Care Home: Ashfields Care Home

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What the care home does well People who live at Ashfields Care Home can have confidence in the home because it is managed by a qualified and experienced person who has developed her skills over time through training and personal development. People who are thinking of moving to the home are given good information to help them make decisions about the home. They are encouraged to visit the home so they are able to make an informed choice as to whether it is suitable for them. The information about the home, what it does and who it is for, is written in plain and clear language so people are helped to understand the information and know what the home provides. Each person`s individual needs are known and their rights to privacy and confidentiality are respected so the support they get from staff is given in a way that meets their needs and maintains their dignity. All the people who live at the home have a care plan that has been written and developed with them or someone close to them so they receive care and support in the way they want and prefer. The atmosphere in the home is relaxed and sociable. People are offered a range of activities in the home and have opportunities to go out shopping in the local community. All the people we spoke with during the inspection praised the home and the staff for their dedication and the good standard of care they provide. For example one comment was "I could not be better looked after, the home provides exemplary standards of care and I have no complaints whatsoever". A visiting relative told us that the home was "really and truly excellent". Care staff were seen to be caring and sensitive in their approach. We could see that they are well trained and were recruited through thorough procedures so they are suitable to work with the people who live at the home. What has improved since the last inspection? Much had been achieved since our last inspection with significant improvements in staff training, person centred planning and care practice. The staff present as a well supported team that has clear leadership and shared aims and objectives so the people who live at the home benefit from good quality outcomes. All the staff have completed training on safeguarding adults so they know what to do in the event of any suspicion or evidence of abuse. This will help to make sure that vulnerable people are safeguarded from abuse. Person centred care planning is being promoted and staff have been given training sessions on equality and diversity so they know how to recognise and meet each person`s individual and cultural needs and personal preferences. Care plans and risk assessments are reviewed and revised when something significant happens or when the person`s needs change so staff always know what to do to make sure the person is as safe as possible and any unnecessary risks to their health and safety are identified and as far as possible removed.Effective arrangements for quality assurance have been put in place so people can express their views about the home, know that they are listened to and have their views taken seriously and acted upon. What the care home could do better: Stock records of medicines received in their original containers need to be kept accurate and up to date so staff can make effective stock checks to ensure that medicines are always administered properly. Managers and staff need to promote the complaints procedure so all the people who live at the home know how to make a compliant and have confidence that their concerns and complaints will be acted upon. Key inspection report Care homes for older people Name: Address: Ashfields Care Home 129 Prestbury Road Ashfields Macclesfield Cheshire SK10 3DA     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: David Jones     Date: 1 9 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Ashfields Care Home 129 Prestbury Road Ashfields Macclesfield Cheshire SK10 3DA 01625617288 01625434753 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Winnie Care (Macclesfield) Ltd Name of registered manager (if applicable) Mrs Sharon Bannister Type of registration: Number of places registered: care home 39 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: 39 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 category: Old Age, not falling within any other category - Code OP, maximum number of places 39 Date of last inspection Brief description of the care home Ashfields is a privately owned care home located close to Macclesfield town centre. There are a variety of shops, a church and other facilities nearby. Ashfields is a threestorey building and residents are accommodated on all floors. Access between floors is via a passenger lift or the stairs. Residents accommodation currently consists of 39 single rooms, 24 of which have en-suite facilities. Included in these numbers are five Care Homes for Older People Page 4 of 27 Over 65 39 0 Brief description of the care home flats which are in the grounds of the home; these are linked to the main building via an emergency call system. The people who live in the flats are more independent than those accommodated in the main building. There is a lounge, conservatory and a separate dining room available for the people who live in the home. The current weekly charges for the home are GBP460.00 to GBP499 for the flats. 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 quality rating for this service is two stars. This means that people who live at Ashfields Care Home experience good quality outcomes. This visit was unannounced. It took place over one day, taking 8 hours in total, and was done by one inspector. This report will say we when referring to our activities and findings, as it is written on behalf of the Care Quality Commission. Our visit was just one part of the inspection. Before the visit took place we asked the manager to complete a questionnaire that we call an annual quality assurance assessment or AQAA for short. It gives us information about how the home is meeting the needs of the people who live there and includes plans for future development. We looked at the information that we already had about the home and this, with the information from the AQAA, helped us to form our inspection plan. Care Homes for Older People Page 6 of 27 We checked the records of two people who lived at the home to see what care they receive. We spoke with some of the people who live at the home and some of the staff who support and care for them and their views were taken into account. We looked at the communal areas of the home to see how the home was decorated, maintained and furnished. We also looked at some policies and procedures to check that these were up to date and provided suitable guidance for staff. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? Much had been achieved since our last inspection with significant improvements in staff training, person centred planning and care practice. The staff present as a well supported team that has clear leadership and shared aims and objectives so the people who live at the home benefit from good quality outcomes. All the staff have completed training on safeguarding adults so they know what to do in the event of any suspicion or evidence of abuse. This will help to make sure that vulnerable people are safeguarded from abuse. Person centred care planning is being promoted and staff have been given training sessions on equality and diversity so they know how to recognise and meet each persons individual and cultural needs and personal preferences. Care plans and risk assessments are reviewed and revised when something significant happens or when the persons needs change so staff always know what to do to make sure the person is as safe as possible and any unnecessary risks to their health and safety are identified and as far as possible removed. Care Homes for Older People Page 8 of 27 Effective arrangements for quality assurance have been put in place so people can express their views about the home, know that they are listened to and have their views taken seriously and acted upon. 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 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 thinking of moving to Ashfields Care Home are given clear information and are invited to visit so they can make an informed choice about the homes suitability for them. They have their needs assessed so they can be confident that their needs will be met when they move in. Evidence: We spoke with some of the people who lived at the home about how they decided it was the right place for them. We could see that the home had good procedures for introducing new people so they can make an informed choice about the homes suitability before they move in. They or someone close to them are invited to visit so they can see for themselves whether the accommodation meets their needs and expectations. The information about what the home provides, how it works and who it is for is written in large print and plain and clear language so people are helped to understand what the home has to offer. When people decide to live at the home they are given a contract or statement of terms and conditions so they know about their Care Homes for Older People Page 11 of 27 Evidence: rights and responsibilities. We checked the records for a person who had moved in recently and we spoke with them to see if they were satisfied with the home and the care provided. We could see that they had their needs assessed before they moved in so they knew that the home could support them and meet their needs. Their assessment had been done with them so they received care and support in the way they wanted and preferred. Following the assessment they received a letter from the home which explained the purpose of the assessment and gave them assurances that the home was suitable to meet their needs. We could see that their move to the home had gone very well. They told us that they had settled in well and had made some new friends and were very comfortable. 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 people who live at Ashfields Care Home are actively involved in developing their own care plans so the health and personal care they receive is based on their individual needs. Evidence: We looked at the care records of two people who live in the home and we spoke with them and a number of others to get their views on the care and support provided. All the people we spoke with during the inspection praised the home and the staff for their dedication and the good standard of care they provided. For example one comment was, I could not be better looked after, the home provides exemplary standards of care and I have no complaints whatsoever. A visiting community nurse also praised the home and staff team for providing a good standard of care, overall. They told us that staff were skilled and worked in partnership with them, seeking advice and acting on recommendations so each persons health care needs were met. We could see that the people who live at Ashfields Care Home were involved in the Care Homes for Older People Page 13 of 27 Evidence: planning of their care and support so they had choice and control over the way they received care and support. Each person had a care plan that had been developed with them and signed by them or someone close to them to show that they agreed with it. Care plans had been improved since our last inspection with more information about the persons personal preferences and abilities so their independence was promoted and they received care and support in the way they wanted and preferred. We could see that care plans and risk assessments were reviewed regularly or as and when the persons needs changed so staff always had up to date information. Personal health care needs, including specialist health, nursing and dietary requirements were recorded in each persons care plan. This provided an overview of their health care needs and acted as an indicator of health requirements. Records showed that staff worked closely with each individual and their health and social care advisers to make sure their health and social care needs were met. The people who live at the home are supported to take control of their own medicines if they are able. If they prefer, or lack capacity, senior staff manage their medicines for them. We could see that thought had been given to providing safe but sensitive facilities for keeping medication. Each person has been given a lockable medicines cabinet in their bedroom. We checked the medication records and could see that people receive their medicines as their doctor prescribed them. There were no recording errors in the medication records with the exception that stock records for some loose medication were not accurate. Stock records of all loose medication must be kept in the appropriate detail so effective medicines audits can be carried out to make sure medicines are stored safely and securely. 