Care Home: Barton Court

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What the care home does well The manager is well qualified, experienced and has high expectations of the standards of care for residents. The home promotes Equality and Diversity and complies with the company`s procedures. Residents are encouraged to practice their religion or faith and staff training provided to assist staff in understanding different cultures, traditions and faiths. A small kitchen area is available to residents to enable them to maintain their life skills. Care plans are person centred involving the resident in writing and reviewing their plan of care. Comprehensive pre-admission assessments are carried out to determine whether the residents` needs could be met. Residents said they enjoy living at Barton Court and are happy here. There is an open, welcoming and friendly atmosphere with good communication between residents, staff and visitors. It was observed and confirmed by residents that staff are kind, patient and respectful. The manager reported good relationships with a range of health professional who regularly visit the home. Residents are encouraged and enabled to take part in activities suited to their preferences and capabilities. Activities are provided seven days a week. Residents said they liked the choice of varied wholesome food, which is of a high standard. Staffing levels are good and staff are well trained, supported and supervised. NVQ training is encouraged and 85 % staff have completed NVQ 2. Eight members of staff are doing NVQ 3. Good recruitment procedures are followed to ensure that residents are protected. Good quality assurance systems are in place to ensure that the service is continually reviewed and improved. The home provides a safe, well maintained, light, clean, welcoming and spacious environment for its residents. What has improved since the last inspection? Care plans are comprehensive, person centred, underpinned by risk assessments and regularly reviewed. In order to provide safe, suitable and spacious day space for both the residential residents and those with dementia, the layout of the home has been changed. This process was carefully planned and involved residents and relatives in all stages of implementation. All lounges and corridors have been refurbished and upgraded. Alltelevisions in communal areas are of the wide screen type. The gardens have been improved for residents` safety and pleasure. The assistant General Manager said that the manager has modernised the home and had introduced colour. The change in ambiance was noticeable. Information in the AQAA confirms that all previous requirements and recommendations have been acted upon. All policies and procedures have been reviewed in 2008 thus providing staff with current information to underpin their practice. An excellent clinical room has been introduced. The two sluice rooms have disinfector sluice machines installed. Quality assurance systems ensure that the home is run in residents` best interests. Residents and relatives are involved in the running of the home. What the care home could do better: The manager is in the process of becoming registered with the CSCI. In order to assist residents with processing information, it is recommended that wherever possible pictorial aids are made available to them. This in respect of menus, notice boards, service user guide and pictures on bedroom doors. The hairdressing room would benefit from upgrading to provide a more pleasant environment for the residents. The inspector met with the hairdresser who has been working at the home for many years. She knows the residents well. Ensure that all care staff receive Food Hygiene training. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Barton Court New Road Minster On Sea Sheppey Kent ME12 3PX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lisbeth Scoones     Date: 1 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Barton Court New Road Minster On Sea Sheppey Kent ME12 3PX 01795878003 01795871296 emma.hodges@kcht.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Kent Community Housing Trust Type of registration: Number of places registered: care home 41 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 to be accommodated is 41. The registered person may provide the following category/ies of service only: Care home only - (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) Dementia (DE). Date of last inspection Brief description of the care home Barton Court is owned by Kent Community Housing Trust and is one of 10 homes in the Kent area. The company also has other homes in Bexley and in Greenwich. The home occupies premises that were originally custom built for the local authority but were taken over by KCHT some years ago. It provides accommodation for 41 older people, some of who have a diagnosis of dementia. There is a designated unit which Care Homes for Older People Page 4 of 27 Over 65 0 41 41 0 Brief description of the care home accommodates some of the people with more advanced dementia. The home is within walking distance of the village of Minster and close to local shops and other amenities. It is near a bus route. The weekly fees charged range from £ 377.73 to £425 for residential clients and £470.39 to £525 for people needing extra support due to their dementia. Information about the home, including a copy of the last inspection report will be made available on request to the home. 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: This key inspection was carried out on 11th November 2008. It comprised discussions with the manager, some of the care staff on duty, the chef, maintenance man and conversations with a number of residents and a visiting relative. The assistant General Manager visited the home during the inspection. An accompanied tour of the premises was carried out, a lunchtime session observed and documentation examined in respect of care plans and risk assessments, staff rota, menus, staff and training files, training matrix and medication records. The manager was present and assisted throughout and a comprehensive feedback was given at the end of the inspection. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses Care Homes for Older People Page 6 of 27 received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. The inspection was further informed by an AQAA (annual quality and audit) completed by the manager and by returned comment cards from 5 residents and 9 members of staff. Information thus received is incorporated in the report. The manager reported in the AQAA that the home had received 2 complaints, which were investigated and resolved. 4 Safeguarding vulnerable adult referrals were made. Following investigation these have now been closed. The last Key unannounced inspection was carried out on 22nd November 2007. What the care home does well: What has improved since the last inspection? Care plans are comprehensive, person centred, underpinned by risk assessments and regularly reviewed. In order to provide safe, suitable and spacious day space for both the residential residents and those with dementia, the layout of the home has been changed. This process was carefully planned and involved residents and relatives in all stages of implementation. All lounges and corridors have been refurbished and upgraded. All Care Homes for Older People Page 8 of 27 televisions in communal areas are of the wide screen type. The gardens have been improved for residents safety and pleasure. The assistant General Manager said that the manager has modernised the home and had introduced colour. The change in ambiance was noticeable. Information in the AQAA confirms that all previous requirements and recommendations have been acted upon. All policies and procedures have been reviewed in 2008 thus providing staff with current information to underpin their practice. An excellent clinical room has been introduced. The two sluice rooms have disinfector sluice machines installed. Quality assurance systems ensure that the home is run in residents best interests. Residents and relatives are involved in the running of the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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. Residents are provided with comprehensive information about the services the home provides. This could be further improved. Residents can be confident that they are appropriately placed due to good preadmission assessments and are able to visit the home prior to admission. Evidence: Residents and their relatives are provided with an information pack containing a brochure, Statement of Purpose and Service User Guide. The Statement of Purpose has been updated following changes in the layout of the home. It was noted that the Service User Guide was available in each residents room. It was recommended that it be made available in a user-friendly format such as a pictorial one. Since the previous inspection, the pre-admission assessment format has changed Care Homes for Older People Page 11 of 27 Evidence: providing more detail for staff. It was evident that residents are assessed by the manager or other senior staff prior to admission. This is done to ensure that the home can meet the needs of the residents. Prospective residents, their families, advocates and relevant health care professionals are involved in the assessment process. Specialist advice is sought from external sources where required. Barton Court does not provide Intermediate care. 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. Staff are provided with good personalised information about the residents in their care. Residents health care needs are fully met. Residents are protected by the homes medication procedures. Residents are treated with respect for their privacy and dignity throughout their stay. Evidence: Each resident has a care plan and three were inspected in detail. Since the previous inspection these have much improved, are person centred and provide comprehensive information. Care plans are underpinned by risk assessments, which are regularly reviewed. Staff write daily records and these are regularly audited. It was recommended that the professional page be used for the recording of visits from GPs, district nurses and other health professionals. It was further recommended that body maps be used for each injury. Staff spoken with have a good understanding of Care Homes for Older People Page 13 of 27 Evidence: residents individual needs and preferences. The manager said that the key worker system is to be reviewed. The manager and staff reported that they have a very good rapport with outside professionals such as GPs, district nurses and care managers, the dementia liaison team and memory clinic, chiropodist, dentist and optician. Residents weights are monitored regularly. A dietician is available for nutritional advice. The manager proudly showed the excellent new clinical room (surgery), which is clean, tidy and spacious. Medicines are only administered by staff who have been trained. MAR charts were examined and in general well maintained. The majority of these are computer generated by the pharmacist but some are hand written. It was recommended that two members of staff sign all handwritten transcriptions. Where a resident does not require a prescribed medication, a medication review should be requested. It was observed that medicines were administered in accordance with the homes guidelines. An initials list is available. Residents feel that staff are kind and gentle, this was confirmed by observation and discussion with visitors. Staff treat the residents with courtesy and respect for their privacy and dignity. A residents relative said,Everyone is very kind to me and keep me clean and comfortable. Another resident said, Staff do as much as they can. They are perfect, pleasant and understanding. A discussion ensued about staff knowledge of residents thoughts and wishes at the time of their death. The manager reported that 10 members of staff are soon to receive training in palliative care and End of Life care. 