Care Home: Fleetwood Nursing Home

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What the care home does well The home provides personal and nursing care. This means that any person who enters the home for personal care and then at some stage requires nursing care, can be reassessed and can choose to stay in familiar surroundings with staff who know them instead of moving into a another nursing home. There is ample space within the home with plenty of communal areas that offer privacy and a quiet space when preferred. Staff were observed to treat the people cared for with respect and gentleness and discrete assistance was provided as necessary. The people cared for in the home and relatives confirmed that the home is a very pleasant place to live and that they were looked after very well. Relatives also said that they were kept informed about any changes required to the care plan and their views were taken into account over the care to be provided. There is a good choice of food at every meal with hot and cold dishes available. The meals are nutritionally balanced and served in pleasant surroundings. The recruitment of staff is robust with all pre-employment security checks undertaken. There are a large number of trained staff. Five staff have a Registered General Nursing qualification and out of the seven care staff, five have obtained a National Vocational Qualification (NVQ) at level 2 in Care and two are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification expected for staff in the caring services. Staff confirmed that they had received in-depth induction training and further training including, Moving and Handling, Health and Safety, Medication, Fire Safety, Food Hygiene, Safeguarding and Challenging Behaviour. Training had also been provided in palliative care that ensures any person nearing the end of their life is cared for appropriately. What has improved since the last inspection? Management staff have undertaken training in the Mental Capacity Act and the Deprivation of Liberty Safeguards. The Mental capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. The Statement of Purpose and Service User`s Guide have been reviewed and updated; both documents provide good information about the services and facilities provided at the home. There is a new strategy to help when a person is first admitted to the home. The manager tries to ensure that the staff member who carried out the first assessment is on duty and that care staff also attend pre-admission assessments in order to provide familiar faces. The care plans have improved with the records now kept separately and new files have been purchased. The manager is in the process of transferring the information onto the new files. There was evidence that a review of the care plans is carried out monthly and they now include clear up to date information on care requirements. The medication records have improved with no gaps found in the Medication Administration Records and there was evidence that the manager has carried out regular audits and picked up where any mistakes had been made. The home is in the process of recruiting an Activities Co-ordinator in order to formalise their existing activities programme with some dedicated support to ensure appropriate mental and physical stimulation. There are now sufficient bathing facilities that provide a choice of either a bath or a shower. One of the bathrooms has been fitted with a new `spa bath`. Bedrooms are gradually being re-furbished with new furniture and the work is being done with the least disruption to the people accommodated. High profile nursing beds have been purchased with special mattresses that help to improve skin integrity and prevent bed sores. A new boiler has been purchased. The registered manager has been given additional time to complete management tasks and a deputy matron is to be recruited to assist in the management of the home. There was evidence that staff are now being given one to one formal supervision in order to ensure their development. There was evidence that the owners of the home had completed Regulation 26 records for February and March 2010. Regulation 26 is a legal requirement by owners to complete a record to provide evidence that they are visiting the home and ensuring that standards within the home are being maintained. What the care home could do better: There is a need to ensure that there are no blank sections within care records and that each assessment is signed and dated. The home should continue to refurbish the furniture and fittings within the home. Key inspection report Care homes for older people Name: Address: Fleetwood Nursing Home Grange Road Fleetwood Lancashire FY7 8BH     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: Susan Dale     Date: 1 0 0 5 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 25 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 25 Information about the care home Name of care home: Address: Fleetwood Nursing Home Grange Road Fleetwood Lancashire FY7 8BH 01253779290 01253779290 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): NR & VGP Carehomes Ltd Name of registered manager (if applicable) Mrs Jennifer Shaw Type of registration: Number of places registered: care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home with Nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 30 Date of last inspection Brief description of the care home This is a nursing home which is registered for a maximum of 30 residents. It is situated in a residential area of Fleetwood, Lancashire, quite close to the sea front, shops and transport routes. A doctors surgery is situated close to the home and also a library. Most of the bedrooms within the home are single rooms and are quite large, and some of the bedrooms have en-suite facilities. There were double rooms but these were being used as single bedrooms at the time of the inspection. There is a lift to the first Care Homes for Older People Page 4 of 25 Over 65 30 0 1 3 0 5 2 0 0 9 Brief description of the care home floor and there are several aids and