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 who live at Ashfields Care Home are able to make choices about their lifestyle and social activities so they have choice and control over their lives. Evidence: The home had a relaxed, friendly and welcoming atmosphere. We could see that the people who lived at the home and staff enjoyed good relationships with evidence of genuine affection, care and concern for one another. Interactions were easy and frequent with evidence of fun and good humoured banter, which people clearly enjoyed. For example one person we spoke with told us that they enjoyed having a laugh with the staff and the other residents. They told us that they were always respectful but gave as good as they got. There appeared to be a lot going on, some people were socialising with each other, others were involved in activities or having their hair done by the visiting hairdresser and others were coming and going from and to the shops escorted by staff. We could see from the homes records that activities including bingo, indoor skittles and painting were offered most afternoons. Seasonal occasions were celebrated and entertainers visited regularly. One person told us that their favourite activity was the entertainers which they always enjoyed and looked forward to. Care Homes for Older People Page 15 of 27 Evidence: We could see that people were able to please themselves and their choices were respected. Care staff were observed to be caring and sensitive in their approach. Peoples wishes regarding rising and retiring were respected and staff tried to promote choice in all aspects of daily living. Each individuals personal likes, dislikes and personal preferences were recorded in their care plans so they received care and support in the way they wanted and preferred. Staff training records showed that the manager and some of the senior staff had done training on the Mental Capacity Act so they know how to assess the level of support a person may need to make their own decisions. The manager told us that there were no restrictions on any persons freedom of movement or power to make decisions other than smoking which is not permitted inside the home. We spoke to one of the people who smoked cigarettes. They told us that they were made aware of the homes restrictions on smoking before they moved in so they knew what they were letting themselves in for and they had agreed to smoke outside under the verandah, which suited them. Meal times were enjoyable social occasions. Most of the people told us that they were happy with the meals served and others told us that there had been significant improvements since our last inspection. Fresh fruit was freely available. Fruit bowls were replenished as soon as they were emptied. The cook told us that the up take of fresh fruit had risen significantly since our last inspection and the manager told us that this had clear health benefits for people living at the home. We could see that there was more variation at tea time so people had more choice. Records showed that the people who lived at the home had been asked about the quality of meals at a residents meeting and we could see that their suggestions had been acted upon so the quality of meals served had significantly improved. 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. The people who live at Ashfields are safeguarded from abuse and have their rights protected because staff are trained and have access to effective adult safeguarding policies and procedures. Evidence: Ashfields Care Home has a complaints procedure that provides clear guidance on how to make a complaint and it is available in large print so it is easier to read. Some of the people told us that they know how to make a complaint but others were unaware of the homes complaints procedure. The manager told us that the homes quality assurance process had identified that there was a general lack of awareness about the complaints procedure so it was being promoted. How to make a complaint was to be put on the agenda of the next residents meeting and all the people who live at the home and, where appropriate, their relatives and other representatives are to be given a new copy of the homes complaints procedures. This will help to make sure that the people who live at the home or someone close to them will know what to do if they want to make a complaint. Staff have access to policies and procedures for responding to suspicion or evidence of abuse or neglect including a Whistle Blowing Policy so they can raise and report concerns and make sure people are safe and protected. Records showed that all staff have completed training on safeguarding vulnerable people so they know what to do if they become aware of any evidence or suspicion of abuse. There had been one Care Homes for Older People Page 17 of 27 Evidence: safeguarding referral to the local authority since our last inspection of the home. Records showed that there was a delay in reporting this to us but the manager was able to explain why this had happened and took action to make sure all safeguarding issues will be reported to us without delay. Information provided by the local social services department showed us that managers and staff had worked in partnership with them to address issues and ensure that vulnerable people were safeguarded. 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. The home is maintained so that it provides clean and comfortable accommodation that meets peoples needs and expectations. Evidence: The people who lived at Ashfields Care Home told us that they were happy with the accommodation and comfortable surroundings. They lived in clean, fresh and well maintained accommodation which met their needs and expectations. For example one person told us that they were delighted with their flat and could not be happier with the accommodation. The home had a programme to improve fixtures, fittings and internal decoration. Recent improvements had included the creation of a new TV lounge providing additional seating and flat screen TV off the main lounge area, new carpets had been laid in the first floor corridors, the outside of the building had been repainted and some bedrooms had been decorated and fitted with new furniture. Planned improvements included new carpets in the hall and ground floor corridors and new floor covering in the main lounge and dining area. Maintenance records showed that electrical and gas installations, hoist and fire prevention equipment were serviced regularly so people were safe. Care Homes for Older People Page 19 of 27 Evidence: The standard of cleanliness throughout the home was good. There were no noticeable odours and polices and procedures on infection control were in place and followed by staff. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are trained and have gone through thorough recruitment processes so they are suitable and have the right qualities and skills to meet the needs of the people who live at the home. Evidence: Our observations and discussions with the people who lived at the home and a visiting social care professional showed us that there were enough skilled and experienced staff on duty to meet peoples needs. Staffing rotas took account of the changing needs of people so more staff were employed at times of higher demand. All the people we spoke with during our inspection were complimentary about the staff and the standard of care they provided. We could see that staff were experienced in caring for older people. They carried out their work in good humour and with sensitivity for each persons needs so people always received care in the way they wanted and preferred and had choice and control over their lives. We talked with the manager, the deputy manager and one of the care staff about training opportunities and we looked at staff training records. We could see that there was a comprehensive staff training and development programme with opportunities for training in a range of relevant topics. All new staff complete the Skills for Care Care Homes for Older People Page 21 of 27 Evidence: induction programme. This includes the common induction training standards so all new staff have the skills they need to carry out their jobs effectively and competently. Six of the homes sixteen care workers had achieved a national vocational qualification (NVQ) in care at level two or above and eight were working toward the qualification. NVQs are nationally recognised qualifications for staff in the care profession. This showed that the home is on track to exceed the target for a minimum of 50 percent of staff to achieve a nationally recognised qualification in care by a good margin. This showed us that the people who live at the home were safe and had appropriate support because the staff providing their care were qualified and competent. All staff had the benefit of an annual appraisal. These help managers and staff to identify what training and refresher training needs to be done. The home has targets for refresher training on important topics so managers can be confident that staff have the skills they need to carry out their jobs safely and effectively. There had been no new staff since our last inspection when we found that the homes recruitment procedures were thorough. We discussed recruitment procedures with the manager and could see that care would be taken to make sure that any new starter had the right qualities and skills to work with the people who live at the home. 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. Ashfields Care Home is managed in the best interests of the people who live there so they experience good quality outcomes. Evidence: The registered manager has more than sixteen years experience working in the field of social care including 12 years working as the deputy manager at the home. In her experience she has developed her skills and has acquired NVQ levels 2 and 3 in social care and NVQ level 4 in Leadership and Management in Social Care. The management structure was suitable for the stated purpose of the home. It included the registered manager, deputy manager and four senior care staff. They led a strong and consistent team of staff who were well trained and well supervised so they were able to meet the needs of the people who lived at the home. Our observations and discussions with staff, the people who live at the home and a visiting health care professional showed us that the manager is person centred and Care Homes for Older People Page 23 of 27 Evidence: has a clear understanding of what needs to be done to make sure the home is run in the best interests of the people who live there. Information provided by the manager showed that most staff had been given training sessions on equality and diversity so they know how to recognise and meet each persons individual and diverse needs through person centred care planning. We could see from our discussions with the people we spoke with and the checks we carried out that managers and staff had addressed all the requirements we made following our last inspection so the problems we had found had been put right. The manager had successfully completed her registration with us and improvements had been made in person centred care planning and risk assessment. There was some work to do to make sure that falls risk assessments are reviewed and evaluated each time a person suffers a fall but we could see that the manager was taking action to address this so people were safe. Effective quality assurance procedures were in place. These were based on seeking and acting on the views of the people who live at the home, their relatives and the health and social care professionals who support them. Feedback is actively sought through quality assurance surveys, residents meetings and regular monthly visits made by the area manager. The manager showed us that she was producing a report to show the outcome of the recent quality assurance survey so people will know their views have been taken seriously and acted upon. Records showed that the home had good systems for assisting people with their money so their financial interests were safeguarded. We could see that the health and safety of the people who live at the home, their visitors and staff was promoted. Information provided in the AQAA showed us that installations and equipment were serviced regularly so people were safe. The manager and other senior staff carry out risk assessments so hazards were identified and where appropriate risk assessments and risk management plans were put in place so people were safe. All staff spoke highly of the manager indicating that communication in the home is good. Records showed that they have regular supervision and regular staff meetings so the people who live at the home benefit from a well informed and appropriately supported staff team. 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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