Care Home: Boultham Park House

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What the care home does well The people live in comfortable, well maintained and clean accommodation. People are able to make their rooms more homely with their own personal belongings if they wish. Each person is encouraged and supported to be independent and take part in meaningful activities. They are also offered choices about what they wish to do and to make decisions about how they spend their lives. Staff communicate well with them and respect their choices and decisions. People living in the home are cared for and supported by a caring, educated and committed team of staff. There is a programme of education and training provided for staff, which ensures that staff know how to care and support the people who live at the home. Visitors are made welcome and kept well informed. This is a well managed service, which has systems in place to check on the overall quality of the care and accommodation provided to ensure good standards are maintained and improved. What has improved since the last inspection? The way care records are written and maintained has been improved with the introduction of new detailed care records. This has lead to care being more individual and person focused. A programme of decoration has resulted in 4 bedrooms being redecorated with new furniture and furnishings. The first floor lounge, care leaders office, corridors on both the ground and first floor and one of the toilets have been redecorated. In addition, the outside has been redecorated and new floors laid in 2 toilets. They have a member of staff known as a Dementia Champion whose responsibility is to promote good and up to date dementia care for staff and the people living in the home. The home was awarded 5 stars "excellent" by Lincoln City Council in recognition of the catering service provided. What the care home could do better: There is a very well established quality assurance system in place and where improvements are required they are already being addressed by the service Key inspection report Care homes for older people Name: Address: Boultham Park House Rookery Lane Lincoln LN6 7PH     The quality rating for this care home is:   three star excellent 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: Tobias Payne     Date: 0 7 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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: Boultham Park House Rookery Lane Lincoln LN6 7PH 01522681500 01522696399 manager.boultham@osjctlincs.co.uk www.osjct.co.uk The Orders Of St John Care Trust care home 35 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) (35) Dementia (DE) (2) The maximum number of service users to be accommodated is 35 The service users in the category of DE are aged 58 years and over. Date of last inspection Brief description of the care home Boultham Park House is a 2-storey building located on the outskirts of Lincoln and is situated at the end of a small lane, behind residential housing and shops. The home is set in well-maintained gardens and a car park is situated at the front of the premises. The rear of the property overlooks Boultham Park and its lake. The home is close to local facilities and a short bus ride from the City Centre. The home is registered to provide personal care for up to 36 service users, 34 of these being over 65 years and 2 having specific mental health needs. Accommodation is Care Homes for Older People Page 4 of 26 Over 65 0 35 2 0 Brief description of the care home provided in 32 single and 2 double bedrooms situated on the ground and first floor. All bedrooms are single with one having an ensuite. There is a very large dining room with a small seating area and 3 lounges on the ground floor overlooking the rear gardens and one lounge on the first floor. There is also a conservatory leading out into the garden and there is a patio area with seating, raised gardens and a green house. The fees at the time of our inspection visit ranged from £406 to £571 each week. Additional charges were for hairdressing which ranged from £7 to £21 and chiropody £10, personal newspapers and magazines. Information about the home including the statement of purpose and service users guide can be made available at request in large print, Braille and other languages to the manager of the home. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The previous key inspection was on the 13/11/2006 At this inspection we reviewed all the information we had about the home and made an unannounced inspection visit to the home which lasted for 5 hours. The manager was present throughout the inspection visit and was given feedback at the end of the inspection. The main method of inspection used was called case tracking which involved selecting 2 people and tracking the care they receive through the checking of their records, discussion with them, the staff and observation of how the staff and people living in the home related to one another and the care practices in the home. We looked at a sample of care records, and policies and procedures as well as staff records and walked around the home to see the quality of accommodation and visited some of the bedrooms with the permission of the people living in the home. We spoke with 10 people living in the home, one visitor, a visiting community nurse as well as 4 members of staff. An (AQAA) Annual Quality Assurance Assessment was completed by Care Homes for Older People Page 6 of 26 the manager and sent to us before our inspection. This is a self assessment document completed by the manager of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. Where the use of we or us has been used throughout this report it refers to the Care Quality Commission. Care Homes for Older People Page 7 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 8 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 9 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good and clear information