Care Home: Alvony House

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What the care home does well Alvony House continues to provide a homely, caring and supportive environment for people living there. Staff are dedicated to meeting the needs of people living in the home in a personal, "person centred" way. This was evident in the way the care needs of people living in the home were recorded, and also how staff could identify the individual needs of the person when asked. Staff had a clear understanding of the importance of individuality and allowing people to maintain control over their everyday lives. People we spoke to told us they felt well cared for by staff who understood their needs. One person told us "they are so kind and always helpful". We spoke to a group of people sat in the lounge after lunch and they praised staff highly and said they were very happy with the care and support they received. People felt they could comment on how the home was run in that their opinions really mattered. We observe staff to have a friendly cheerful rapport with people in the home, and assistance was given in a caring and enabling manner. We saw that people living in the home could take part in a full and meaningful programme of activities which included exercise to increase and maintain ability, games, pixels, walks in the park, and trips out enabling people to maintain contact with the local community and in their place of worship. We noted the manager and staff have reviewed policies and procedures to include current guidelines regarding equality and diversity, this is also evident in the way the manager was reviewing the quality assurance processes followed by the home. What has improved since the last inspection? The requirements and recommendations from the last inspection have been fully met. The home continues to provide a good service and seeks to increase the standard of the environment, and the skills and knowledge of the staff team for the benefit of people living in the home. What the care home could do better: Residents would be better protected if all staff consistently followed medication guidelines for the safe administration of medication. Attention to detail in record-keeping would ensure the smooth running of the home for the residents benefit and their protection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Alvony House Alvony House 25 Linden Road Clevedon North Somerset BS21 7SR     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: Patricia Hellier     Date: 0 7 1 0 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Alvony House 25 Linden Road Alvony House Clevedon North Somerset BS21 7SR 01275875573 01275349655 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Veronica Rendall,Mr Alec Rendall care home 28 Number of places (if applicable): Under 65 Over 65 28 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is 28 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Alvony House consists of two Victorian properties joined by a linking corridor. The home provides residential care for up to 27 older people aged 65 years and over, with low dependency needs. At present there is a condition of registration covering one named resident under the age of 65 years and another condition allowing the home to accommodate a 28th person as part of a married couple for respite care. Alvony House has a warm, friendly and homely atmosphere. Accommodation is provided over four floors with access to all floors provided by stair lifts. There are some Care Homes for Older People Page 4 of 28 Brief description of the care home varying levels around the home which make the environment suitable only for more mobile people. The Home is situated on a hill, a short walk from the local shops and bus route, and next to a small public park. There are pleasant gardens with sitting areas and a patio area. A brochure about the home provides information for prospective residents. The fees range from £282-£500 per week with additional charges being made for hairdressing, chiropody, newspapers and toiletries. This information was provided in October 2009. 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: This inspection took place over one day and a total of seven hours were spent in the home. To gather enough evidence to support our judgements for this inspection, we (The Commission) asked the service provider to complete an Annual Quality Assurance Assessment (AQAA) form. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us the numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. Once we have received this information we carried out a visit to the home and spoke to Care Homes for Older People Page 6 of 28 10 people living there, five staff and three relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. We also reviewed records relevant to the administration of medication, the service records and health and safety issues. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 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. People are fully informed and their needs and wishes clearly assessed and understood before they are admitted to the home. Evidence: We looked at how well the home manages its admissions. The home does not provide intermediate care. Five people told us through a survey that they received enough information before moving in, with the comments: I knew a lot about this care home from living in the area. They took a great deal of time to show us the facilities and explain the type of care provided. Care needs are well met through a full assessment process as evidenced in the three care plans inspected. The registered manager carries out a needs-based preadmission Care Homes for Older People Page 11 of 28 Evidence: assessment for all prospective residents and admissions to the home take place once the registered manager is confident that the residents care needs can be met. Three residents assessment documentation were read to find out how well the needs are assessed. The assessments were informative and clearly documented all aspects of physical, mental, social and emotional needs providing staff with a good knowledge base from which to provide person centred care. One of the assessment documents lacked attention to detail in recording, however the manager told us this was due to lively and informative conversation with the prospective resident. While this is commendable practice, attention to detail in recording needs, as identified by the individual, is necessary to ensure good person centred care. Where appropriate Social Services care plans and assessment information had been obtained and used to inform care planning. Two recently admitted residents spoken with told us they are very kind; they know what I need and look after me well. Care practices observed showed that staff were fully aware of the residents needs as stated in the assessments. Prospective residents are encouraged to visit the home and assess the quality of facilities at the home for themselves, thus providing them with the opportunity to see the home, meet the staff, and discuss any queries with the staff and management. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Alvony House benefit from personal and specialist healthcare support that is provided in a person centred way, respecting their privacy and dignity. Evidence: We looked at whether peoples care and health needs were being met. Eight people when asked if they receive the care and support they need told us always. Comments included: the level of care and support I received is of the highest standard, I cannot fault the care I have received since being here and the staff are very caring and cheerful. We looked in detail at the care planning and care delivery for three people who use the service. The care plans were recorded in a person centred way, easy to read and gave a clear view of how the individual wished their care to be provided. They showed us that staff had understood the way to record the personal likes and dislikes of the residents in their care. Care Homes for Older People Page 13 of 28 Evidence: All care plans seen showed a person centred approach with clear guidelines for staff about peoples personal likes and dislikes and the way in which they prefer to receive their care. All care plans contained a summary of the individuals life story providing staff with a pen picture of the individual. This good practice is to be commended. One of the recently admitted residents care plan lacked detail in some areas of documentation, however staff being interviewed were able to provide this information without prompting. As mentioned in the previous section attention to detail in record keeping would ensure good communication of care needs to enhance the provision of care for individuals. The daily records maintained by staff were seen to be very detailed and gave a clear account of how individuals spend their day. Records included activities undertaken, preferences expressed and visits by healthcare professionals. Three care plans we looked at included regular reviews which reflected the changes in peoples lives and care needs and demonstrated continuity of care. While residents told us they are involved in discussions about their care needs and how they are met, there was little documented evidence to support this. Staff spoken with told us they are involved in the way care plans are developed in the main, enabling them to clearly understand all the changing needs of people at the home. A key worker system is used to provide residents with an individual member of staff who takes a specific interest in them and their lifestyle. This practice enables continuity of care and four residents told us they enjoyed this closer relationship. We observed staff talking and laughing with residents in a friendly and relaxed way. People we spoke to told us they were happy with the way in which they are cared for. One person said they are so kind and always have a smile. We spoke to a group of people sat in the lounge after lunch who told us that the care and support was very good and they could not fault any of the staff. One person told us the staff are always understanding. Residents felt they are kept well informed of any significant issues, and that their involvement is welcome. One relative told us that assistance with personal care is sensitively and discreetly given for the comfort and well-being of the individual. Residents also told us of the regular monthly newsletter in which information about activities in the home, past and future, are recorded and other key points of interest relating to residents and staff who make up their little community are shared. People living at Alvony House have access to healthcare specialists and care plans show that the District Nurse can be consulted when the home feels they need some Care Homes for Older People Page 14 of 28 Evidence: expert advice. On the day of the inspection a GP was seen visiting at lunchtime. He told us he had no concerns with the care provided at the home, and he and his colleagues are called in a timely way. People are also helped to attend outpatient appointments, the dentist, optician and chiropodist. Alvony House has clear policies and procedures for the receipt and administration of medication. Staff receive training before they can give medication to people from other members of the care team. While staff demonstrated understanding in the broad principles of safe medication storage and administration we saw one incident of poor practice where secondary dispensing had been undertaken. In discussion with the manager she acknowledged the inherent risks in this and immediately put systems in place to stop this practice, and thus safeguard the residents. In discussion with staff we were told they had received training from other members of staff, however there was no evidence to demonstrate staff have undertaken an accredited course in the handling of medicines, or been competency assessed to ensure safe practice. It is recommended for the safety of residents that all care staff undertake accredited training and practical assessment of practice. We looked at the records kept by the home for medication and the way that medication is stored. We thought all procedures were being carried out correctly. Care Homes for Older People Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are enabled to lead fulfilled lives with choice and individuality upheld. The food provided is tasty, nutritious and enjoyed by all. Evidence: We looked at the daily life and social activities for people at home. Asked if there are activities arranged that people can take part in five told us always, one said usually and one said sometimes. Comments included yes lots. Music and movement, card games, weekly outings, and singing as well as a church service. One resident described the atmosphere in the home as nicely informal, and residents felt their visitors are also help to feel relaxed and