Care Home: Gildawood Court

What the care home does well This home provides a comfortable, clean and well maintained environment which is homely. People living at the home, relevant professionals and relatives are consulted so that people`s needs and preferences are known and care plans provide staff with relevant information so that they can provide the right support to each person. People are supported to receive appropriate health care and to follow a healthy lifestyle. People are protected by the home`s arrangments for the storage and administration of medication. People choose how they spend their days. There is a variety of suitable activities. Visitors are welcomed to the home and encouraged to be involved in activities and events. There is a good variety of food and menus suit the people in the home. There are good arrangements for handling complaints and comments and for protecting people who live in the home. The staff team members receive ongoing training so that they are competent. They are well supported and supervised. The system for assuring the quality of the care takes account of people`s comments about the service they receive. The manager is committed to maintaining high standards and making improvements where possible. What has improved since the last inspection? Progress towards meeting the requirements of the last key inspection was noted at each of the random visits carried out to the home. At this visit we found that the home has met all the requirements made at the last key inspection. There are improved systems for recording people`s needs and these are more accessible to staff. The manager has improved the way in which challenging behaviour is managed and there is better liaison between the home and other relevant professionals in this area. There are improved systems for auditing medication and for checking that staff are competent to carry out this task, so that people are better protected in this area. The environment is more stimulating and the range of activities has increased, so that people have a better quality of life.There are more thorough systems for auditing records and monitoring staff practice so that the people in the home receive a more consistent service. What the care home could do better: The manager needs to make sure that personal records are always completed consistently. This will help to make sure that the progress in monitoring people`s health needs will be sustained. Key inspection report Care homes for older people Name: Address: Gildawood Court School Walk Attleborough Nuneaton Warwickshire CV11 4PJ     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: Christine Lancashire     Date: 1 7 0 6 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 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) © 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 28 Information about the care home Name of care home: Address: Gildawood Court School Walk Attleborough Nuneaton Warwickshire CV11 4PJ 02476341222 02476344300 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Gildawood Court Residential Homes Ltd Name of registered manager (if applicable) Mrs Johann Madejowska Type of registration: Number of places registered: care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 60 Date of last inspection Brief description of the care home Gildawood Court is a purpose-built, 60 bed care home for older people and is registered to provide personal care for those people diagnosed with dementia. Any nursing needs are carried out by district nurses. The home provides permanent care, short stay accommodation, and day care facilities. The home is situated close to the centre of Attleborough and within a mile of Nuneaton Care Homes for Older People Page 4 of 28 Over 65 0 60 2 0 1 0 2 0 0 9 Brief description of the care home town centre. Local amenities are within reach by foot or wheelchair and there are enclosed gardens for people to use as they wish. There is parking available to the front and far end of the building. The home is divided into five units, which accommodate eleven, twelve or thirteen people in each. Each unit has a lounge and dining area which is fitted with a kitchenette and there is hairdressing room which all units can access. All bedrooms are single and have en-suite toilets with washbasins. There are sufficient numbers of toilets and bathrooms situated around the home. There are six bathrooms and two of these have assisted facilities to help people in and out of the bath. There are also five walk-in shower rooms. There is a large activity room which is used for people who visit the home for day care and this can also be accessed by people who live in the home if they wish. There is level access into the home and from doors into the garden areas for people with mobility difficulties or wheelchair users. The accommodation is over two floors, is spacious and has a passenger lift to allow for easy access by wheelchairs. The current fees range from £420 - £585.74. per week. Extra charges are made for hairdressing, chiropody, dentist consultation fees, aromatherapist, newspapers, taxis, dry cleaning and visitor meals which need to be pre-booked. 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: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see how the home is meeting key National Minimum Standards and to make sure that the requirement made in the previous report had been addressed. Before the visit we sent an Annual Quality Assurance Assessment form (AQAA) to the manager for her to complete. This asks for details about the running of the home and the plans for future development. This information arrived when we asked for it and was completed in a helpful way, with plenty of detail. We also looked at the reports of random visits which we made to the home in July and October 2009. At the inspection we spoke to the manager, the regional manager, several members of the staff team and people who live at the home. We looked round the communal areas of the building and into several bedrooms. We sampled the records of three people Care Homes for Older People Page 6 of 28 who live in the home to find out if their needs are being met. We looked at records of these peoples needs and preferences, health care, safety, menus, activities, finance and medication. We looked at other records which the home is required to keep such as staff recruitment and training, complaints and minutes of meetings and the systems which the home has for monitoring its performance. We used this information to write this report. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? Progress towards meeting the requirements of the last key inspection was noted at each of the random visits carried out to the home. At this visit we found that the home has met all the requirements made at the last key inspection. There are improved systems for recording peoples needs and these are more accessible to staff. The manager has improved the way in which challenging behaviour is managed and there is better liaison between the home and other relevant professionals in this area. There are improved systems for auditing medication and for checking that staff are competent to carry out this task, so that people are better protected in this area. The environment is more stimulating and the range of activities has increased, so that people have a better quality of life. Care Homes for Older People Page 8 of 28 There are more thorough systems for auditing records and monitoring staff practice so that the people in the home receive a more consistent service. 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 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. People who are considering moving into this home are provided with good information so that they can make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. Evidence: The homes Statement of Purpose and Service User guide provide information for people considering moving in. These describe the facilities and services available. The manager told us that detailed pre-admission assessments are carried out so that people can be assured, before they move in, that the home can meet their needs. People may visit the home at any time to sample the atmosphere and the manager told us that the staff who assist on these viewings are trained in customer service. We sampled the files of three people who live in the home. We saw that assessments of peoples needs had been carried out prior to them moving into the home, to make Care Homes for Older People Page 11 of 28 Evidence: sure that the home could meet their needs. These assessments included the views of various professionals such as social workers and mental health workers as well as relatives who know the person well. We saw that these assessments had been used to form the basis of the care plans which help the staff to know how to care for each person in the way they need and prefer. 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. Peoples health, personal and social needs are set out in a care plan so that they can be met by staff. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: The manager told us that the care plans have been reorganised so that it is now easier for staff to access information. We sampled three peoples records and found that all contained plans for staff to follow giving details of how each person needs and prefers to be supported. These have been drawn up to meet the needs identified in the preadmission assessments. We saw that these plans are reviewed on at least a monthly basis and any new information from observations of the persons behaviour is taken into account, so that relevant changes can be made. The manager told us that senior staff are now allocated several plans and they are responsible for the auditing and review of these. This makes sure that all plans are up to date. We saw risk assessments which cover relevant areas and the measures which staff Care Homes for Older People Page 13 of 28 Evidence: need to take to make sure that each person is kept safe. These help to make sure that people can have a variety of experiences, taking reasonable risks which are suitably controlled. Staff keep daily notes to show the progress which people are making. We sampled these and found that entries are made several times a day and describe each persons activities and mood. The files which we examined contained details of peoples health history and the support currently needed from staff in this area. They also show contact details and records of visits to and from a range of health professionals such as doctors, nurses, chiropodists, dentists, opticians and mental health workers. The medication currently prescribed is also listed. Changes made by the GP are recorded. We saw that there are charts for monitoring peoples weight and bodily functions and help the staff to monitor peoples health. We saw that these are mostly completed appropriately, but on two sampled files, we found some gaps in recordings of Body Mass Index (BMI) and bowel activity. A persons Body Mass Index is a measure of how healthy thier weight is for a person of their height. The gaps were mainly in the March records and recent records contained more consistent entries. We discussed this with the manager, who agreed that staff must always complete records in a timely manner. She showed us where the BMI information had been entered on another form and appropriate action had been taken. We looked at the storage facilities for medication in the home and the records of medication which had been administered by staff. We checked the medication for the three people who we sampled. The records were found to be completed appropriately. We saw that there are protocols for the administration of medication which is given on an occasional basis. The manager told us that the medication record sheets are audited four times a day and we saw the records of these checks. There are monthly medication audits. We saw a notice which is placed on the door of the room when audits are taking place. This asks for privacy whilst the audit is taking place. All staff who administer medication are trained to do so and they receive competency supervisions on a weekly basis. We saw that people in this home are helped to maintain a dignified appearance. We saw staff taking discreet action to ensure that people remained appropriately dressed. People were moving freely around the home throughout the day. Some had chosen to spend time in their rooms and others were in the living rooms or the garden. Staff told us that people choose when they get up and go to bed and the records show that there is a wide variation in these times. Food is available at all times and on the day of the inspection we saw that some people had chosen to eat breakfast in the middle of the morning. This shows that peoples choices are respected and there are no Care Homes for Older People Page 14 of 28 Evidence: unnecessary restrictions imposed on people. 