Older People Page 6 of 29 and staff, to view records, documents and files with permission, and to observe relationships and practice, all with the intention of checking whether or not determined views were accurate. 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 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 8 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People experience an excellent service of assessment of their needs and they have very good contracts of care in place to protect them. Their assessed needs are extremely well met. Evidence: Discussion with the manager, people in the home and viewing of documentation reveals there are very good and effective systems in place to assess peoples needs and that staff do an excellent job at meeting them. The homes information in the Statement of Purpose and the Service User Guide remains the same as at the last inspection and has not been viewed. People are given a contract of care and accommodation, which is between the placing local authority and the home provider, which covers items listed in standard 2.2. People are also given a residential service notification, which is a contractual Care Homes for Older People Page 11 of 29 Evidence: document containing details of residence and which is between them and the home provider. Both cover information of residence and are signed and dated. Everyone initially has a placing local authority community care assessment completed to determine they are in need of residential care and evidence of these is available in files and was seen with peoples permission. The home then completes a Standex system assessment, which it began to use in 2007. The Standex assessment follows the format of a pre-admission assessment, physical assessment of needs, psychological assessment, and assessment of religious and social needs. Very detailed information is held once completed. All areas of need that are a concern are also risk assessed. People are fully included in these processes if they are able. Relatives are also included. A letter is then sent to the relative of the person wishing to live or living in the home to say their needs can or cannot be met. A copy of this letter is held on file for people to view. Needs are very well met and this is evidenced in diary notes and records held on file showing the the care and support a person receives. Diary notes relate closely to the areas of assessed need and people say they are very well cared for and their needs are very well met. Evidence of this is also seen in the demeanour and condition of alertness of people, as many of them are in their 80s and 90s. They are interested in life, and in their personal presentation etc. Staff are observed to be very conscientious about the job they do and clearly want to do it well. There is no intermediate care provided in the home, so standard 6 is not applicable. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive excellent care and support for the meeting of their care and health care needs and they are well protected by the homes systems for handling medication or for self-medicating. People have their privacy and dignity very well upheld and respected. Evidence: Discussion with the manager and people in the home and viewing of files and documents with permission reveals there are very good care and health care systems and monitoring in place to meet peoples needs. The home now uses Standex case files and care plans and these include a record of care given, an inventory of possessions, details on elimination, key worker input, GP visits and notes, a social action plan, the general care plan, a pressure care risk assessment, a moving and assisting people risk assessment, general risk assessments, a nutritional risk assessment, a multi-disciplinary record, a dependency profile and diary notes. The care plans also cover main areas of care need and health care need Care Homes for Older People Page 13 of 29 Evidence: as in standard 3.2. There are accompanying risk assessment documents for any area of concern and all of these are backed up by an environmental risk assessment for each person. Monthly reviews of care plans are carried out on paper and six monthly full reviews are carried out and once a year they involve the placing local authority. Evidence of care plans and reviews is available in case files and was seen with permission. Staff carry out shift hand-overs each day and complete a weekly report for each person showing what they have done, where they have been and what health care support they have had etc. All details relating to health care needs are also included in care plans. Evidence is in diary notes, records of GP visits, advice and support given, routine checkups for sight, hearing, dentistry etc., and any emergency treatment required. Staff are very experienced in monitoring health care issues and the provider/manager is nurse trained and maintains her Personal Identification Number with the National Midwifery Council. There is a medication administration policy and procedure for staff to follow, which includes self-medication for anyone wishing to. A senior staff was observed giving out the lunch time medicines and practice in handling and recording of them is considered satisfactory. The home does not use a monitored dosage system, but prefers to have medicines dispensed locally at the village chemist and so the home administers them directly from dispensed bottles, packets etc. A medication administration record (MAR) sheet is set up for each person in the home and new stocks are recorded in red ink at the top of the sheet as it comes into the home. When this new stock is started the amount is transferred down to the main part of the MAR sheet and the red stock number is crossed out. The same applies to controlled drug stock checks. This was a recommendation of the last key inspection and is now being met. The MAR sheets are satisfactorily maintained and are signed by staff according to their specimen signatures held at the front of the medicines file. Staff designated to administer medicines do administration training with Boots Chemist, the Managing Medicines in Care course was done by nine senior staff in January and May 2008. Regular pharmacy checks are carried out by the pharmacist at the local village chemist, the last one being done in May 2008. The pharmacist also gives staff awareness training annually to all staff, the last two being done 02/05/07 Care Homes for Older People Page 14 of 29 Evidence: and 12/06/08. A controlled drug cabinet and record are in place and used, as currently there are four people on controlled drugs. Privacy and dignity are very well maintained as observed on the day of the site visit and as people testify. People say they are addressed as they wish to be, receive visitors, GPs and financial people in private, staff knock on doors, double rooms have screening, the office telephone is available for use, and post is received unopened. 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 enjoy very good lifestyles of their choosing, where social activity and contact with the local community is very good. They also enjoy good nutritious food though a little more planned choice could be offered at lunch time. Evidence: Discussion with the manager and people in the home and viewing of some records and documents with permission, reveals people lead fairly active lives of their choosing and if they are able. People are asked about their likes and preferences during assessment of their needs on admission to the home and they are encouraged to continue with pastimes. There is some routine during the day for rising, taking meals and going to bed etc., but usually people can be flexible about where they go and what they do. There is in-house entertainment provided in the form of three or four social evenings per year, party theme nights where people and staff dress up and eat theme related foods, clothes party plans where items can be purchased, visiting singers, and the availability of a small shop. People also do jig-saws, play Scrabble, and one visitor plays cards with anyone wishing to join in. People also watch television or listen to the radio and music in their rooms, and one person is writing her memoirs, while others Care Homes for Older People Page 16 of 29 Evidence: write letters to friends and distant relatives. People also go out with relatives on walks, to shops, garden centres, Brigg garden centre is popular, and they may also attend the local Methodist pop-in centre during the week or church service on Sundays. Local school children also visit seasonally to sing and entertain, while family and friends can visit any time within reason and without restrictions. Family may also assist with planned outings. People handle own finances where possible, or relatives do so. The home collects accommodation charges and holds small amounts of money in safe keeping for a few people. Two checks carried out on balances and accounting sheets showed there are good systems in place, which are well maintained and accurate. People have access to their personal information under the Data Protection Act 1998 and the home is registered with the Information Commissioners Office (ICO), the body responsible for regulating and enforcing the access to and use of personal information because of its responsibility for the holding of confidential information on staff and on people in the home. There is a four weekly menu in place that is changed seasonally and following any special requests. There is no automatic choice at meal times but an alternative is always available when the planned food is not liked, and there is often a different selection of foods prepared especially at tea time. Breakfast is cereals, porridge, toast and preserves, tea, coffee. Lunch on the day of site visit was shepherds pie, carrots, cauliflower and hash browns. Tables are laid with table cloths, place mats, cutlery, napkins, centre flowers and salt and pepper. Food is plated in the kitchen and brought through to each person in turn. People say, The food is nothing elaborate, but it is tasty enough, though there is not a lot of choice. We do have two hot meals a day though. Also, The food is quite adequate. Also, The food is quite alright, it is edible and tasty. Meal times are pleasant and unhurried and people socialise a little, but more importantly staff make sure people eat well and maintain a balanced, nourishing diet as part of the service of care to maintain their health and wellbeing. The last environmental health officer visit to check on food hygiene was on 22/01/08 and no issues were raised. 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 are confident they are listened to and are protected from abuse or possible harm by the homes systems for monitoring, recording and referring issues of complaint and protection. Evidence: Discussion with the manager and people in the home and viewing of documentation reveals there are good systems in place to enable people to represent themselves and speak up should they have a complaint, and to protect people from abuse or harm using the complaint and protection policies and procedures for safeguarding adults. There is a complaint policy and procedure in place. The manager views complaints as healthy otherwise peoples problems would not be resolved and the service of care would not be good. There are very few complaints made and very rarely, but any that are recorded have been after someone has had a fall. There are very good systems in place to deal with complaints though the systems are very rarely tested for effectiveness. However, the manager is extremely conscientious about providing a very good service of care and health care support, so people rarely need to complain anyway. People say they are able to speak up when they wish and know how to complain but have never had to. There is a record of complaints kept, but none have been made or recorded in many years. Care Homes for Older People Page 18 of 29 Evidence: People are very well protected from abuse of harm by the homes policy, procedure and guidelines on safeguarding adults issues. Staff are well trained in safeguarding and protection of vulnerable adults through the awareness training when doing NVQ units, by doing in-house cascaded training and because of discussion in staff meetings and supervisions. All seniors do the Hull & East Riding Safeguarding Adults Board training, which was last done 11/09/07. All staff are due to do updated awareness training in December 2008. Five senior staff have also done the Mental Capacity Act 2005 training and are fully aware of peoples rights and how to determine their capacity etc. There has been no safeguarding referrals since the last inspection and so the record is empty. Peoples finances are safeguarded by the homes policies, procedures and practice on handling finances. There were no issues raised by people in interviews or surveys and none identified from the simple accounting checks carried out under standard 14. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a safe, clean and very well maintained environment in which to live, and they consider Swanland House to be their home. Evidence: Observation and inspection of the premises reveal that Swanland House is a very well located care home in the village of Swanland, in the East Riding of Yorkshire. It is a large house in its own grounds, well suited to its stated purpose of providing care and accommodation to 20 older people. The house retains many of the original features of the grand house it was built as and it is very much in keeping with the local area. There is an employed handyman that has a routine programme of maintenance and keeps records for all the work to be done, when work is reported to contractors and when the work has been completed. There is a tidy, safe and attractive garden available via an external ramp and steps to the rear of the house, which is where the main entrance is found. The house meets Humberside Fire and Rescue Service requirements following the last visits carried out on 28/04/06 and 02/08/06. The home needed to resolve some gaps between fire doors and their rebates and this work has been carried out in a timely manner. Care Homes for Older People Page 20 of 29 Evidence: The home is very well maintained in respect of cleanliness and hygiene. The routine is for night staff to do domestic cleaning during their quieter periods between caring, and there is also a planned weekly wash down with sanitising fluid of all doors, handles, handrails, window sills, etc. All staff do infection control training with Chamber Training Company, and are expected to maintain very high standards of hygiene following the Environmental Health Essential Steps guidance and after completing an Essential Steps annual survey on hygiene control. There are policies, procedures and safe working practice guidelines available on infection control and staff say they have sufficient personal protective equipment for carrying out risky tasks. The laundry is very well organised and works efficiently to provide a good service to the people in the home. Sluicing and hand washing facilities are available and washing machines etc. meet the Water Supply (Water Fittings) Regulations 1999. The laundry has good surfaces that are easily cleaned. 