Care Home: Glebe House

What the care home does well The home is well managed, and the staff work as a team to ensure that people`s needs are met. There is a good atmosphere in the home, and people enjoy living there. People enjoy the food provided. People have interesting activities they can participate in and appropriate opportunities to socialise. What has improved since the last inspection? Requirements made at our previous visit concerning staff numbers, staff qualifications and temperatures in the home were found to have been met. Staff and management levels in the home are better able to meet the needs of people accomodated. Staff recruitment and retention has meant that temporary (agency) staff are no longer needed in the home, and this helps people receive more consistent care. The activities and one to one social support provided in the home have been improved by the appointment of an activities co-ordinator and by setting up a room where people go to have beauty treatments and pampering. What the care home could do better: No requirements have been made at this visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Glebe House Stein Road Southborne West Sussex PO10 8LB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Edward McLeod     Date: 2 1 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 31 Information about the care home Name of care home: Address: Glebe House Stein Road Southborne West Sussex PO10 8LB 01243379179 01243375694 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shaw Healthcare Ltd care home 40 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 to be accommodated is 40. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Glebe House is registered for up to forty older people (over the age of 65), up to eight of whom may come under the category of dementia. The service is operated by Shaw Healthcare, for whom Mr Jeremy Nixey is the Responsible Individual. Mrs Melanie Taylor is the Registered Manager The home is a new purpose built establishment situated a few hundred yards from local shops in the village of Southbourne. Built on two floors served by a vertical lift; the home consists of four residential units each accessed from the main atrium though a secure front door. On each floor two units adjoin and are separated by folding doors to each lounge area. Each unit contains ten single bedrooms with bathrooms ensuite and mirror each other. They contain facilities which include a separate bathroom with adjustable height wash hand basin and Care Homes for Older People Page 4 of 31 Over 65 40 0 Brief description of the care home assisted bath and a lounge/diner containing a kitchen area, one of which is larger and intended to provide opportunities for the more able resident to retain their independence. In addition a smoking lounge has been provided, a visitors room that offers over night accommodation and a garden room. The whole building is suitable for wheelchair users. Fees vary between 408.68 and 444.69 pounds per week. Mrs Taylor advises us that West Sussex County Council contracts all the placements available in the home. Care Homes for Older People Page 5 of 31 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 inspection was arranged to assess the homes compliance with previous requirements made and with the key standards of the Care Homes for Older People national minimum standards. We prepared for this inspection visit by obtaining information on the service being provided. We obtained the homes CSCI annual quality assessment audit (the AQAA) which had been completed by the manager Mrs Taylor, and received CSCI survey responses from eight people living in the home and five staff. Some of this information has been used in this report. We also took into account other information we had received on the service. Care Homes for Older People Page 6 of 31 The visit was attended by one inspector, and we were on the premises for four and a half hours. We talked to five people living in the home, five members of staff, the manager, and the area manager. We looked at parts of the care records for three people living in the home, and at recruitment and training records for three staff working in the home. Other records sampled during the visit included complaints, maintenance and health and safety records. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 31 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 31 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 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. Evidence: The AQAA tells us that all residents receive a guide to the home and are invited to visit before they come to live there. During our visit we looked at the pre-admission assessments carried out on three people before they came to live in the home. These assessments told us that the home discusses with the person their needs, including their social needs, and how these can best be met before admission is agreed. Care Homes for Older People Page 10 of 31 Care Homes for Older People Page 11 of 31 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 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 home supports them with it in a safe way. Peoples right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. Evidence: The AQAA tells us that the format and standard of care plans has been improved to include information on the persons nutritional needs. A member of staff we spoke to told us that because care plans are more condensed now they are easier for staff to refer to. Care Homes for Older People Page 12 of 31 Evidence: During our visit the manager Mrs Taylor and the area manager told us how care plans are becoming more person centred, and showed us examples of how more complete information on the persons needs are now being gathered. They also told us that care plans are reviewed with the person or their family, and that people have access to their care records. The manager and area manager also told us what is being done to provide people with a copy of their care plan, and