Inspection on 28/11/08 for Thornton House

This inspection was carried out on 28th 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

Thornton House 14/11/06

Thornton House 24/02/06

Thornton House 17/10/05

Thornton House 01/02/05

Thornton House 08/11/04

Thornton House 09/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Thornton House Thornton House Whimbrel Drive Thornton Cleveleys Lancashire FY5 2LR     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: Christopher Bond     Date: 2 8 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Thornton House Whimbrel Drive Thornton House Thornton Cleveleys Lancashire FY5 2LR 01253825845 Telephone number: Fax number: Email address: Provider web address: sheelagh.chippendale@lancashire.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Sheelagh Francis Chippendale Type of registration: Number of places registered: Lancashire County Care Services care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The home is to be registered for a maximum of 44 service users to include: Up to 1 named person in the category of Mental Disorder (female) (MD) (1) Up to 21 service users in the category of Dementia (DE) (21). Up to 10 service users in the category of Physical Disabilities (PD) (10). Up to 12 service users in the category of Older People (OP) (12). Date of last inspection Brief description of the care home Thornton House is a large care home situated in Thornton-Cleveleys near Blackpool, Lancashire. The home is registered for up to 44 service users. This includes a number Care Homes for Older People Page 4 of 28 Over 65 0 0 12 0 21 1 0 10 Brief description of the care home of service users with Dementia. After an extensive refurbishment in the summer of 2004 the home now has 44 single rooms and several of these are en-suite. A Day-Care centre had also been added and the rehabilitation unit had also been upgraded. The home is situated in a residential area fairly close to transport routes and shops. Thornton village is a short walk away where several shops and resources are situated. Garden areas within the home have also been refurbished and there are areas where service users can sit outside when the weather is good. The home has a lift, which accesses the first floor. The service has published a Service User Guide and a Statement of Purpose that give details about the services available at this home. There is also a short brochure that summarises this information for anyone who wishes see what services the home offers. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: As part of the inspection process an unannounced visit took place over a total of 5 hours on the 28th November 2008. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were examined. We spoke at length to the manager of the service during the inspection. Four service users were also spoken to as part of the inspection process. The Commission for Social Care Inspection also sent out surveys to service users and Care Homes for Older People Page 6 of 28 their relatives/ carers to gather their views about the service they receive. Two of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Thornton House. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. The fees for this service are from GBP 366.00 to GBP 433.00 with extra charges for hairdressing and chiropody. What the care home does well: What has improved since the last inspection? The manager has made changes to the staffing of the service to help ensure that people receive regular care from carers that they know. Each unit now has a dedicated staff team and there is a greater emphasis on providing the residents with familiar carers who have a good knowledge of their specific health and social needs. There have been several training events to help ensure that the care staff have staff have the correct skills to care for the residents. The manager is facilitating a series of training events related to the care of people who have dementia. This is ongoing and all those staff who care for those with dementia will be involved. This is important because the home is providing good quality dementia care which reflects current good Care Homes for Older People Page 8 of 28 practice in this field of care. Some of the bedrooms have been redecorated and new furniture and carpets have been purchased. A new care plan has been developed for the home to reflect the needs of the people who use the service. A comprehensive review system has been built in to this and the information is held on line. This can be printed off when required and information changed easily and quickly to help ensure that the current needs of the residents are properly addressed. Regular reviews are important to ensure that peoples care remains constant and that current need is reflected. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have plenty of information for them to make an informed decision about the suitability of this home. Health and social needs are assessed properly so that the service is able to care for people properly when they are admitted. Evidence: The manager told us how people who wished to use this service were admitted to the home. The service had a brochure produced for Lancashire County Care Services that explained the aims and philosophy of the home and told people about the services that were provided. This included information about such things as activities, meals, staffing , fees, and the rehabilitation service. There was also a page of frequently asked questions and comments made by the residents about the serviced that they receive. In adition to this there was a more formal document called the Service user Guide Care Homes for Older People Page 11 of 28 Evidence: which explained the services that were on offer in more detail. Both of these documents were available in the hallway of the home, as people came through the main door. People arrived at the home to look round whilst we were there. The manager made them welcome and gave them this information, before arranging for someone to show them round. The manager of the home also showed us the form that was used to gather important information about prospective residents prior to them arriving at the service. This form was extensive and was usually filled in during a home visit: it held information on the persons family support, personal needs, diet, medication, falls history, mobility, wellbeing and communication. There were completed forms with the residents files and the manager told us how this information was used to form a plan of care. The service had a rehabilitation unit where assessment took place as to whether the person could maintain self-help skills and return home with a certain level of support. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and outcomes for residents are good. Evidence: Each of the people who used this service had a care plan that recorded their health and social needs. The information was recorded on the homes computer system and current care plans were printed out for each resident. The plans were comprehensively reviewed on a monthly basis to ensure that the care staff only had current information about health and social needs. We saw some of the completed forms that were used for each review and all aspects of the persons care was looked at, and the review verified by the manager. Staffing levels had improved since we last inspected this service. This meant that the carers had more time to spend with the residents. The manager had also re-arranged the way that the carers worked; they were more likely to remain on one unit (there were four units in the home) rather than moving around from unit to unit. This meant Care Homes for Older People Page 13 of 28 Evidence: that the carers knew the needs of the people on the unit and were able to provide continuity for the people who used the service. The care staff that we spoke to preferred this system because they were able to get to know people better and be more aware of the changes in their condition. We observed the carers speaking to people politely and respectfully and the people who used the service looked well cared for. One resident commented, The girls are great, we get on really well. There were people who had dementia at Thornton House and there had been some good training in this field to help ensure that the carers gained more knowledge and understanding of this condition. The training was developed by the University of Sterling and was in six parts, including communication and behaviour, health and wellbeing, and supporting the person and the family. When we arrived at the home the manager was in the process of giving out medication to the residents who had been prescribed this by their doctor. This was stored in a lockable trolley and proper safety procedures were followed when administering this. Each trolley was now stored in a lockable cupboard close to the units. We looked at the medication records and these had been completed correctly. There had been training for the care staff regarding medication awareness.The service held some controlled medication that was carefully monitored because of its content or strength. We found that this was being controlled properly and stored correctly. It was clear that the service had a good relationship with the District Nurse service and those who were in danger of developing pressure sores were closely monitored. A nurse was visiting the home during our inspection. There was specialist equipment available within the service to help prevent the breakdown of skin tissue. Care plans held information to show that pressure area care and wound care was being properly provided. Two of the people who used this service returned surveys to us regarding their experiences of living at Thornton House. Both wrote that they always received the care and support they needed and that the care staff usually listened and acted upon what they said. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A good selection of regular, planned activities is available to help keep the residents active and stimulated. Catering arrangements are good and people enjoy the meals that are provided. Evidence: Both people who returned surveys to us about their experiences at the home said that there were usually activities arranged by the home that they could take part in. We found at the last inspection that the carers were very busy and there wasnt much time available for stimulation or activity. The manager had looked closely at the support available for the residents and further care staff had been employed. Activities were now built in to daily life within the home and peoples preferred interests were recorded on the pre -admission assessments and the care plans. There was a list of planned activity on the notice board outside each unit. There were activities such as bingo, sing-a-longs, clothing parties, trips to local attractions, professional entertainers and planned seasonal events. There had been several events planned for the forthcoming Christmas and New Year period and the residents that we spoke to were looking forward to this. The care staff also said that there was now time to provide more in the way of planned activity. Specialist activities were available for those Care Homes for Older People Page 15 of 28 Evidence: people who lived on the dementia unit that helped to stimulate memories and discussion. One gentleman enjoyed painting and kept paints and brushes in his room. Some of his work was framed and was hung in communal areas for the enjoyment of other people who used the service. Lunch was being served whilst we were there. Each unit had the food brought from a central kitchen area and a small dining area was available where people enjoyed their meals. We spoke to three residents who said that the food was generally very good. One person commented, The food is smashing. Another resident was concerned that the food was sometimes a bit cold when it arrived on the units; this was brought up on special heated trolleys. There were microwaves available in these areas to heat the food further if this was needed. We sampled the lunch time meal and found it to be well cooked, nutritious and tasty. The residents also told us that there were special events when one of them had a birthday and birthday cakes were usually made. Menus were available to show that there was lots of choice at mealtimes. Two of the residents that we spoke to said that there was always a choice available and two residents who returned surveys to us said that they usually liked the meals at the home. We spoke to the chef who told us that a a good variety of food was offered by the home and that there were regular deliveries of fresh vegetables, meat and fish from local suppliers. There were visitors to the home whilst we were there. The manager confirmed that privacy was offered if required and refreshments were available. It was clear that visitors were encouraged to maintain important contact with families, friends and representatives if this was wished. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The processes when voicing concerns about this home are clear and easy to follow, meaning that people feel listened to. People are safer because safeguarding issues are promoted and taken seriously. Evidence: We sent out surveys to the care staff who work within this service and all of the care staff who completed a survey said that they knew what to do if someone had concerns about the home. The complaints procedure was displayed in the home and was part of the Service User Guide at the home; timescales were given for the handling of complaints and the manager confirmed that all complaints and concerns were handled properly and seriously. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the people who use the service. There was a complaints and complements book in the hallway for people to look at, as part of the information provided by the service. We looked at the information that was available in the home that helped to safeguard people from harm. There were policies and procedures to guide the manager and staff in safeguarding issues and a copy of the local authorities code of practice. The manager was aware of what action to take should a safeguarding issue arise within the service. The care staff had also been trained in protecting vulnerable adults and the Care Homes for Older People Page 17 of 28 Evidence: staff that we spoke to were aware of safeguarding issues and how to report things that they were unsure or uncomfortable about. Most of the care staff had also received this training via a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, homely and pleasant environment. Evidence: This service was divided into four separate units where people with differing needs lived. The people who used the service looked relaxed and content on each unit, and there was plenty of staff cover to care for people. Each area was well furnished, pleasant and looked quite homely. New kitchen areas had been fitted where snacks could be prepared and dishes washed. The people that we spoke to said that they were encouraged to be involved in household tasks within the units to help maintain their skills. The bedrooms that we were looked at were quite large, and most had en-suite facilities. Some of the rooms had nice views of the garden areas and surrounding grounds. Furniture and beds were of good quality and there was plenty of natural light in most of the rooms. There were also bed-side lamps and reading lamps