Care Home: Furzehatt Care Centre

What the care home does well People who use the service and their relatives have the information they need to decide whether Furzehatt Care Centre is the right home for them to move into. The admission procedure shows that staff make sure they can meet the persons needs. People receive a good standard of personal and nursing care. One person wrote "Furzehatt is well run and provides excellent care". Communication with health care professionals in the community is good. The care people receive is good and provided in a safe and respectful way. Medicines are also well managed at the home by the nursing staff. Staff at the home ensure people see the doctor or other health care professionals when they need to. The care planning systems and documentation at the home are generally good and means that staff know how to care for someone in a safe and consistent way that meets their individual needs and preferences. People have access to a good programme of activities and are able to maintain contact with their family and friends. People enjoy the activities at the home. People tell us that the food is good at the home and any issues regarding dietary requirements, preferences or weight issues are sensitively managed. People who use the service and their relatives can be confident that their complaints and concerns will be listened to and acted on. People are safe at the home. Staff have had training to recognise signs of abuse and know how to report any suspicions or poor practice. Furzehatt Care Centre is a safe and pleasant place to live and work. The manager and her staff group have suitable qualifications and experience to care for people who require nursing and personal care. Pre employment checks are performed on staff to show they are suitable to work with vulnerable adults. The home is well managed by the manager and Provider. What has improved since the last inspection? The home is continually looking for ways to improve; regular meetings are held so that the views of the people living there are listened to and actions taken to improve. Requirements and recommendations made at the last inspection have been met. What the care home could do better: Some improvements to the care plans will ensure that everyone living at the home are safely given the appropriate care. Key inspection report Care homes for older people Name: Address: Furzehatt Care Centre 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX     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: Caroline Rowland-Lapwood     Date: 1 7 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 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) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Furzehatt Care Centre 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX 01752484008 01752484082 christine.sargent@sanctuary-housing.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Sanctuary Care Ltd care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Maximum of 29 DE(E) (Male and Female) Maximum of 62 Service Users of either gender over the age of 65 years from the following categories; PD(E) 62, OP 32 and DE(E) 29. To admit one service user under the age of 65 years, named elsewhere Date of last inspection Brief description of the care home Furzehatt is a purpose built care home situated in the suburb of Plymstock, Plymouth, Devon. The accommodation is provided in 2 buildings joined by a glazed walkway the buildings have two floors with a passenger lift providing access to the upper floors. All except three bedrooms have en suite toilet and washing facilities. The care home is registered to provide nursing and /or personal care to a maximum of 62 persons over the age of 65 years of either gender with physical frailty/illness or disability and/or Care Homes for Older People Page 4 of 28 0 0 0 Over 65 29 32 62 Brief description of the care home dementia requiring nursing and/or personal care. Sanctuary Care owns this home. Sanctuary Care is a registered charity and was established in 1995 to provide older people with nursing and residential care. Sanctuary Care is a wholly owned subsidiary of Sanctuary Housing Association - one of the UKs largest social housing providers. Fees range from £478-£510 for residential care and £676-£733 for nursing care Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection consisted of a visit to the home on Tuesday 16th and Wednesday 17th September 2009. One inspector and an expert by experience performed this inspection. The Commission for Social Care Inspection consider an expert by experience as a person who either has a shared experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in or use the service. During this time we spoke to the registered manager who is the person with day to day responsibility for the service, the Registered Nurses and many other members of care Care Homes for Older People Page 6 of 28 and ancillary staff on duty. We case tracked three people who use the service. Case tracking means we looked in detail at the care three people receive. We spoke to staff about their care, looked at records that related to them and made observations if they were unable to speak to us. We looked at three staff recruitment records, induction and training records and policies and procedures. We did this because we wanted to understand how well the systems work and what this means for people who use the service. All this information helps us to develop a picture of how the home is managed and what it is like to live at Furzehatt Care Centre. Care Homes for Older People Page 7 of 28 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. Care Homes for Older People Page 8 of 28 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information to people, which enable them to make a choice about whether the home will suit their needs. Good systems are in place to ensure that peoples needs are assessed and can be met prior to moving into the home. Evidence: There is a guide to the home, the Statement of Purpose, which gives people an idea of what to expect of the home. The most recent inspection report is available in the hallway. People returning CQC surveys told