told us that it is part of the companys regional strategy for a copy to be given to the person. They also told us that staff were receiving training in care planning, including such issues as nutrition. We looked at parts of the care plans for three people living in the home. We found that risk assessments, nutritional assessments, and how the persons needs were to be met were being clearly recorded. The five staff working in the home who responded to our CSCI survey told us they always have up to date information on the individual care to be provided. The AQAA tells us that there are monthly care plan workshops for staff and that these assist the staff in broadening their understanding of equality and diversity issues. The eight people living in the home who responded to our CSCI survey told us they are receiving the care and support they need, and that they are receiving the medical support they need. One resident commented in their survey form that there was very good care in the home and another resident said in their form that they felt safe and secure. Each person has a key worker, and during our visit staff told us that the key worker ensures that the person is receiving a bath at least weekly, and that any hairdressing or chiropody appointments are arranged. Staff also told us that the key worker will help the person purchase any toileteries and shopping they need, and that the key worker will be involved in liasing with relatives and reviewing the care plan. The AQAA tells us that the care home works closely with health staff such as community nurses, GPs and specialist workers in areas such as stoma care and Parkinsons disease. Visits from health care and social work staff are recorded. Care records we looked included medical services sheets and records of health care services that the person has received, and this told us that people are accessing the health care services they are in need of, including opticians, dentists, chiropodists, Care Homes for Older People Page 13 of 31 Evidence: community nurses and GPs. The AQAA tells us that staff are peer-checking medication records to ensure medication is being administered according to instructions and procedures. Managers also audit medication administration and stock balance records weekly to further ensure the safety of medication arrangements. A team leader we talked to told us that staff training in administering medicines is updated yearly, and that staff undertake competency tests. Staff also told us that at each medication round stocks and administration records are checked. Care records we looked at told us risk assessments are carried out where there is a possibility that the person may be able to manage their own medicines. These assessments showed that the person is part of this decision making process. Staff we talked to gave us examples of how they are supporting people to maintain their dignity and independence, for example the purchase of special cutlery and equipment so that one person who has limited use of one arm can have meals without staff assistance. One person we talked to told us everyone is nice and kind. You get up any time you want. Nothings hurried. Care Homes for Older People Page 14 of 31 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. 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 the 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. Evidence: The AQAA tells us that the activities co-ordinator plans the weeks activities together with the residents, and spends one to one time with people who choose not to join in the activities. The activities co-ordinator has also been gathering information on peoples history, Care Homes for Older People Page 15 of 31 Evidence: hobbies and interests to better ensure their social and activity needs can be met in the home. One person living in the home told us in their CSCI survey form that I enjoy the variety of activities offered at the home, and another told us in their form that the activitities are educational and very interesting. During our visit we spoke with the activities co-ordinator and observed them interacting with groups of residents and individuals. When talking to two people sitting together, the co-ordinator was telling them stories, giving them information about forthcoming events, providing reassurance and explaining who people walking by were such as the inspector. One resident was thanked for doing things to look after another resident. We looked at some of the records of activities the co-ordinator had completed, and we visited a communal room where some of the group activities take place. The co-ordinator told us that talking books have now been arranged, and that visits by an entertainer and someone who brings puppies along are particularly popular - even with people who usually dont choose to come out of their rooms. The co-ordinator said it was important for people to feel they can still contribute. On the day of our visit two residents went out to a local day centre, and the co-ordinator was hopeful that in the future more residents would be welcomed there. Several of the residents were making use of a treatment room which has been recently set up, and people were enjoying having their nails trimmed and varnished or having a foot spa during our visit. One of the residents told us theres always something. Staff are very nice. We have a good laugh. The AQAA tells us that a local vicar visits, as do a local church group. The manager also tells us that people are supported to have their own telephone so that they can keep in contact with friends and relatives. The AQAA tells us that the home is providing for specialist diets such as diabetic and low fat diets. We spoke with the cook who advised us that while it is no longer acceptable for food to be liquidised the food provided such as mashed potato and well cooked vegetables is suitable for the one person in the home who needs a soft food Care Homes for Older People Page 16 of 31 Evidence: diet. The cook also advised us of the sugar-free dessert choices which are provided for people with diabetes. On the day of our visit the lunch options included pasta with fresh salad, liver and bacon, mashed potatoes and vegetables. Some people received individual meals they had requested, such as pasta with cheese sauce. The eight people living in the home who responded to our CSCI survey told us that they liked the food in the home. One of them wrote that the food is excellent and (there is) a great variety and plenty of helpings. The lunch was unhurried and people who needed assistance with cutting food were receiving this. Care Homes for Older People Page 17 of 31 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. 