Care Home: Delaware House

Similar services:

• Claremont House
• Chesham House
• Oak Ridge
• Argyll House
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn

What the care home does well The staff team and manager are friendly, experienced, well trained and professional. The residents looked well cared for and all commented that they were happy living at Delaware. Documentation and recorded information looked at by us was informative and well written. Staff knowledge of individual residents was good and the health safety and welfare of all people is monitored and maintained so that they are protected against harm or abuse. The general environment is a happy relaxed one and residents told us that they have formed good friendships with other people that live there. Families and friends are encouraged to visit and many events such as Christmas parties, get together`s and barbecues are arranged so that all people who live, work or visit the home can get to know each other in a relaxed environment. What has improved since the last inspection? All of the requirements and recommendations from the last key inspection have been achieved to a high standard. What the care home could do better: The manager needs to ensure that all records are consistently updated and reviewed. Key inspection report Care homes for older people Name: Address: Delaware House Maplin Way North Shoeburyness Essex SS3 9PS     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: Sarah Axam     Date: 1 5 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Delaware House Maplin Way North Shoeburyness Essex SS3 9PS 01702588501 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): johnhase@southend.gov.uk www.southend.gov.uk Southend on Sea Borough Council Name of registered manager (if applicable) Mr John Hase Type of registration: Number of places registered: care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Number of service users to whom personal care and accommodation is to be provided shall not exceed twenty four (24) Personal care and accommodation to be provided to no more than one (1) service user under the age of 65 (DE) Personal care and accommodation to be provided to no more than six (6) service users with mental disorder (MD) (6) Personal care and accommodation to be provided to no more than twenty four (24) service users over the age of 65 (OP) Personal care and accommodation to be provided to no more than twenty four (24) service users with dementia - DE(E) Care Homes for Older People Page 4 of 27 Over 65 24 6 24 1 6 0 Date of last inspection Brief description of the care home Delaware House is owned by Southend on Sea Borough Council, and provides residential care for up to 24 older people. In addition the category of registration enables the home to accept those older people who have a formal diagnosis of dementia. The care home is situated within a residential area of Shoeburyness. The area benefits from good public transport links. Shops and other local amenities are a short distance away. The home has large grounds surrounding the property and there is on site visitors parking. The Registered Person has copies of recent CSCI inspection reports available in the home for prospective service users and/or their relatives. Enquirers can also down load copies of the inspection reports from the CSCI Internet web sight. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 unannounced site visit took 7 hours to complete and was carried out as part of the annual inspection programme for this service. This visit was conducted with assistance from the Registered Manager. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. We looked at all the information that we had received, or asked for, or what the service has told us about things that had happened in the service since the last inspection. Four staff, two residents and two relatives were spoken with during the site inspection. Prior to this site visit, CQC (Care Quality Commission) sent out surveys to all interested parties, at the time of the site inspection four have been returned to us. Additionally the manager was sent an (AQAA) Annual Quality Assurance Assessment form by us. This is a self assessment required by law that asked how well the service is meeting the needs of the people who live at Delaware House and the information recorded within the AQAA was to an excellent standard. Care Homes for Older People Page 6 of 27 All information obtained was triangulated and reviewed against the commissions key lines for regulatory activity. This helps us to use the information to make judgements about the outcomes for the people who use this service in a consistent and fair way. Care Homes for Older People Page 7 of 27 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clear and comprehensive assessment process assures people that their needs could be met prior to moving in their home. Evidence: The manager told us in the Annual Quality Assurance Assessment that there is a statement of purpose and residents guide, which provides information about the home to help people decide if they would be happy at the there. (A copy of these documents could also be found in the homes foyer) We saw that this information was up-to-date and that all new and prospective residents had been given copies during the assessment process, and that this was recorded on their files. The manager said that people are invited to visit the home before they move in and once they do a contract would be agreed, we saw that his was in place and recorded by the staff, when new residents files were sampled by us. When we visited the home we looked at the way in which a persons needs would be Care Homes for Older People Page 10 of 27 Evidence: assessed. The manager told us that, should a person enquire about a place in the home, then they and the persons family or advocate are given a self assessment form to complete. That an assessment from social services or the local authority would also be obtained. Additionally a trained member of staff would carry out an assessment of need with the person and their relative. We