Care Home: Iddenshall Hall

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What the care home does well The welcome pack, which includes the information that tells people how the service works (the service users guide), is very clear and well detailed to give people the information they would need to help them decide whether Iddenshall Hall is the right home for them. People had received thorough checks of their individual needs before they moved into the home. This meant that they and the staff of the home have the information they need to decide if the person`s needs can be met at the home. The home has an established staff team who were keen for high standards to be maintained. Residents` plans of care and individual case notes were well written and reflected each persons` needs. This helps to make sure that each person living at Iddenshall Hall receives the care and support they need in the way they prefer. Meals were varied and reflected peoples individual preferences. They offered choice and variety. The meals are all home cooked and fresh vegetables and fruit are widely used. The people who live at Iddenshall Hall told us, "The food is very good" and "The meals are superb". There are three activities co-ordinators employed at Iddenshall Hall, providing activities on every day of the week. They provide a wide range of activities and entertainments and people who live in the home confirmed there is always something happening in the home that they can join in with. On the day of our visit there were games of dominoes and a quiz during the afternoon. These activities help to keep people busy and give them the chance to join in social occasions. An good standard of hygiene was seen throughout the home and the standard of decor and furnishings throughout the home was excellent. There is a maintenance team that carries out a programme of refurbishment and redecoration. People`s bedrooms are individualised and thought has been given to making sure there is enough light and fresh air to ensure their comfort. People who live at Iddenshall Hall commented, "I am very happy here", "The staff are lovely" and "My needs are always met appropriately". Staff told us, "I love my job", "The staff team is very supportive", ""We maintain the needs of the service users" and "The training is good". What has improved since the last inspection? Iddenshall Hall continues to maintain a high standard of care and support for the people who live there. The staff team is dedicated to providing good care and support and they are well trained and supported by the management team. Work continues to upgrade and renew areas of the home as necessary and there is a maintenance team who ensure that the standards of refurbishment and decor are kept up to date and of an excellent standard. What the care home could do better: We consider that Iddenshall Hall provides excellent quality outcomes for the people who live there so rather than state what they could improve, we would expect them to continue to review the practice in the home to make sure that the very high standard of care provided to the residents at the time of our visit is maintained and improved upon where possible. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Iddenshall Hall Iddenshall Hall Clotton Tarporley Cheshire CW6 0EG     The quality rating for this care home is:   three star excellent 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: Maureen Brown     Date: 1 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 28 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 28 Information about the care home Name of care home: Address: Iddenshall Hall Iddenshall Hall Clotton Tarporley Cheshire CW6 0EG 01829732454 01829730684 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) : Barchester Healthcare Homes Ltd care home 44 Number of places (if applicable): Under 65 Over 65 44 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 44 Date of last inspection Brief description of the care home Iddenshall Hall has been operating as a care home since 1987. It is an adapted property with purpose-built extensions on ground-floor level. A passenger lift provides access between floors. Care and support is provided to 42 older people. The home is in a rural location in the village of Clotton, near Tarporley. The grounds and gardens are accessible to residents. There is also an internal courtyard area (with seating), which residents can access from the corridor. Accommodation comprises of thirty-six single and three double bedrooms. Twenty-four of the single rooms have en-suite toilet/wash-basin facilities, and two of the double rooms have en-suite toilet/bathroom facilities. Much of the bedroom accommodation is on ground-floor level and many of Care Homes for Older People Page 4 of 28 Brief description of the care home the bedrooms have patio doors, which overlook, and provide access to, the gardens and grounds. Communal facilities comprise two lounges (one with a separate conservatory extension) and two adjoining dining rooms. The home also has its own chapel, which is used both for religious services and as a place for quiet contemplation by residents. The fees at Iddenshall Hall range from 575.00 pounds to 735.00 pounds per week. Items not covered by the fee include telephone calls, hairdressing, chiropody, personal expenses, newspapers, magazines and the trolley shop. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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 three stars. This means that the people who live at Iddenshall Hall experience excellent quality outcomes. We carried out an unannounced visit to the home on 15 June 2009 and the visit lasted seven 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 home manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to people who live in the home and staff members to find Care Homes for Older People Page 6 of 28 out their views about Iddenshall Hall. Other information received 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 live at the home, to see how their needs were being met, We also looked at six staff files to ensure that thorough recruitment processes had taken place and that people who live in the home were safeguarded from harm and supported safely. We also spoke with some of the people who live at Iddenshall Hall, the registered manager, the unit manager and members of staff who were on duty during this visit. They all gave their views about the home. What the care home does well: What has improved since the last inspection? Iddenshall Hall continues to maintain a high standard of care and support for the people who live there. The staff team is dedicated to providing good care and support and they are well trained and supported by the management team. Work continues to upgrade and renew areas of the home as necessary and there is a maintenance team who ensure that the standards of refurbishment and decor are kept up to date and of an excellent standard. Care Homes for Older People Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive good information about the home for them to make an informed decision about moving into the home and their needs are assessed before they move in so they know that these can be met. Evidence: The welcome folder for the home, which we saw in the entrance hall, contained information about who the home is for (the statement of purpose), how it works (the service users guide), information from the most recent quality assurance process and a welcome statement. This was reviewed in June 2009. Information in this document included objectives of the home, facilities and services provided, philosophy, complaints and suggestions, service users views and details of the registered provider and registered manager. These documents were written in plain English and produced in a good sized print format. It is also available in large print. In a file alongside this one was a copy of our most recent inspection report about the home. Care Homes for Older People Page 11 of 28 Evidence: There is a form used when people move into Iddenshall Hall to make sure that all relevant information about them and their care needs is obtained. This is used, together with the thorough checks of their needs carried out by staff at the home before people move in, to make sure that people who move in can be well supported by the staff and their needs can be met at Iddenshall Hall. The manager confirmed that intermediate care was not provided at Iddenshall Hall. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal care and social needs of people living in the home are met effectively 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 live at Iddenshall Hall, to check the care they receive. They were very well written and each file was sub divided to make information easier to find and record. The files contained the checks of peoples needs that had been done before they moved in, the care plans drawn up from these to show how peoples needs should be met, information about progress and evaluation, health care and other relevant information. Also included was a personal profile and life history which details aspects of a persons life and their achievements. This helps staff to know more about the persons life before they moved into the home. Activities undertaken and details of visitors were also recorded so that staff and others could see that people were well and active. Care Homes for Older People Page 13 of 28 Evidence: All the files had reviews of the care plans to make sure that these were up to date and still effective. Many of the people living in the home were not able to confirm that they had been involved in planning or reviewing their own care. They were able to tell us that staff helped them when they needed it, such as with personal care tasks. The care plans also included checks about possible hazards for the person, together with guidance for staff on how to make sure that people were safe whilst continuing to be as independent as possible. These checks were up to date and had been carried out for moving and handling and falls. Other checks on risks had been carried out in line with each persons specific needs. These checks help to make sure that people are safe in their daily activities and that any help they might need is identified. Each persons medications were stored securely in their own room. A monitored dosage system was being used to help staff make sure that each person received their medicines safely and as prescribed by their doctors. Medication administration record sheets for each person were completed when medication was given. Staff who give out medicines had completed training to make sure that they know how to do this safely so that errors do not happen. The local Primary Care Trust completed a medication check at the home in February 2009 and the verbal feedback given to the manager was very positive. Visits from health care professionals were recorded and it was seen that GPs, district nurses, opticians, chiropodists, physiotherapists and continence advisors visited the home regularly to make sure people remain well. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both very well managed to make sure that people living at Iddenshall Hall have plenty of variety and the chance to join in social occasions. Evidence: Three activities coordinators are employed to work across Iddenshall Hall and Beeston View. This enables the home to have someone there every day of the week to provide activities for the people living there. These included a trolley shop which came round twice a week for people living in the home to buy toiletries and other items. A list of activities was displayed on the notice board and these included regular events such as bingo, dominoes, music, slide shows, carpet bowls, quizzes, art, flower arranging and cookery. Events that had taken place not long before our visit included an Easter bonnet parade with the local school children, ballroom dancers putting on a display, Alice in Wonderland tea party, and visits to local shops, the ice cream