Care Home: Hazel Bank Nursing Home

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What the care home does well The home is well managed and run in the best interests of the people who live there. The people who live at Hazel Bank said they are happy and the home has a welcoming atmosphere. We were told that the staff do what people want in the way people prefer. One healthcare professional said the home provides `Excellent care directed and led by a very experienced manager` and someone who lives there said they are `...happy with Hazel Bank.` Everyone we spoke to said they are satisfied with the care and support they receive. Before moving into Hazel Bank, people`s needs are thoroughly assessed to make sure that the home is able to meet their needs. The care plans are reviewed regularly by the staff, to make sure they are up to date. People said they like the meals. The cook is knowledgeable about people`s particular likes and dislikes and makes every effort to give people the foods they will enjoy. The home employs an activities co-ordinator who leads the activities, with support from the care staff, and people take part or not as they wish. The co-ordinator and the care staff also spend time with people on `one to one` activities. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Visitors said they are always welcomed. There is good and friendly interaction between the people who live at the home and the staff. There seemed to be enough staff on duty to make sure they have time to spend with people in conversation as well as supporting people to take part in individual and group activities. The home`s recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home All the staff said they enjoy working at the home and felt they were well supported by their manager. They all said the training is good and helps them to do their job well. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and fairly well maintained and everyone we spoke to said the home is always kept fresh and clean. What has improved since the last inspection? Since the last inspection the care plans have been improved, making them more straightforward and easy to use. They contain up to date information about the individual, including risk assessments where needed, clearly showing how staff are to provide the person`s care and support. The care plans are now being reviewed regularly, to make sure they are up to date and reflect the person`s current care and support needs. The home has started to ask people and their families to complete a life history, which will help staff get to know people better and plan activities they will enjoy. The complaints procedure clearly shows how the complaint has been managed and where improvements have been made as a result of the investigations. Some re-decoration has taken place in the home and a new ramp has been built, leading down into the lower garden at the front of the house. The staff training programme shows that all the staff have taken the mandatory health and safety training, as well as other courses to keep their skills and knowledge up to date. There are sufficient staff on duty to meet the needs of the people who live at the home, at all times of the day and night. What the care home could do better: The care plans need to show that, where possible, the individuals and their families are involved in developing and reviewing their plans. The medicines administration procedures need some improvement, to make sure they are always accurate. More re-decoration work needs to take place, especially upstairs, to make the house an even more attractive place for people to live. The short ramp leading from the dining room to the patio needs to be replaced, as the present ramp is a safety hazard. The staff need to make sure that all the soap and paper towel dispensers are kept full, to make sure people can follow good hygiene practice and to support the home`s infection control measures. As a significant number of the people who live at Hazel Bank have a diagnosis of dementia, it may be beneficial for staff to complete dementia care training. Approximately 40 per cent of the care staff have achieved a National Vocational Qualification (NVQ) at level 2 or 3. This needs to improve in order to meet the standards expected. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hazel Bank Nursing Home Daisy Hill Lane Daisy Hill Bradford West Yorkshire BD9 6BN     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: Liz Cuddington     Date: 0 5 0 6 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. 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. 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 29 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Hazel Bank Nursing Home Daisy Hill Lane Daisy Hill Bradford West Yorkshire BD9 6BN 01274547331 01274484997 HazelBank@parkhomesuk.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Park Homes (UK) Ltd care home 39 Number of places (if applicable): Under 65 Over 65 0 39 0 dementia old age, not falling within any other category physical disability Additional conditions: 5 0 1 The Maximum number of service users who can be accommodated is: 39 The registered person may provide the following category of service only, Care home with nursing - Code N, to service users of the following gender: either, whose primary care needs on admission are within the floowing categories: Old Age, not falling within any other category (OP), Maximum number: 39, : Physical Disability(PD), Maximum number: 1, : Dementia (DE), Maximum number: 5. Date of last inspection Brief description of the care home Hazel Bank Nursing Home is owned by the Park Care Homes UK group. It is situated about half a mile from Bradford Royal Infirmary and is a short walk from a busy road and local bus routes. It is a detached Victorian building that has been extended in keeping with the original features of the house. There is suitable wheelchair access at the rear of the building as well as ramped access to the