Care Home: Holcroft House

What the care home does well The home has a good assessment process, which enables potential new service users and their representatives to have the information they need to make an informed decision about whether to move into the home. The home provides a homely and welcoming environment and residents told us that they were happy at the home. Staff at the home treat residents with dignity and respect and residents have access to a full range of health care support. Visitors to the home are made welcome and there is a flexible visiting routine. Residents are offered choice as much as possible and are encouraged to make their own decisions about how they spend their time. Meals in the home are good and offer a choice at meal times and there is a varied diet. Residents told us that the food was good. Comments from residents included "the meals here are lovely" "the food is always well cooked" and another said "I have never had cause to complain about the food" The home has a dedicated and stable staff team and they receive appropriate training to enable them to provide effective support to residents. There is a robust recruitment procedure, which helps protect residents. The home supports staff to obtain recognised qualifications and staff are committed to their role and work well together as a team. What has improved since the last inspection? Since the last key inspection of the service the following improvements were observed; Recording in care plans has been improved to provide more information on care delivery. Risk assessment provide better information for staff on how any identified risks can be minimised. The programme of replacing all of the windows in the home has been completed. A new large flat screen TV has been purchased for residents and some of the residents rooms have been re-decorated. What the care home could do better: There were no requirements or recommendations made as a result of this visit. Key inspection report Care homes for older people Name: Address: Holcroft House Holcroft Road Thornhill Southampton Hampshire SO19 6HA     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: Mick Gough     Date: 2 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Holcroft House Holcroft Road Thornhill Southampton Hampshire SO19 6HA 02380402689 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): annjewell@southampton.gov.uk Southampton City Council Name of registered manager (if applicable) Mr John Erik Thomas Type of registration: Number of places registered: care home 34 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 34 The registered person may provide the following category 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 category: Dementia (DE) Date of last inspection Brief description of the care home Holcroft House is a residential home providing care and accommodation for up to 34 older people, with capacity for six people in the dementia care category. The home offers a respite care service when accommodation is available. The home is operated by Southampton City Council. The home is a single storey property located in the residential suburb of Thornhill, about three miles east of Southampton city, with its shops and amenities. Care Homes for Older People Page 4 of 28 Over 65 0 34 0 1 1 0 2 0 0 8 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report details the evaluation of the quality of the service provided at Holcroft House and takes into account the accumulated evidence of the activity at the home since the last key inspection, which was carried out on 1 October 2008. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Prior to the site visit we sent out surveys to interested parties to get their views on the home and we received back responses from 12 service users, 10 members of staff who work at the home and from 2 health care professionals. Included in the inspection was an unannounced site visit to the home, which took place on the 29 September 2009. During the visit we were able to speak with the majority of the users of the service, 2 visitors to the home, 6 members of staff, 2 care coCare Homes for Older People Page 5 of 28 ordinators and the homes manager who assisted us throughout the visit. Evidence for this report was obtained from reading and inspecting records including pre admission assessments, plans of care, training records and records of complaints and adult protection issues. We also looked at some of the homes policies and procedures. We were also able to observe the interaction between staff and users of the service. The home is registered to provide support for 34 residents and at the time of the inspection there were 30 people living at the home. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. 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 Care Homes for Older People Page 7 of 28 order line 0870 240 7535. Care Homes for Older People Page 8 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 9 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. All people are assessed prior to moving into the home to determine that their individual needs can be fully met. People or their representatives, are able to visit the home prior to admission to assess the quality, facilities and suitability of the home. Evidence: The home carries out an individual needs assessment prior to service users moving into the home and there is a clear admission process. Pre admission assessments were on file at the home and were looked at for the 3 service users case tracked. Assessments were made using a number of assessment forms and these included an initial assessment. This gave information on medical diagnoses, reason for admission, information on care management assessment, mental capacity questionnaire, mobility, communication issues, physical care needs, medication, dietary requirements, history of falls, financial arrangements, activities of daily living, day routine and night routine. Potential new service users are invited to visit the home and are able to stay for a meal and look around the home. This allows service users and Care Homes for Older People Page 10 of 28 Evidence: their representatives to make sure that the home can meet the assessed needs. Care management