Care Home: Clovelly House

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What the care home does well The home is a large adapted and extended Edwardian house and it is situated in its own grounds. There are two lounge areas, plus other quiet areas for people to use if they wish. Staff members are polite and talk to people with respect. We talked to people during this inspection and they said the staff are nice, respect their privacy and one person said, "Clovelly provides excellent care in a related `family` atmosphere. I am fortunate to be cared for by such dedicated staff". There were other positive comments made, but one visitor summed up the the home by saying, "BLOODY MARVELLOUS PLACE!". Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. Care plans and risk assessments are completed so that staff members have enough guidance about how to safely meet people`s needs. There are areas where there could be more information and guidance for staff, but the care records generally tell staff how people want to be cared for and what their preferences are. Medication is given and stored safely. Records are kept to show when people are given medication and why it is not given. People can have visitors when they want and there are places where they can meet in private. They are able to choose when to get up and go to bed and what they do during the day. There is a choice of main meals each day and staff members stay with people who need help to eat. Everyone we spoke to said they like the meals and the food is good. There have been no complaints made to the home in the last year. People said they know who to talk to and how to make complaints and one person said, "Any problems are always discussed at residents meeting". Staff members know how to keep people safe and what to do if they think abuse has happened. There has been one safeguarding referral in the last year. The home acted correctly and referred the incident to the safeguarding team. Staff have induction training before they start working with people and other training to help them care for people properly. Staff members said, "The home does regular training courses for the different types of service users that we look after everyday" and "I have been given more opportunities for training and career advancement since I have been working at Clovelly than any where I have worked". Care staff also complete National Vocational Qualifications and at the time of this inspection almost 80% of staff have completed the training. Staffing levels are usually high enough so that staff can care for people properly. A quality assurance survey is carried out every year at the home, where people are asked what they think of the care and the environment in which they live. Action is taken about issues that are found, like issues with meals. There are resident meetings throughout the year. Money that is kept and transactions that are made on behalf of people at the home is recorded. Records are also kept of the health and safety checks that are carried out, which means the home can show if things are in good working order and what they have done to repair problems. What has improved since the last inspection? No requirements or recommendations were made at the last key inspection. What the care home could do better: Although there are activities and outings for people, they told us they are sometimes bored and there isn`t always much to do. Two comments were, "more outings" and "few more activities in afternoons". The number of things for people to do should be increased so that they do not become bored. If staff members miss mandatory training updates, they do then not complete the training for another year. Although there are only a few staff members who have missed the training, they must complete it as soon as possible. Recruitment checks must be fully completed and obtained before new staff members start working at the home. This is so that the service can be sure new staff members are safe to work with vulnerable people. Key inspection report Care homes for older people Name: Address: Clovelly House 44 Station Road March Cambs PE15 8LE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lesley Richardson     Date: 1 4 0 8 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 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Clovelly House 44 Station Road March Cambs PE15 8LE 01354655768 P/F01354655768 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Malcolm Laurence George care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Clovelly House provides residential care for older people, and those with dementia in the Cambridgeshire town of March. The premises are in an Edwardian House, which has been extensively modernised and extended to meet the needs of the service users living there. It is close to the town centre and within easy reach of local facilities. Fees range between #343.00 and #430.00 a week. A copy of the last inspection report was available on the hall table for people to read, together with other information for both people living in the home and visitors. 0 0 Over 65 21 21 Care Homes for Older People Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection of this service and it took place over 6 hours and 5 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. There were no requirements made at the last inspection. There has been one requirement and no recommendations made as a result of this inspection. The last key inspection was carried out on 15 August 2007. Information obtained from the Annual Quality Assurance Assessment (AQAA) and from returned surveys was used in this report. The AQAA is a self assessment that focusses Care Homes for Older People Page 5 of 24 on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. We received fifteen (15) surveys from people living at the home, and eight surveys from staff members. Care Homes for Older People Page 6 of 24 What the care home does well: The home is a large adapted and extended Edwardian house and it is situated in its own grounds. There are two lounge areas, plus other quiet areas for people to use if they wish. Staff members are polite and talk to people with respect. We talked to people during this inspection and they said the staff are nice, respect their privacy and one person said, Clovelly provides excellent care in a related family atmosphere. I am fortunate to be cared for by such dedicated staff. There were other positive comments made, but one visitor summed up the the home by saying, BLOODY MARVELLOUS PLACE!. Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. Care plans and risk assessments are completed so that staff members have enough guidance about how to safely meet peoples needs. There are areas where there could be more information and guidance for staff, but the care records generally tell staff how people want to be cared for and what their preferences are. Medication is given and stored safely. Records are kept to show when people are given medication and why it is not given. People can have visitors when they want and there are places where they can meet in private. They are able to choose when to get up and go to bed and what they do during the day. There is a choice of main meals each day and staff members stay with people who need help to eat. Everyone we spoke to said they like the meals and the food is good. There have been no complaints made to the home in the last year. People said they know who to talk to and how to make complaints and one person said, Any problems are always discussed at residents meeting. Staff members know how to keep people safe and what to do if they think abuse has happened. There has been one safeguarding referral in the last year. The home acted correctly and referred the incident to the safeguarding team. Staff have induction training before they start working with people and other training to help them care for people properly. Staff members said, The home does regular training courses for the different types of service users that we look after everyday and I have been given more opportunities for training and career advancement since I have been working at Clovelly than any where I have worked. Care staff also complete National Vocational Qualifications and at the time of this inspection almost 80 of staff have completed the training. Staffing levels are usually high enough so that staff can care for people properly. A quality assurance survey is carried out every year at the home, where people are asked what they think of the care and the environment in which they live. Action is taken about issues that are found, like issues with meals. There are resident meetings throughout the year. Care Homes for Older People Page 7 of 24 Money that is kept and transactions that are made on behalf of people at the home is recorded. Records are also kept of the health and safety checks that are carried out, which means the home can show if things are in good working order and what they have done to repair problems. 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 24 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 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have enough information before moving into the home, which means they are able to decide if they would like to live there. Evidence: Almost all (14 out of 15) of the people who we received surveys from said they had received a contract and they had enough information before moving to the home. We also received a survey from a local medical practitioner who said the homes assessment arrangements make sure they obtain enough information before people move in. Assessments are completed before people move into the home and assessments from health and social care teams are also obtained if these are available. There are few people who have gone to live at the home recently and we were only able to look at the care records of 1 person who has moved into the home since the last inspection. The assessment was basic and didnt contain any personal information or specific Care Homes for Older People Page 10 of 24 Evidence: details about the person apart from their health and care needs. We spoke to the person whose assessment we looked at and they said had stayed at the home for a short time before deciding to live there permanently. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. Care Homes for Older People Page 11 of 24 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. Care and medication records are completed accurately and in enough detail to ensure the health and welfare of people living at the home. Evidence: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection and that staff knock on doors before entering rooms. People we spoke to said staff are nice and two comments in surveys were, Clovelly provides excellent care in a related family atmosphere. I am fortunate to be cared for by such dedicated staff and The home and staff provide considerate care and maintains high standards of care professionalism. A comment from one of the visitors who returned a survey was, Mother is far more mobile and generally her sugar is well controlled by good diet marvellous place. Care plans for three people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to Care Homes for Older People Page 12 of 24 Evidence: do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. We found the care plans give staff members advice about how to meet most of peoples needs, but that the level of detail can vary between different people. Care plans for care needs generally told staff how each person likes to be cared for and what their preferences are, and there were some plans that gave staff a lot of information about people. For example, one person who gets frustrated at their poor memory has good advice to tell staff what they should do if this happens. Another person, however, who can be rude to other people doesnt have enough advice for staff about how to manage the behaviour. Most people or their relatives said they are able to look at the plans and say if they agree with them or not. Plans are reviewed monthly and we saw that information and changes are recorded, and the plans are rewritten to give staff updated guidance. All of the people who returned surveys said they receive medical attention when they need it. