Care Home: Brookfield

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What the care home does well Brookfield constantly reviews its practice and is always striving to improve the service offered to the people either living in the home or to prospective residents. The service is flexible and reflective and the home`s management team have looked at where they are now and where they want to be in the future. This helps to ensure that the home is able to respond to changing needs, which in turn enables people to maintain as much independence as possible. There is a strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to an excellent standard. People are treated with respect and dignity. One person said; "They asked could they call me by my first name, very respectful". We found that staff members were able to demonstrate an awareness of the diverse needs of the people they were caring for. Positive and warm relationships were seen to exist between residents, relatives and staff members, those people that commented all said that the manager and staff members were very good. Comments from residents included; "Care is excellent, staff are lovely, delightful". One resident whose birthday was the previous day said that she had been presented with a bouquet of flowers from the home. A social life co-ordinator and non-denominational chaplain work with residents and a wide variety of activities/social events are available for people to participate in if they wish to do so. A wide choice of meals are offered and the standard of catering is very good; one person said during the afternoon of the visit; "Lunch was very good, food is very very good". Fully accessible and very well maintained gardens are available for residents and their families to use. The quality of record keeping within the home is being maintained to a good standard; this helps to ensure that people`s needs are identified and addressed quickly. What has improved since the last inspection? This is the first inspection of the home since the company number was changed in June 2008. What the care home could do better: We consider that Brookfield is an excellent service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very high standard of care provided to the residents at the present time is maintained and where possible improved upon. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brookfield 18 Brookfield Road Lymm Warrington Cheshire WA13 0PZ     The quality rating for this care home is:   three star excellent 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: Paul Ramsden     Date: 0 9 1 2 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 28 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 28 Information about the care home Name of care home: Address: Brookfield 18 Brookfield Road Lymm Warrington Cheshire WA13 0PZ 01925755363 01925753764 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Barchester Healthcare Homes Ltd Type of registration: Number of places registered: care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: This home is registered for a maximum of 31 service users in the category of OP (Old Age, not falling within any other category). Three of the five bedrooms over 16 square meters may be used to accommodate two service users that have made a positive choice to share and have an established relationship prior to admission, are married, partners, or have the same sex siblings/relatives. Date of last inspection Brief description of the care home Brookfield is a three-storey care home standing in its own grounds; residents are accommodated on the ground and first floors only. Access between floors is via two shaft lifts, a stair lift or the stairs. The home is owned by Barchester Healthcare. Brookfield is located in a residential suburb of the village of Lymm, this provides good transport links with the nearby towns of Altrincham and Warrington. The home is Care Homes for Older People Page 4 of 28 Over 65 31 0 Brief description of the care home registered to provide personal care for thirty-one older people. Accommodation is currently provided in 25 single bedrooms and three double bedrooms [these are usually used as single rooms]; all rooms have en-suite facilities. There are a variety of communal facilities available for residents; these include a large lounge/conservatory, library, garden room and a dining room. Brookfield has an appropriate number of toilets and a variety of bathrooms available for residents. Aids to help maintain independence are in evidence throughout the home, these include bathing aids and grab-rails. There are very pleasant, well maintained gardens available for the enjoyment of residents and visitors, these are easily accessible. The current fees for the home are between £640 - £700 per week; further information regarding fees are available from the home manager. The current inspection report is displayed in the entrance area; the manager confirmed that a copy could be made available to either prospective residents or to somebody already living in the home. Care Homes for Older People Page 5 of 28 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: This unannounced visit took place on the 9 December 2008 and lasted for a total of six and a half hours. Paul Ramsden, Inspector, undertook the visit on behalf of the Commission for Social Care Inspection. Any references to us or we in the report refer to the Commission. Feedback on the findings of the inspection was given to the home manager as it progressed. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before the visit. Survey forms were sent to a random sample of residents and staff members to Care Homes for Older People Page 6 of 28 find out their views and any other information received since the home was registered was reviewed. One resident and six staff survey forms have been returned. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans]we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of residents and members and staff were spoken with; they gave their views about the home and the service provided. Some of these comments have been quoted in the report. Brookfield was last inspected in February 2008, Barchester Healthcare owned the home at the time. In June of this year they changed the company number and legally we have to treat this as a new registration and undertake an inspection within six months of the change. This inspection was carried out as part of this process. 