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. Peoples lifestyles in the home match their preferences and suitable activities are arranged. People are encouraged to maintain significant relationships with people in the community and they receive a choice of nutritious meals which meet their needs and take account of their preferences. Evidence: We spoke with the homes activities coordinator who told us that she had spoken with each person in the home and consulted their relatives to find out about their past lives and interests, so that she could provide activities which are suited to individuals. These include arts and crafts, sing alongs, watching DVDs of old Nuneaton and gardening. We saw artwork which had been produced by people living in the home, including collages made from natural materials. These are incorporated into the homes decorations. We saw records of peoples daily activity in their files and these show that people are encouraged to keep active. The manager and staff told us that people also like to carry out basic household tasks and they hang out washing, wash up, lay tables and help with gardening. On the day of the visit, one man was cutting hedges around the garden. There is also a vegetable plot and there are plans to develop the use of the greenhouse. The manager showed us where people had helped to decorate a small courtyard area with shells, fairy lights, garden ornaments and Care Homes for Older People Page 16 of 28 Evidence: plants. The manager told us that relatives often help with raffles and are involved in planning the forthcoming fete. Staff maintain a record of activities and note the level of participation and interest. This helps with planning. Staff told us that visitors are made welcome at any time. The files which we sampled contain details of the social contact which people have with friends and family outside the home and staff told us that there are many visitors. Daily records also show that people are provided with opportunities to go out into the community. The records which we sampled showed that there are nutritional assessments and people are weighed on a regular basis. Appropriate action is taken when a persons weight varies from that which is considered to be healthy. Peoples needs and preferences in terms of food are clearly recorded. We looked at the menus and they show a choice at each meal. The meals are varied. There is a record of what each person has eaten. Main meals are prepared in the homes large and well equipped kitchen. Small meals and snacks are prepared in the small kitchens on each unit. People usually eat in the units where they sleep but, as people are free to move around the home, people sometimes choose to eat on another unit. People may eat when they choose to do so and on the day of the inspection people were eating breakfast at various times during the morning. 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. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints. Evidence: The home has policies and procedures for handling complaints. The details of how to make a complaint are in the Statement of Purpose and service user guide to the home and are displayed around the home. The manager told us that she also asks relatives if they have any concerns. The records show that there have been no formal complaints since the last inspection. The manager told us that people are encouraged to bring any queries or worries to her and they are sorted out as soon as possible. There are records of minor concerns raised. These are mainly about domestic issues such as the laundry. The manager has taken action to address these. For example, there are now two additional housekeepers, who concentrate on laundry, keeping wardrobes and drawers tidy and making sure that clothing is in a good state of repair. Staff are trained in the protection of vulnerable adults. The manager explained that there are now improved systems for managing challenging behaviour in the home, so that people are better protected. There are regular meetings with the local safeguarding team and the records show that there are follow up meetings to make sure that the measures are effective. Where necessary, people whose behaviour has indicated that they require a more specialist resource have been reassessed and a move has been arranged. The manager told us that there is now a better Care Homes for Older People Page 18 of 28 Evidence: understanding within the home of the options available for people and the need to seek specialist advice at an earlier stage when people may be placed at risk through the behaviour of others. The manager continues to let us know about incidents in the home and the way in which these have been managed. We sampled staff records, including those for staff who had most recently been employed. There are standard procedures for the recruitment and selection of staff. These are robust and the appropriate checks are carried out prior to each person commencing employment. This provides protection for the people living at the home. These arrangements mean that people living in this home are well protected. 