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Care Home: Frenchay Park Nursing Home

  • 140 Frenchay Park Road Frenchay Bristol BS16 1HB
  • Tel: 01179659957
  • Fax: 01179653936

Frenchay Park is registered as a Care Home to take up to 30 residents requiring nursing care. The Home is on the edge of Bristol near to the ring road and motorway junction. It is a short journey away from the high street in the Fishponds district, which is the main shopping area. The home is 4 miles away from the centre of Bristol and can be accessed by car or bus as it is on a main bus route. The home is a 0 converted older property with single and shared bedrooms on two floors. There are two lounges and a separate dining room. There is a passenger lift providing access to all service user areas. All parts of the home are accessible to wheelchair users. The cost per week to live at Frenchay Park Nursing Home can be obtained from the manager on request. This weekly fee does not include provision for things such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can get information about the home by looking at the Service Users Guide kept in the main entrance, which gives details of the services and facilities available at the home. The entrance table also has a copy of the most recent inspection report.

  • Latitude: 51.490001678467
    Longitude: -2.539999961853
  • Manager: Mr Thomas Joseph Flanigan
  • Price p/w: £512
  • UK
  • Total Capacity: 30
  • Type: Care home with nursing
  • Provider: Ms June Marilyn Phillips,Mr Derek Marsh,Mr Gordon Norman Brooking
  • Ownership: Private
  • Care Home ID: 6739
Residents Needs:
Old age, not falling within any other category

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Frenchay Park Nursing Home.

Key inspection report Care homes for older people Name: Address: Frenchay Park Nursing Home 140 Frenchay Park Road Frenchay Bristol BS16 1HB     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: Juanita Glass     Date: 2 9 0 1 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: Frenchay Park Nursing Home 140 Frenchay Park Road Frenchay Bristol BS16 1HB 01179659957 01179653936 frenchay@westburycare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ms June Marilyn Phillips,Mr Derek Marsh,Mr Gordon Norman Brooking Name of registered manager (if applicable) Mr Thomas Joseph Flanigan 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 maximum number of service users who can be accommodated is 30 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Frenchay Park is registered as a Care Home to take up to 30 residents requiring nursing care. The Home is on the edge of Bristol near to the ring road and motorway junction. It is a short journey away from the high street in the Fishponds district, which is the main shopping area. The home is 4 miles away from the centre of Bristol and can be accessed by car or bus as it is on a main bus route. The home is a Care Homes for Older People Page 4 of 27 0 Over 65 30 Brief description of the care home converted older property with single and shared bedrooms on two floors. There are two lounges and a separate dining room. There is a passenger lift providing access to all service user areas. All parts of the home are accessible to wheelchair users. The cost per week to live at Frenchay Park Nursing Home can be obtained from the manager on request. This weekly fee does not include provision for things such as hairdressing, chiropody, dental, ophthalmic, or audiology services. Prospective residents can get information about the home by looking at the Service Users Guide kept in the main entrance, which gives details of the services and facilities available at the home. The entrance table also has a copy of the most recent inspection report. 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: 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: This inspection took place over two days and a total of eight hours were spent in the home. To gather enough evidence to support our judgments for this inspection we The Commission asked the service provider to complete an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. We also sent surveys to the people living in the home and to staff who work there. We received 6 surveys from people living in the home 6 from relatives, 1 from a health care professional and 4 from staff. Care Homes for Older People Page 6 of 27 Once we had received this information we carried out a visit to the home and spoke to people living there, the staff and relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included care plans, staff recruitment, training and supervision. Also records relevant to the administration of medication, the service records and health and safety. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? Following the last inspection requirements were made regarding the recording of careplans including risk assessments and the monitoring of peoples health care. We saw that these had been met as a new care planning system had been introduced with indepth training for staff on managing person centred care. This meant staff were more focused on the persons personal likes and dislikes, and recorded their preferences in a more holistic manner involving the person more in the level of care they received. The manager had also liaised with the local hospice to ensure that staff received training in ensuring people were supported in recording their end of life wishes. Staff were also receiving training in enabling people to record their advance wishes. A requirement had also been made about the levels of medication stored in the home. We saw that this was no longer an issue and that regular audits meant the management of stock kept in the home had improved and that they only had medication required for the resident group. Care Homes for Older People Page 8 of 27 We looked at the recruitment procedures followed and noted that the manager was obtaining all the relevant information required before a person was offered a post at the home. We also noted through records maintained that the fire risk assessment was in place and all checks were being carried out as required. 