Latest Inspection
This is the latest available inspection report for this service, carried out on 12th January 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ashbourne Court Care Centre.
What the care home does well There are good systems in place to ensure that people`s needs are properly assessed, reviewed and monitored. Staff treat people who use the service with respect and promote their independence. People who live in the home are provided with information about how to make a complaint if they wish to and are asked for their views about the service they receive, so that the service can develop. The people who use the service benefit from the excellent facilities the home provides. There are robust procedures to make sure that staff members are suitable people to be employed in the home so that the people who live there are protected. Staff receive training to meet the specific needs of people who are admitted to the service. The home is run in a way that looks after people`s welfare and safety. In our survey we asked what does the home do well. One person who uses the service told us "Creates a feeling of warmth, security and friendliness. Respects me as an individual". Another person said "Mostly everything is done well. I have no complaints". Another commented "Look after the comfort and wellbeing of us. Always putting us first". One individual told us "All of it as far as I am concerned". Another person said "They coordinate with each other so staff know what the other is doing, which I feel is very important". Another individual said "I am placed in a clean and splendid accommodation and I receive excellent care from the staff of this home". What has improved since the last inspection? This was the first key inspection of the service. What the care home could do better: There were no requirements or recommendations made as a result of this inspection. The AQAA identifies areas in which the service is making or plans to make improvements. For example, providing a more stimulating activities programme tailored to each persons needs and interests, further developing links with external health care specialists and communication with relatives, and implementing staff supervision sessions. In our survey we asked what could the home do better. One person who uses the service told us "Nothing, this is the best. We are so lucky to be here". Another person said "I am quite satisfied". One person suggested that the home could improve the menus. Key inspection report
Care homes for older people
Name: Address: Ashbourne Court Care Centre 13 Salisbury Road Andover Hants SP10 2JJ 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: Laurie Stride
Date: 1 2 0 1 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 26 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 26 Information about the care home
Name of care home: Address: Ashbourne Court Care Centre 13 Salisbury Road Andover Hants SP10 2JJ 01264355944 01264336575 ashbourne.court@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Southern Cross OPCO Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 64 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 64. The registered person may provide the following category/ies of service only: Care home with nursing (N) 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) Dementia (DE) Date of last inspection Brief description of the care home Ashbourne Court Care Centre is a purpose built home providing accommodation for up to 64 older people with nursing and/or dementia care needs, who may be over or under the age of 65 years. The home is situated in a residential street in Andover, close to local shops and amenities. There is car parking space to the front and to one Care Homes for Older People
Page 4 of 26 Over 65 0 64 64 0 Brief description of the care home side of the building. The home is owned and run by Southern Cross OPCO Ltd, a subsidiary of the Southern Cross health care group. Care Homes for Older People Page 5 of 26 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: We (the commission), visited Ashbourne Court on 12/01/10 and were in the home for just over five hours. This visit was part of the homes first key inspection, which takes into account all the information we have received about the service since it was registered. The information included the homes Annual Quality Assurance Assessment (AQAA), which the organisation sent to us prior to the visit. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Before our visit, we had received completed survey questionnaires from six of the twelve people currently living in the home. During this key inspection visit we spoke with two of the people who live in the home, two relatives, three staff members, the manager and the administrator. We also looked at samples of the records held in the home. Care Homes for Older People Page 6 of 26 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 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 7 of 26 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 8 of 26 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 who are interested in using the service have their needs assessed prior to a place being offered, so the service can be sure of being able to meet each individuals needs. Evidence: The annual quality assurance assessment (AQAA) told us that when a referral is made, initial details will be requested by a senior member of the care team and a brochure is made available. The service recommends all potential service users, relatives or friends visit the home to assess the facilities and their suitability. If people wish for a placement to go ahead, the home manager liaises with the prospective service user, family or care manager to arrange a suitable time to conduct a pre-admission assessment. This involves reviewing the persons current care needs and assessing if the service can meet the identified needs. Contact is made with any other professionals involved in the assessment process and any specialist equipment required to meet the persons needs is identified. The person who is looking at using
