Care Home: Hollins View Community Support Centre

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What the care home does well The information that tells people how the service works (the statement of purpose and service users guide) is clear and gives people the information they would need to help them decide whether Hollins View was the right place for them. People had received checks of their individual needs before they came to stay at Hollins View. This meant that they and the staff had the information they needed to decide if the person`s needs could be met at the service. The home has an established staff team who were keen for high standards to be maintained. People`s plans of care and individual case notes were well written and reflected each person`s needs. This helps to make sure that each person receives the care and support they need in the way they prefer. Hollins View provides a variety of activities for the people who stay there. These activities help to keep people busy and given them a chance to join in on social occasions. An excellent standard of hygiene was seen throughout the home and the standard of decor and furnishings throughout the home was very good. People`s bedrooms had been decorated to a good standard and thought has also been given to make sure that there is enough light and heating throughout the home. People who were staying at Hollins View said, "It is very clean here", "The room is always clean" and "The food is good and a very clean home". People who were staying at Hollins View commented, "I find everything adequate", "The staff were most helpful", "We are well cared for and the staff are pleased to help", "Very pleased with Hollins View" and "Very happy with the care received". Other comments included "I am pleased with everything there is nothing I can fault" and "They make the clients and visitors very welcome". Staff commented, "We work well as a team. They provide relevant training and provide a high quality and varied menu", "Provide an excellent short stay service and excellent care", "Provide a good service to clients. It is clean and well run", "The food is very good", "Provide a very good respite service. We get excellent training" and "I enjoy the challenges as well as the routine tasks. My superior is always supportive". What has improved since the last inspection? The home has maintained its hygiene and environmental standards. The staff team continue to strive for high standards to be maintained. What the care home could do better: No requirements were made during this visit. A number of recommendations were made and these included adding review dates to the information booklet (service users guide) and updating this and the statement of purpose so that people have up to date information available to them and know when it was last reviewed. Also to offer staff annual appraisals so that the staff can discuss with their manager their current work and future training needs. A planned programme of activities should be considered so that the people staying at Hollins View are able to see what activities are happening within the home each day. Staff and people staying at the service commented that providing more activities would be good and also providing more staff and busy times would also be a benefit to the service provided. Key inspection report Care homes for older people Name: Address: Hollins View Community Support Centre Hollins View Clarke Terrace Macclesfield Cheshire SK11 7QD     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: Maureen Brown     Date: 3 0 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Hollins View Community Support Centre Hollins View Clarke Terrace Macclesfield Cheshire SK11 7QD 01625534842 01625503698 tina.patterson@cheshire.gov.uk http/www.cheshire.gov.uk Cheshire East Council Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The home is registered for a maximum of 40 service users to include: * Up to 40 service users in the category of OP (old age not falling within any other category) * Up to 5 service users in the category of PD (physical disability) aged between 55 and 64 years. * 1 service user in the category of of DE(E) (dementia over 65 years of age). Date of last inspection Brief description of the care home Hollins View Community Support Centre is owned and managed by Cheshire East Council. The home is close to the centre of Macclesfield and offers short term and respite services for up to forty people along with twenty day care places on weekdays and five day care places at weekends. Care Homes for Older People Page 4 of 26 Over 65 1 40 0 0 0 5 Brief description of the care home The premises provide accommodation on two floors. Part of the ground floor has been adapted to provide office accommodation for the home and for the community based services that operate from the building. The bedrooms are all single rooms with washbasin facilities, four of which have en suite facilities. The fees for Hollins View are 383.00 pounds per week, further information about fees and charges and copies of the most recent inspection report can be obtained by contacting the centres administrative staff or the registered manager on 01625 374280. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We carried out an unannounced visit to the service on 30 March 2010 and the visit lasted seven and a half hours. It was done by one inspector. The report will say we when referring to what was done and found at the visit, as it is written on behalf of the Care Quality Commission. This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to the people who live in the home and the staff team to find out their views about Hollins View. Other information about the home was also reviewed. During our visit we looked at various records and the premises. We looked at the care records of four people who were staying at the home, to see how their needs were being met. We also looked at four staff files to ensure that thorough recruitment Care Homes for Older People Page 6 of 26 processes had taken place and that people who stay at Hollins View were safeguarded from harm and supported safely. We spoke with some of the people who were staying at Hollins View and the manager and other staff who were on duty at the time of this visit. They all gave their views about the service. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: No requirements were made during this visit. A number of recommendations were made and these included adding review dates to the information booklet (service users guide) and updating this and the statement of purpose so that people have up to date information available to them and know when it was last reviewed. Also to offer staff annual appraisals so that the staff can discuss with their manager their current work and future training needs. A planned programme of activities should be considered so Care Homes for Older People Page 8 of 26 that the people staying at Hollins View are able to see what activities are happening within the home each day. Staff and people staying at the service commented that providing more activities would be good and also providing more staff and busy times would also be a benefit to the service provided. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 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 receive good information about Hollins View for them to make an informed decision about staying there and their needs are checked so they know that these can be met at Hollins View. Evidence: We saw copies of the information that tells people how the home works, statement of purpose and the information book. A copy of the information book was kept in each persons bedroom. The information book is produced in standard print and plain English. There is enough information about the home contained in this for people to decide if they want to stay at Hollins View. The information included a welcome statement, details of location, whos who of staff with a brief description of their role, philosophy of care, care planning, details of bedrooms, emergency call system, washing bathing and laundry facilities, medication, valuables, meals, going out and visitors, phone calls and mail, entertainment, hairdressing, podiatry, smoking, health and safety, comments and complaints with contact details and gifts and legacies. Care Homes for Older People Page 11 of 26 Evidence: Recommendations were made regarding updating the information about the staff and commissions and adding a review date so that people knew the information they has was up to date. The statement of purpose is a leaflet that was amended in February 2010. It contained information about the home including details of the local authority officer who has particular responsibility for the home, the manager and staff team and other useful information about the service. However there had been recent changes that had not yet been put into the statement of purpose. A recommendation was made for this to be updated and then shared with people using the service. The manager confirmed that she uses the information provided by the social worker to check the needs of the people who come to stay at Hollins View for short term care. She transfers this information to the enablement plan and risk assessments and discusses it with the individual person. Once completed this forms the basis of the care plan. Intermediate care is provided at Hollins View. They also provide a day care service and short term and respite care service. From April they are also going to provide enablement services, in which people will come to the centre for six weeks and be supported into getting well enough to return home. This could include building up their personal care skills, cooking skills, mobility or confidence in general. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal care and social needs of the people at Hollins View are met by the staff team in a way that enables them to maintain their privacy and dignity. Evidence: We looked at the care plans of four people who were staying at Hollins View, to check the care they receive. On the whole these were well written and the language used was often person-centred. It was noted that acknowledgment to privacy and dignity was included in some of the care plans. Each file contained details that had been obtained when the person came to stay, relevant personal details, care plans and reviews. There were also details about visits from health care professionals to check on peoples health care needs, risk assessment and daily records. The daily records were completed for each person and contained information about their well-being and activities they had undertaken during the day. All the files had reviews of care plans to make sure that these were up to date and still effective. Some of the people staying at the home were not able to confirm that they had been involved in planning or reviewing their own care; however, they were able to Care Homes for Older People Page 13 of 26 Evidence: confirm that staff helped them when they needed it such as with personal care tasks. Risk assessments were included in the care plans. These were up to date and had been carried out for moving and handling, falls and to assess whether people could look after their own medicines safely. The medication for people staying at Hollins View is stored in a locked cupboard within each persons bedroom. The medication is either in a monitored dosage system or in bottles. All medication is recorded when people arrive to stay at the home. Medication administration record sheets were completed when medication was given to people by staff to confirm they have received their medicines as prescribed by their doctors. Staff had completed medication awareness training to help make sure that those who give out medication know how to do it safely so that errors do not happen. Visits from health care professionals were recorded and it was seen that GPs and nurses had visited. Most other services were not needed as this is a short term care centre. However, if a dentist or optician was required the manager has details of local people. Any appointments would be recorded and the outcomes noted on the file. Care Homes for Older People Page 14 of 26 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. There is a range of social activities for people who are staying at Hollins View so they have some daily variation and interest in their activities. The meals are good and people who stay at Hollins View have good quality food and variety. Evidence: Hollins View provides a range of activities for people who stay there. These included activities such as bingo, dominoes, playing cards, jigsaws, hand and nail therapy, reading, physical exercises, word searches, drawing and