is provided to people to enable them make an informed choice of where to live. They are assessed before they come to the home which ensures that individual needs can be met within the home. Evidence: At the entrance to the home was information about the home, other important leaflets, a service users guide known as a residents guide and a statement of purpose which had a copy of our last inspection report. All information in these documents was clear and detailed and up to date. The manager told us that where a referral was made she would arrange either for herself or a care leader to visit each person and make a thorough assessment of their needs involving the person and any other person involved in their care and support. This could include a visit to the home to meet the people living in the home and the staff and stay for lunch. Once a person agreed to stay, written confirmation was sent to them to confirm that based on the assessment the home could meet their needs. Through case tracking we looked at records for 2 Care Homes for Older People Page 10 of 26 Evidence: people who had recently been admitted to the home. We could see that a detailed pre admission assessment had taken place and that the person had received a letter confirming the home could meet their needs. We also spoke to the 2 people who confirmed this and told us when I came here I received a very warm welcome and received a thorough assessment before I came here and they answered all my questions and it is fantastic here. Care Homes for Older People Page 11 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 excellent 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 needs of the people living in the home are fully met. Medication was safely given by staff who knew what they were doing. Evidence: The manager told us that the home was one of a number of homes within The Orders of St John Care Trust which were trialling new detailed care records which were to be more individual. Each of the care leaders had been on a 2 day training course and each care assistant had a half a day training course to train them about the new system. We saw the new records were very detailed giving details about their care and support. Each included a photograph of the person, details of their assessment at the time the person moved into the home, care plan, moving and handling and risk assessment. In addition, there was information about the person including their life history, communication needs, personal hygiene, nutritional assessment using a nationally recognised tool, mental capacity, daily and evaluation reports. The amount of information had clear instructions about how staff could meet the needs of the person. The care plan outlined each persons needs and risks, the aim, personal goal or wish and what interventions or actions were required to enable the persons needs Care Homes for Older People Page 12 of 26 Evidence: to be met. Each entry was dated with a signature of both the key worker and where ever possible the person receiving the care and support or their advocate. As part of the very comprehensive quality assurance procedures monthly reviews took place of each persons nutrition, weight, moving and handling and risk as well as how the care records were written. In addition each person had a review of their care at least every 6 months involving them and other people connected with their care and support. Again evaluations and reviews were clear and entries were signed and dated. We spoke with a visiting community nurse who was very positive about the home and comments included, I visit regularly and I find the service exceptional. When visiting I find staff know what to do and carry this out in a very professional manner and always to a very high standard. People we spoke with were very positive about the way staff attended to their needs. Comments included, I cannot fault the staff, I always find them kind and considerate and they are always very polite and respectful. Throughout our visit we saw staff being polite and courteous and helped people in a calm, kind, sensitive and unhurried manner. Throughout our visit we heard staff greeting visitors and laughing and talking with the people living in the home. Where required, people living in the home were referred to local doctors, Community Nurse, Community Psychiatric Nurse, Tissue Viability Nurse, Continence Nurse, Speech and Language Therapists, Physiotherapist, Opticians, Dentist, Chiropodist and other specialists. The manager told us that care leaders gave out medication. There was a policy and procedure for this and competency trainers within the Orders of St John Care Trust assessed each person before they were considered safe to administer medication. Each person studied 4 modules which included medication and the law, roles and responsibility and handling of medicines, safe practice and types of medicine. After this each person would be assessed during supervised practice and when assessed as safe to do so would take on this responsibility. Records we saw were clear and well maintained with a good audit trail. The manager told us that the people were encouraged by the staff team to self medicate and on the day of our inspection visit 3 took responsibility for this. Each person either had a locked drawer or cabinet in their room. Other people needed a degree of assistance in order to ensure they took their medication safely. They received regular pharmacy inspections the last being on the 24/9/2009 with no concerns. Monthly audits were also carried out by the manager. 