Care Homes for Older People Page 9 of 26 Evidence: the service is encouraged to have as much input in this process as possible to ensure their preferences are incorporated in the care that is planned for them. During our visit we looked at the records of pre-admission assessments for three people, one of whom was still in the early stages of the process. These contained assessments of each persons needs in relation to, for example, mobility, nutrition, skin care and communication. Also included were risk assessments and body maps with guidance on how to reduce risks, for example of falls and pressure sores. Two of the people had been referred to the home by Adult Social Services and both had a care managers assessment also included in their records. We spoke with one of the people whose records we saw and they told us that they had visited the home with their relatives prior to admission. They told us they had received a written Service User Guide or brochure and they spoke positively about the staff and the facilities in the home. Prior to our visit we received responses to our survey questionnaire from six of the people who use the service, four of whom were assisted by a relative or carer when completing the form. All said they received enough information to help them decide if this home was the right place for them, before they moved in. Five indicated that they have been given written information about the homes terms and conditions of residence. One said they had not. Care Homes for Older People Page 10 of 26 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 health and personal care that people receive is based on their individual needs and the principles of respect, dignity and privacy are put into practice. People who use the service are protected by the policies and procedures for managing medications. Evidence: The AQAA told us that once a person is admitted a full assessment is made by a registered nurse and this allows staff to compile a full and comprehensive care plan. Care reviews are carried out at six weeks after admission and again after three months. Thereafter reviews are every six months and involve the person receiving care, their family and care manager where applicable. During our visit we looked at the care records for three of the twelve people who currently use the service. These gave detailed information about each persons health and social care needs and their likes and dislikes. The care plans were written in a way that promoted each persons independence. For example, we read that one person prefers to be supported by female carers and to do certain tasks with minimal support. Another person likes to have a cup of horlicks in the morning. The manager told us
Care Homes for Older People Page 11 of 26 Evidence: that Adult Social Services had reviewed the care plans and given positive feedback about these, for example on how personalised they are. The care plans also included daily records of when personal care is given and ongoing evaluations, so that each persons needs and the care they require can be monitored. The dates when reviews were carried out were recorded and where possible the plans were signed by the individual resident or a representative. We saw records of visits by external healthcare professionals, weight charts and nutritional assessments, showing that peoples medical and care needs were being addressed. A person we spoke with who uses the service told us how her health needs were being met and that the staff really have our interests at heart. Five of the people who took part in our survey indicated that they always receive the care and support they need. The other person told us that they usually do. Four said that the staff are always available when they need them, while two said they usually are. Four people indicated that the staff always listen to them and act on what they say and the other two said they usually do. The people who currently use the service require residential care and some have additional needs in relation to their dementia. The manager told us the nursing staff will eventually move into the other parts of the home once people with nursing needs are admitted. The care assistants are currently undergoing training in medication administration and care planning in preparation for when this happens and there is a residential deputy manager already in post. We observed one of the nurses going through the medication administration procedures with a member of the care staff. The home is equipped with purpose built treatment rooms and storage facilities for medicines including controlled drugs and we saw that the appropriate records were being kept. The manager told us that the contracted pharmacist had carried out an audit and there had been no recommendations as a result of this. The pharmacy was also scheduled to deliver medications training to care staff. A person who uses the service told us that they appreciated always receiving their medication on time. The AQAA stated We want our service users to be treated with dignity, respect and sensitivity to meet their individual needs and abilities. In order to raise awareness in dignity the home we will develop dignity champions amongst the staff to ensure that dignity remains a priority in all aspects of care. We spoke with a member of staff who told us they were applying to be a dignity champion and we observed staff treating people in a friendly and respectful manner. For example, a person who had become Care Homes for Older People Page 12 of 26 Evidence: confused about which room was theirs was spoken to patiently and sensitively by a member of the care staff. Personal care was given in the privacy of peoples bedrooms. Care Homes for Older People Page 13 of 26 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 who use the service are supported to exercise choice and control over their lives. Opportunities for social, educational, cultural and recreational activities will be further enhanced by the appointment of an activities co-ordinator. Evidence: The AQAA told us that the service aims to provide a varied and stimulating activity program to suit the individual preferences. At the time the AQAA was written, we were informed that an activities co-ordinator was employed for 30 hours per week and could also work during weekends to facilitate some of the weekend activities. During our visit the manager told us that there was no longer a person working in the activities co-ordinator role, but that a new person had just been appointed pending employment references. We saw that the assessment and care planning process identified individuals needs and preferences with regard to the activities of daily living, work and play. For example, one person liked music and sports and another person liked reading and watching TV. Individual care plans also indicated that people are encouraged to follow their chosen spiritual beliefs and to access the community if they wish. From the information gathered, a programme had been drawn up for the activities co-ordinator