factory, and local garden centres. Dogs from the Pat scheme were brought to the home regularly and young people from the local high school were regular visitors to help with the gardening. The local library was visiting each month and the home has its own chapel where regular services take place and all people are welcome. Other events that had taken place in the months before our visit included a charity car wash and car boot Care Homes for Older People Page 15 of 28 Evidence: sale to raise funds for activities. Future events included a sports day with the local school children, a trip to the sea side, the summer fayre and rose queen, best of British week during August, charity ball in November and the Christmas party. Other planned events include a fashion show, cheese and wine evenings, a local chocolate shop bringing their goodies, therapy sessions with sensory equipment, Wii fitness and the residents gardening club. Staff at the home have developed a learning zone on site to involve people from the local community with people who live at the home and a drop in centre once a month for carers of people with dementia. The home also produces a monthly newsletter which is sent out to all families to show what is going on at Iddenshall Hall and Beeston View. The staff have recently put together a DVD and book together about Celebrating life at Iddenshall Hall. This included many photographs of the people who live at the home enjoying taking part in activities including icing cakes, decorating hats to wear at the Easter parade and also lots of pictures with information about their life stories. This was a very interesting book and showed the sorts of activities undertaken at the home. The manager said that they were well supported by the families of people who live at the home and the local community. We looked at samples of menus, which were on display for people to see. These showed a varied diet of popular, traditional dishes. There was a wide choice available at each meal time with at least two choices of main course and dessert. All the food was home cooked and freshly prepared by the catering team. Families and friends are encouraged to stay for meals and there are drinks and snacks available in between the usual mealtimes with fresh coffee is available all day in the foyer. After lunch people who live at the home told us, The meal was lovely, The food is very good here and The meal was excellent. Care Homes for Older People Page 16 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 homes procedures for complaints and safeguarding are effective so that the concerns of people who live at Iddenshall Hall are listened to and they are protected from abuse or harm. Evidence: The staff files we checked during our visit to the home showed that staff had completed training on safeguarding adults. The manager confirmed this and showed that she was aware of the policy, procedures and guidance about safeguarding. There were also policies available on management of violence and aggression against staff, protection of vulnerable adults and whistle blowing. No referrals had been made by the home under the local safeguarding procedures over the last year. The complaints procedure we saw was satisfactory and contained details of how to contact us. We have not received any complaints about Iddenshall Hall since our last inspection there. The home had received one complaint which is currently being investigated. People who live at Iddenshall Hall told us they would contact the manager or staff if they had any concerns or problems. During this visit we saw the compliments file and this contained a wide range of cards, letters and emails sent to the manager and staff team thanking them for all the support and care they had given to people living at the home. Care Homes for Older People Page 17 of 28 Care Homes for Older People Page 18 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Iddenshall Hall is maintained, decorated and furnished to an excellent standard so that the people who live there live in safe, clean and bright surroundings that are suitable for their needs. Evidence: During our visit we walked round the building. We saw all the shared (communal) areas as well as a number of bedrooms. Thirty-six of the bedrooms are single, of which twenty-four are en-suite. There are also three double bedrooms, of which two are ensuite. The standard of decor and furnishings is excellent. The home was clean and free from unpleasant odours. People who live at Iddenshall Hall had made their bedrooms more homely using ornaments, pictures, photographs and some furniture they had brought with them when they moved in. People who live in the home said I like my room very much and The home is always beautifully clean. A rolling programme of maintenance and redecoration takes place at Iddenshall Hall. Recently some bedrooms had been redecorated and all the corridors had been redecorated. There is a team of maintenance people employed at the home to look after the building inside and out as well as the gardens. Care Homes for Older People Page 19 of 28 Care Homes for Older People Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Iddenshall Hall are supported by well trained, effective staff who have gone through a thorough recruitment process, so 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. There were six care staff on in the morning, four in the afternoon and evening. They were supported by the unit manager, home manager, senior carers, catering, housekeeping and maintenance teams. People who live at Iddenshall Hall confirmed that there were enough staff around to help them and during this visit we saw that staff were attentive to peoples needs. We checked six staff files and they all had the necessary checks in place including identity checks, Criminal Record Bureau checks, references, health checks and application forms. These checks had been done before the member of staff started working at the home to make sure that staff are suitable to work with the people who