available, and each room had a call-bell system for staff to be called when assistance was needed. All of the bedrooms that we viewed had personal belongings in them, such as pictures, ornaments and photographs. This was encouraged to help people feel more at home. The carpets and general decoration were of good quality. One of the people who used the service commented, My room is lovely, Im very comfortable here. Care Homes for Older People Page 19 of 28 Evidence: The main lounge areas were well lit. We did notice, however, that the main light units in the lounge areas only had a few of the bulbs working. The manager said that these were fitted before the home was refurbished and that the bulbs tended to blow quite quickly. This would probably affect the amount of light that was available in the lounge areas in the evening and the caring organisation should look at replacing these fitments to improve the available light when it gets darker for people who use the service. A relaxation room had been added to the facilities since our last visit. This was an area where people could go as an alternative to the main lounge areas. Special lava lighting was available along with relaxing pictures and soft music. The manager said that some of the residents who had dementia used this room and found it calming and peaceful. Overall the home was very clean throughout and there were no unpleasant smells. It is important that people live in pleasant surroundings, with nice things around them. This helps to improve their well-being. The management team undertook quality checks throughout the home to help ensure that people lived in a well maintained and nice environment. Two people who returned surveys to us said that the home was always or usually fresh and clean. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at this home are protected from unsuitable staff by robust recruitment procedures. Staff training is good, meaning that the care staff have the necessary skills and knowledge to undertake their duties professionally and successfully. Evidence: Each of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at these during our visit. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. These included training in care practice and mandatory safety training. Over 70 of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). A well-trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. Six of the care staff returned surveys to us to tell us about their work within this home. All of the surveys confirmed that care staff were given regular training that was relevant to their role and that a good standard of induction was offered when starting their employment. Staff files were well laid out and information was easy to find. Each file held a Care Homes for Older People Page 21 of 28 Evidence: photograph and the correct information on each person. This helped to ensure that the people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Vulnerable Adult Scheme prior to employment. All of the care staff who returned surveys to us confirmed that checks were made prior to employment and references were requested to help ensure that they were suitable for their role. Changes were made to the amount of care staff employed by this service after our last visit. More carers have been employed and teams of carers tend to stay on a particular unit where possible. This helps the service to maintain continuity, and it is more likely for the people who use the service to see familiar care staff in their daily lives. There were enough care staff on duty to help ensure that the assessed needs of the residents were addressed properly. Those residents who returned surveys to the commission told us that there were always or usually staff available when they were needed. Two residents were able to tell us that they were pleased with the amount of care staff that were available and that they felt well cared for. Staff surveys told us that there were always or usually enough carers on duty to meet the individual needs of all the people who use the service. The manager of the service has undertaken a train the trainers award which enabled her to develop her own training events within the home and pass on important information to the staff team. This meant that events could take place regularly within the home, and that care staff did not need to travel to corporate events at the central training unit. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Good quality control systems help ensure the service runs well. The manager is well respected and runs the service well. Evidence: The manager of the home has a recognised qualification in management and NVQ level 4 in Care, which is also nationally recognised. She has recently completed a train the trainers award which enables her to pass information on to the care staff through recognised training events. She has also achieved qualifications in dementia care, the latest enabling her to be a facilitator for a recognised award run by the University of Sterling. She demonstrated an excellent knowledge of dementia care and it was encouraging to see how she promoted Thornton House as a specialised service in the field of caring for people with this condition. These qualifications mean that the manager is trained, prepared and qualified to manage the home properly, which helps to ensure that the people who live there receive a good service. The manager had an Care Homes for Older People Page 23 of 28 Evidence: excellent working relationship with the care staff of the service and was well respected. We also observed how she interacted with the people who used the service, she was very respectful and had clear values regarding how good care should be delivered, and set a good example for the care staff who worked at Thornton House. The care staff received regular training in areas of safety around the home: this included fire safety, food hygiene, first aid, infection control, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. The staff had received training in using this. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the people who use the service was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the people who use the service. Risk assessments had been completed for areas where the residents might need extra protection. Fire safety was taken seriously and there were regular training sessions for the care staff.The care staff told us that individual supervision had taken place and there were records available to show this. Supervision is important because it provides support for the care staff to review their performance and training needs. All of the surveys that were returned to us said that regular support was available. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. Some of the people who use the service had small amounts of personal money that was held by the home. This was monitored by the manager and checked on a regular basis. The caring organisation regularly audited the financial aspects of the service. As part of the inspection process the owner provided the commission with an Annual Quality Assurance Assessment that told us about the home and how it was progressing. This was completed well and outlined in detail how the service was improving outcomes for the people who use the service and meeting their specific needs. Care Homes for Older People Page 24 of 28 Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 The main lighting fitments in the lounge areas should be repaired or replaced to ensure that lighting available is sufficient. The current fitments are blowing bulbs quickly which means that bulbs need replacing regularly. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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