saw that all three types of assessments were in place within new residents files. We saw that the assessment covered details of the persons physical and health needs as well as the support the individual required to maintain personal and oral hygiene, communication, next of kin, GP, contacts, diet, behaviour, social, spiritual leisure, educational, mobility and the overall level of support required. We saw that the care plan reflected these assessments and that they are regularly reviewed on a monthly basis. There was clear evidence within this process that residents and relatives had been involved in their plan of care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are successful in delivering appropriate care to all residents and documentation has been improved so that all staff consistently meet all needs. Evidence: The manager told us in the Annual Quality Assurance Assessment that the health and personal care needs of all residents are consistently met and that all staff are trained to a good standard and specific to resident need. When we spoke with six of the staff and looking through 10 of the staff files (training and support given by management) confirmed this to us. The manager told us that all residents needs such as, nutrition, general health, behaviour, sleeping patterns, personal hygiene and needs are recorded for all resident on every shift. Looking through daily entries made by staff we could see that this was consistently in place. The recorded entries showed us that if a member of staff had (recorded) an initial concern or observation, then a more detailed observation/recording had taken place and been carried out by the Team Leader or Manager on duty. We saw that a persons Vital Signs, Urinalysis and Blood Glucose Care Homes for Older People Page 12 of 27 Evidence: levels were closely monitored and recorded. We could track this and see that this was then passed onto a visiting doctor to enable a clearer diagnosis and allowed people who may find it difficult or are unable to express their symptoms, have better access/fair health treatment. Recorded minutes held,showed us that the Manager and Senior on-duty team leaders hold meetings every week to review the basic needs and health of all resident under their care. And to check that proposed actions from the week before that they have been actioned and followed up on. Recorded minutes showed us that all risk assessments are reviewed, such as, falls, pressure sores, nutrition etc. We could see by looking at minutes that if there were concerns that they are discussed and then if appropriate referred onto the appropriate professional, such as, the GP, District Nurse, Continence Adviser, Speech & Language Therapy or Psychiatry etc. We saw by letters and summaries that the staff and management team work closely with external professionals and specialists (consultants, District nurses etc) for advice and support. During a tour of the premises and looking through individuals care plans we could see that the manager was using specialist equipment to help in the prevention pressure sores. We saw that within peoples private rooms, which on going monitoring forms of all residents health, such as, turning charts, falls records and nutritional assessments are in place, recorded daily by staff and reviewed regularly by the manager. We were told by the manager that the team and residents benefits from the support of a Dementia Link Nurse who visits every 2 to 4 weeks. We saw by recording made that this supports staff (by being an advisory) and that sharing of this information is used as a tool when giving consultants regular updates on individuals and their present situation. Information looked at showed us that the manager tries to ensure that all residents are able to stay at the home in familiar surroundings for as long as possible. For example, there is a written policy on managing death and dying within the home and all sampled files contained details of the residents wishes in relation to this. We saw by looking at staff files that a few staff had received specific palliative care training. Two residents spoken with told us that the staff treat them well In terms of looking after their health and act on what they say. One person told us that if they had a health problem, the staff call the doctor straight away another said that the staff always discussed with them what they would happen or who would be called if they had a health problem. Care Homes for Older People Page 13 of 27 Evidence: The manager told us in the Annual Quality Assurance Assessment that the health and personal care needs of all residents are met and that staff are trained to administer medicines safely. We saw that there was information recorded about how medication is managed by looking at records and notes made by staff, such as, the correct receipt, recording, storage and handling, administration and disposal of medications. The home has audit systems in place to double and triple check that medication is correct and there are no missed medications. It was noted that bottles of medication had been dated when opened and residents on PRN medication had written guidance to staff on when this may be required. When we visited the service four of the staff confirmed to us that they knew procedures well and were aware of individual need. The manager told us that all staff who administers medication had up-to-date training and this was seen in all staff files sampled. Additionally good practice was observed by us when staff were seen administering medication to residents. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can be assured that they will have the opportunities for personal development so that they are able to lead a lifestyle that they choose. Evidence: The manager has now secured a permanent, part-time, Activity Co-Coordinator. There role is solely to organise and provide a variety of activities for the residents. This includes accompanying residents out into the community as well as providing in-house activities. The manager told us in the Annual Quality Assurance Assessment that each person had a care plan, which was reviewed at least every twelve months or more often where this was appropriate. They told us that emphasis was put on enabling residents to make decisions and choices about their daily lives including what meals they eat and what clothes they wear etc. We saw by notes written in peoples files and on the day of inspection that the routines within the home were fairly flexible and choice is provided in meals, times to get up and go to bed, clothes, bathing times, etc. Two residents we spoke with confirmed this to us. During the day it was noted and observed by us that staff treated residents with dignity and respect. Observation during the inspection showed residents to be well cared for, clean and properly looked Care Homes for Older People Page 15 of 27 Evidence: after. Those who were unable to converse or had specific communication needs were included in the day-to-day activities and we saw appropriate care being provided such as, 1-1 time and staff encouragement. The home has an open visiting policy, although they would prefer that visitors missed meal times to ensure the dignity and privacy of other residents is respected. There is a separate visitors room available if privacy is required and also other areas around the home, including a room upstairs with tea making facilities. Staff were observed to encourage residents to eat and drink and the care was provided was relevant to the individual. Residents were advised by staff on what care was to be provided before it commenced, to ensure they knew what was happening. Staff told us that the same carers as much as possible worked with the same individuals to be up a rapport and understanding of that person. Meals were unrushed and people that needed support were helped to do so in a sensitive and private way. The staff assisted residents in holding their cups to drink or placing food on a spoon so the person could keep some independence when trying to feed themselves. We saw that there was a choice of juice at lunchtime and also a choice of two hot meals. Tea time consisted of a hot choice or sandwiches. We were told by the residents and staff that hot drinks and snacks are available outside meal times if required. The meals themselves looked appetising and we saw by the menus and what residents told us that they had a choice of their preferred meals and drinks. Speaking with the chef they informed us that all products where freshly made and bought and that they knew residents preferences and dietary needs well. The kitchen was inspected and noted to be clean, tidy and well stocked. There was a good supply of fresh vegetables and fruit. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to ensure that peoples views are listened to acted upon and support residents to be protected from abuse. Evidence: We were told in the Annual Quality Assurance Assessment that any complaints or safeguarding alerts would be dealt with openly and thoroughly. The manager told us that residents relatives are provided with information on how to complain and how their concerns would be dealt with. They also told us that staff received information about dealing with complaints and whistle blowing when they commence work at the home. The manager told us that there is a policy and procedure for dealing with complaints. They told us that the home has an open door policy where people are encouraged to come and raise any concerns they may have. Within the service, the manager and staff ensure that residents views and any concerns are taken on board and dealt with. This is done in a number of ways such as, on a day-to-day basis, through the key worker role, resident meetings, reviews and quality assurance surveys. The policy and procedures around complaints is to a good standard. The service users guide has clear guidance for all people to use. There have been no complaints made to the home or reported to the CQC office since the last inspection. The manager has a good complaints procedure in place. All complaints are Care Homes for Older People Page 17 of 27 Evidence: recorded, maintained and outcomes recorded. The resident spoken with stated that they felt overall the manager and staff listened to them and felt that if they raised a concern then it had been dealt with satisfactory. This means that all people can raise issues and that they will be dealt with effectively. All staff have attended safe guarding (protection of vulnerable adults) training. Speaking with staff they had a good awareness around these issues. Safe guarding training forms part of the induction process for all new staff. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe clean environment. Evidence: The manager told us that residents had all of the equipment that they needed and that bedrooms reflected each persons individual personality through their choice of furniture, decor and personal belongings. They told us that there had been improvements to the environment with the redecoration and refurbishment of some areas of the house. On the day of inspection the home was observed to be clean, tidy and odour free. Overall the home environment presents no health and safety issues. The environment was homely, comfortable and practical for the use of residents at Delaware House. The home is mainly decorated in the same colour paint and carpets, which may be confusing for those residents at Delaware house who have dementia. This was highlighted in the last inspection and the manager has been pro-active in trying to address this situation, by developing appropriate signage and introduce pictures or some visual aid, which may support residents to recognise their own bedroom doors, toilets and bathrooms. Other options were discussed to help the home develop this further. Care Homes for Older People Page 19 of 27 Evidence: There is a small garden area, which is fenced off and provides a pleasant area for residents to use. Lighting in the lounges is bright and provides sufficient lighting. There are also wall lights around the home to facilitate reading and other activities. Furnishings