at home. One relative told us I am always welcomed whatever time of day, and if I wanted to take mum out they always ensure she is ready even at short notice. On the day of inspection residents were seen enjoying conversations together in the lounge, reading their papers and relaxing in their own rooms. During the course of the morning a number of residents had a manicure and in the afternoon a gentleman came and played the piano, providing a variety of classical entertainment as well as Care Homes for Older People Page 16 of 28 Evidence: corporate singing. A large number of residents had gathered for this and all appeared very happy. A range of activities is provided with a diary of events displayed on the noticeboard in the hall and also included in the monthly news sheet. Three residents told us there are always things to do if you want. One resident was seen accessing large print books in the library area in one of the lounges in the home, and took it back to her room. In one lounge there is a large flat screen television which provides good viewing for the residents, and the other lounge has a quieter area where residents were seen reading their papers. Contact with the community is achieved by involvement in local events such as tea dances, theatre, pantomime, church activities and other clubs within the Clevedon area. Arrangements are made at the home to support different faith groups as they would wish. People who use the service told us they can see their visitors at any time, helping them to feel this is their home. Relatives spoken with told us they feel welcomed when they come, and that there is a warm, caring feel to the place. The dining room is homely and tables were well presented providing an atmosphere that is conducive to an enjoyable meal. All residents said they liked the meals and felt a good and balanced diet is provided. One person told us the food is very good while another said I was pleasantly surprised at the quality of the food provided. At a recent visit from the Environmental Health Officer (Food) the home was awarded a four-star quality rating. Peoples dietary needs are clearly understood by the kitchen staff and we saw that expert advice has been sought when there is a concern. The home has an Equality and Diversity policy that recognises the culture and social needs and differences that are present in society. Both management and staff demonstrated clear knowledge and desire to meet cultural and diversity needs as and when they should arise. Information about race, age, gender and religion is given in the information provided to residents and their families on admission to the home. Care Homes for Older People Page 17 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from abuse, and they can be confident that complaints are taken very seriously. Evidence: We looked at how well people are protected by the complaints and safeguarding arrangements at the home. The home has a comprehensive complaints policy and procedure which is well displayed in prominent places in the home. There have been no complaints since the last inspection. We saw the home has a system for keeping records of complaints received, with actions taken however, there is nowhere to record outcomes of the complaint to demonstrate complaints had been investigated to the satisfaction of the complainant. This practice is recommended. Residents stated that if they were not happy about anything they would speak to the manager. All seven resident surveys returned told us they knew who to speak to if they were not happy and how to make a complaint. Residents spoken to during the inspection told us the manager and staff are very approachable and they would always raise any concerns with them. Staff and residents told us the manager is very approachable and understanding. One Care Homes for Older People Page 18 of 28 Evidence: resident said I have nothing to complain about, they look after me well. The home has a copy of the No Secrets in North Somerset guide and a comprehensive local policy and procedure for responding to allegations of abuse, for the protection of residents. Staff spoken with confirmed they had attended training in safeguarding adults, they were aware of the organisations whistleblowing policy and who to contact if they felt a resident was at risk of abuse. When interviewed staff clearly demonstrated knowledge and understanding of the forms abuse can take and how to protect residents. Training records showed that staff had received training in the correct procedures to follow if they suspected a resident was at risk. Four residents said staff are very kind and take time to help me. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with homely, safe and comfortable surroundings to meet their needs. Evidence: We looked at how the home environment is suited to the people using it. The home is nicely decorated and well maintained with a welcoming atmosphere, and made comfortable with homely communal spaces. Accommodation is provided over four floors with stair lifts to access these. In the last year the home has undertaken a lot of redecoration and the decor, fixtures and fittings are in good order. Lounges are furnished with a variety of suitable comfortable chairs to meet residents needs. The home has a well maintained garden for residents to enjoy and outdoor steps have white edges painted to alert people to the potential hazard for their safety. The home has an ongoing maintenance and redecoration programme and employs a handyman and assistant to ensure maintenance issues are seen to as soon as possible. The home has increased the number of ensuite facilities provided and these have been tastefully decorated and well-planned for the safety and well-being of residents. Care Homes for Older People Page 20 of 28 Evidence: During our tour of the home we saw many improvements to storage space and decor for the safety, benefits and well-being of residents. Residents rooms are personalised and comfortable to suit their needs. There are plenty of toilets within easy access of all communal areas. People we spoke to told us they liked their rooms and commented on the cleanliness of the home in general. The home showed a good standard of housekeeping and no offensive odours were apparent. Staff spoken with showed a clear awareness of infection control policy and procedures, and practice observed demonstrated best practice handwashing and the use of alcohol gel that is provided at key points around