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. Evidence: The people who responded to our CSCI survey told us that they knew who to talk to if they had concerns and that they knew how to make a complaint in the home. Staff we spoke to told us that each person having a key worker gives them someone they can go to if they need to discuss something or have concerns. During our visit we looked at the record for three complaints received. We found that each complaint had been handled in accordance with the homes complaints procedure, matters had been investigated and action taken where appropriate. For each of the complaints the complainant had received feedback on the outcome of the complaint. Staff training records seen indicated that staff continue to receive training in safeguarding vulnerable adults from abuse. Care Homes for Older People Page 18 of 31 Evidence: The home has a copy of the local multi-agency procedures for safeguarding, and manager Mrs Taylor told us that she and the deputy manager are booked to attend an updated briefing on the local safeguarding procedures. Care Homes for Older People Page 19 of 31 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 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. Their room feels like their own, it is comfortable and they feel safe when they use it. Evidence: We visited the communal areas of the home and six bedrooms, and also visited the kitchen. We spoke with the handyman and looked at some of the maintenance records, and spoke with the cook and looked at some of the kitchen records. The home is purpose built, and has a well-kept garden area. People told us it was nice to sit out in the garden in summer. The building and grounds are being kept in good condition, and arrangements are in place to ensure that maintenance and repair work is handled promptly. The home is furnished and decorated to a good standard, and people we talked to found it nice and homely and some of them had favourite parts of the building such as Care Homes for Older People Page 20 of 31 Evidence: one sitting room which has good natural light. One person living in the home told us in their CSCI survey form I have a lovely room, and another person said I was most impressed with the lay out of the home. The light airy rooms with access to the garden, a well-fitted en-suite and the bright and airy dining room and lounge. The home has recently opened a treatment room which is very popular - at one point during our visit there were five residents in the treatment room who were for example having their nails trimmed and polished or having a foot spa. The bedrooms visited, excepting one used for respite stays, had been personalised by people and their families, and as well as personal items some people had brought items of furniture with them. The AQAA tells us that people are offered door keys to encourage privacy and choice, and in the care records we looked at people had signed to say whether they wished to have a door key or not. There is a smoking room set aside for people living in the home, but Mrs Taylor advised us that no residents at present smoke. Bathrooms and toilets, including the en-suite bathroom and toilets we visited were in good order, clean and clutter-free. The eight people living in the home who responded to our CSCI survey told us that the home is always fresh and clean. All parts of the home we visited were clean and free from odours. The AQAA tells us that all domestic staff have enrolled for the National Vocational Qualification (NVQ) in hospitality to improve on standards and infection control. At our previous visit we found that the environment was excessively hot and we made a requirement concerning this. During this visit we found that the home was well ventilated and not too stuffy, nor were any of the residents observed feeling cold. The previous requirement was assessed as met. The AQAA tells us that call bells, fire alarms and water temperatures are tested Care Homes for Older People Page 21 of 31 Evidence: weekly, and that the temperatures of baths taken are recorded. We looked at some bath temperature records and these were noted to be fairly consistent. Hot water outlets which we hand-tested were providing hot water at a safe temperature. Care Homes for Older People Page 22 of 31 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 have safe and appopriate 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. Evidence: A requirement was made at our previous visit concerning the need to ensure that staff numbers were sufficient to meet the needs of the people accomodated. Since our previous visit, the staffing levels have been re-assessed, and improvements to staffing have included the appointment of a new manager and deputy manager, the appointment of a care co-ordinator, and staff recruitment and retention which has removed the need for temporary agency staff to work shifts. The five staff who responded to our CSCI survey told us that there were enough staff covering duties in the home. The eight people living in the home who responded to our CSCI survey told us that Care Homes for Older People Page 23 of 31 Evidence: there were enough staff available to meet to their needs. One person wrote that staff are patient and kind, and another person wrote that staff are very helpful. During our visit we noted