front entrance. Adequate Care Homes for Older People Page 4 of 29 Brief description of the care home parking space is available. Accommodation is provided in single and twin rooms, the majority of which have en suite facilities. A shaft lift provides access to the three floors. There are two communal lounges and a dining room on the ground floor that offer people lovely views of the front garden and the surrounding areas. There is a large patio outside the dining room where people can sit outside if the weather permits. Care Homes for Older People Page 5 of 29 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 two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The weekly fees the home charges are between three hundred and fifty nine pounds and twenty four pence for residential care and six hundred and sixteen pounds and Care Homes for Older People Page 6 of 29 ninety eight pence for people who are there for continuing care nursing. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Hazel Bank. The visit to the home was carried out over one day by one inspector. The last key inspection was in June 2008. The methods used to gather information included conversations with the people living at the home, their relatives, the staff and visiting healthcare professionals as well as looking at care plans and examining other records. We received the homes self-assessment questionnaire before the inspection visit. We also received surveys from people who live at the home, staff and healthcare professionals. These all gave us a lot of useful information about the home and helped us plan the visit. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 8 of 29 Since the last inspection the care plans have been improved, making them more straightforward and easy to use. They contain up to date information about the individual, including risk assessments where needed, clearly showing how staff are to provide the persons care and support. The care plans are now being reviewed regularly, to make sure they are up to date and reflect the persons current care and support needs. The home has started to ask people and their families to complete a life history, which will help staff get to know people better and plan activities they will enjoy. The complaints procedure clearly shows how the complaint has been managed and where improvements have been made as a result of the investigations. Some re-decoration has taken place in the home and a new ramp has been built, leading down into the lower garden at the front of the house. The staff training programme shows that all the staff have taken the mandatory health and safety training, as well as other courses to keep their skills and knowledge up to date. There are sufficient staff on duty to meet the needs of the people who live at the home, at all times of the day and night. What they could do better: The care plans need to show that, where possible, the individuals and their families are involved in developing and reviewing their plans. The medicines administration procedures need some improvement, to make sure they are always accurate. More re-decoration work needs to take place, especially upstairs, to make the house an even more attractive place for people to live. The short ramp leading from the dining room to the patio needs to be replaced, as the present ramp is a safety hazard. The staff need to make sure that all the soap and paper towel dispensers are kept full, to make sure people can follow good hygiene practice and to support the homes infection control measures. As a significant number of the people who live at Hazel Bank have a diagnosis of dementia, it may be beneficial for staff to complete dementia care training. Approximately 40 per cent of the care staff have achieved a National Vocational Qualification (NVQ) at level 2 or 3. This needs to improve in order to meet the standards expected. Care Homes for Older People Page 9 of 29 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.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 10 of 29 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 11 of 29 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 assessed before they are admitted to the home, to make sure their needs can be met. Evidence: People said that they were given enough information about the home before deciding to move in, and they had also received a contract. Where possible the home encourages people and their families to visit the home and talk to the people who already live at the home, their relatives and the staff. The home invites them to come and spend time at the home, share a meal and maybe take part in the days activities. People are also offered a two night stay, free of charge, if this would help them. This means that the home can get to know the persons needs and the individual has the information he or she needs to make a decision. Care Homes for Older People Page 12 of 29 Evidence: Before moving into Hazel Bank, peoples needs are assessed to make sure that the home is able to meet their needs. This assessment, as well as Social Services needs assessments when available, forms the basis for the individual plan of care and support. Care Homes for Older People Page 13 of 29 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 personal and healthcare needs are met. People are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. Evidence: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each persons needs and preferences. The staff make sure they provide the help people need in the way they prefer. One healthcare professional said that the home Looks after and cares for older people very well. Three care and support plans were looked at, to make sure that peoples health and personal care needs are being met in the way the person prefers. The plans cover each Care Homes for Older People Page 14 of 29 Evidence: area of the individuals care needs. They all contain enough information to guide staff in how to care for and support each person. The