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. Medication administration records (MAR) were looked at for people living at the home. The MAR sheets are completed and there are few records with entries missing. Entries for medications that have not been given show the reason for this. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. Stock levels of medications are acceptable; no medication had been out of stock and there are no stores of medication nearing its expiry date. Controlled drugs are stored safely. Medication fridge are taken and recorded as being at an acceptable level for the safe storage of medication. However, room temperatures are not recorded and this must be done to make sure all medication is stored at a safe temperature. We looked at the information that is available to staff for medication that must be given in a specific way. There is some information about this on the MAR sheet, but not all of the information. We talked to the staff member who had responsibility for giving out medication and they were able to tell us exactly how the medication should be administered. We are satisfied that although there are not enough instructions written down, staff members have this knowledge and can safely give the medication. Care Homes for Older People Page 13 of 24 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. Activities are available and people can choose what they do, which gives them choice about how to live their lives. Evidence: Staff at the home are responsible for arranging for entertainers to visit the home, activities and events in the home. All of the people who returned surveys to us said there are activities that they can always or usually take part in. One visitor who returned a survey said, it is a homely and relaxed environment wonderful garden they take mother outside in nice weather. The were only two comments we received from people living in the home were suggestions about improving activities. These were, more outings and few more activities in afternoons. We received mixed reactions from the people we spoke to during the inspection. One person said they have things to do and they are able to read the paper that they have delivered every day. Although two other people said there is nothing to do during the day and they are often bored. We walked around the home throughout the day and found that although people have papers and books to read, there was little other stimulation during the day while staff members are busy, although one person told us, Elderly people do become lonely, but there is always someone to talk to here. Care Homes for Older People Page 14 of 24 Evidence: Staff record information about time they spend with people in the care records. We saw this, but they show that staff only record things every few days. This suggests there isThere is information written into care plans about what people like to do, which means that staff members are able to plan care around social needs. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the lounge areas. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. The home has an open visiting policy and people can have visitors at any time of the day. We spoke to people who told us they have visitors whenever they want. The main meal is served at lunchtime and there is a choice of two hot meals every day. We saw lunch being served in dining room. Food was served appropriately in a relaxed and unhurried way and drinks were offered throughout the meal. Everyone we spoke to said they like the meals and the food is good. Staff help people if they need this and we saw them being attentive and concentrating on what they were doing without being distracted. Care Homes for Older People Page 15 of 24 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 know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: All of the 15 people returning surveys said they know who to speak to and almost all of the said they know how to make a complaint if they have to, and that staff listen to what they say and act on it. Most people we spoke to during the inspection also said they know what to do if theyre not happy about something. Everyone we spoke to during this inspection said they are happy with the service given to them. Staff members who returned surveys all said they know what to do if a complaint is made. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been no complaints made to the home in the last 12 months. We have not been told directly of any complaints about the home. We talked to care staff in the home, who were able to us what should be done if abuse was suspected. Information provided in the Annual Quality Assurance Assessment before the inspection shows there has been one safeguarding referral made by the home in the last 12 months. This did not involve staff at the home and the home obtained advice from the safeguarding team about how to manage the situation. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and provides a generally safe environment, giving people a pleasant place to live. Evidence: The home is a large adapted Edwardian house with an extension, situated close to the centre of the market town of March. People living at the home have access to a number of communal areas, including an attractive secure garden at one side and the back of the property. The general decor in most parts of the home is satisfactory, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is fresh and clean. Comments include, Whole accommodation homely and not institutional. Like going into someone own home. Very pleasant! and It is a homely and relaxed environment wonderful garden - they take mother outside in nice weather. There are lots of areas around the home where people can sit, including the garden, which has seating in the garden and in shady sheltered areas. It is easily accessible to people with mobility difficulties. We visited on a warm summer day and the