Care Home: Annie Bright

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What the care home does well People are provided with information about the service offered to enable them to make an informed decision about whether they would like to live at the home. People who use the service have access to a range of Health and Social care professionals and this ensures that any healthcare needs are met. People are supported to maintain their pastoral and religious needs. People are offered a choice of meals, which meet any dietary, cultural needs or personal preferences. The home creates a friendly and welcoming atmosphere where people can personalise their rooms to reflect preferences and tastes. People are supported by staff who are enthusiastic about their work and understand how to assist people to meet their needs. People living at the home are actively involved in making decisions about the home and activities. Health and safety is well managed to ensure peoples safety. People told us: `We get looked after well` `I like the care and support I am getting` `They feed us well the food is very good` `I love to go to mass` `We had a lovely party in the garden, singing and music but no dancing on the grass we did that in here after, I really enjoyed it` `I am always made welcome` `My room is ok; I have all that I need` `Staff are very helpful` `The new manager is very caring` What has improved since the last inspection? New nutritional assessments have been introduced so that staff can monitor people`s weight more effectively. The management of medication has improved to ensure that people receive their medication as prescribed. A weekly activity programme has been implemented so that people have more choice in activities that they can participate in. A comments, complaints and compliments book has been introduced to enable the home to seek peoples views about the service offered. There is an ongoing redecoration programme and the home has had new curtains to enhance the living environment. Staff have received training in various topics to ensure that they have the knowledge to meet people`s needs. An extra member of staff is now allocated over breakfast time so that people can be assisted when they need it. Policies and procedures had been reviewed and updated so that staff had current guidance to follow. What the care home could do better: Information in care plans should be detailed and easy to retrieve so that staff know how to meet people`s needs. Recruitment procedures need to be robust to ensure that people are safe from harm. Key inspection report Care homes for older people Name: Address: Annie Bright 6 Norfolk Road Edgbaston Birmingham West Midlands B15 3QD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lisa Evitts     Date: 2 5 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Annie Bright 6 Norfolk Road Edgbaston Birmingham West Midlands B15 3QD 01214541289 01214541301 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Sisters of Charity of St Paul care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 15 Date of last inspection Brief description of the care home Annie Bright Weston is a residential home for fifteen elderly women. It also accommodates some Sisters from the order at Selly Park Convent. The Sisters have their own facilities and they assist in the work of the home. The home provides an environment where women in their care can continue to practice their faith on a daily basis, however it does admit women from other faiths. Annie Bright Weston is situated in a large house that became dedicated to the care of elderly women via a legacy through the Catholic Church. It stands in a residential area of Edgbaston, set back from Norfolk Road. The home has its own drive with small car parking area. Care Homes for Older People Page 4 of 27 Over 65 15 0 Brief description of the care home Whilst not a main bus route it is a ten minute walk to Harborne shopping area or to the main Hagley Road. Birmingham city centre can be accessed via either route. The home has been converted from a large roomed mansion house and therefore has some small bedrooms. The home has two lounges, a dining room and conservatory. It has a hairdressing room and its own chapel. There is a large kitchen and separate laundry facilities. There is an assisted bathroom on the first floor of the home. Access to the first and second floors of the home is via a passenger lift. A large well maintained garden can be accessed via a ramp. Fees are based on the charges made by Birmingham City Council and a top up charge between £25- £50 can be made. Charges for private people are £400 per week. Details of current charges are available from the home. The last inspection report is available within the home so that people can read this if they want to. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The visit to the home was undertaken by one inspector over one day. We, the commission were assisted throughout the day by the manager who had been in post for approximately three months. The home did not know that we were visiting that day. There were fourteen people living at the home and one person was receiving hospital care. The previous inspection to this home took place on 10th July 2008. Information was gathered from speaking to three people who live at the home and observing people. Three staff and one visitor were also spoken to. Two people were case tracked. Case tracking involves discovering individual experiences of living at the Care Homes for Older People Page 6 of 27 home by meeting or observing them, discussing their care with staff, looking at medication and care files and reviewing areas of the home relevant to these people, in order to focus on outcomes. Case tracking helps us to understand the experiences of people who use the service. Staff files and health and safety records were reviewed. Prior to the inspection we sent out random surveys in order to gain peoples views about the service. We sent ten surveys to people who live in the home and five to staff. Eight people who live at the home and four staff returned surveys. Comments were positive about the home and are included in this report. We were sent an Annual Quality Assurance Assessment (AQAA) by the home. This tells us about what the home think they are doing well and where they need to improve. It also gives us some numerical information about the staff and people who live at the home. We also reviewed any notifications received about the home, these are reports about things that have happened in the home that they must tell us about. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? New nutritional assessments have been introduced so that staff can monitor peoples weight more effectively. The management of medication has improved to ensure that people receive their Care Homes for Older People Page 8 of 27 medication as prescribed. A weekly activity programme has been implemented so that people have more choice in activities that they can participate in. A comments, complaints and compliments book has been introduced to enable the home to seek peoples views about the service offered. There is an ongoing redecoration programme and the home has had new curtains to enhance the living environment. Staff have received training in various topics to ensure that they have the knowledge to meet peoples needs. An extra member of staff is now allocated over breakfast time so that people can be assisted when they need it. Policies and procedures had been reviewed and updated so that staff had current guidance to follow. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 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 10 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have information to enable them to make an informed decision about whether they would like to live at the home. Evidence: The home has produced a comprehensive service users guide which was available for people to read if they chose to. The manager confirmed that this document was given to people at the time of their assessment and a copy was also given to their relatives. The information can be made available in large print and on audiocassette on request, so that people with visual impairments can access the information. The service users guide did not specifically identify the fees people would have to pay to live at the home. It referred to charges made by the relevant council. People have to pay a top up fee of between £25 and £50 and they are informed of this when they visit the home. People who pay for their care privately are charged £400 per week. Care Homes for Older People Page 11 of 27 Evidence: The certificate of registration and public liability insurance are on display in the reception area, so that people can view these when visiting. The manager told us that people can have a copy of the last inspection report from the office but there was no information to tell people that they could ask for this. It is recommended that the report is available for people to read if they choose to. It was not possible to review the pre admission assessments as there had been no recent admissions into the home. The last person had moved into the home in December 2008. There was no pre admission assessment on file and one could not be located. This was prior to the current manager being in post. The AQAA told us that the home had developed a new pre admission tool and this will be reviewed at our next visit. During our visit we observed a relative of a prospective resident visiting the home and being shown around by staff. The AQAA told us that people can visit the home and have lunch prior to moving in so that they can sample what it would be like to live there. People told us: Ive lived here for ten years Im very happy here, its nice The home does not offer intermediate care facilities, therefore this standard was not assessed. 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. The personal care and health needs of the people living there are met so ensuring their well being. Evidence: Each person had a written care plan. This is an individualised plan about what the person is able to do independently and states what support is required from staff in order for the person to meet their needs. We looked at two peoples care files. All of the information about peoples changing needs was recorded within the file but was not always easy to retrieve. The AQAA told us that the home planned to introduce a new care plan format and this was discussed with the manager on the day of our visit. Following discussion with the manager we believe that the format and detail of the plans will further improve and once this has been completed, people will have very detailed plans for staff to follow. Therefore we will review this at the next visit to the home. Care Homes for Older People Page 13 of 27 Evidence: On the two files we looked at, the manager had written a detailed summary of the persons needs over the last few months so that staff knew what they needed to do. People living at the home had signed these, where they were able to, to show that they were involved in their care plan. Staff were able to tell us about peoples needs. People had health monitoring charts which detailed when external healthcare professionals such as the chiropodist, GP, dentist, district nurse, optician and social worker had visited. One relative said She was poorly last week and they got the doctor in to her. Risk assessments were completed for skin soreness and a new nutritional screening tool had been introduced, so that staff could monitor and act upon changes in peoples weight. One person had some difficult to manage behaviour and the home had sought help from the GP and the community psychiatric team. The manager arranged for the Community Psychiatric Nurse (CPN) to come and talk to staff about how they could manage peoples behaviour. The manager had also arranged for dementia training so that staff would have knowledge about how to meet needs of people with this illness. We reviewed the management of medication. This had improved since our last visit and systems ensured that people receive their medications as prescribed. All audits undertaken were correct and documentation was robust. Two people were self medicating and audits were in place to ensure that they were managing their medication safely. Staff were seen to respect peoples dignity and wishes. One person told us sometimes I am not allowed to choose what I want to wear; they say I have to wear this or that. This was brought to the attention of the manager so that it can be addressed with staff, as people should be able to choose their own clothing. All bedrooms are single and keys were available to people if they chose to have one. The home has a pay phone and a hands free phone for people to receive calls in private. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a choice of activities so that they experience a meaningful lifestyle. People are offered a choice of meals, which meet any dietary needs and preferences. Evidence: A weekly activity programme has recently been introduced at the home. This included activities such as hairdressing, reading, residents meetings, sing a longs, reminiscence and games. External people visit the home fortnightly to do exercises and each weekend someone comes in to play musical instruments such as the clarinet. On the day of our visit there was a sing a long in the lounge and people who live at the home had song sheets to follow. People were observed to be joining in and enjoying this and were supported by enthusiastic staff. The home has newspapers delivered and people can have individual papers and magazines of their choice, so that they continue to read articles that interest them. People who live at the home are supported to continue to practice their faith through daily mass, benediction and saying the rosary. People have the choice of attending mass each day but are not compelled to attend. Staff told us that if people didnt want to attend that they would sit with them individually and encourage them to pray. Care Homes for Older People Page 15 of 27 Evidence: A garden party had been held at the home on the weekend and people living in the home commented about how they had enjoyed this. Comments included: We had a tent in the garden for the party it was a nice change The garden party was nice we had nice food We had a lovely party in the garden, singing and music but no dancing on the grass we did that in here after, I really enjoyed it The home has an open visiting policy and this enables people to maintain relationships that are important to them. One visitor told us I can come at anytime and I am always made welcome. We joined the people living at the home for lunch and it was a relaxed and calm atmosphere. There was a choice of two hot meals, beef casserole or fish, and people could serve themselves from dishes of potatoes, carrots and broccoli. There was a choice of three puddings, followed by biscuits and cheese. There were choices of hot or cold drinks and staff were seen to support people where required. The food was well presented and tasty and people were able to have alternatives, for example one person had a jacket potato with their casserole. People told us: The food is very good, there is too much to choose from Food is nice and theres plenty of it One person told us that the tables were always served in the same order. This meant that she was always last to have her meal and would like to have hers first on some occasions. The manager was informed and said she would arrange for this. 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. There are systems in place to listen to and respond to complaints about the service. Arrangements are in place so that people should be safe from harm. Evidence: The complaints procedure is displayed in the home and is included in the service user guide so that people know how to make a complaint if they need to. Surveys returned to us by people living at the home told us that people knew who they could speak to if they were unhappy. People we spoke to confirmed that they would speak to the manager or the person responsible for the home. We have not received any complaints and the home has not received any complaints since our last inspection. The manager has introduced a comments, compliments and complaints book, known as the 3Cs book. This is in reception so that people can write in it. There were three compliments recorded in the book at the time of our visit. The home had an adult protection policy in place and had the local multi agency guidelines to follow. The adult protection policy needed amending as it said that the manager was to investigate and to refer incident to social services after us. This was discussed with the manager at the time of our visit as social services should be contacted first as they are the lead agency. A decision will then be made about who will carry out any investigation. There have not been any adult protection concerns raised at the home. Care Homes for Older People Page 17 of 27 Evidence: All staff had recently had training in safeguarding vulnerable adults and this should ensure that they know what to do in the event of an allegation. One staff member demonstrated a good understanding of how to protect people from harm. A second member of staff was not quite as confident with the procedure and this was discussed with the manager so that further training could be provided. Staff have had training on the Deprivation of Liberty Safeguards. This should mean that staff know the implications of this legislation for the people who live at the home. Care Homes for Older People Page 18 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. People are provided with a homely, clean and comfortable environment in which to live where their privacy is maintained. Evidence: The home has two lounges, a dining room and a conservatory so that people can choose where to spend their time. The home has its own chapel and people can use this as they choose. There were a number of seating areas in the home so that people could rest when they needed to. The home was clean and fresh and in the surveys people told us that it is always clean and fresh. The atmosphere was calm, relaxed and friendly. Staff and people who live at the home were seen to interact well with each other and with visitors. We looked at some peoples bedrooms and these were decorated with personal items. Bedrooms have a call facility so that people can call for help if they need it. One person said My room is ok; I have all that I need. The home has a passenger lift so that all of the floors can be reached. The home does not have a hoist and if people need special mattresses (to prevent sore skin) they are requested through the district nurses. The home had raised toilet seats and handrails to assist people to maintain their independence. There is one assisted bathing facility so that people can have the choice of a bath or shower. Care Homes for Older People Page 19 of 27 Evidence: On one of the staircases the carpet was loose. This was following the underlay being replaced and was brought to the managers attention so that it could be repaired. The home has a building maintenance programme in place so that the home is well maintained, providing a pleasant environment for people to live in. There had been a number of improvements such as new curtains on the ground and first floor and on going decoration. There had been a new washing machine and hand wash basin installed in the laundry. This will help with infection control as staff can wash their hands soon after dealing with laundry. The home has a large well maintained garden area which is accessible via a ramp for people with impaired mobility. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff who receive training to ensure they have the knowledge to meet peoples needs. Lapses in the recruitment procedure may not ensure people are safe from harm. Evidence: The home has two staff on duty throughout the day and night. Recently a third person has been assisting with breakfast between 07:30 and 09:30 so that people have received their breakfast before going to mass. In addition to care staff the home has domestic, kitchen and maintenance staff to ensure that all the needs of the people living at the home are met. 83 of staff have completed a National Vocational Qualification (NVQ) Level 2 in care. This is above the national minimum standards and should ensure that the staff have the knowledge and skills to care for people individually and collectively. People told us: Staff are very helpful The staff are good, I couldnt complain Care Homes for Older People Page 21 of 27 Evidence: Staff are alright, but some night staff are not as good This comment was brought to the attention of the manager so that she could address it and ensure that people were happy with their care during the night. The home maintains a core group of staff which means that staff know peoples needs and people know who will be supporting them. Staff are all females which reflects the gender of the people living at the home. There had only been one person employed at the home since our last visit, and this was prior to the current manager being in post. This person had started working at the home prior to a Protection Of Vulnerable Adults (POVA 1st) check being received. Although there were two references on file, these did not have a date when they were received so it was not possible to determine that they had been received prior to the person starting work. The home must ensure that recruitment is robust to ensure that people are safe from harm. The training matrix was not completely up to date and the manager was in the process of doing this. We were able to see certificates to evidence that training had taken place. People had received training in moving and handling, dementia, fire, Safeguarding and Deprivation Of Liberty. Training was booked for first aid. Staff receive an induction into the home and one staff member said I worked with someone for four days and one night, before I worked on my own. This should ensure that staff have the knowledge and skills to perform well within their roles. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people who live there. Evidence: The manager had only been in post for approximately three months but demonstrated a commitment to improving the home further to enhance the lives of the people who live there. It was clear that the people who lived at the home knew who she was and people told us I like the new manager The new manager is very caring She takes a lot of interest in the residents and staff The manager has numerous years experience of caring for older people and in management roles. She has achieved the Registered Managers Award and completes Care Homes for Older People Page 23 of 27 Evidence: training courses to keep her knowledge up to date. This should ensure that she has the knowledge to support staff and ensure the home is run in the best interests of the people who live there. The manager told us that she would be submitting an application to us to become registered and this shows a commitment to the home. A stakeholder meeting had been held so that the manager could introduce herself and share ideas about how the home could improve. A relative told us that they had attended the meeting and the manager had explained what she wanted to do at the home. A representative from the provider visits the home each month and writes a report about the quality of the service. These reports were very detailed and included actions to be action. Alternate monthly resident meetings are held and questionnaires are sent out to people to gain their views about the home. The results of the questionnaires will be collated into an annual report by the manager later in the year. The manager returned the AQAA to us in the required timescale and this was detailed with information about the home. Information recorded was consistent with our findings. The home is able to hold small amounts pf personal money for people. We looked at how this was managed and found records to be robust. Balances of money were correct and there were receipts for all expenditure. There were no audits being completed on money and this is recommended so that any discrepancies would be identified and rectified in a timely manner. Health and safety and maintenance checks had been undertaken in the home to ensure that the equipment was in safe and full working order. New valves had been fitted to taps as the home had identified that water was too hot in some areas of the home. Water temperatures were now within acceptable limits to minimise the risk of people being scalded. Staff attend fire drills and training to ensure that they know how to keep people safe in the event of a fire. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 29 19 The recruitment procedure must be robust. To ensure that people are safe from harm. 07/08/2009 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 2 3 4 5 2 7 10 18 35 People should know that they can access a copy of the last report so that they can read it if they chose to. Care plans should provide staff with full information so that they know how to meet individual needs. People should be consulted about their clothes so that they can choose what to wear, where they are able to. Staff should have clear guidance so that they know what to do in the event of an allegation being made. An audit should be completed so that any discrepancies are identified and rectified in a timely manner. 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). 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