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 set out on page 4. Care Homes for Older People Page 8 of 28 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 28 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 28 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. Information and opportunities to visit before moving in are available and residents are assessed before moving in to ensure their needs can be met at the home. Evidence: The home provides a range of information to prospective residents; these include the Statement of Purpose and Service User Guide. These contain all of the information required and should provide prospective residents with enough details about the home and what is available there. These are available in a different format if needed. People are free to visit and look around Brookfield prior to choosing to live there if they want to and they can contact the manager or senior staff members if they have any questions. A visiting relative said that he had looked at a number of homes for his relative before choosing Brookfield, he said he was very pleased with the quality of care provided. A variety of other publications including information about Barchester Healthcare, the monthly diary sheet for social and other events are also readily Care Homes for Older People Page 11 of 28 Evidence: available. Pre-admission assessments demonstrating that the residents individual needs had been assessed in an accurate and consistent way had been carried out for the three residents whose files were looked at. The manager usually carries out the assessments and will visit people in their own home, another care home or hospital to gather the necessary information before admitting someone. This provides an opportunity to make sure the home can accommodate the person and their individual needs. When someone is funded by the Local Authority they also provide an assessment of the persons needs prior to admission. This provides background information as to the reasons why a move to the home is needed and is very useful when combined with the homes own assessment. Intermediate care is not provided at Brookfield. Care Homes for Older People Page 12 of 28 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 residents care plans seen were well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. Evidence: The deputy manager or another senior staff member are responsible for drawing up a residents plan of care. All of the care plans have now been transferred onto Barchesters own documentation; these are of a very good standard and provide the staff with all of the tools needed to identify any assessed need and how it is to be met. The care plans seen were all up to date and were written in a style that would enable someone reading it to have a very good idea of what help and assistance someone needed at that time. We felt that they provided staff members with all of the necessary information for them to look after a persons needs. Care plans were being reviewed and where necessary re-written on a regular basis. As part of Barchesters internal monitoring process the manager carries out a regular audit of the care planning system within the home. Care Homes for Older People Page 13 of 28 Evidence: Staff members spoken with could show that they had a good understanding of the people they were supporting and they were able to meet their diverse needs. Care staff work to a high standard in order to ensure that residents receive the care they need. They monitor a residents health and emotional needs daily and there was evidence to show that people were receiving the appropriate support from district nurses, GPs etc. A key worker system is in place [This is a system used in the majority of homes and involves particular staff members working more closely with certain residents]. The changing needs of individuals are discussed as and when required. We were able to see this in practice during the visit when information about an individual was passed onto the manager following a residents review held with Warrington social services. It was seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. They were seen to be interacting with individuals in an appropriate way, knocking on bedroom doors before entering and addressing people according to their wishes. All personal care is carried out in the privacy of a residents bedroom or one of the bathrooms. Barchester Healthcare has a written policy on the receipt, administration [including self administration], safekeeping, handling, recording and disposal of medication within its homes. Medicines are administered using a Nomad system provided by a local pharmacist. The arrangements for the administration of medicines during this inspection visit were considered to be good and the residents were being given their medication as prescribed. All senior staff members have received medication training and the home manager audits this regularly. Care Homes for Older People Page 14 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents using the service are able to maintain contact with family and friends and those spoken with were positive about the home and the support they received. Evidence: Residents were able to move freely around the home and a choice of sitting areas was available. Routines within the home were flexible and residents confirmed that they were able to make choices in many areas of daily living; for example, times of rising and retiring, whether or not to join in with planned activities and where to spend time and with whom. Residents meetings are held on a regular basis and coffee mornings are organised so that relatives can visit and things that may affect the home can be discussed. A social life co-ordinator and non-denominational chaplain work in the home for two to three days per week, including some time at weekends. Their roles are to spend time with residents both individually [this is usually the chaplain who will visit people on a regular basis for a chat] or in groups. On the day of the visit people had been able to participate in a gentle exercise class in the morning or in the afternoon take part in a craft activity. A monthly diary sheet giving details of everything that is going on is Care Homes for Older People Page 15 of 28 Evidence: given to every resident monthly. One resident said of the co-ordinator and chaplain; they are marvelous. Residents