adaptations around the home for those with physical disabilities. There are two lounges and some residents also sit in the dining area. There is a conservatory area at the back of the building, which serves as a main lounge and a smaller lounge area is available for those who like to sit in a quieter environment.. Information relating to the home is included in the Welcome Pack and also in a Statement of Purpose. The information contained within the documents explains the care service to be provided and who the owner, manager and staff are, and what any new person can expect if he or she decides to live at the home. At the time of this visit, the information given to the Commission showed that the fees for care at the home are from £386.50 to £560.50 per week, with added expenses for hairdressing and chiropody. Further information about fees can be obtained from the Fleetwood Nursing Home. Care Homes for Older People Page 5 of 25 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 site visit was unannounced and focused on key standards. The inspector was able to speak to the persons cared for in the home, three relatives, staff and the registered manager. Various documents were examined belonging to the people cared for and staff. The registered manager completed the Annual Quality Assurance Assessment prior to the site visit that provided some statistical information and how well the home was meeting standards of care. Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been incorporated into the report. The last key inspection was on the 30th May 2009. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? Management staff have undertaken training in the Mental Capacity Act and the Deprivation of Liberty Safeguards. The Mental capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. The Statement of Purpose and Service Users Guide have been reviewed and updated; both documents provide good information about the services and facilities provided at the home. There is a new strategy to help when a person is first admitted to the home. The manager tries to ensure that the staff member who carried out the first assessment is on duty and that care staff also attend pre-admission assessments in order to provide familiar faces. The care plans have improved with the records now kept separately and new files have been purchased. The manager is in the process of transferring the information onto the Care Homes for Older People Page 7 of 25 new files. There was evidence that a review of the care plans is carried out monthly and they now include clear up to date information on care requirements. The medication records have improved with no gaps found in the Medication Administration Records and there was evidence that the manager has carried out regular audits and picked up where any mistakes had been made. The home is in the process of recruiting an Activities Co-ordinator in order to formalise their existing activities programme with some dedicated support to ensure appropriate mental and physical stimulation. There are now sufficient bathing facilities that provide a choice of either a bath or a shower. One of the bathrooms has been fitted with a new spa bath. Bedrooms are gradually being re-furbished with new furniture and the work is being done with the least disruption to the people accommodated. High profile nursing beds have been purchased with special mattresses that help to improve skin integrity and prevent bed sores. A new boiler has been purchased. The registered manager has been given additional time to complete management tasks and a deputy matron is to be recruited to assist in the management of the home. There was evidence that staff are now being given one to one formal supervision in order to ensure their development. There was evidence that the owners of the home had completed Regulation 26 records for February and March 2010. Regulation 26 is a legal requirement by owners to complete a record to provide evidence that they are visiting the home and ensuring that standards within the home are being maintained. 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 25 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 25 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. Good information is available about the services provided by the home. The assessment process ensures that the services provided by the home are suitable for the individual concerned. The home does not provide intermediate care. Evidence: Information was available about the services provided by the home. Both documents, the Statement of Purpose and a Welcome Pack had been reviewed and updated. The owners of the home are also considering a web site for the home. There is an opportunity for people to look round the home and trial the services before admitting themselves permanently into the home. A number of people living at the home have first attended for respite care and this enables them to become comfortable with the environment and the staff. There is also a new strategy to help when a person is first admitted to the home. The Care Homes for Older People Page 10 of 25 Evidence: manager tries to ensure that the staff member who carried out the first assessment is on duty and that care staff also attend pre-admission assessments in order to provide familiar faces. The manager also tries to allocate one or two care staff to look after the new person for the first couple of days so that they feel more secure and can build on trust and start a good relationship. The care plans seen contained pre-admission assessments that looked at individual needs and whether the home was able to meet the needs required. The assessment process has been changed to include questions that help to determine a persons mental capacity. The deputy manager has received training and information on the Mental Capacity Act and the registered manager is to attend the training shortly. The Mental Capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity can be confident that any decisions made on their behalf will be made in their best interests. All service