within the home are new, domestic in character and of a good quality. The home also has security pads to ensure residents do not gain access to areas which may cause them harm. There are also call bells in each bedroom and in the lounges, which were being tested by the maintenance man on the day of the inspection. The home has sufficient toilets around the home, which as stated earlier have been painted a different colour assist with orientation. All bathrooms are a good size and were well laid out to assist with any equipment that may be needed. All were clean, tidy and had appropriate hand washing facilities. Delaware House offers accommodation to residents with a variety of walking abilities. There were grab rails around the corridors of the home and wide door frames for wheelchairs. There was sufficient equipment for present residents. During a tour of the home it was noted that some residents had chosen to bring in personal belongings and many of the rooms looked homely. Some bedrooms had ensuite facilities. Windows have restrictors fitted and each residents bedrooms is centrally heated with a radiator and thermostatic control. The homes Maintenance man makes regular checks to the water temperatures and there were clear records. Two washbasins were checked and found to be within the recommended temperature. Delaware House has its own laundry facilities and this was well organised. All those residents seen during the Inspection were noted to be clean and well presented. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered positive relationships by well-supported and caring staff and are protected by staff recruitment, induction and training. Evidence: The manager told us in the Annual Quality Assurance Assessment that the home did not rely on the use of temporary agency staff. They told us that staff are recruited thoroughly and trained to meet the needs of residents. Residents told us that they felt that staff listen to them and act on what they say. We reviewed the information for people who had been employed at the home since the last inspection. We saw that before they commenced work that they had provided information about their previous employment and satisfactory references had been obtained. Criminal Records Bureau disclosure and appropriate checks had been carried out. All staff confirmed to us that once they had commenced work at the home they undertook a period of induction to help familiarise themselves with policies, procedures and the needs of residents. The manager told us that they implemented the Common Induction Standards induction. (This is a set of nationally recognised standards and helps to ensure consistency in the delivery of care and support to people who receive social care) Care Homes for Older People Page 21 of 27 Evidence: We looked at 5 staff files and found that they held relevant qualifications and training, such as, Health and Safety, Food hygiene, Safeguarding, Manual Handling, Epilepsy, and Fire safety. Two seniors and two care staff are NVQ 3 qualified. Two seniors are NVQ 2 qualified and one care staff is currently carrying out their NVQ 2 training. That means that out of the 11 staff 6 are currently qualified. Training is on going and identified through supervisions. Four staff confirmed to us that supervisions, staff meeting and training were all regular and supported them in their roles. Records were seen of these things and issues that were discussed. This shows us that residents needs, welfare and safety is monitored and reviewed regularly. When we visited the home we looked at the rota showed us that there was enough permanent staff to cover all shifts and be able to support all residents appropriately. This provides all residents consistent and quality of care. The residents told us that they felt staff supported them well and that there was enough staff on duty to carry out their choices. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management strategies of the home were stable which ensures the health, safety and welfare of all residents. Evidence: The manager told us in the Annual Quality Assurance Assessment that there was a system in place for monitoring the quality of the service, including obtaining the views of residents. They told us that regular staff and residents meetings are held to discuss and consult people on matters affecting them. When we visited the home we looked at the arrangements in place for obtaining the views of the people who live in the home, people who are important to them such as family and advocates and other people who are involved in their care. We saw that people were provided with questionnaires and that residents were asked if they were happy with their surroundings, lifestyles and opportunities available. They were also asked if staff allow them privacy, dignity, independence and choice. Care Homes for Older People Page 23 of 27 Evidence: There was clear evidence that both resident and relatives meetings had been held since the last inspection. This was an opportunity for both residents and relatives to raise any concerns they may have. Policies and procedures used by Delaware House cover the health and safety and welfare of staff and residents Under Regulation 26 of the NMS, Delaware House receive regular visits from a Development Manager and a report is written highlighting any action or good practice that has been highlighted. Delaware House have as part of their overall Quality Assurance system, a set form for District Nurses or other professionals to feedback their experiences of the home. We saw that there is clear checks in place that ensure that all gas appliances, fire alarm system, lift, emergency lighting, water temperatures, nurse call system and electrics had been reviewed and regularly maintained. Appropriate insurance certificates were seen and in order. Staff and resident files are kept secure and Delaware House are registered with the Data Protection Act. Residents can have access to their files if requested. The accident book was viewed and in order. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!