and staff told us about a variety of events that had been organised, these included trips out and themed events such as a wild west day and a restaurant evening. We think that the quality of the activities and other events available is of an excellent standard. Both the diary sheet and residents confirmed that various religious denominations conduct services in the home. People also confirmed that they were free to attend a local church if they wished to do so. A beauty and massage therapist visits the home on a regular basis and residents are able to purchase various treatments. A hairdresser also visits regularly. Links with the local community are maintained and residents are free to go out with their families. A visiting relative confirmed this. Visitors are free to visit the home at any reasonable time and mail is given to residents unopened. Meals can be eaten in the main dining room or in the privacy of a residents own room. The dining room is well furnished and laid out and provides a very pleasant dining experience with views over the garden. There is a menu that has the flexibility to meet individual needs and choices. The catering staff members have a very good understanding of each persons preferences and all of the residents that commented said that the quality of food provided to them was of a very good quality [all produce is fresh and these are provided by a local supplier] and that choices were available. Both the residents and the manager explained that each resident can have two guests per week who can accompany them for a meal free of charge; these are eaten in the library so other residents are not disturbed. Special diets can be provided if needed. A sugar free drinks machine and two water coolers are available for residents to use whenever they want to. The kitchen area was seen to be clean and well organised. The manager explained that the company had started the refurbishment of the kitchen facilities and more work was due to start shortly. The kitchen has been awarded a 4 star rating [this is the highest award] from Warrington Borough Council. Care Homes for Older People Page 16 of 28 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 and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. Adult protection training is provided for staff in order to ensure the continued safety of residents. Evidence: There is a written complaints procedure for the home, this is displayed in the entrance area. Information about complaints is also included in the Service User Guide that is given to all of the residents. The ethos of the home is that it will deal with any complaints/suggestions positively and will learn from them. Those residents that commented said they would inform the manager or another senior staff member of any issues. They also said that they felt confident that appropriate action would be taken. The manager said that she had received three complaints in the previous year. These had all been investigated and dealt with appropriately. We have not received any complaints. The home has an adult protection [now referred to as safeguarding] procedure that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. The manager confirmed that two safeguarding issues have been identified in the previous year and that these have been dealt with in conjunction with Warrington Borough Council. We were involved in Care Homes for Older People Page 17 of 28 Evidence: one of these issues that was later found to have been based upon inaccurate information and there had not in fact been any issue at all. Staff members undertake training in this area. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The facilities and accommodation within the home are of an excellent standard, this means that residents live in a very comfortable and homely environment. Evidence: A tour of the premises was undertaken; this included communal [lounges/dining room]areas and a number of bedrooms. The home has gone the extra mile to provide an environment that can fully meet the needs of the residents that live there. Brookfield, both externally and internally is maintained to an excellent standard and the quality of decor, furnishings and fittings were commendably high throughout the home, as were standards of hygiene and cleanliness. All bedrooms have en-suite facilities and are fitted with a call system, television, phone points and an internal telephone system. The majority of the bedrooms in the home exceed the room size standards and those seen during the visit were personalised, comfortable, well furnished and contained items of furniture belonging to the resident. Brookfield has two passenger lifts and a small stair lift available to allow access between floors. The home also provides adaptations for use by residents with mobility problems. These include bath and toilet aids, hoists, grab rails and other aids to help maintain independence. Since taking over the home Barchester have completely refurbished two of the bathrooms; this has considerably enhanced the facilities Care Homes for Older People Page 19 of 28 Evidence: available. There are extensive fully accessible garden areas available for residents to use. These are very well maintained and many of the residents spoken with commented on how pleasant the gardens were. One resident said that she went into the garden for a walk regularly and that a staff member helped her to do this. Another resident said that she loved gardening and gave the gardeners bulbs and plants which they then planted for her, she was then able to watch them grow when she went for a walk. We were told that the home had recently made it to the final of the national, Barchester in Bloom competition judged by a well known TV gardening personality. The laundry within the home is well equipped and good systems are in place for the care of peoples clothes. New laundry equipment has recently been fitted. Care Homes for Older People Page 20 of 28 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 members work positively with residents and families to improve the quality of life of residents living in the home. A robust staff recruitment process is in place to protect residents from possible harm. Evidence: Care staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff was able to meet the needs of the residents within the home. The staff members were cheerful and friendly and the residents spoken with were complimentary