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. Residents are provided with a range of suitable activities that meet their needs. Residents are given choices thus allowing for some level of control over their lives. Residents are provided with a choice of wholesome and appetising meals. Evidence: Residents past interests are noted in their individual records and this includes religious practice if the resident wishes. Choices are available at mealtimes and the care plans reflect residents choices about their routines. The home employs an activities organiser who at the time of the inspection was playing bingo with a number of residents supported by staff. Activities are provided every day, either by the activities organiser who is employed for 30 hours or at the weekend by care staff who would not be rostered to provide care. The manager said that she is trying to recruit an additional activities organiser. The majority of the residents said they enjoy the activities and one to one sessions. The home provides inhouse entertainments and minibus outings. A notice board states the activities on offer. A photo board showed pictures of much enjoyed events such as a Blue Hawaii Care Homes for Older People Page 15 of 27 Evidence: Day and cookery sessions. Some residents were watching television in the lounge commemorating Remembrance Day. This resulted in a lively conversation between residents and staff. There was evidence that the home is getting ready for Christmas with the assistance from the residents. It was evident that relatives are made welcome. A visitor who assisted his relative with her meal spoke highly of the staff and the home. They look after her. They always give me a meal as well. In conversation with the chef it is clear that she know the residents and their likes and dislikes well. Food choices are always offered as well as cakes, fruit and drinks throughout the day. The manager and the chef are soon to attend a Nutrition Conference, which covers the special nutritional needs of older people and those with dementia. In respect of Food Hygiene training see standard 38. 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. Residents feel comfortable to raise any concerns they may have knowing that these will be dealt with swiftly and discreetly. Residents are protected from harm. Staff are very clear about their responsibilities relating to protecting residents. Evidence: The complaints procedure is readily available to residents and their relatives. Two residents on comment cards said they would know who to speak to when they had a complaint. Three residents answered they usually would know. A member of staff said, I sit down with the resident to listen to their concern. If necessary I would then pass it on to a senior member of staff. The Home keeps a record of all complaints received by them. The AQAA received prior to the site visit indicates there have been 2 complaints received by the home in the last 12 months. None were upheld and all were resolved in a timely manner. The Commission has not received any formal complaint since the last inspection. Current procedures for responding to suspicion or evidence of abuse or neglect are in place to ensure the safety and protection of residents. The Manager and other staff spoken with have a sound understanding of safeguarding vulnerable adults Care Homes for Older People Page 17 of 27 Evidence: procedures. There have been 4 alerts raised in the last 12 months. These have been investigated under the safeguarding vulnerable adult procedures and are now closed. Staff are well supervised and have received appropriate training. 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. Residents experience a good quality of life and the environment is safe, warm, spacious and well maintained. Evidence: The home provides a homely, pleasant, clean, safe, spacious and well-maintained environment for its residents. All areas visited were comfortably warm, fresh and free from unpleasant odours. The gardens and areas around the building have been improved and made safe. There are safe walking areas, a patio to enjoy the sun and opportunities to take part in gardening activities. There is greenhouse, raised flowerbeds, vegetable patch and a large decorative chessboard. Residents have helped plant flowers in the garden and went to the garden centre to choose ornaments, which they painted themselves. The home looks after people with residential type care needs and those with dementia. Since the previous inspection the layout of the home has been changed to provide better use of communal spaces and improved garden access. The separate lounges and dining rooms provide all residents with a safe and pleasant environment. Furniture and carpets have been replaced, communal, quiet rooms and corridors decorated. Bedrooms visited were in general homely with residents personal belongings. There Care Homes for Older People Page 19 of 27 Evidence: are a number of shared rooms, three of which are used for shared, others for single occupation. Some are unoccupied. In view of residents mental and physical frailty and their associated behaviours and care needs, shared occupancy must be carefully considered. The manager is aware that it must be residents positive choice to share with full understanding of the implications. None of the bedrooms have an en-suite facility. There are adequate bathing facilities including assisted baths. The toilets and bathroom doors have been provided with appropriate signage for residents benefit. The manager said that a toilet floor on the ground floor is to be replaced. The previous inspection identified that hoisting slings were at time used communally. The infection control risks were then discussed. The manager confirmed that individual slings are now available for those residents who require the use of a hoist. A residents relative said, They always freshen the room so that there are no unpleasant smells. Infection control is promoted and liquid soap and paper towels have been installed in all communal areas. There are two sluice rooms with a disinfector machine. These rooms were clean and free from clutter thus enabling effective cleaning. The laundry area provides a good and safe working environment. It is staffed 7 days a week. 