us they had received enough information about this home before they moved in, helping to ensure it was the right place for them. Relatives also told us they were given enough information to help make a decision about the home. People spoken with during this visit told us they were happy living at the home, one said, Its very good here, another person told us I get everything I need. Care Homes for Older People Page 11 of 28 Evidence: Our expert by experience spoke with people about their experience of the home, one told us, The staff are wonderful. Surveys from relatives show that the home alwaysor usually give people the support expected and agreed. Relatives comments were generally very positive, for example one said, The staff are very helpful and will always respond if I ask for help. The home uses an assessment as a way of getting information about peoples needs and preferences before they move to the home. This helps to ensure that individual needs can be met. We looked at three assessments, all gave good information about peoples abilities, needs, usual routines and preferences to enable staff to plan and deliver care appropriately. Social care professionals told us in surveys that assessment arrangements usually ensure that accurate information is gathered and that the right service is planned and given. The home does not provide intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home generally has a good care planning system, which provides the staff team with the information needed to enable them to support people in a way they prefer.The updating of some of these plans will ensure that people consistently get the care they need. Peoples health needs are well met and the management of medication is generally satisfactory. People feel they are treated with respect and that their privacy is upheld by caring staff. Evidence: People responding to CQC surveys told us they always received the care and support needed. One wrote, In my opinion Furzehatt is an excellent care home, friendly, homely and supportive. During our visit people told us they were happy with the care they received, comments included, The staff come quickly when I need them, Staff are kind and nothing is too much trouble for them and I am happy there is nothing more I want. The expert by experience said that without exception those spoken with were complimentary about the staff saying, Staff are wonderful, They are always popping into my room to see if everything is alright. The manager (Christine) is very helpful. The girls are good I cant speak too highly of the staff here,I was Care Homes for Older People Page 13 of 28 Evidence: bedridden when I came and now I can walk with just one stick, Staff helpful, Staff are pretty good I like some better than others, and of a passing carer Hes a good boy very nice chap. Each person has a plan of care, some of which have been written in a person centered way which is commendable, these detail his or her individual care needs, wishes and preferences. Personal profiles have been completed which give a sense of the individual and their close relationships with others. Staff were aware of peoples needs and could describe the care delivered, however this did not always reflect what was written in individual care plans; for example one person with type 1 Diabetes had their blood sugar tested regularly but there were no actions written to describe what to do once the result was known and what was an acceptable level. This could put people at risk. Risk assessments were in place and generally reflected behavior or situations, which may cause harm to people, for example poor mobility, falls, aggression and the use of equipment. Moving and handling assessments and plans, skin care and continence assessments were in place and generally provided staff with the instructions needed to deliver care. Staff were observed to assist people with manual handling needs in a competent and sensitive manner, using the correct equipment and giving gentle instructions and reassurance to people as needed. Staff were given information at shift handovers about some peoples particular needs any changes to their needs, who was to be offered a bath, or needed encouragement with drinks or food. Staff surveys showed they were always given up to date information about peoples needs, one wrote, We put clients first although it is sometimes difficult to please all of the people all of the time. We try hard to ensure all the needs are met. Peoples personal care was well attended to; people were smartly dressed, and well groomed. Our expert by experience said, All residents seen were clean and dressed in clean clothes. All spoke highly of the laundry service and the speed with which their clothes were returned. Everyone spoken to advised that they rose and retired at a time of their own choice. Some mentioned that they enjoyed an early morning cup of coffee or tea in bed. Call bell response time was said to be within two or three minutes and drinks and snacks were available throughout the evening and night according to one bad sleeper who Care Homes for Older People Page 14 of 28 Evidence: said, I leave my bedroom door open and welcome nocturnal visits from passing staff if I am awake and reading. People told us their medical needs were always met; one person said their medical needs were usually met. Health professionals responding with CQC surveys told us the home usually sought advice and acted on advice. Health professionals felt that peoples health care needs were always (1) or usually (1) met. Their comments included; The general health care is very good, The care is generally very well Records show that people have access to a variety of health professionals including GP, district nurses, optician and other specialists and out patient clinics. We looked at the way the home stores and administers medicines. Medicines at the home are managed safely. Medicines are stored and disposed of safely. The fridge used to store medicines is lockable and temperatures of the fridge are kept. Other storage was satisfactory, including the arrangements for storing of controlled medicines.Daily records were complete and there were no gaps in administration records. During our visit staff were seen and heard to be polite and friendly when delivering care or assisting people with their daily activities. Staff were heard to address people in a respectful manner and their approach was pleasant and caring.The Expert by experience also said Staff were seen to knock on bedrooms doors and wait before entering. Some people living at the home have their own phones in their rooms; the home has a public pay phone for the people living at the home to use, this phone is situated higher up the wall and is not easily accessible to people in wheelchairs or people using mobility aids, it offers little privacy. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines are flexible and people are supported to exercise control over their daily lives. Social activities meet some peoples expectations and preferences and people benefit from contact with their family and friends, which is encouraged and supported by the home. Meals at the home are enjoyed and provide a nutritious variety. Evidence: There is a full time Activities Organiser who has had the benefit of attending a training course on activities for people living with dementia. She has a part-time assistant. A full timetable of events covering Monday to Friday was on display in the reception area. There are several lounges and a conservatory suitable for activities. At the time of the visit a group was meeting for Bible Study, Carers were assisting residents with therapy consisting of threading clay or plastic shapes and some people were receiving the benefit of one-to-one conversations. Several opportunities arise each month for religious engagement including Holy Communion. Many of the people spoken with originated in the locality and have links with local churches. Visits had been received from various birds and animals to the delight of the residents. Several people mentioned the enjoyment they derived from the garden, which had received a silver award for the last two years in the Plymouth in Bloom competition. Musical entertainers attended the previous day. Some of the people said they preferred to Care Homes for Older People Page 16 of 28 Evidence: remain in their rooms reading or watching television but added that they joined selected activities from time to time. No one could recall any recent trips out and the manager confirmed that the usually full programme of outings had been curtailed this year for a variety of reasons including the inclement weather, the frailty of the current residents and their lack of inclination to go on journeys. However some shorter trips are planned for the future to a heritage railway, local vantage points and to see the Christmas lights. A good stock of books and videos are held. There are also opportunities for painting, knitting, quizzes, bingo and craftwork. One resident said of the activities organiser, She is a nice lady who is always on the go. Selected residents are taken to visits to a local public house for lunch from time to time, which they are said to enjoy greatly. A gentleman said that his relatives visited nine care homes before deciding that Furzehatt was suitable for him. When asked about food residents responses varied from Food not wonderful but good, Cant complain about the food, Good food here, We do seem to have a lot of peas and carrots, it would be nice to have fresh vegetables, to Food not that good , it varies. One person commented, When I was unwell and had lost my appetite I was encouraged to eat and was asked what I would like to have. All spoken with said that they were given sufficient to eat and mentioned the availability of evening drinks and snacks. The menu is on display in at reception. There are two dining rooms, both are light and airy. The tables were laid with menu, linen tablecloths and napkins, a bowl of fresh fruit, condiments and a choice of water or orange juice. During the morning the chef or cook advises residents of the choices for lunch and tea but if the selection is not to their liking they may choose from a wide range of alternatives. On the day of the inspection the chef was absent and the deputy prepared a main meal of either shepherds pie or vegetable pasta both with cauliflower, carrots and peas. The dessert was rice pudding or an alternative of yoghurt. The plated meal was hot and tasty and most diners cleared their plates. The carers checked before removing plates. Some people chose to eat in their bedrooms or in a lounge where assistance was given as necessary in a suitable manner. Food is said to always be on the agenda at the periodical residents meetings. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their complaints will be listened to and staff understand the principles of adult protection, which helps to protect people from abuse. Evidence: People responding with CQC surveys knew how to make a complaint and knew who to speak with should they have any concerns. People felt Christine, the manager, and the staff were approachable and would listen to them and always act on what they say. Relatives were also aware of how to make a complaint and told us that concerns were responded to. Outside professionals were confident that complaints or concerns were responded to appropriately. The Commission has received two complaints about this service since the last inspection, each has been investigated in a professional and timely way. A copy of the complaints procedure is posted in the hallway and is also available in the Statement of Purpose. Training records showed that staff receive adult protection training to ensure they are aware of the issues and know who to raise any concerns with. Staff spoken with said they had attended training and had a good understanding of adult protection matters and understood their personal responsibility to report incidents of concern. People spoken with confirmed that they were happy living at the home and all said they felt safe at the home. Our expert said Without exception people said that they felt safe or very safe. Care Homes for Older People Page 18 of 28 Evidence: Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a good standard of accommodation that is