that enough staff were available to support residents with their personal care needs, and to take time chatting to them and spending time in the treatment room with people to give them some extra care and attention. The five staff responding to our CSCI survey told us they felt they had the right support, experience and knowledge to carry out their work. One member of staff wrote that everything is done to a high standard. The five staff responding to our CSCI survey told us that CRB checks and references were obtained for them before they started work in the home. We looked at the recruitment records for three members of staff in the home, and found that checks had been carried out to ensure they were safe to work with people in the home before they started. We looked at the homes training matrix with the manager Mrs Taylor, and this told us that staff were up to date with the training they are required to undertake. Mrs Taylor told us that an exercise in identifying the training needs of staff in the home had recently been undertaken, and training was being arranged accordingly. The five staff who responded to our CSCI survey told us they were receiving training relevant to their work, and that their induction training when they first started covered everything that they needed to know. One member of staff wrote that training is always updated and regular. I have completed an NVQ in dementia this year. The home is continuing to support staff to undertake the National Vocational Qualification (NVQ) in care, and Mrs Taylor advised us that four staff are presently undertaking NVQ at level 2 and one member of staff is undertaking NVQ 3. As more than 50 of care staff have attained or are undertaking NVQ training, the previous requirement concerning staff qualifications was assessed as met. The AQAA tells us that all senior staff have the NVQ in care at level 3 or higher, and that the service has received the Investors in People award. Care Homes for Older People Page 24 of 31 Care Homes for Older People Page 25 of 31 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 have confidence in the care home because it is led and managed appropriately. People control their own money and chcoose 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. Evidence: The manager has continued to update her learning and skills, and has overseen improvements to the service including staffing complement, care plan development, and supporting residents to have more control over their own lives. One member of staff told us in their CSCI survey form that in the home good Care Homes for Older People Page 26 of 31 Evidence: teamwork produces a happy home. One person living in the home told us in their CSCI survey form that the manager is always here for us. We found there to be a relaxed and happy atmosphere in the home, and people told us they found the manager approachable and helpful. Improvements to the service which have come from suggestions or matters raised by residents or their relatives have included development of the menus and staff arrangements. For example, one matter raised in a complaint we looked at during this visit referred to staff taking communal cigarette breaks and leaving residents unattended. The record of the complaint indicated that managers had taken action to stop this happening, and on the day of our visit staff were conscientious in ensuring that people were not being left unattended. We looked at the records for two of the monthly visits carried out by the provider in the home. These visits are to ensure that the provider is satisfied that the standard of care provided is meeting the providers expectations. The records seen indicated that the provider believes the home is being well managed and that peoples needs are being met. The AQAA tells us that staff have appraisals and supervision every six to eight weeks. One member of staff told us is their CSCI survey form that they receive supervision with a team leader every two months. We looked at the record of supervisions for three staff, and talked with two members of staff about the supervision they received. We also noted that arrangements for upcoming staff supervisions were prominently displayed in the staff station areas in the home. We concluded that arrangements for regular staff supervision were in place which was covering the training and support needs of staff and which was providing practice guidance. The AQAA advises us of the services and tests carried out in the past year on equipment and facilities in the home. Care Homes for Older People Page 27 of 31 Evidence: We looked at some of the policies and procedures in place and at the records of regular safety checks carried out in the home. Staff training records indicate that staff are receiving training in various health and safety topics. Mrs Taylor advised us that an updated manual handling training is to be provided for staff. The AQAA tells us that 66 staff are trained in the prevention and control of infection, and that 10 catering and 57 care staff are trained in safe food handling. The AQAA tells us that all catering staff have achieved the Food Hygiene level 2 award. Regular safety checks of the building are being carried out, and these were found to be up to date. Care Homes for Older People Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 25 23.2.(p) The registered person must 01/01/2007 ensure that the heating lighting, water supply and ventilation of the service users accommodation meets relevant environmental health and fire safety requirements and the needs of the individual service user. The registered provider must 30/11/2006 ensure that the staffing numbers are appropriate for the health and welfare of service users. The registered person should 06/06/2007 ensure that a minimum of 5o of staff have a qualification to the equivalent of NVQ II or above 2 27 18 3 28 18 Care Homes for Older People Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 31 of 31 - 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!