assessments were also on file. Intermediate care is not provided at the home. Care Homes for Older People Page 11 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 care needs are set out in an individual plan of care that states how peoples needs should be met. Risk assessments in care plans provide clear information for staff on how identified risks can be minimised. The home has a satisfactory system for storing and administering medication. The health care needs of service users are met and service users at the home are treated with dignity and respect. Evidence: Care plans were inspected for 3 residents and the plans had good information on care needs and contained information about how the resident would like their care to be given. There was information of the persons personal history such as where they were born and also details of their adult life. There was also information on the persons health and abilities, there was information about what the person was able to do for themselves and also detailed when support was required and there was good information on how each resident would like to be supported. Service users spoken to were positive about the care they receive, comments included; I am well looked after everything is very good the staff are lovely and I am quite happy here Care Homes for Older People Page 12 of 28 Evidence: Staff members spoken with said that they know all the residents well and that they all get on well together. One staff member told us we have a laugh and joke with each other and another told us I love working here, the atmosphere is always so warm and friendly The completed AQAA told us that all residents have an individual person centred plan of care, which reflects their strengths, abilities, and support needs. The plan of care includes risk assessments of any particular risk that has been identified. Daily recording takes place at the end of each shift and this provided good information on what support has been given during each shift, there was information on what the person had been doing during the day and also information on the care support that had been given. We saw information that each care plan was reviewed monthly. Service users at the home are registered with a local GP surgery but have a number of different GPs, however they may keep their own GP if they wish. Community nurses visit regularly when required and we were told that all service users have a monthly health check. Comments we received from health care professionals who completed surveys told us; The home will always make contact if they have any concerns and the home ensures that all service users are well cared for and the home is a very lively and happy place The home uses a continence nurse who advises on all residents at the home who need support. Some residents keep their own dentist and optician and the home has access to a community dentist if required. There is a visiting optician service and the local hospital provides an audiology service. A chiropodist calls every 6 weeks and any other relevant health care professionals are arranged through GP referral. The home keeps a record of any appointments or visits by any health care professionals and these were kept in service users care files. In the homes AQAA we were told that service users can continue to be seen by a G.P. of their choice (unless G.P. is out of area) and that health care needs are met by appropriate health care professionals. The home has a policy for the receipt; storage, return and administration of medication and all staff at the home who are authorised to administer medication have undertaken training. The home uses a monitored dose system from a local pharmacy and the medication administration records sheets (MARS) were inspected and found to be up to date. The homes medication storage was looked at and this was suitable for its purpose and medication was kept in locked trolleys that were stored Care Homes for Older People Page 13 of 28 Evidence: securely when not in use. Currently the home does not hold any controlled drugs, however appropriate storage facilities are available should there be a need for any controlled drugs to be held at the home. During our visit staff were seen to behave appropriately with residents and we observed staff interacting well with residents and using their preferred form of address. Staff were seen to knock on residents doors before entering and residents spoken to confirmed that staff treat them with dignity and respect. From observing the interaction between staff and users of the service it was clear that everyone got on well together. Care Homes for Older People Page 14 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. The home provides a range of activities for residents, which meet their expectations and the religious and recreational interests of residents are provided for. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. Evidence: The home provides a range of activities for residents, and most activities are run by the staff on duty. Residents views and requests for activities are sought at monthly residents meetings, they also discuss and are involved in the selection of any outside entertainment and trips into the community. This allows residents to be fully involved in the activities programme that is in place at the home. There was a weekly activities programme displayed in the home and staff told us that these are flexible and can be changed as residents are always asked what they prefer to do each day. Activities are arranged by a member of staff and include bingo, board games, craft work, musical movement and quizzes. On the day of our visit a member of staff was holding a quiz for residents in the lounge and service users spoken with said that they enjoyed taking part. Care Homes for Older People Page 15 of 28 Evidence: The home also has visiting entertainers who call at the home and regular trips out are arranged. We saw a display of photos of residents on a notice board and these were taken at a recent trip to the watercress line railway. Service users we spoke with told us that they really enjoyed the day. Trips and outings are organised by staff and service users are consulted with at the monthly residents