home was pleasant to be in, with windows opening onto the car park and garden. However, windows at the front of the home can be fully opened and are not secured on a latch or restricter, which poses security issues as it faces a busy road into the centre of March. Care Homes for Older People Page 17 of 24 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff members most of the time with the training and skills to be able to care for people properly, but recruitment checks are not completed properly to make sure new staff are safe to work at the home. Evidence: Information provided in the Annual Quality Assurance Assessment (AQAA) shows that all staff members have completed an induction that meets the recommendations made by Skills for Care. Most of the staff who returned surveys said their induction covered all or most of the things they needed to know before looking after people living at the home. We looked at the staff training matrix and saw that most staff members have received mandatory training and updates at the required intervals. However, if staff members miss updates, they are then not offered training again until the next year. We spoke with the manager about making sure staff members have mandatory training updates as this makes sure they have up to date knowledge about how to keep people safe. Staff members who returned surveys said they are given training that helps them understand peoples needs and keeps them up to date with current ways of working. Two staff members said, The home does regular training courses for the different types of service users that we look after everyday and I have been given more opportunities for training and career advancement since I have been working at Care Homes for Older People Page 18 of 24 Evidence: Clovelly than any where I have worked. Information in the AQAA tells us that almost 80 of care staff have a National Vocational Qualification (NVQ) in care at level 2 or above. The recommended number of staff with a NVQ is 50 . All of the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. People we spoke to during the inspection said there is usually enough staff on duty. Seven of the eight staff members who returned surveys said they feel staffing levels are high enough. One staff member said, example. However, this experience isnt the same in all houses, as one visitor said sometimes. We looked at recruitment records for three staff members employed since the last inspection and they contained some of the appropriate recruitment documents. Gaps in employment histories were not looked at for all three staff members, references for one staff member were not obtained before the person started working at the home. One staff members started working at the home before the PoVA First (Protection of Vulnerable Adults check) was issued. Recruitment checks must be completed and received by the home before new staff members start working there, so that the home can be sure they are safe to work with vulnerable people. Care Homes for Older People Page 19 of 24 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 a safe place to live and people are asked their opinion so that things they are not happy with are changed. Evidence: The manager has been managing the home for a number of years and has the experience to manage this home. An annual quality assurance survey was carried out by the home in May 2009, a report has been written and shows the issues that were found. There were a mainly positive responses to the questions asked and only a few issues around meals, although this was still rated as good overall. The report shows how people have then been asked how they would like things and the recipe/menu suggestions that have been put in place since then. Residents meetings are held throughout the year and this gives people other opportunities to give their views of the home. We asked the home to complete and return an Annual Quality Assurance Assessment Care Homes for Older People Page 20 of 24 Evidence: (AQAA) before the inspection. They did this well within the time we asked for it and they gave us the information we asked for. The home keeps some money on behalf of people who live there. Accounts are kept of transactions of money put in and taken out of each persons wallet. We looked at three of these records; all three are clearly written and show how money has been spent. One persons money is in a negative balance as an application has been submitted to the Court of Protection. However, this has not prevented the person from still being able to have their hair done or buy necessary items as the home are subsidising the account until the persons money becomes available again. Receipts are kept for items bought or service paid for, although those from the hairdresser are written on pieces of paper that do not have any details of the hairdresser. We advised the manager to ask the hairdresser to do this, so there is an audit trail and so receipts can be checked if necessary. Information provided in the AQAA shows equipment, like hoists, lifts and fire-fighting equipment has been serviced or tested as recommended by the manufacturer. Fire safety checks are completed at the required intervals and these are recorded. Records for fire drills are also kept and show staff members, including night staff, attend and practice these. Care Homes for Older People Page 21 of 24 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 22 of 24 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 1 29 19 Recruitment checks must be completed and obtained before new staff start working at the home. This is so that the service can be sure new staff are safe to work with vulnerable people. 31/05/2010 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 1 19 Windows on the ground floor that can be accessed from areas with public access should have restricted opening mechanisms fitted. This is so that people at the home are kept safe. Care Homes for Older People Page 23 of 24 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). 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