Care Home: Admorre House

Similar services:

• Turret Villa Retirement Home
• Mendip House
• Beaconsfield Court Care Home
• Little Sisters Of The Poor
• Manor House
• Middleton Hall Ltd
• Middlesbrough Intermediate Care Centre

What the care home does well People have sufficient information about the home before they decide to live there and all prospective residents are assessed by the manager before admission. People looked well cared for. Residents wore clean clothes and were helped to keep fingernails, hair and teeth clean. In questionnaires residents and their relatives said they well cared for. They said staff were attentive to their needs and responded quickly when they rang their call bell. Relatives said they felt welcome at the home and that the `hospitality is second to none`. The home was clean, warm and comfortable. Residents` bedrooms were very individual, well decorated and homely. The external grounds were tidy and well maintained. The food was very good. Residents told us that the food was always good. Most of the puddings and cakes are home baked and fresh ingredients are used for the meals. We tasted the food. It was well cooked, hot and well presented. Medication management was satisfactory. All medicines are stored securely and all were accounted for. There were sufficient numbers of staff employed at the home and enough staff scheduled to be on duty. Staff were warm and friendly. They were knowledgeable about the needs of the residents in their care. Resident`s personal monies were properly managed and accounted for. Health and safety checks and tests were up to date. There were no obvious trip hazards in the home and hazardous substances were locked away. What has improved since the last inspection? The standard of care planning has improved. Care is now planned and delivered in a person centered way. The social and emotional needs of residents are included in this. The person centered approach has resulted in an improvement in one resident`s mental well-being. The was evidence of a high level of involvement of health professionals in people`s care. Good, regular use is made of behavioral analysis teams to help staff understand and manage individual problems. The amount of social opportunities for residents has increased. As well as regular activities the Provider and Manager have researched those activities beneficial for dementia sufferers. Activities are advertised on a board in the entrance hallway and a newsletter is to be introduced. Residents are now offered a choice of main course at each mealtime. The dining experience for people has improved. The dining room has been redecorated and given a new carpet, furniture and new curtains. This room is now attractive, bright and airy. A programme of renewal and redecoration has started. The dining room and corridors have been done. It is intended for work to start on the main sitting room in the near future. There has been a lot of staff training in the past few months. Staff said and records confirmed that all statutory training is up to date or planned. Staff have also received training in equality, diversity and dignity as well as dementia care and other subjects related to care of the elderly. Staff recruitment records have been reorganised. Recruitment procedures were good. The manager has maintained a high profile in the home. In questionnaires residents, relatives and staff said they felt confident in her abilities. Relatives have been given information to help them understand dementia and the Alzheimer`s Society have been invited to the next relatives meeting. This is to be a social occasion to attempt to increase the numbers of people attending. Comprehensive audits have been introduced. These ensure that all systems are reviewed regularly and high standards achieved. Residents are given satisfaction questionnaires and their opinions sought about the running of the home. The manager has introduced a programme of formal staff supervision. These have been carried out for all staff and clear records kept. All records have been reviewed and brought up to date. What the care home could do better: The kitchen has tiled walls and floors. The tiling is old and has become cracked. This means they are not easy to clean thoroughly. Similarly the paint on the laundry walls is scuffed and flaked. In the event of an outbreak of infectious disease these two areas should be able to be washed down from ceiling to floor. Several of the baths in the home cannot be used by residents because they are not assisted. We have advised that one or more of these should be made into a wet room or assisted shower to offer choice. Key inspection report Care homes for older people Name: Address: Admorre House 2 Fountain Head Bank Seaton Sluice Whitley Bay Tyne And Wear NE26 4HT     The quality rating for this care home is:   three star excellent 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: Janet Thompson     Date: 1 3 0 4 2 0 1 0 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Admorre House 2 Fountain Head Bank Seaton Sluice Whitley Bay Tyne And Wear NE26 4HT 01912376141 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Raj Nahal Name of registered manager (if applicable) Type of registration: Number of places registered: care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Admorre House is a residential care home registered to provide personal care to seventeen service users. Nursing care is not provided. The Home is situated on the coast in the village of Seaton Sluice, and is next to a bus route. The house overlooks the sea front and is close to the nearby village which has some shops, there are also some pubs and cafes nearby. The building is of an older style and does not provide a passenger lift to the first floor but single bedrooms are available on the ground floor Care Homes for Older People Page 4 of 27 0 4 0 9 2 0 0 9 0 13 2 0 Over 65 0 13 2 2 Brief description of the care home for less ambulant service users. All bedrooms are for single occupancy. There are two lounges and a dining room. There is a well-tended garden to the rear of the property. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. CQC inspection reports are also available at the home detailing the quality of care provided. Fees payable for living at the home vary, information can be obtained from the manager. Additional charges are payable for hairdressing, private chiropody, excursions and personal newspapers. Care Homes for Older People Page 5 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: 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: This is an overview of what the inspector found during the inspection. The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they Care Homes for Older People Page 6 of 27 care for people. We sent questionnaires to people who use the service and some of the staff at the service. 25 completed questionnaires were returned to us. An unannounced visit was made on 13 April 2010. During the visit we talked with people who use the service, some staff and the manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the manager. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The standard of care planning has improved. Care is now planned and delivered in a person centered way. The social and emotional needs of residents are included in this. The person centered approach has resulted in an improvement in one residents mental well-being. The was evidence of a high level of involvement of health professionals in peoples care. Good, regular use is made of behavioral analysis teams to help staff understand and manage individual problems. The amount of social opportunities for residents has increased. As well as regular activities the Provider and Manager have researched those activities beneficial for dementia sufferers. Activities are advertised on a board in the entrance hallway and a newsletter is to be introduced. Residents are now offered a choice of main course at each mealtime. Care Homes for Older People Page 8 of 27 The dining experience for people has improved. The dining room has been redecorated and given a new carpet, furniture and new curtains. This room is now attractive, bright and airy. A programme of renewal and redecoration has started. The dining room and corridors have been done. It is intended for work to start on the main sitting room in the near future. There has been a lot of staff training in the past few months. Staff said and records confirmed that all statutory training is up to date or planned. Staff have also received training in equality, diversity and dignity as well as dementia care and other subjects related to care of the elderly. Staff recruitment records have been reorganised. Recruitment procedures were good. The manager has maintained a high profile in the home. In questionnaires residents, relatives and staff said they felt confident in her abilities. Relatives have been given information to help them understand dementia and the Alzheimers Society have been invited to the next relatives meeting. This is to be a social occasion to attempt to increase the numbers of people attending. Comprehensive audits have been introduced. These ensure that all systems are reviewed regularly and high standards achieved. Residents are given satisfaction questionnaires and their opinions sought about the running of the home. The manager has introduced a programme of formal staff supervision. These have been carried out for all staff and clear records kept. All records have been reviewed and brought up to date. 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. Care Homes for Older People Page 9 of 27 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 10 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 11 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 are properly assessed, taking account of their needs and wishes, so that they can be assured this is a suitable home and receive an individual care service. Evidence: The statement of purpose and the service users guide had been reviewed and were up-to-date. The provider is planning to make a more colourful version of the service user guide which would look more like a brochure. The manager also has plans to introduce a welcome pack which would be given to residents on admission. Two pre-admission assessments were seen. They contained enough information to enable staff to assess if they could meet the individual needs of people before admission. Information from other health professionals and carers was included in the assessment. Care Homes for Older People Page 12 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. People receive personal care that is well planned and takes account of their diverse needs. Evidence: Two care plans were examined and case tracked. This means that we spoke to the individual residents or observed their care then matched our observations to what was written in the care plan. Both case tracked care plans did reflect the actual care needed by the residents. Care plans took account of peoples diverse and differing needs. People were supported to achieve independence and meet individual goals. Other health professionals contributed to the planning of care. These contributions were clearly recorded. The manager has recently introduced more person centred planning and has given individual help to staff to enable them to understand the process and complete the care plans. Both plans examined showed good evidence of person centred planning and care. Care plans were up-to-date and contained comprehensive risk assessments for moving and handling, falls and individual areas of risk. Care Homes for Older People Page 13 of 27 Evidence: The actual care people received appeared to be good. We spoke to residents who told us that they were well cared for. They said staff responded quickly if they rang the call bell and were attentive to their needs. We noted that everyone was well dressed and looked clean and cared for. Staff