providers have to be aware of their duties and responsibilities placed on them by the MCA. Care Homes for Older People Page 11 of 25 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 care plans and procedures operating in the home ensure that the health and safety of the persons cared for. Privacy and dignity of each individual is recognised at all times. Evidence: The records belonging to three persons cared for in the home were examined. The care records have been reviewed and improved with all the records for each person now in a separate file. New folders have been purchased and the manager is gradually transferring all the information. Regular physiotherapy sessions are held to encourage mobility and well being. A record is now being kept of the personal care provided to each person on a daily basis. The care plans were detailed and clear; risk assessments had been undertaken with regard to falls and nutrition. A record of weight was being maintained. An assessment had been undertaken for bed rails which are used when there is a danger of a person falling out of bed; some of the sections on the assessment of one care Care Homes for Older People Page 12 of 25 Evidence: plan had not been completed; there is a need to complete, sign and date all sections in order to ensure the assessment is valid and appropriate. Any person in danger of losing weight is referred to a dietician and a record is maintained of their food and fluid intake. There are special mattresses on the majority of beds to help relieve pressure for any person prone to tissue damage. There were also pressure pads and other equipment available to help prevent pressure sores. A recognised assessment tool was used within the care plans to assess and review skin condition. There was evidence that where necessary, the people cared for were turned regularly whilst in bed to aid pressure relief. The care plans had been reviewed once a month and all care plans are reviewed with the involvement of relatives where possible. The management of continence issues was good at the home. People were assessed properly and changes were made to ensure comfort whilst protecting their dignity. The medication is stored securely and the medication administration records were up to date; there was evidence of monthly medication audits carried out by the manager. Staff were observed to care for the people in the home whilst respecting their privacy and dignity and most of the staff within the home are attending and on line Dignity in Care course. A few staff have attended a distance learning course in Palliative Care and there are plans for more staff to attend End of Life Care training. Care Homes for Older People Page 13 of 25 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. The home provides activities that meet the expectations and capabilities of the people accommodated and there is a varied menu that provides a choice of nourishing meals. Evidence: Individual requirements are met and the background and previous social history of the person cared for is taken into account in order to ensure that their individual wishes are met. Each person has a photo album kept in their room with photos portraying their past and family connections that help to provide a rounded picture of the individual concerned. A Communication tool in the form of signs and pictures has been ordered to ensure that any person unable to communicate effectively is able to make their wishes known. An Activities Co-ordinator is to be recruited who will be working two hours on days where there are currently no planned activities. The registered manager wishes to ensure that more activities are introduced that meet individual wishes as well as ability and to provide a more stimulating environment. Care Homes for Older People Page 14 of 25 Evidence: Current activities include, Nail care, Music, Old Time Musical Singer, Bingo, Memory Box, Quizzes and Karaoke. Physiotherapy is currently provided on alternate days in order to ensure mobility is maintained as much as possible. There have been trips out to the Marine Hall and the Illuminations with a fish and chip supper. Photos had been taken of the residents enjoying a Halloween Party. Fund raising is taking place in order to obtain a mini bus for more frequent outings. At the initial assessment a record is kept of any cultural or religious wishes and every effort is made to ensure their wishes are met. Discussions take place at the residents meetings as to their choices with regard to activities and outings and all aspects of daily living. Meals are served in a pleasant dining room and staff were observed providing discrete assistance as necessary. The cook confirmed that he is aware of any special diets and there is always a choice of hot and cold food at all times. Visitors spoken with confirmed that they are made to feel welcome and were kept informed about any incidents or changes to the care plan. One visitor commented how well the staff cared for his wife and what a relief it was to know that she was in safe hands. Care Homes for Older People Page 15 of 25 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. Policies and procedures are in place to ensure the people accommodated are protected and that any complaints are recognised and acted upon. Evidence: The home has an appropriate complaints policy in place that is recorded within the Statement of Purpose and Welcome Pack and is also displayed within the entrance hall of the home. Any concerns are dealt with promptly with the focus on resolving any differences as quickly as possible. There have been no complaints made to the home or to the Care Quality Commission. The home has a Whistle Blowing policy and procedure and has a copy of No Secrets in Lancashire which is a joint policy document produced by Lancashire County Council with regard to preventing abuse to any vulnerable adults. All the staff are aware of the procedure to follow in the event of any allegation of abuse taking place and have attended Safeguarding training. This training helps ensure that the persons accommodated