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 live in a homely, clean and safe environment which meets their needs. Evidence: We looked round the communal areas of the building and found that all areas looked clean and were free from unpleasant odours. There is a choice of seating and dining areas and people were moving freely between these. We looked at several bedrooms and found that they contain personal items and are individual in style to reflect the personalities and preferences of the people using them. The doors to peoples bedrooms have pictures which the people have chosen. These include the people themselves or other images of things which are important to them. All of the bedrooms have en suite facilities. They are close to the bathrooms, where there are showers and baths. The corridors, communal rooms and bathrooms have vibrant and varied decorations such as wall paintings, collages and artwork, some of which has been created by people in the home. There is a fireplace with comfortable seating in the entrance area and corridors have seating areas with bookcases and other homely items. There is good access to the garden from home. The garden has a patio and grassed area, as well as seating, vegetable plot, some raised beds and a gazebo. Care Homes for Older People Page 20 of 28 Evidence: We saw procedures for making sure that infection is controlled. Staff are trained in infection control and they confirmed that they have easy access to gloves and aprons when necessary. We saw that hand washing areas have liquid soap and paper towels. We saw risk assessments for the building, people and activities. These measures mean that there are good arrangements to make sure that people using the building are kept safe and infection is well controlled. 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. Peoples needs are met by adequate numbers of staff, who are well supported in their roles. Evidence: Staff are recruited through a standard process which includes taking up references, checks through the Criminal Records Bureau and interviews. We sampled three staff files and found that this process had been followed. Staff confirmed that they had known what to expect when taking up their roles and had been provided with induction training and support from more experienced workers. The manager told us that the staffing budget for the home has increased so that there are more staff to meet the needs of the people living at the home. We looked at the staff rota and saw that this shows suitable levels of cover, with details of where each member of staff is working. We sampled staff files and found that when staff are recruited, there is a standard procedure which is robust and includes taking up references and checks through the Criminal Records Bureau. New staff undergo an induction programme and work alongside more experienced members of staff. The records show that the staff are well trained and have access to NVQ and other relevant courses. The manager told us that the training is closely monitored. Each staff has a list of the training they need to complete and progress if monitored. Use is Care Homes for Older People Page 22 of 28 Evidence: made of electronic learning and staff told us that they like this as it allows them to progress at their preferred pace. The records show that 55 per cent of staff have achieved NVQ level 2 and several others have nearly completed their training. All of the senior staff have completed level 3, with the exception of two people who are completing the course. The records show that staff receive regular supervision as well as appraisals. There is a checklist on the front of these to show which areas have been covered at each session. Staff told us that they feel well supported. We observed good relationships between people in the home and the staff. 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. People live in a well managed home which is run in their best interests and where there are good systems for maintaining the quality of care. Their financial interests are safeguarded and their health, safety and welfare are promoted and protected. Evidence: The manager of the home is well qualified and experienced to run the home and has the Registered Managers Award, a Diploma in Health Education Dementia Studies, the D32/D33 assessor award and is a trained Registered General Nurse (although not practising). She has more recently completed a three year training programme in Health and Safety (IOSH). She demonstrated, in her response to our AQAA questionnaire, that she evaluates the homes practices and seeks out new ideas which will help to improve the quality of life for the people who live in the home. There are good arrangements for making sure that the home maintains high standards and continues to meet the needs of the people who live there. These include regular checks on records and visits from the regional manager, questionnaires for Care Homes for Older People Page 24 of 28 Evidence: staff and people who use the service and consultation with visiting professionals. This information is used when planning changes for the home. We saw that people living at the home have access to their personal money and there is a system to monitor and record financial transactions ensuring an accurate account is kept and enabling an audit trail to be maintained. We sampled the records and checked the balances for three people and found that these were accurate. People living at Gildawood are safeguarded by the health and safety procedures in place. There are certificates for the servicing of equipment. The manager supplied us with the dates of safety checks. We sampled these and found that they were up to date. There are risk assessments for the building, tasks, manual handling and fire. Individual risk assessments for manual handling, falls, pressure sores etc were available on the files we sampled. Staff receive mandatory training in areas such as manual handling, first aid and fire safety. The manager notifies us about relevant incidents and accidents. This shows that there are good arrangements making sure that people who use the building are kept safe. 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 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 8 Staff must ensure that they complete all personal health monitoring records in a timely manner, in order for people to receive consistently appropriate care. 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. © 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. 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