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. Residents are cared for by sufficient numbers of staff who are well trained and supervised. Residents are protected by the homes recruitment process. Training is available to the staff providing them with the skills required to meet the needs of the residents. Evidence: Staff and residents confirmed that in general there are sufficient numbers of staff on duty to care for the residents. A resident said, Sometimes the staff are stretched to their limits because they are often short staffed. But they are always cheerful and willing to help. Staffing levels for the morning shift comprised 5 carers, activities person, team leader, 3 domestic staff, administrator and maintenance person. There is a vacancy for 14 care hours. Residents and their relatives spoke very highly of the staff. Very pleasant and caring staff. They do anything for you. Care Homes for Older People Page 21 of 27 Evidence: Records seen confirm that robust recruitment procedures are in place and the home employs only staff that have been properly vetted. Staff are required to undertake a Skills for Care compliant induction programme. A member of staff reported that the induction was very good. Another, I went on a half day induction at head office. Also at Barton Court covering all major safety and housekeeping. The home must ensure that induction training records are maintained within the staff file. Staff are provided with comprehensive training relevant to the job they do. feel the training I have been sent on and received was very good and helped me a lot in my job role. 85 of permanent staff have achieved an NVQ qualification. All team leaders have an NVQ 3. A professor from Christchurch College University is the Companys consultant for dementia care. He regularly provides staff with training opportunities. Such training includes dementia care mapping and the management of challenging behaviour. Staff a spoken with said these sessions were much enjoyed and interesting. Staff are aware of the Mental Capacity Act and further training will be provided A training matrix gives a good overview of training had and planned. All staff spoken with said they enjoyed the training. It was further reported that staff meetings and supervision keep staff informed and up to date. 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 well managed and ran in peoples best interests. Good quality monitoring systems are in place. Residents finances are safeguarded. Residents health, safety and welfare are protected and promoted. Evidence: The manager is awaiting her Fit Persons interview as part of becoming registered with the CSCI. She has extensive experience in residential care and is in the process of obtaining the Registered Managers Award (RMA). She has an excellent knowledge of dementia care and has a Certificate from Bradford University. The manager demonstrates a commendable commitment to delivering a high quality service. She is supported by a deputy manager. She said We work well as a team. There are clear Care Homes for Older People Page 23 of 27 Evidence: lines of accountability within the home and the Trust as a whole. The manager was present and assisted the inspector throughout the visit. An administrator provides very efficient administrative support. The home employs catering, domestic, laundry, maintenance and activities staff. The atmosphere at Barton Court is relaxed and the open door policy evident at this inspection. All staff spoke highly of the managers organisational and communication skills. The manager is excellent with giving support and everything we need to know. I meet with the team leaders regularly and with Emma when needed. A longstanding member of staff said, It is a privilege to work for the current management team. There is a good relationship with the residents families and staff. There is very pleasing and friendly atmosphere. Two other staff members said, The teamwork within the home is very good and the service takes into account the needs of the residents and acts upon any problems that may occur promptly. Staff confirmed that they have regular supervision and attend staff meetings. The previous inspection reported sound systems of holding and recording residents personal monies. These were not checked at this inspection. All residents are provided with a lockable drawer to safely keep items of value to them. In respect of quality assurance, a formal system (ISO 9001) is in place that ensures that the service is continually reviewed. The home holds Investment in People status. Residents and their representatives or relatives are regularly asked for their views. Relatives Forums are held. The manager monitors the quality of records made by staff with the aim of achieving a high level of consistency. Audits are carried out such as in relation to medication, care planning, cleaning schedules, accidents and complaints. A senior member of the Trust carries out formal Regulation 26 visits. The AQAA indicates that the Trust regularly reviews policies and procedures to ensure they comply with current legislation and good practice advice and that records of maintenance and safety checks are up to date. This was confirmed by the maintenance person. Accident records are well maintained and the CSCI is made aware of any reportable incident in accordance with Regulation 37. Except for Food Hygiene training for care staff (which was outstanding at the previous inspection), all statutory training is provided with regular intervals. The manager said this is being addressed. One member of staff reported that she would like to do First Aid training. Moving and handling training is provided in house. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. 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