Care Homes for Older People Page 14 of 26 Evidence: and a system for recording the outcomes was in place. The manager showed us a set of communication aids, which are tools the organisation uses to engage with people who have dementia so that their likes and dislikes can be identified and suitable activities offered. At the time of our visit, we observed care staff engaging people in activities such as scrabble and taking time to talk with them. We noticed there was a friendly atmosphere and a good rapport between staff and people who use the service. Four of the people who took part in our survey told us that the home always arranges activities that they can take part in if they want. Another person said the home usually does and one person said the home never does. One person who lives in the home told us during our visit that they were aware that activities are up and coming and that they had taken part in the homes food survey. We spoke with the relatives of another person receiving care, who told us that they could visit the home whenever they liked. Three people indicated in our questionnaire that they always like the meals at the home. Two said they usually do. The other person said they sometimes do. One person suggested that the home have more adventurous menus. We spoke with the chef, who was aware of the preferences people had expressed through the recent food survey and told us that menus are planned around this. At lunchtime we observed people coming into the dining room at their own pace and choosing where to sit. Staff members were available to provide assistance to those who required it and the meal took place in a relaxed atmosphere. Some people chose to eat their meals in their own rooms. Care Homes for Older People Page 15 of 26 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 have access to a suitable complaints procedure and are protected from abuse by the homes policies and procedures. Evidence: The AQAA stated that the service had not received any complaints and there have been no safeguarding issues. There is a complaints procedure that is on display near the entrance to the home and is included in the Statement of Purpose and Service User Guide. The manager confirmed there is a complaints register that would be used in the event of a complaint to record the actions taken in response to it and the outcome. We spoke with a person who lives in the home who told us she had received a copy of the complaints procedure. The visiting relatives of another person receiving care told us they cant fault the service or the staff and had no complaints. Six people who use the service completed our survey questionnaire. All said there is someone they can speak to informally if they are not happy and five told us they know how to make a formal complaint. The other person indicated that they did not know how to make a complaint. We observed an open, friendly atmosphere in the home, which was conducive to people who use the service expressing their views. The AQAA told us that the policy on safeguarding adults, based on the local authority procedures, had recently been reviewed and that all staff had read it to update
Care Homes for Older People Page 16 of 26 Evidence: themselves. The AQAA stated that on induction all staff receive training on abuse and safeguarding and this will be updated on a yearly basis. A member of staff we spoke with confirmed they had recieved training in relation to safeguarding and demonstrated their understanding of types of potential abuse and of the procedure for reporting any suspected abuse. The AQAA informed us that the service operates a robust recruitment process to ensure that the required checks are carried out on all staff employed in the home. During our visit we saw a sample of personnel records confirming this. Care Homes for Older People Page 17 of 26 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a clean and comfortable environment that meets their needs and promotes their independence. Evidence: Ashbourne Court Care Centre is a purpose built home providing accommodation over three floors. We carried out a visit to the premises on 30/09/09 prior to the service being registered. The premises were found to be fit for purpose and provide a suitable environment to meet the needs of 64 older people with nursing and/or dementia care needs. The home is bright, spacious and airy, decorated to a high standard and has been fitted with domestic type fixtures. There are handrails, smoke detectors and emergency lighting along the wide corridors. External windows have restrictors fitted and all radiators have low surface temperatures and individual thermostatic controls. Mixer valves have been fitted to hand-wash sinks to prevent scalding and shower units are independently regulated. Signage is in keeping with the decor of the house and appropriate. There are themes following dementia good practices throughout the home to assist with orientation. A person who uses the service and two visiting relatives we spoke to were very positive in their comments about the building. Each floor has a well presented dining room, lounge and quiet areas that people who use the service can access if they wish. All parts of the home are wheelchair accessible. The bedrooms have en suite shower rooms and are equipped with call