the home. Four residents, when asked if the home is fresh and clean, said yes spotless. Most impressive, while another person said a lovely home that is always kept neat and tidy. Care Homes for Older People Page 21 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. People living at home are supported by a properly recruited and trained staff in sufficient numbers to meet their needs. Evidence: People spoken with were very complimentary about the staff with comments including the staff have all been very kind and helpful and they are all wonderful, caring, cheerful, efficient, welcoming people. We found that the numbers of staff employed were sufficient to meet the needs of the people at home. People, asked if staff are available when needed, told us they were adding my relative has never commented that she has to wait for attention. I have noticed that staff are always busy about their duties while continually interacting with the residents. Another comment was I feel secure as I can always ring the bell and someone will come. When additional staff are required this is arranged to ensure residents needs are met at busy times. We looked at the records of the two staff most recently employed at the home and found that not all checks necessary to ensure they are safe to work with vulnerable adults had been completed before they began work at the home. neither of the records contained a criminal record bureau check (CRB) or POVA first prior to commencement Care Homes for Older People Page 22 of 28 Evidence: of employment at home. The manager told us that she applies for these checks through North Somerset Council and receives telephone confirmation from them. She has not been able to obtain written confirmation from them, however she recruits staff from within the tight knit Clevedon community where people know most things about each other. However it is required that written confirmation of a clear PoVA first is obtained prior to staff commencing work at home. As mentioned in previous sections of this report attention to detail in record keeping would evidence, the good practice we are told by both the management and staff about recruitment. For example clear evidence of individuals employment history, and information about referees would enhance this process. All staff are encouraged and supported to achieve qualifications into care and some have National Vocational Qualifications (NVQ) two levels two or three. People are very satisfied with the level of care they receive and staff told us the standard of training they undertake is good, one adding my induction was very informative and in-depth. Staff training is well planned and monitored and increase sall aspects of health and safety that are relevant to the needs of older people, such as visual and hearing awareness. Competence of knowledge is assessed by the outside provider, and the manager regularly checks staff competence and practical application of learning. Records of these were seen in individual files. Staff spoken with told us they felt well supported in attending training relevant to the needs of the people in their care. Care Homes for Older People Page 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of people who use the service. Evidence: The manager is qualified and has a number of years experience in the area, she is supported by a deputy manager. We observed and were told of a very open and approachable management style which people living in the home said they appreciated. The manager seeks to give leadership, guidance and direction to staff to ensure they are knowledgeable and competent to meet the needs of people who use the service. People who use the service and relatives feel the manager is approachable, available and seeks to ensure all their needs are met. One resident told us she cant do enough, and another told us she is always there to help. Staff interviewed stated they felt supported by an approachable manager. Four staff told us they could not think of any way the home could improve. Comments received on surveys returned Care Homes for Older People Page 24 of 28 Evidence: from staff told us the home provides excellent care and an excellent environment; and care plans are always up-to-date and the home runs very well and we meet everybodys needs. Another person told us the home provides a safe caring environment with a good atmosphere. A formal quality assurance tool was available for inspection in order to demonstrate that the home consults with residents and relatives. People have their opinions of the service surveys and where improvements have been identified these have been put into place. One resident told us you only have to mention something and it is attended to. Pocket monies for the people who use the service held by the home were inspected and found to be accurate and have clear records for the protection of residents. Records inspected show staff receive regular supervision to ensure they have the skills and knowledge to meet residents needs. Staff spoke of receiving those and its helpfulness in identifying areas of training they would like, and would benefit their care provision to residents. Records were available to show regular safety and fire checks are carried out, to maintain safe systems for the protection of residents. Staff spoke to said they had received fire instruction regularly and records supported this, demonstrating staff have the expertise to safeguard residents in the event of fire. The home stores records securely and uses them in accordance with the Data Protection Act 1998. As mentioned earlier in this report records are not always accurately maintained and attention to detail in completing records would ensure clear information for the provision of knowledgeable and consistent care to residents. 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 1 9 13 The registered person to ensure that all staff undertake an accredited course in the safe management of medicines. To ensure the safe handling of medicines for the protection of residents 31/12/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 16 The registered person to ensure the outcome for the complainant is recorded following an investigation of the complaint. The registered person to ensure attention to detail in all record-keeping for the smooth running of the home and in the best interests of residents. 2 37 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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