about their attitude and competence. We saw that the staff team worked well together and relationships between them were relaxed and positive. One staff member said; Its a cracking team, I love it here. The manager, some of the deputy managers hours, administrator, social life coordinator, chaplain and separate ancillary staff such as kitchen and laundry staff members are in addition to the care staff members on duty at any one time. This means that there is always plenty of staff on duty to meet the various needs of the people living in the home. According to the AQAA just under 50 of the care staff members are either qualified to National Vocational Qualification [NVQ] level 2 or 3 in care, a recognised Care Homes for Older People Page 21 of 28 Evidence: qualification for people working in the care profession. The staff files seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. The homes manager confirmed that all new staff are checked against the POVA list and that a satisfactory CRB disclosure must be obtained before employment commences. The management team at Brookfield consider that the recruitment of good quality staff members is an integral component in delivering an excellent service. The result of this is that the current team have the skills, knowledge and experience to meet the diverse needs of the residents. New staff members undertake a thorough induction training programme which meets the Skills for Care Induction Standards. Barchester Healthcare provides a range of training courses for staff members; these include, safer manual handling, first aid, adult protection and fire safety. The staff members spoken with confirmed that regular training was readily available. A new Barchester training database so that the manager can keep training up to date and identify any shortfalls is in the process of being implemented. One of the seniors explained that she had recently attended a five day Dementia training course in Surrey; she had been encouraged to attend by the home manager and said that she had really enjoyed it. She had learned a lot and in collaboration with the other staff members was trying to implement some new working practices that would help to improve the quality of life for residents who may have some degree of dementia. Staff meeting are held on a regular basis. Care Homes for Older People Page 22 of 28 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 home is being very well run and managed on a day to day basis, this helps to ensure that the needs of the residents are met and that there are appropriate procedures in place to maintain their safety. Evidence: Although the manager has not yet completed registration with us she was able to demonstrate her ability and competence in order to ensure that the home was well managed. She displays a clear sense of direction and best practice and regularly attends courses/training in order to keep her practice up to date and to fulfill her management responsibilities. She has enrolled on the the 5 Star Leadership Programme Course and will start this in the New Year. The manager can clearly demonstrate an awareness of the needs of the residents living in the home and how to manage the staff team. An administrator, deputy manager and senior staff members support the manager. This is a strong and committed team who work hard to ensure that the quality of care provided is maintained at as high a level as possible. Care Homes for Older People Page 23 of 28 Evidence: The staff members spoken with were very complimentary about the manager and one of the seniors said; the thing with her is that you can come out of your box, you are encouraged to thrive and learn. Various staff members have taken over responsibility for particular tasks within the home; these include fire Marshalls who take responsibility for ensuring fire safety training is up to date and a senior responsible for managing any continence issues that are identified and addressed. Staff members spoke positively about this. The residents spoken with also made a number of complimentary comments about the manager, one person said she was, delightful, another person said; I would see the manager if I had a problem, she is very good. Barchester Healthcare fully recognises the importance of a quality assurance system in order to ascertain whether residents and families are happy with the standards of care being provided. The results from the recent survey were very positive and show that the quality of care being provided by Brookfield was of a very high standard. Barchester is a proactive company that acts upon the results of consultation with people; this helps to ensure that good practice is developed and maintained. Brookfield does not hold any money for people living there, this is the responsibility of the individual resident or their family/representative. All staff members are supervised on a continuous basis; in addition they all receive formal supervision on a regular basis. This helps to ensure that the high quality of care provided to residents is maintained. Although the home manager does keep a record of staff training the current system is not able to give her sufficient information as to whether all staff have received the necessary mandatory training and whether this is up to date. As mentioned previously Barchester are in the process of introducing a new system that will address this issue. A good range of training opportunities are provided. Any accidents are recorded and the home manager regularly audits these in order to ensure that any trends, for example, a resident having a number of falls are identified and addressed. The home has a comprehensive range of policies and procedures to promote and protect both residents and staff members health and safety. There is a Health and Safety committee within the home that meets every three months. The maintenance records seen demonstrated that the appropriate service contracts were in place. These are all kept in a single file and included, the passenger lift, bathing aids, the fire alarm system and the gas and electrical installations. Care Homes for Older People Page 24 of 28 Evidence: The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals and that drills and training were also up to date. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 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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