were knowledgeable about individual needs and appeared to be confident when carrying out tasks for residents. We sent questionnaires to residents and their relatives. In questionnaires people told us that the health care needs of residents were given priority, doctors were called when necessary and any medical attention needed was given promptly. Medication ordering, administration, storage and disposal were examined. All medicines were accounted for and all those administered were signed for. At the time of the inspection there were no controlled drugs in use, however, we checked the register for previous drugs issued and found that all were properly recorded and accounted for. Staff were seen to treat residents politely and respectfully. Minutes of staff meetings showed that they are reminded about issues to do with residents privacy and dignity. Residents told us that staff do try to protect their privacy when carrying out personal care tasks. All residents have access to single room accommodation. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to lead a healthy and fulfilling personal lifestyle. This takes account of their wishes and diverse abilities. Evidence: There is a staff member in charge of activities. She works for 10 hours per week and supports residents to use a range of services within the local community. The providers wife supports the activities organiser and helps to organise external entertainers and outings to places of interest. Recently, they have carried out some research to explore the activities available to help people with dementia. There is a broad plan of activities which showed that residents are offered things such as bingo, skittles, music,cooking, crafts and card games. Activities are advertised on a noticeboard in the entrance hallway. The manager has plans to introduce a newsletter which would include details of activities, this would be made available to individuals on a regular basis. Social history and life stories were in place for residents in care plans. One resident has some individual time with staff, during this time staff try to take her out of the home, this has helped to manage her occasional challenging behaviour and improved her mental health. In questionnaires residents told us that they liked the food. We ate the food at the Care Homes for Older People Page 15 of 27 Evidence: home. It was well presented. The food was hot enough and very tasty. The standard of the cooking was very good. The menus have recently been changed to introduce a choice at every meal time, the menus previous to this did not give residents a choice of main meal. Home made cakes and scones are available in the afternoon. Meals are made from fresh ingredients only and the manager stated that there is no limit on the catering budget. Dining tables were attractively set and this room has been recently redecorated. The dining area was very pleasant, light and airy. Care Homes for Older People Page 16 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 who use the service are protected from harm through thorough policies, procedures and staff training. Evidence: Staff follow the homes policies and procedures relating to the management of complaints and allegations of abuse. Some staff require refresher training on the protection of vulnerable adults. This has been booked for the earliest date available. Residents are told how to complain through the complaints procedure. This was clearly visible within the home. Residents spoken to said they would complain if they needed to but none of them had any current complaints. The record of complaints showed that one complaint had been received by the home in the past year. This was before the employment of the current manager. The complaint was properly investigated and letters of response were sent to the complainant. The record demonstrated that complaints are taken seriously and dealt with promptly. 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. Residents live in a safe comfortable home that is generally pleasant and clean. Evidence: Although most of the home is not purpose built, and poses some difficulties for using equipment due to the size of rooms and corridors, every effort has been made to utilize the space well. The home was generally clean and free from odours. The furniture and general decor provides residents with a comfortable homely environment. Some areas of the home have not been updated for a long period of time. The provider has started to address this. The dining room has been redecorated and new dining furniture provided. The ground floor corridor has been redecorated and a new carpet is on order. The next room to be addressed is the ground floor lounge, this is to be redecorated and some new furniture purchased. In questionnaires residents and staff told us that the furniture in the lounge was no longer suitable as it was too low for residents to get up and down easily from the chairs. One resident said that she had painful knees and found it hard to get out of the sofa. The manager reported that the new furniture will be suitable for elderly people. Residents told us that the home was warm and comfortable. We noted that bedrooms were very individual and well personalised. Care Homes for Older People Page 18 of 27 Evidence: The laundry was clean and, though small, well organised. The laundry walls, pipes, ledges and floor need to be repaired, resealed and repainted to enable thorough and easy cleaning. The laundry is fitted with machines that cope with soiled and infected linen to control the risk of infection. The kitchen walls and floor are tiled. Some of the tiles are cracked and broken. This means they are difficult to keep clean and can harbour bacteria. As with the laundry, they should be replaced or repaired, resealed and repainted. Some of the bathrooms in the home are no longer suitable for the resident group. They are fitted with domestic style baths that residents can not climb in. There is only one bath used by residents, therefore they do not have a choice of bathing facilities. Generally the bathrooms also require redecoration, some of them have carpeted floors which is not hygienic. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported and protected through staff numbers, skill and ability. Evidence: The home was adequately staffed on the day of inspection and enough staff were scheduled to be on duty in the near future. The manager stated and records confirmed that well over 50 of staff had achieved NVQ level 2. Staff were up to date with essential training and they said they had recieved a lot of training in the past few months. As well as mandatory subjects staff have also recieved training in care of people with dementia, equality, diversity and dignity and person centred care. The manager has devised a training matrix which highlights when refresher training is due. All staff have a personal development file and training needs are discussed during formal supervision sessions. It was evident that staff used the knowledge acquired during training to improve their practice when caring for people. Residents told us they felt confident that the staff would look after them well. Relatives described the staff as kind and caring. We noted that staff dealt quickly and quietly with some residents who displayed challenging behaviour. Staff referred to behaviour management plans which had been devised by health professionals. One of the residents involved in these was becoming much more Care Homes for Older People Page 20 of 27 Evidence: relaxed as a result of her plan. This showed that staff were putting their training and knowledge to good use in the practical situation. Two staff recruitment files were examined for the staff on duty that day. Records were well organised. All files contained good information. Thorough background checks had been carried out before employment. Residents were protected through checking of criminal records information for all employees. Care Homes for Older People Page 21 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are protected through reflective management taking account of the diverse needs of the service. Evidence: The home has an experienced manager. Although she is not yet registered with CQC she has applied for registration. Residents told us that the home seems to run well. Staff appeared to be able to communicate with the manager and ask her advice. The relationship between the provider, manager, staff, residents and relatives appears to be good. In questionnaires many residents and staff praised the manager who has made a number of changes to the home since she has been in post. Staff receive formal supervision on a regular basis. This gives them an opportunity to contribute to the running of the home and identify any training needs they might have. The home does operate a quality assurance system. Residents, their relatives and Care Homes for Older People Page 22 of 27 Evidence: professionals are consulted about the service provided. Residents are given questionnaires and their placements at the home are regularly reviewed. The manager stated that residents and relatives meetings were not well attended in the past. She has held one relatives meeting since she was appointed which was combined with a social evening, this was well attended. The next meeting is going to be held as a Pea and Pie supper and the Alzheimers Society have been invited to attend to give advice or talk to relatives. It is commendable that efforts are being made to involve and inform families. In questionnaires relatives said they were kept up to date with events in the home and made to feel welcome. The manager has started a series of audits, these cover all aspects of the health, safety and clinical standards in the home. As a result, improvements have been made in medication management, care planning and staff education. The Provider also monitors the running of the home on a monthly basis. This monitoring is carried out in a series of visits required under regulation 26 of the Care Standards Act. Records of these visits are kept in the home. These were examined during the inspection. Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. There were no obvious trip hazards in the home. Fire exits were clear of obstruction and all hazardous fluids locked away. Some of the first floor windows in the home were not fitted with restrictors. This has been an oversight, the windows are quite high and some are small, however, there is still a risk that people could climb up and fall from them. The manager agreed to check HSE legislation and address this immediately. Two days after the inspection the manager confirmed that this has been done. Residents personal monies are well accounted for. There are individual records and receipts are obtained for all expenditure. Monies are kept in individual cases. Two amounts were checked and were correct. Care Homes for Older People Page 23 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 24 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 21 23 Ensure that sufficient bathing facilities are provided to meet the needs of all residents. Regulation 23(2)(J) requires sufficient numbers of baths and showers to be provided and (n) requires suitable adaptations to be made to the facilities. 01/01/2011 2 26 13 Ensure that walls and floors in the kitchen and laundry are impermeable and easy to clean. Remove carpet from bathrooms and provide suitable flooring. Regulation 13(3) requires siutable arrangements to be made to prevent the spread of infection in the home. Also. Regulation 23(2)(b) requires the premises to be 01/01/2011 Care Homes for Older People Page 25 of 27 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 kept in a good state of repair. 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 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. Care Homes for Older People Page 27 of 27 - 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!