Care Homes for Older People Page 18 of 26 Evidence: bells. Toilets are situated near to each of the communal areas and bathrooms are equipped with adjustable height baths. The home has a garden, which is divided into two secure areas with lockable gates, patio, seating, lawns and flowerbeds and a decked area outside the ground floor lounge. A full-time maintenance person carries out weekly recorded safety checks. There is a large and suitably equipped laundry room and the home uses an individually labelled box system for processing items of personal clothing. Staff receive training in infection control and we observed that they are provided with protective clothing such as gloves and aprons. Care Homes for Older People Page 19 of 26 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 who use the service are protected by robust staff recruitment procedures and are supported by staff who receive training to meet their needs. Evidence: The AQAA told us that recruitment of staff is a challenge but that the service is able to utilise staff from a nearby sister home. The service is currently admitting residents in phases with staffing levels to match. During our visit the manager told us that two full-time and three part-time nurses are due to start work in January 2010. There are currently six trained nurses and eleven care assistants, plus additional kitchen and housekeeping staff employed in the home. Staff from the other home are used at night. We observed that the current number of people who use the service were suitably supported by the staff on duty. The AQAA stated that there is a robust recruitment procedure and induction programme for new staff and systematic provision of further non-statutory and statutory training. We looked at a sample of three staff members recruitment records. These each included documentary evidence of CRB (Criminal Records Bureau) checks, two written references and completed job application forms with employment histories. We saw the staff training matrix, which indicated the dates when individual staff members had received training. The training included fire safety and drills, food hygiene, moving and handling, health and safety, abuse awareness, infection control,
Care Homes for Older People Page 20 of 26 Evidence: nutrition, and safe handling of medication. This was further confirmed by the sample of individual records and certificates we looked at. A staff member we spoke with told us about their induction and further training, which had also included dealing with dementia and grief/death and dying. The staff member said that at the time of their induction there had been no people living in the home, which had allowed time for team building to take place. The staff member told us that staff meetings with the managers took place but they had not yet had one to one supervision. We were told that the manager is approachable and supportive. The AQAA had identified the need to commence regular supervision for staff and at the time of our visit the manager confirmed that this had started. The manager looked at other records and told us that four of the current care staff had completed NVQ (National Vocational Qualifications)in health and social care and another two had enrolled. We were told that a rolling programme of NVQ training is planned. A person who uses the service told us that staff treated them well. Two visiting relatives we spoke with said they cant fault the staff. Care Homes for Older People Page 21 of 26 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 views of the people who use the service are sought to ensure that the home is being run in their best interests. The health, safety and welfare of people who live in the home and staff are promoted and protected. Evidence: There is currently no registered manager in post, as the previous postholder had left the service. The organisation had notified us about the interim management arrangements that are in place while a new manager is being recruited. We were assisted throughout the inspection visit by the interim manager, who was able to provide us with the required information. The interim manager is supported in her role by the deputy manager of another service and an administrator. The AQAA stated In accordance with our philosophy of care the views of our service users will be actively sought by various means such as 6 monthly residents satisfaction surveys, 6 monthly care reviews, monthly audits, weekly relatives surgery. Service users, relatives, social workers and other professionals will be asked
Care Homes for Older People Page 22 of 26 Evidence: to comment on their levels of satisfaction with all aspects of service provided at Ashbourne Court Care Centre. We will hold regular service users and relatives meetings, the first of which is arranged for January 2010. Regular staff meetings are held and minutes available. The manager operates an open door policy so that staff, relatives ,service users and visitors to the home have the opportunity to speak to the manager at any time. During our visit the manager told us that the organisation conducts annual stakeholder surveys and the results are fed back to individual services by the operations manager. We saw that a residents catering survey had recently been carried out, to ask individuals what their current food preferences were. The manager said that the results were being collated and used to develop the menus. The manager had put out a notice inviting relatives to make appointments to see her on Thursday evenings. Monthly visits are carried out by the providers representative in accordance with regulation 26 and the written reports were available for us to see. There were also records of other monthly audits, such as medication, financial and maintenance checks. The service has a written policy and procedure for supporting people to manage their personal money allowances. We saw an example of how one persons income and expenditure were recorded along with balances and receipts. The maintenance records showed that monthly room checks are carried out to ensure the occupants comfort and safety. The fire safety log book contained records of the dates when fire drills and equipment checks were carried out and the fire risk assessment reviewed. The staff training records showed that staff are trained in health and safety, fire safety, moving and handling, food hygiene and infection control. Care Homes for Older People Page 23 of 26 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 26 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 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 26 of 26 - 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!