meeting. The next planned outing is a shopping trip which will take place next month. We spoke to a number of service users who told us I like to sit and watch whats going on I enjoy spending time in my room another resident told us I like to watch television and it is so much better now we have a big new TV The home has a visiting hairdresser who calls regularly at the home and on the day of the visit a hairdresser from another local home was attending to two residents who she knew well and who had recently moved in to Holcroft House. Residents are consulted about life in the home through residents meetings and they are also consulted through regular one to one chats with staff. Care staff told us that they listen to what the residents want and that their wishes and views are respected. One resident said, If theres something I want I just say and the staff will sort it out for me. Care plans seen had good information on residents choices, there was information on what time residents liked to get up and go to bed, what type of drink they would like when they wake up, where they want to have their meals and preferences on how they like to spend their time. some residents like to remain in their rooms, while others like to sit in the lounge. Service users we spoke with confirmed that they are able to make informed choices and are able to control their own lives as much as possible. We saw that a number of residents had bought some of their own possessions into the home and rooms had been personalised. We observed staff supporting service users, staff explained what they were doing and they allowed services users plenty of time giving positive encouragement. Staff told us its important to let people go at their own pace Comments from service users included; They are all very kind They help me whenever I need it and I can do most things myself but need a bit of help now and then We saw that residents were free to move around the home and aids such as a walking stick or zimmer frame were used to assist people to move independently. All residents spoken with said that the home meets their needs. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway. Residents spoken to said that their visitors were always made welcome. We had the opportunity to speak with 2 visitor to the home who confirmed that visiting times were flexible and they had never Care Homes for Older People Page 16 of 28 Evidence: experienced any restrictions. Visitors told us There is always a clam and happy atmosphere in the home and my mother is very happy here and the staff are so good The home operates a rolling menu and this is changed seasonally. Staff go round to inform residents what the menu is and offer them a choice. Breakfast is fruit juice, choice of cereals and toast. A cooked breakfast is provided for residents if they want it. There is a mid morning snack and the main meal of the day is at lunchtime. A snack is served mid afternoon and a light tea is served at 1730 and this is normally sandwiches, soups or snack meals such as pilchards on toast. The kitchen is open 24 hours a day. The menu on the day of the visit was sausage, egg, bacon and mushrooms, with a choice of egg or salmon salad, this was followed by steamed apple and custard or fresh fruit. The daily menu is on display. Residents spoken with were happy with the choice of food provided by the home, residents told us the food is very good I do not like big portions and the staff make sure that I get the amount I like and the food is always good We observed the lunchtime meal and this was a sociable occasion, mealtimes were unhurried and staff provided suitable support for those residents who required it. There are 3 dining areas in the home and tables were nicely laid up with cloth table napkins. The cook told us that she bakes home made cakes and birthday cakes are provided for residents birthdays. 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. The home has a complaints procedure in place, which includes all required information. The homes policies and procedures help to protect residents from any form of abuse. Evidence: The home has a clear complaints procedure, which contains all of the required information and a copy is issued to all residents and relatives when they move into the home. We spoke to a number of residents and they were aware of the complaints procedure and they told us that if they had any concerns they would go to a member of staff. Those staff members spoken to said that they would support any service user to make a complaint if they wished to do so. The completed AQAA told us that there had been eight complaints received in the home in the past 12 months. The home keeps a record of all complaints and records seen confirmed that complaints had been recorded and responded to appropriately and resolved to the satisfaction of those concerned. We looked at adult protection records and all incidents had been reported by the home to the appropriate authorities and all issues had been satisfactorily resolved. Training records showed that all staff have received training on adult protection and the home has a whistle blowing policy. Those staff we spoke with were all aware of their responsibilities in this area and knew what to do should they suspect any form of Care Homes for Older People Page 18 of 28 Evidence: abuse had taken place. 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. Residents live in a safe, clean and homely environment that is maintained to a satisfactory level and was pleasant and hygienic with no offensive odours. Evidence: We observed that all areas of the home were clean and tidy and furniture was in a good state of repair. The home is laid out in 3 wings, which are all connected and each corridor has contrasting colours. Individual bedrooms had personalised signage on doors and this assisted service users in locating their own room. Each wing had its own small lounge and dining area and residents were free to wander between areas. There was an enclosed rear garden laid to lawn with flower beds and residents had easy access to the garden area. All residents are accommodated in single rooms and we visited a number of rooms and these had been personalised. Service users we spoke with told us that they were happy with their accommodation and comments included; I am very happy here I like to spend my time in my room watching TV and I have everything I want The home has a separate laundry at the home and laundry duties are carried out by a dedicated laundry person and she is assisted by staff as required. The laundry contains 2 industrial washing machines and 2 industrial tumble driers and suitable protective clothing is provided. The home was clean pleasant and hygienic with no Care Homes for Older People Page 20 of 28 Evidence: unpleasant odours. The home is run by Southampton City Council(SCC) and SCC has a maintenance department who carries out routine maintenance. The home has a call system for service users to summon assistance and these were available in all rooms and were easily accessible. 