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. People enjoy good levels of staffing support in sufficient numbers and with the right skills, training and qualifications to meet their needs. People are well protected by robust recruitment systems, practice and and monitoring. Evidence: Discussion with the manager, staff and people in the home and viewing of some records and documentation reveals there are good systems in operation to maintain satisfactory levels of staffing, and to recruit and train them. The planned and actual staffing complement is satisfactory for the level of needs people present. Rosters shows three or four care staff on duty each morning, two or three on duty each afternoon and two throughout the night. There are also two or three ancillary staff working during the week and one at weekends. People say their needs are very well met and observation of their conditions and demeanour back this up. The achievement of staff qualifications is satisfactory. Staff enrol to complete NVQ Level 2 and 3 and there are more than 50 with the award at level 2. NVQs are City and Guilds and Skills for Care approved. Care Homes for Older People Page 22 of 29 Evidence: There is a good recruitment policy and procedure in place and recruitment practice is also good. Staff complete an application form, written references are taken up, an initial security check is done and a full security clearance is also carried out, though at the moment these are taking two months to come through, using M G Care umbrella body. Therefore staff sometimes start the job before the full check has been received, though they work in tandem with an existing staff member and are supervised. Staff complete an induction programme in line with the Skills for Care recommendations, and then move on to foundation mandatory training and NVQs. Training courses done include fire safety, medication administration, Mental Capacity Act 2005, assisting people to move, (though this is due for renewal), Parkinsons, food hygiene, oral hygiene, continence care and safeguarding adults (this is due to be updated in December 2008). Two of the senior staff are trained as trainers in assisting people to move and therefore this training is done in-house. Staff training files hold evidence of training analysis, training and development plans and certificates of completion, and staff back up in interview what training opportunities they have. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a very well managed home, run in their best interest. Quality assurance systems are robust and effective. People have their financial interests well managed and protected, and the health, safety and welfare of people and staff is very well promoted and protected so people know they live in a safe and well maintained home. Evidence: Discussion with the manager, staff and people in the home and viewing of documents, records and maintenance certificates reveals the home is very well run and managed to ensure people and staff are protected. The registered manager is also the registered provider, she is nurse trained, is very experienced and maintains her PIN via updates of practice, reading and attending planned training, and following pioneering research. The home is run and managed by a fit manager and deputy. The deputy is doing the NVQ Level 4 Registered Managers Care Homes for Older People Page 24 of 29 Evidence: Award. Senior staff are also very well trained, skilled and supervised. There is an excellent management team running the home. There has been a quality assurance system in place since 1993 and it is reported there have been no changes to how it operates since the last key inspection in 2006. Over the years there has been an increase in the documentation used and in the recording of the audits carried out though. The system uses action lists for repairs and environmental improvements, surveys to relatives every six months, to GPs, district nurses, chiropodist, etc. and reviews of care plans every six months. The home has been awarded the East Riding of Yorkshire Council quality development scheme parts 1 and 2. Monthly audits are carried out on different areas each time. These include Care, which looks at staffing levels, key working, care plans, satisfaction, and peoples opinion of the service. Also Staffing, which looks at induction and training, quality areas and appraisals, Food, which looks at enjoyment and nutrition, Social events and Laundry, which looks at quality of the service. There was no check made on the quality assurance system, but it was taken as being the same as at the last key inspection and that it is effective. Money held for people in the home is only in small amounts and detailed accounting systems are in place and audited annually. Two checks were carried out on accounting and balances and both proved to be accurately maintained. Areas looked at on promotion and protection of health, safety and welfare were fire safety, lifting equipment, gas and electrical safety, water storage and equipment and Control of Substances Hazardous to Health (C)SHH). All of these areas are well maintained and safety checks are being carried out and recorded. Certificates of maintenance are in place where necessary. Weekly emergency lighting and alarm checks are carried out and records maintained. Fire drill evacuations are carried out six monthly for people in the home and staff and recorded, and weekly drills are held for staff only and recorded. Staff completes annual fire safety training, the last one being 28/10/08. There is a COSHH file held with a list of stock used, who the suppliers are and how they are used. The handyman is responsible for filling the bottles used by cleaning staff to maintain consistency and accuracy of dilution and correct use. All staff are vigilant in maintaining safety and following codes of conduct, regulations etc. The manager has a very detailed emergency action plan for major disasters, either natural or because of human error, or sabotage. Care Homes for Older People Page 25 of 29 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!