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 are able and supported to make their own choices about how they want to live their lives, and what they want to do. Social activities are varied and provide stimulation and interest for people living in the home. People enjoy varied and nutritious meals. Visitors are made to feel welcome and supported. Evidence: On admission to the home details were obtained about each persons interests and life history and this information was contained in their care records. There was a written activities programme available and displayed on a white board in the dining room. There was an activities coordinator employed to provide activities. The manager told us that activities were reviewed taking into account the views of the people living in the home. The activities for the week of our inspection visit included bowling, movement to music, Bingo, cooking, manicures, games including dominoes as well as hairdressing and on the day of our inspection visit a church service. Comments from the people included, there are enough activities going on which I like and I like to keep myself to myself which suits me and the staff understand my wishes. The people living in the home were offered 3 main meals a day plus snacks. Lincoln City Council awarded the home 5 stars (excellent) on the 19/11/2008 following an Care Homes for Older People Page 14 of 26 Evidence: inspection, in recognition of the catering service provided. We looked at the records for food temperatures, menus and cleaning rotas and found them well maintained and up to date. Meals were served in the dining room or in their bedrooms on a tray. The menus which were also displayed on each table and at the entrance to the home showed us that there was a varied menu with fresh fruit and vegetables. The dining tables had clean table cloths, the days menu and table mats. We saw staff were assisting those people who needed assistance in a dignified, unhurried, calm and sensitive manner. All the people we spoke with were complimentary about the food. Comments included, I like the food as it suits my needs, there is always a variety of fruit which I like and it is always served well and I look forward to my meals. 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 are protected from abuse by robust and safe recruitment procedures. Evidence: Each person received a copy of the complaints procedure in the residents guide and this was also in the statement of purpose. During our visit none of the people living in the home, visitors or the staff had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a person living in the home. Information provided for us before this visit also confirmed that there were policies and procedures in place to follow in order to safeguard the people living in the home. Information supplied by the manager showed that they had received one complaint over the last year. It was investigated using their complaints procedure. We could see that very clear records had been kept which showed it had been thoroughly investigated. The service had an up to date copy of Lincolnshire County Councils Adult Protection Policy and all staff received regular training. We spoke with 4 staff who confirmed that had received this training, knew what abuse was and they showed knowledge about their role and what they would do if abuse was suspected. We have received over the last year no complaints or safeguarding adults issues. All staff were correctly recruited including a check by the Criminal Records Bureau (CRB) and during their supported induction each member of staff received information Care Homes for Older People Page 16 of 26 Evidence: about abuse. We saw they were keeping clear records with receipts and signatures where the people living in the home had asked the home to look after their personal money. We spoke with one visitor during our visit. Comments were very positive and included, I can visit whenever I wish to do so and everyone is very kind, welcoming whenever I visit. I am quite satisfied with the way they care for my father. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in clean, comfortable, safe and well maintained accommodation. The infection control policy is followed and a safe environment is maintained. Evidence: The home was well maintained and decorated throughout. The manager told us that areas throughout the home had been redecorated with new furniture curtains and other improvements. During our visit we walked around the home and found all areas of the home were clean, tidy and odour free. We saw throughout our visit housekeeping staff cleaning all areas of the home thoroughly and showing pride in their work. People we spoke with told us they were satisfied with the decoration and cleanliness of the home. They also spoke of how they liked their bedrooms. They told us they were encouraged to bring into the home small items of furniture, television, pictures and personal items. People told us, I like my room, I have just had my room redecorated and I love the colours, they look after my clothes very well and my room suits my needs and everything is so clean and looked after. We saw people sitting in the lounges had their belongings with them at side tables as well as in their bedrooms. Some of the people were in their bedrooms reading or watching television. There were grab rails and raised toilet seats and bathrooms and toilets were wheelchair accessible and had thermostatic valves fitted to basins and baths to prevent the people from scalding. There were a variety of mobile hoists with a variety Care Homes for Older People Page 18 of 26 Evidence: of slings and other moving and handling equipment. The gardens were colourful, stimulating and well maintained. All footpaths were clear from hazards and garden seating was available for the people to use so they could sit outside in warmer weather. Communal areas were spacious with sufficient space for those people who use wheelchairs to move around freely. There was also a greenhouse which enabled the people to grow their own vegetables. 