attractive, clean, homely and generally well maintained. Evidence: The expert by experience gave his impression of the home, The bedrooms visited were very clean, and personalised to varying degrees. The lounges, although tidy and clutter free, were homely and welcoming with comfortable furniture. After lunch some residents sat watching the news in one of the lounges. No unpleasant odours were present. There were no obvious safety issues. Furzehatt Care Centre is well maintained, with homely and comfortable accommodation. Decoration and refurbishment is ongoing. One person said about the handy man, He fixes everything so quickly and brings me my morning paper each day. People told us they liked their private bedrooms and had been able to personalise this space with items of furniture and mementos brought from home. In order to reduce the risk of scalds and burns to people, hot water temperatures are controlled and radiators seen in bedrooms were covered. The home was clean and free from offensive odours throughout. People responding Care Homes for Older People Page 20 of 28 Evidence: with surveys said the home was always or usually clean and fresh. The laundry was clean and well organised with the necessary equipment in place. Staff receive training in infection control and hand sterilising gel is in all rooms and also at the main entrance for visitors to use to minimise infection. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are sufficient to ensure that peoples needs are met in a timely way and experienced and friendly staff support people well. People are protected by the robust recruitment practice followed at the home. Evidence: People living at the home spoke highly of the staff. Their comments included, They take good care of me, They are are kind and friendly, They are pretty good, I get on with all of them. Some relatives also spoke well of the staffs approach and attitude. Relatives responding with surveys felt that the home gave the support required and could meet the different needs of people living there. The majority of people responding with CQC surveys told us staff were always available when needed. The majority of staff returning surveys told us there was always enough staff to met peoples needs. During our visit peoples needs were attended to in a timely and unhurried way. We looked at the recruitment practice within the home to ensure people are protected. All staff returning surveys told us that employment checks such as Criminal Record Bureau (CRB) check and references had been undertaken. We looked at three staff recruitment files. All the required checks had been obtained before staff started working at the home. Care Homes for Older People Page 22 of 28 Evidence: Staff told us they had good training opportunities and good support from the management. All staff responding with surveys said they had received induction training, which helps them to understand how to work safely and respectfully with people. Many of the care staff have achieved a nationally recognised care qualification (NVQ 2 or above), which helps to ensure that staff are competent to meet peoples general care needs. Other training, including mandatory training is well addressed. One staff member told us, I recently went on a dementia training course, it was really good. Records showed that staff had undertaken training such as adult protection, medication, dementia, and diabetes. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 well managed, with good systems in place to ensure that peoples views are sought and acted upon. Health and safety within the home is promoted meaning people live in a safe environment. Evidence: The registered manager is professional and carries out her duties and responsibilities effectively. A competent and enthusiastic deputy supports her and together they provide clear leadership for the staff group. One member of staff told us, Christine is great, really supportive. Outside professionals and relatives appear confident in the management of the home, one relative wrote, Furzehatt is well run and another told us, I am so pleased that my mother is here, its really lovely. The home has established quality assurance systems, which ensure that the service is managed and developed in the best interests of the people living there. Annual surveys are sent to residents, relatives and outside professionals. The management Care Homes for Older People Page 24 of 28 Evidence: team take the necessary action within agreed timescales to implement requirements identified in CQC inspection reports. The home looks after some peoples monies, these were checked and were accurate and kept securely. The home also has its own internal audits to ensure good financial practice is upheld. Staff told us they received regular supervision and support to help them do their jobs well. One staff member told us, The management are really good. Health and safety at the home is managed well. The records we looked at showed that staff have received training and regular updates on all health and safety related topics. Records showed that staff had undertaken fire safety, first aid, manual handling, food hygiene, infection control, and health and safety training to ensure people work safely. The kitchen was organised and generally well equipped. The home has implemented Safe Food, Better Business, a nationally recognised benchmark for food hygiene and safety. Fridge and freezer temperatures are recorded regular to ensure that food is stored safely. The fridges in the kitchen were clean and food stored had been labelled and dated. Records showed that maintenance of equipment and systems, such as water, gas and electrical systems were up-to-date. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must be reviewed 31/10/2009 and actions described so that people get the care they require. This will keep people safe and well cared for. 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 10 The public pay phone should be changed so that people have provacy when using it. Care Homes for Older People Page 27 of 28 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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