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 9 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 10 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. People benefit from appropriately written information, which can be provided in alternative formats if needed. They are offered a chance to visit the home and a full assessment of their needs is carried out. This means people are able to make an informed decision before moving in and their needs are fully met. Evidence: We the Commission looked at a copy of the homes Statement of Purpose and Service User Guide. They were readily available in the home and provided immediately. We saw that the Statement of Purpose was well written and contained all the information a person would need to tell them about what care the home can and cannot provide. We saw that the document also made a statement about meeting peoples needs whilst respecting their religion, culture, race, sexuality and sexual orientation. We spoke to the manager about how they would assess a person who wished to move into the home. They said they would visit the person either at their home or in Care Homes for Older People Page 11 of 27 Evidence: hospital. They would talk the person, a relative or advocate and staff at the hospital or a social worker. They would also look at existing care plans for the person. We then looked at the records held in the home for two people who had not lived there very long. They included an in-depth assessment of the persons needs and expectations. We then spoke to people living in Frenchay Park, however they did not comment on the experience. People wanting to move into Frenchay Park were encouraged to visit and spend some time there to meet other residents and staff. This was often done by a relative or advocate on their behalf. If the manager and staff felt they could meet the needs of the person they would offer a trial period when both the person moving in and staff could decide whether the home was really the best placement for them. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Frenchay Park benefit from personal and specialist health care support that is provided in a person centred way respecting their privacy and dignity. They benefit from and are protected by the homes policies and procedures for the administration of medication. Evidence: We discussed with the manager the new care planning system which had been introduced. We noted that most care plans had been up dated to the new system whilst others were almost completed. We also saw that staff had all received in depth training in the use of the new care planning system. This was evident in the way care plans were written. We looked at the care plans for four people living at Frenchay Park. All the care plans were recorded in a person centred way reflecting the training staff had received. This was a marked improvement on the system in place at the last inspection. They showed us that staff had a clear understanding of the way to record the personal likes and dislikes of the resident in their care. All the care plans we saw reflected this approach with clear guidelines for staff about peoples personal likes and dislikes. Staff spoken to said they knew each individuals preferred way of being looked Care Homes for Older People Page 13 of 27 Evidence: after, residents spoken to said they thought staff understood what they wanted. People indicated in their surveys that they felt well cared for one relative stated, they treat the residents with great respect and dignity. We observed staff chatting with residents in a friendly and relaxed way, care was provided in a dignified and respectful fashion, with people being informed about what staff may be doing. People we spoke to said they were happy with the way in which they were cared for. One person said they really liked living at Frenchay Park and added, they really go that little bit further to make sure you are happy and comfortable. All the care plans we looked at included appropriate risk assessments and showed signs of regular review. Care plan reviews also reflected the changes in peoples lives showing a continuity of care. We also looked at the wound care plans which were very concise and gave a clear indication of how wounds were improving and their treatment plans. People living in Frenchay Park also had access to health care specialists and care plans showed that the district nurse or a specialist nurse could be consulted when the home felt they needed some expert advice. People were helped to attend outpatient appointments, the dentist, optician and chiropodist. Frenchay Park had very clear policies and procedures for the receipt and administration of medication. We looked at the records kept by the home for medication and the way that medication was stored. We saw that all procedures were being carried out correctly. Following requirements made at their last inspection audits of stock were carried out and the home was appropriately stocked with no excess of medication in storage. The manager had liaised with the local hospice and arranged training for staff in how to enable people to express end of life wishes. They had also arranged training for staff to implement the Gold Framework for people to make advance decisions. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from the development of meaningful activities which recognises their diverse needs, enabling them to maintain some control over their lifestyle. They benefit from continued contact with family, friends and the local community. A well-balanced menu means people benefit from a healthy nutritional diet. Evidence: When we arrived at the home we were immediately met by a buzz of activity. The activities organiser was encouraging people to join in making woolen pompoms. People spoken to said its always like this she is so busy. We discussed the provision of activities in the home with the manager, staff and some of the people living there. We saw that there was a very clear record being kept to show that people were offered the opportunity to join in an activity. One person we spoke to said that that there was always plenty to do, another person said they were never bored. Surveys indicated that people were offered activities. One relative said,the activities organiser always tries hard to do things with residents to stimulate their interests. We spoke to one person who preferred to remain in their room. They had books, magazines and puzzle books. They said they preferred their own company but always had someone to talk to daily. They felt they could join in an activity if they wanted to. One relative said Care Homes for Older People Page 15 of 27 Evidence: in their survey that more trips out would be beneficial, this was also commented on by a resident who said they would like more trips out. People could also take part in a church service if they wished and the manager could organise contact with other ministers of religion if requested. People we spoke to praised the standard of food they received. We talked about lunch on the day of our visit and they said they had enjoyed a very good meal and always had a choice. We noted that the choice was offered when people were at the table rather than expecting them to remember what they had chosen earlier in the day. Lunch was an unhurried relaxed affair, which was more like a social event with people chatting and enjoying the company. Staff were observed helping people in a respectful and dignified way talking to them and helping them to relax. We looked at the menus available to people in the home. We saw that they were offered homely meals with fresh fruit and vegetables available. The cook said that they got to knew peoples personal likes and dislikes by talking to them and finding out the portions they preferred. They said they were also kept informed of changes to dietary needs. Bristol Council Environmental Health had awarded the home 5 Stars for Food and Hygiene at their last inspection. 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. People benefit from and are protected by the complaints and safeguarding procedures in the home. Staff are fully aware of the procedures to follow to protect people from abuse. Evidence: Frenchay Park had a very clear complaints policy and procedure, which was easy to read. It showed a clear time line and action to be taken if someone wished to raise a concern or complaint. A copy was clearly displayed in the hall, and could be provided in large print if necessary. People we spoke to said they knew who to approach, one person stated they could always talk to the manager or any member of staff. They said they found it easy to talk to the activities organiser. Most people spoken to did not comment on how to raise a complaint, resident surveys indicated that most people were aware of whom they could talk to. The manager confirmed that since the last inspection a record of all complaints or concerns was kept. We saw the record which showed that the complaint and action taken had been recorded, it also indicated what the outcome had been for the complainant. All staff working in the home had attended training in safeguarding vulnerable adults whilst new staff covered abuse issues in their induction process. They were all aware of the homes policies and procedures about raising complaints and whistle blowing. Care Homes for Older People Page 17 of 27 Evidence: Staff spoken to knew what procedures to follow and who to contact if they suspected that a person living in the home was at risk of harm or abuse. 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 living in Frenchay Park benefit from well maintained rooms that are appropriately furnished and reflect their personal likes and interests. People also benefit from a clean tidy home with no offensive odours, staff follow good infection control policies Evidence: We carried out a tour of the home; we looked in some peoples rooms. The home was well furnished in such a way that people living there could chose where they wished to spend their time, either in their room or one of the two lounge areas. In warmer weather they could also sit in the garden. The furniture and fittings were of a good standard and communal areas were pleasantly decorated. We saw rooms that were full of personal possessions reflecting the persons life and family. People we spoke to said they liked their rooms. One person said that they spent a lot of time in their room and were very happy with the way staff decorated and kept it clean. Surveys returned to us showed that people felt the home was well maintained. Relatives stated that they found the home to be clean and tidy whenever they visited Care Homes for Older People Page 19 of 27 Evidence: and one resident said the staff always keep my room clean and tidy. The home showed a good standard of housekeeping and no offensive odours were apparent. The manager and staff showed a clear awareness of infection control policy and procedures and the manager confirmed that they could obtain guidance from outside agencies if required. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from and are protected by the staffing levels and skill mix of staff in the home. The homes recruitment procedures and staff training further protect people from the possibility of abuse. Evidence: The staffing rota showed that there was always enough staff in the home with the right skill mix to support the diverse needs of the people living there. They also showed that staffing was flexible so that extra staff could be bought in to cover extra busy times and to meet increased needs. People spoken to said that there were always enough staff in the home to do the work that needed to be done as well as take time to have a chat. Written surveys indicated that staffing levels were appropriate to meet the needs of people in the home with ease. Relatives stated that people were well cared for and there always appear to be enough staff on duty to carry out the jobs needed. We observed adequate staffing levels on the day of our visit and staff were not over stretched providing care in the home. Surveys from staff stated that they felt well supported by colleagues in the work place. The manager confirmed that care staff were encouraged to obtain an NVQ Qualification in Health and Social Care. This was evident as 88 of their care staff had obtained a level two higher qualification whilst others were attending training. Qualified staff had been encouraged to keep up to date with their continuing Care Homes for Older People Page 21 of 27 Evidence: development and domestic and kitchen staff to obtain NVQs relevant to their role in the home. Staff spoken to said they felt well supported in attending training relevant to the needs of the people in their care. Records showed that staff had all attended mandatory training as well as training that was necessary to provide a good level of care to the people living in the home. This was evident with the training provided to ensure people received person centred care. We could see an improvement in the way staff recorded peoples preferences in their care plans. We saw evidence of training attended by both qualified and care staff enhancing their understanding of the specific needs of the people in the home such as understanding Dementia Care and the Mental Capacity Act. Frenchay Park had strict policies and procedures for the recruitment of new staff. The personnel files for two people who had recently been employed showed that the manager followed these guidelines. All the relevant checks such as references and a CRB (Criminal Record Bureau) check had been completed before the person started work. They then followed a comprehensive induction programme ensuring they were proficient in meeting the needs of people in the home. This protected people from possible harm or abuse. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well run home with an appropriately qualified manager and supervised staff. The home adopts safe procedures when managing finances on behalf of residents, however not all transactions were witnessed. Both people working and living in the home are protected by robust health and safety procedures. Evidence: The Registered Manager has a wealth of experience in the care of the elderly including people with Dementia. He is a Registered Nurse and has attained a Post Graduate Diploma in Management Studies. The deputy manager has attained an NVQ Level 4 Management in Health and Social Care. People spoken to said they felt they could talk to the manager openly. Staff also said they felt well supported and could approach the manager to discuss the needs of people in the home as well as training needs. The organisation carried out a regular quality assurance process where peoples ideas and comments were sought. This was presented in a format that was easy to use with pictures and tick boxes for people to express their opinions. Resident meetings were Care Homes for Older People Page 23 of 27 Evidence: also held when people could discuss the way they preferred the home was run. We carried out a sample check of the records kept by the home to safeguard peoples finances. The records held were consistent with the balances seen. We noted however, that some entries had not been signed by a witness. We discussed this with the manager who confirmed that staff would be informed that two signatures must be obtained for each transaction. Staff personnel files showed that regular supervision was planned and carried out. Any training and development needs were identified and followed up where possible. Staff confirmed that they received supervision, which they felt helped them identify areas where they excelled or needed support. We looked at records relating to the servicing of equipment in the home. All the records were up to date and available for inspection, these included the COSHH records, which are guidelines for staff to follow should someone spill, drink or be splashed by chemicals used in the home. These could also be provided in an alternative language if required. The implementation of health and safety within the home was satisfactory. All residents had personal risk assessments. Generic risk assessments were in place and reviewed regularly including the hot water checks. A review of the firelog showed all tests, training and drills were being carried out to the Fire Brigade guidelines. 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 1 35 The manager needs to ensure that two signatures are recorded on residents financial records at all times. 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!

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