colouring, card making and crosswords. The events diary shows photographs of people taking part in various activities such as flower arranging, quizzes, bingo, knitting and crafts. Also musicians visit the centre to entertain the people there. A church service is held every two weeks. Celebrations of Christmas, Easter, Halloween, Valentines day and St Patricks day are also enjoyed. There is no structured plan of activities each week and it was recommended that a more formal plan of activities is considered as people at the centre didnt know what activities were happening in advance. Some people who stay at Hollins View said that more activities would be good. The people staying at Hollins View are taken out usually by their family or friends. The centre does not have the capacity or funds to undertake activities outside the home. Care Homes for Older People Page 15 of 26 Evidence: People who were staying at Hollins View commented that, I like to be with other people and join in anything that is happening and I dont know what activities we are doing each day. There is a five week menu plan that is based around traditional meals. There was a good variety of meats, cheese, eggs and fish and fresh vegetables and fruit being used throughout the menu. There is a choice of meals at both lunch and tea. During discussions with the cook she confirmed that the kitchen was good to work in and that food suppliers were good. The kitchen was clean and tidy and the cook confirmed that they do the majority of the cleaning with the kitchen assistants. Temperatures of the fridges and freezers are noted throughout the day to ensure that food is kept at the correct temperature. People who stay at Hollins View commented, The meals are excellent, the food is very good and The meals are lovely. Care Homes for Older People Page 16 of 26 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. Hollins view procedures for complaints and safeguarding are effective so that the concerns of people who stay at Hollins View are listened to and they are protected from abuse or harm. Evidence: We looked at staff files during our visit and these showed that staff had completed training about safeguarding adults. The manager confirmed this and showed that she was aware of the policy, procedure and guidance on safeguarding. There were also policies available in the home including the No Secrets Cheshire East document, confidential reporting procedure (whistle blowing), guidance for staff on violence in the work place and accusations of unacceptable behaviour between service users. The manager had a file for recording safeguarding referrals and has not reported any over the last year before our visit. The complaints procedure for Hollins View was satisfactory and contained details of how to contact us. We had not received any complaints about Hollins View in the twelve months before this inspection. The home has a complaints file and we looked at this. Two complaints had been received at Hollins View over the last year before our visit and these were both resolved within twenty-eight days. People who were staying at Hollins View confirmed they would contact the staff or manager if they had any concerns or problems. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Hollins View is well maintained and furnished to an excellent standard so the people who stay there do so in safe, comfortable surroundings. Evidence: During our visit we toured the building and we saw all the shared (communal) areas as well as a number of bedrooms. The decor is of a high standard in the bedrooms and this was reflected throughout the home. People usually only stay for a short time so they bring what they need for a short stay with them. The communal areas were well decorated and furnished. A rolling programme of redecoration and renewal is ongoing to continue to improve the environment for the people stay at Hollins View. The home was found to be very clean and free from unpleasant odours. Overall the home is well maintained and of a good standard. Both from discussions and questionnaires people who stay at Hollins View told us, Cleanliness is first class, The home is very clean and The home is always clean. Care Homes for Older People Page 18 of 26 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 staying at Hollins View are supported by trained, effective staff who have gone through a recruitment process, so that peoples needs are met and they are safe from possible harm or poor practice. Evidence: The staff rotas showed the number of staff on duty over the week. When the centre is full there is usually four care staff and a senior on duty throughout the day. They are supported by the manager, cook, kitchen assistant and general assistants. When occupancy is low the care staff are reduced to three. A support evaluation tool is used alongside the risk assessments for people who are staying at the home to determine how many staff are needed on duty. We checked four staff files and they all had most of the pre-employment checks in place including application forms and a reference. Criminal Record Bureau information is held centrally at head office. During discussions with the manager it was suggested that she should have access to this information. The manager said that it was not held on the staff files at the home. Also that a note be included on files where only one reference was available, as when some of the staff were employed, many years ago, this was the correct procedure at that time. Staff had access to a wide range of training which included an induction course, Care Homes for Older People Page 19 of 26 Evidence: manual handling, basic health and safety, fire safety awareness, emergency aid, safeguarding, infection control, medication, food hygiene. Some people had completed other training that included risk assessments, HIV and sexual health, nutrition, valuing and diversity, data protection, dementia workshop, mental health awareness, falls awareness, sensory impairment, proactive approach to conflict. Very few certificates were seen on staff files and it was suggested copies of certificates are kept on file to show that courses that staff had undertaken. Good progress has been made with the national vocational qualification (NVQ) training. Out of twenty-four care staff, twenty have NVQ in care at level 2 or above. One staff member is currently undertaking NVQ level 3 and four staff are currently undertaking NVQ level 2. Twelve staff have the NVQ level 3 award. This means a good percentage of staff have a nationally recognised qualification in care to help them provide good quality support for the people who stay at Hollins View. Care Homes for Older People Page 20 of 26 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. Hollins View has policies and procedures in place to ensure the health and safety of the people staying there are promoted and protected and that the service is run in the best interests of the people who stay there. Evidence: The manager is new in her role, having been promoted in January 2010. She has worked as care co-ordintor at the service for seven years prior to her promotion. She has applied for registration with the commission and this is currently being processed. She has obtained NVQ level 2 and the Registered Managers Award. She also has the NVQ Assessors award and the L11 trainers certificate. During discussions with the manager she confirmed that she got good support from her line manager. She knows the people who stay at Hollins View and the staff team well. The previous manager completed the information about the home we ask for each year, the annual quality assurance assessment, that gave us information about the home and what had been happening there during the twelve months before our visit. Care Homes for Older People Page 21 of 26 Evidence: There is a quality assurance process for the service which includes various staff meetings, service user questionnaires, feedback forms after discharge, regular visits from the provider and compliments file. The staff meetings were held on a regular basis. They were split into senior team meeting where the last one before our visit was held on 11 March 2010; staff team meeting held on 4 February 2010; resource managers meeting held on 21 January 2010; and a full staff meeting held on 2 March 2010. Minutes of all meetings were kept and these were well attended by the staff team. Service user questionnaires are completed on a regular basis and the analysis was seen of the ones completed between April 2008 - March 2009. All people who responded to the survey said that the staff work at a speed the suits them, the staff are polite and helpful, they were made to feel welcome and the meals were generally to their satisfaction. Also surveys received between September and October 2009 were seen and comments included, Caring staff, very good and satisfied, An essential service, well delivered, Thank you for the care I receive and the comfort staff gave me, I was looked after very well and the staff are so nice and helpful, Staff made me very welcome, I received excellent treatment whilst at Hollins View and I have enjoyed my stay and it has given me confidence to return home. Satisfaction forms are completed after peoples visits to stay at the home have ended. This information is collected by a phone call by one of the team. Any queries would be discussed with the manager. Comments included It was comfortable and lovely staff, Good staff but of course I prefer being at home, They made me feel very welcome, Everyone was wonderful, Been absolutely wonderful, cannot praise them enough. A representative from Cheshire East Council visits the home each month to check on how it is running. The most recent visit before our visit was in March 2010, and the report of the visit covers speaking to service users and staff, looking around the premises and looking at a range of records. Improvement plans were written after the visit and progress and outcomes of these recorded. The compliments file was available at the home and included a range of letters and cards of appreciation from service users and their families. Day to day supervision of staff was good and regular formal supervision is undertaken with records kept. This ensures staff have a chance to discuss their work with their Care Homes for Older People Page 22 of 26 Evidence: manager, so they can provide good quality care of the people who stay at Hollins View. Annual appraisals had not been undertaken for a number of years, but they were due to be restarted. A recommendation was made regarding this. Safe working practices were in place in the home. There were up to date safety checks on the homes electrical wiring and gas installation, however the certificates were not held at the service. It was suggested that a copy be kept at Hollins View so that the manager could demonstrate that the home is safe for the people staying there. All checks with regard to fire safety were up to date and checks were also completed on the emergency lights, hot water system and call system. Policies regarding safe working practices included moving and handling, health and safety, infection control, first aid, fire awareness, drug, alcohol and substance misuse, COSHH and an emergency plan for fire evacuation. The service has a wide range of policies available. The smoking policy states that the centre and grounds are no smoking areas and therefore it is forbidden to smoke in these areas. The gifts and legacies policy states that no gifts or legacies to be accepted by the staff. Some personal money of people staying at Hollins View is held at the centre on their behalf. This is kept securely and records are kept of money spent. Three accounts were checked and found to be correct. The money is accessible during normal working hours or by prior arrangements during evenings and weekends. Care Homes for Older People Page 23 of 26 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 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The statement of purpose should be updated and shared with the people using the service so they know the information they have is accurate and up to date. The information book (service users guide) should be updated and a review date identified so that people know they have correct up to date information available to them. A planned programme of activities should be created so that the people who stay at Hollins View are able to see what activities are planned each day. Annual appraisals should be undertaken with the staff team so that they have the opportunity to discuss their work and future training need with their line manager. 2 1 3 12 4 36 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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