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. There is a safely recruited, well-trained, supported staff team available who have the skills to meet the varying needs of the people living in the home. Evidence: People we spoke with did not express any worries about the level or availability of staff. During our inspection visit we saw staff attended to the needs of the people promptly and in a calm and friendly manner. Throughout our visit people we spoke with felt the home was adequately staffed with staff who were experienced and competent to care for the people living in the home. All the comments were very positive. The home had care leaders, care assistants, housekeeping, administration, catering staff and a maintenance person. The people we spoke with told us I always find staff are very kind and considerate and I am very satisfied with the way staff attend to my needs. The manager told us she monitored the dependency and varying needs of the people. We examined the files for 2 new members of staff. Records were clear, detailed and showed that staff were safely recruited in accordance with the regulations. This included a check by the Criminal Records Bureau (CRB). When new staff started work at the home they received a supported nationally recognised induction programme Care Homes for Older People Page 20 of 26 Evidence: during which time they learnt about the policies and procedures of the home and how to provide the necessary care and support to the people living in the home. There continued to be a wide range of training provided. Staff are encouraged and supported to obtain training in care to National Vocational Qualification standards. The manager told us that 90 of staff had an NVQ level 2 including housekeepers, and catering staff. In addition staff are encouraged to train for NVQ level 3 to further develop their skills. Training over the last year had included fire prevention, first aid, food hygiene, infection control, safeguarding adults, end of life care, dementia awareness, moving and handling, Mental Capacity Act 2005, pressure area care, care planning and health and safety. Training is also available by computer assisted learning. We spoke with 4 members of staff who told us, there is a lot of training provided, I enjoy what I do, I like to feel when I have gone home that I have done a good job and improved the lives of the people living here and I have learnt so much which has given me confidence to develop my skills further. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people and staff benefit from the positive leadership of the management team. Evidence: People living in the home, visitors and staff we spoke with told us they had a good relationship with the management team and felt they were open and supportive. People and visitors we spoke with echoed these views. Comments from people living in the home included, I cant fault them, If I have any worries or concerns I can talk to the staff and manager, I am very satisfied. A new manager started at the home in April 2009 and was in the process of applying to us to be registered. She had many years of experience of management. She also had a management and care qualification. Staff comments included, I like working here, we all work well together and It is a very friendly place to work and we have good support from the management. The Orders of St John Care Trust had comprehensive established quality assurance procedures. These consisted of a comprehensive internal audit by the Quality Care Homes for Older People Page 22 of 26 Evidence: Assurance group of the Trust the last being on the 21/10/2008. In addition the Trust is certified to international quality standard ISO 9001. To maintain this certification an external audit took place over 2 days at this home in April 2009. As a result of the audit a report was produced with action plans where improvements have been required to carried out. The manager also carried out internal monthly audits of medication, care plans and 6 monthly audits of laundry and infection control arrangements. The Trust also carried out an annual survey to obtain the views of the people living in the home the last being in 2009. Twenty six responses were received and an analysis and action plan was made of their comments. There were also resident meetings which took place 4 times a year and regular staff meetings. Staff also had a handbook which described how their practice was to be carried out. In addition the manager told us that she made unannounced spot checks 4 times a year to monitor the quality of care at night. If there were any concerns arising as a result of the visit an action plan would be put into use. The responsible individual for the Trust also made unannounced monthly monitoring visits to the home and produced reports for each visit which we looked at during our visit and found no concerns. In addition the manager told us that a monthly management visit from head office is made at which care, catering, environment, finance and personnel issues are looked at. Again an action plan is produced where required. We found very clear records were being kept throughout our visit which were available and up to date. The manager also told us staff received supervision every 2 months as well as 6 monthly appraisals. There were a range of policies and procedures which were regularly reviewed and updated. Information was in place, which was easily available for staff to refer to covering aspects such as residents personal care, health and safety matters and staff codes of conduct. Records were in place demonstrating that risks have been assessed relating both to individuals and the environment in order that action can be taken to minimise them. There were comprehensive health and safety policies, which also included detailed and up to date risk assessments and a fire risk assessment. There were regular tests of the fire system as well as regular fire drills and monthly monitoring of hot water temperatures. There were also infection control policies. Records we looked at showed that equipment was regularly checked and serviced and there were systems to monitor any maintenance issues. 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. 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