are protected and that staff are able to recognise when any abuse may be taking place and what to do to prevent it happening. All staff receive training in Health and Safety and any risks connected with the care to be delivered are recognised and recorded. This approach ensures any potential risks are prevented or minimised as much as possible. Care Homes for Older People Page 16 of 25 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 provides a comfortable, safe environment that meets the needs of the persons accommodated. Evidence: A tour of the home took place and there have been improvements with regard to the bathrooms and the people cared for can now choose whether they have a bath or a shower. There is a shower room on the ground floor and a new spa bath has been fitted within the first floor bathroom and a new boiler has been fitted. The bathrooms have been decorated and refurbished and now provide a pleasant environment. Six of the bedrooms have en-suite accommodation. The bedrooms are gradually being re-furbished and decorated and all areas of the home were clean and warm with personal possessions in evidence. Any worn bedroom furniture is gradually being replaced and high profiling nursing beds have been purchased with special mattresses to prevent bed sores. The home was clean and tidy in all areas. It was noted that visitors to the home had voiced their concerns at relatives meetings about the access to the front of the home which has become uneven and pot holed caused by the recent winter weather. The owners of the home has recognised that the ground is hazardous but as they do not have ownership of that particular section of Care Homes for Older People Page 17 of 25 Evidence: the ground are unable to put it right but are looking into it. Care Homes for Older People Page 18 of 25 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 have been recruited and provided with training that has given them the skills to look after the vulnerable people in their care. Evidence: There were sufficient staff on duty for the needs of the current people cared for in the home. A number of bank staff are used on a regular basis alongside the permanent staff. There is a robust recruitment policy and procedure and examination of the new staff records showed that all pre-employment checks had been carried out including references, the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) register. Good recruitment procedures ensure that staff recruited are of the right calibre to be caring for vulnerable people. Staff training is a priority, five staff have a Registered General Nursing qualification and out of the seven care staff, five have obtained a National Vocational Qualification (NVQ) at level 2 in Care and two are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification expected for staff in the caring services. Staff confirmed that they had received in-depth induction training and further training Care Homes for Older People Page 19 of 25 Evidence: including, Moving and Handling, Health and Safety, Medication, Fire Safety, Food Hygiene, Safeguarding and Challenging Behaviour. Training had also been provided in palliative care that ensures any person nearing the end of their life is cared for appropriately and with dignity. Staff spoken with confirmed that they receive good support from management and have received training that assists them to care for vulnerable people. Regular staff meetings are held and minutes are taken. Formal one to one staff supervision takes place at least six times a year and the details are recorded. Care Homes for Older People Page 20 of 25 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 managed well and run in the best interests of the people cared for in the home. Evidence: The registered manager has over 25 years experience in the provision of care and has a nursing qualification as well as the Registered Managers Award and NVQ 4 in Care and Management. There are plans to recruit a deputy matron to assist in the management of the home and allow the registered manager more management time. Visitors, staff and the people cared for in the home who were spoken with confirmed that the home is managed well. Staff confirmed that the manager is approachable and has an open door policy so that she can be contacted at any time. There are various systems operating in the home to ensure that quality is maintained and that there is an opportunity for the people cared for and their relatives to give their views on how the home is run. A survey is provided annually and there are plans Care Homes for Older People Page 21 of 25 Evidence: to increase this to every six months. The Residents Satisfaction Survey was seen for May 2009 and there were a number of positive comments about the services provided within the home including the following: The staff are very caring and make time for each person. Security, care and kindness. Good all round care, friendly efficient staff. Overall very pleased with the home. Residents and relatives meetings take place on a regular basis where they are encouraged to voice any concerns about the running of the home. There are records showing that any money held on behalf of the people cared for, is being managed properly. The owners of the home are also looking into changing their insurance policy to ensure it covers some of the valuable items brought in to the home on admittance. There was evidence that safety checks had been carried out on equipment and risk assessments had been carried out on any potential health and safety risk. Care Homes for Older People Page 22 of 25 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 23 of 25 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 1 7 There is a need to ensure that all sections are completed appropriately on any assessment record and to include a signature and date. The bedrooms should continue to be refurbished on a gradual basis in order to provide a pleasant place to live. 2 19 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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