plans include risk assessments and management plans where someone is at risk of falling, developing a pressure sore, becoming malnourished or any other area the staff feel may put the individual at any risk. Health care visits and treatments are recorded in detail and everyone who commented said they always receive the healthcare they need. The plans have been improved since our last inspection visit and contain a lot of detailed information. This makes sure all the staff have records to refer to that are up to date and give them all the information they need in order to support each person. The plans include a social care assessment and the home have begun asking people and their relatives to complete a life history booklet. If the person, or their relatives, are willing to disclose information about themselves a life history can give staff a basis for understanding the individual better and help them to provide more person centred care. The care plans are reviewed regularly but they need to show that, where possible, the individuals and their families are involved in developing and reviewing their plans. One person said they are satisfied with the care their relative receives and everyone who commented said they are looked after well. The medicines are kept safe and secure in locked cabinets and the medicine trolleys were locked when unattended. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some remain in the original packaging. The Medicines Administration Record (MAR) charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be recorded accurately. We checked some of the medicines that were supplied in their original packaging, to make sure the numbers that had been signed as administered tallied with the amounts received and the quantities remaining. One medication we checked was not accurate, but the records showed that the others we looked at had been administered and recorded accurately. The homes management said they would find out why one was not correct. Care Homes for Older People Page 15 of 29 Evidence: The controlled drugs register and stock was checked and they were all accurate. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. Everyone said the staff listen and act on what they say. Care Homes for Older People Page 16 of 29 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. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. Evidence: The home employs an activities co-ordinator who plans and leads the activities, with support from the care staff, and people take part or not as they wish. When we visited some people were enjoying cake making in the afternoon and there had been a beauty treatment session in the morning. The co-ordinator and the care staff also spend time with people on one to one activities, as well as doing things people can enjoy together. These include a variety of crafts, armchair exercises, outings to places of interest, watching films and singing. Some people enjoy gardening and had been planting up the hanging baskets and tubs, as well as planting vegetables. Care Homes for Older People Page 17 of 29 Evidence: Special days through the year are celebrated and relatives are invited to join in. When we visited there was a notice on the front door inviting everyone to a cream tea afternoon later in June. There is a weekly activities plan and notes are made recording what people have taken part in and enjoyed. The co-ordinator also keeps a diary of the activities that people have taken part in each day. The menus are set by the company, but the chef alters them to include the wishes of the people who live at the home and to meet any special dietary needs. There are always alternatives available if people do not want the choices on the menu. As well as a cooked meal at lunchtime, there is a choice of hot and cold dishes at teatime. People said that they enjoy the meals and the food is always hot when it is served. One person said that the kitchen staff will provide their meals at times to suit them, rather than in the order they are planned on the menu. People are offered hot and cold drinks and snacks throughout the day. The people who live at Hazel Bank said they can do what they want, when they want. This confirmed our observations that the staff support people to live their life in the way they choose. Care Homes for Older People Page 18 of 29 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 are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. Evidence: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. The responses to complaints dealt with all the issues raised and answered the persons concerns thoroughly. Where they are needed, improvements are made as a result of complaints investigations. Staff said they know what to do if anyone has concerns. The people who live at the home said they know what to do if they have a concern or complaint. One relative said that when they made a complaint it was dealt with to their satisfaction. Newly employed staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. All the new staff take adult protection training as part of their induction training. The records showed that all but one of the staff have had adult protection training in Care Homes for Older People Page 19 of 29 Evidence: the last two years. Staff take this training to make sure they all understand fully how to protect the people who live at the home. All the appropriate policies and procedures are in place to guide staff. Since the last inspection four adult protection referrals have been made to Bradford Social Services. These have all been resolved satisfactorily. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and generally well-maintained environment. Evidence: The home is clean and generally well maintained and everyone we spoke to said the home is always kept fresh and clean. Some of the paintwork, particularly upstairs, was scuffed and in need of freshening up. A programme of re-decoration has been started and this will make the whole home a more attractive place for people to live. The rooms are comfortably furnished and have a welcoming feel. There are sufficient, accessible toilets and bathrooms on all floors of the house. Downstairs there are two lounges and a dining room, which has french windows leading onto a patio overlooking the garden. There is a wooden ramp from these doors, but it was in a very poor state of repair, with broken edges and almost all of the non-slip surface had come off. This needs to be repaired urgently, to make sure it is safe for people to use. We were told that this is being dealt with. Staff are employed to help look after the maintenance of the house and grounds as Care Homes for Older People Page 21 of 29 Evidence: well as keeping the gardens tidy. A new, long ramp has been built to improve access to the lower garden. Protective gloves, aprons and disinfecting hand rub are available for staff to use when necessary, to support the homes infection control measures. However, some of the soap and paper towel dispensers were empty which does not help promote good hygiene and infection control. Care Homes for Older People Page 22 of 29 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. Sufficient staff are employed to meet peoples needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to be able to meet peoples needs. Evidence: The staff rotas, and peoples comments, confirmed our observations that there are enough staff on duty to meet peoples care, social and leisure needs. In addition to the manager, there is usually one nurse and four or five care staff on duty during the day and evening and three waking night staff, including a nurse. This number seems to be sufficient to provide care and support for the people who currently live at Hazel Bank. The staff confirmed that staffing levels are adjusted to meet peoples needs. People who live at the home said there are enough staff around and our observations confirmed this. The homes recruitment procedures are thorough, making sure that staff are safe to work with the people who live at the home. All new staff complete an application form Care Homes for Older People Page 23 of 29 Evidence: and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. There is plenty of training available for staff. All the staff said the training is good and keeps them up to date. The home keeps good records of staff training, which also shows when updates are needed. Staff have attended training courses on infection control, fire safety and other health and safety training. Some staff have also taken person centred planning training as well as other courses including one on palliative care. Courses are arranged for the nurses, to keep their clinical skills and knowledge up to date. Some of the nursing and care staff staff are booked to attend end of life care and deprivation of liberty training courses this summer. Other specialist training is also provided in subjects such as epilepsy and dietetics. The homes management are also looking at how staff can access the e-learning courses that are available. As a significant number of the people who live at Hazel Bank have a diagnosis of dementia, it may aldso be beneficial for staff to complete dementia care training. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking a National Vocational Qualification (NVQ) course. Eight of the nineteen care staff have achieved an NVQ in care at level 2 or 3. Five are about to start the level 3 award and three other staff are about to start the level 2 course. More care staff need to complete an NVQ in care in order to meet the expected minimum standard of 50 of care staff with a qualification. Housekeeping and kitchen staff have also taken relevant NVQ awards and the administrator is about to start the NVQ level 3 award in business administration. One of the laundry assistants said she had taken the training courses she needs in order to do her job safely. Care Homes for Older People Page 24 of 29 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 safe and well managed, in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home, in the best interests of the people who live there. The manager attends training to keep up her professional development. The records and the staff confirmed that all staff have one to one supervision meetings with their line manager. Supervision meetings support staff to plan their personal and professional development and give them the opportunity to discuss any areas of concern in a confidential setting. The staff said that they are well supported and they work well together as a team. Regular staff meetings are held and staff are encouraged to make their views known and contribute to the running of the home. Care Homes for Older People Page 25 of 29 Evidence: Peoples personal information is stored securely when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions and all monies are securely stored. Regular audits are carried out by the homes management, to make sure everything is in order. The homes policies and procedures are kept up to date, to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The laundry is well run and peoples personal clothing, as well as their bedding and towels, are properly cared for. Following their most recent inspection, the Environmental Health Officer has awarded the homes kitchen a score of four stars out of a maximum of five, for hygiene and good kitchen practice. The requirements of their report are being dealt with. The home has a range of quality assurance systems in place, to help determine the quality of service the home offers. These include surveys for the people who live at the home and their relatives, meetings for people who live at Hazel Bank, staff meetings and regular audit checks. Care Homes for Older People Page 26 of 29 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 27 of 29 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 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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