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. The home has sufficient staff on duty to ensure residents receive the support they require. Staff were found to be well motivated and competent to do their jobs and residents are protected by the homes recruitment procedures. The home provides training for staff to enable them to carry out their roles effectively. Evidence: The homes staff rota showed that there is a senior care co ordinator plus 4 care staff members on duty between 0730 to 2200 and 1 senior care co ordinator and 3 care staff members awake between 2200 and 0800. In addition the homes manager is available Monday to Friday between 0900 to 1700 and he is also available outside these hours if required. The home also employs 2 cooks, 3 kitchen assistants, 2 house keepers and an administrative assistant who work flexibly throughout the week. Those residents spoken with said that they felt that staffing levels were sufficient. Staff members who completed surveys told us that at present there were restrictions on recruiting new staff and that a number of agency staff were being used. Staff members felt it would be more beneficial to have more permanent staff and reduce the number of agency staff being used. The manager told us that there was currently a review of SCC services taking place and that to allow for existing SCC staff to be redeployed it was not possible at present to recruit new staff to certain posts. Staffing numbers were discussed with the manager and he stated that he felt that staffing levels were sufficient, however staffing numbers would be kept under review. Care Homes for Older People Page 22 of 28 Evidence: The home employs a total of 7 care co-ordinators and 19 care staff and the manager stated that all of the co-ordinators and care staff hold a minimum of NVQ level 2 or equivalent. Recruitment records were seen for three members of staff and all of the files seen contained all of the required information including application form, 2 references, photo, passport, birth certificate, health declaration, Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and contract of employment. The manager told us that at present the home is using a number of agency staff and that they always try to use regular staff to provide consistency. On the first visit any agency staff are expected to bring along a relevant Criminal Records Bureau check. SCC has a centralised training organisation and there are a number of training courses which are run throughout the year. Staff can view what training courses are available via a web site and they can also book courses on line. There is a comprehensive induction system based on !skills for care! and each section is signed of as it is completed. Staff training records were looked at and the manager showed us a training matrix, which showed that training is provided in; first aid, food hygiene, moving and handling, fire, infection control, adult protection, medication, health and safety, pressure areas, palliative care, dementia care, deprivation of liberty, COSHH, risk assessment, disability discrimination, falls awareness and challenging behaviour. Staff spoken to confirmed that they received a thorough induction and that they are provided with appropriate training in order to carry out their care tasks. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a person fit to be in charge and able to discharge his responsibilities fully. The home has a quality assurance system in place to seek the views of residents, relatives and other professionals to measure the effectiveness of the service. There are effective systems in place for the safekeeping of residents personal spending money and the health, safety and welfare of residents and staff are promoted and protected. Evidence: The current manager of the service has worked at the home for approximately one year. He was registered with the Care Quality Commission in August 2009 and demonstrated his fitness to manage the service during the registration process. Staff who spoke with us told us that he was very approachable and provided good guidance and support for the staff team. The home has an effective quality assurance system in place. Regular regulation 26 visits are conducted and the home holds regular staff meetings every month and Care Homes for Older People Page 24 of 28 Evidence: residents meeting are also held every 4 weeks. Minutes of these meetings provided evidence that any issues that are raised are taken seriously and are actioned by the home whenever possible. The home does not manage any residents money or hold valuables for people living at the home. SCC provide individual banking account facilities for service users and the home can assist people to open an account should they wish to do so These accounts provide a clear audit trail. Every room has a lockable facility in which people can keep any money or valuables. There is an in date fire risk assessment for the building and regular health and safety monitoring takes place. The fire logbook showed that all appropriate testing and checks have been carried out. Appropriate certificates were in date for gas safety, fire alarms systems and equipment, private electrical equipment, passenger lift and fixed hoists. 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 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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