live at Iddenshall Hall. The training staff had received included a full induction course which is linked with Skills for Care and can be used to lead into NVQ level 2 in Care. Other courses they Care Homes for Older People Page 21 of 28 Evidence: had done included moving and handling, first aid, food safety, fire safety awareness and safeguarding adults. Other courses available for staff to help them develop their skills include customer care, Visiting Mum, health and safety, Vena puncture, care of aging skin and control of substances hazardous to health. Copies of training certificates were seen in the staff files and this showed that staff had completed the training they need to provide good care for people living at the home. Excellent progress has been made with National Vocational Qualification level 2 in care. Seventeen out of twenty-five staff have NVQ level 2 and many staff have undertaken level 3 in care as well. This means that a good percentage of staff have a nationally recognised qualification in care to help them provide good quality support for the people who live at Iddenshall Hall. Regular staff meetings are held and these help make sure that managers and staff know what is happening in the home, any changes needed and that things continue to be run in the best interests of the people who live at Iddenshall Hall. Care Homes for Older People Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Iddenshall Hall is well run and a high level of consultation with the people who live there means that people who live there can contribute to its development. Evidence: The manager of Iddenshall Hall is a qualified nurse with many years experience in providing care for people. She also has the Registered Managers Award NVQ level 4 and is a fire marshall for the home. She has worked at Iddenshall Hall for thirteen years and has worked for Barchester Care, the company that now runs the home, for six years since they took over the home. She knows the service well and can make sure that it is run well for the people who live there. She also provides good leadership skills for the staff team and has worked hard with the staff to make sure that the diverse and individual needs of the people who live at Iddenshall Hall are met with respect and dignity. The ethos of the home is open, welcoming and transparent. There is an established quality assurance process for the home which includes: regular Care Homes for Older People Page 23 of 28 Evidence: checks carried out by the manager; surveys given to residents, relatives and visiting professionals; monthly visits to the home by the provider; mystery shoppers, phone calls and visits by the provider; monthly tea and cakes drop-in sessions for people who live in the home and their relatives and friends; monthly newsletter and residents meetings. Gathering information about peoples views on Iddenshall Hall in all these different ways ensures that the home is very well managed and run in the best interests of the people who live there. The manager carries out monthly checks within the home, choosing a different topic each month. These have included: nutrition and dining experiences; infection control; documentation audit and medication audit. Copies of these checks were seen during this visit. A representative of Barchester Care carries out monthly visits to the home to ensure that standards are being maintained. The last visit was in May 2009; there were no areas of concern found and they reported very positive comments on the care and food from people who live in the home and their families. The provider also arranges for regular mystery shoppers, which involves getting someone to contact the home to check on processes and approach of staff to customers. This is done either by phone, email or in person. Evidence from these contacts showed that people were given good advice and are dealt with courteously by staff from the home. It has also highlighted one area where changes have now been made. The foyer had a high desk which some people felt was not welcoming. Since the feedback the manager has had this removed and lower desk installed and the foyer redecorated. It looks more inviting now. Following any enquiry made, a questionnaire is sent to the person who made the enquiry to see if they were satisfied with the response given. Comments from these questionnaires included, You are doing a great job, The brochure is helpful and clear and Very impressed and made to feel welcome. The last formal residents meeting was held in March 2009 and these are usually held every three months. Monthly tea and cake get togethers are held and appear to be very popular. Information gathered from these meetings about peoples views of the home is noted and where appropriate action is taken. The monthly newsletter is proving very popular as well, and the home sends all families a copy each month, so that they are aware of what is going on in the home. The last surveys were completed in October 2008 and this included residents, relatives and professionals feedback. The analysis of the responses shows that the overall opinion of the home was very good and that the care and attention provided by the staff was excellent. Care Homes for Older People Page 24 of 28 Evidence: The manager told us that she doesnt keep any money on behalf of people who live at the home. Any purchases made by the people who live at Iddenshall Hall or on their behalf is included in a monthly invoice to the next of kin or other representative. Day to day supervising of staff was good and formal supervision is undertaken regularly with records kept. Annual staff appraisals are undertaken and again, records are kept. These process ensure that staff have a chance to discuss their work with managers, so they can continue to provide good quality care for the people who live in the home. Safe working practices were in place in the home. There were up to date safety checks on the homes gas installation and electrical system. There were policies available in the home to provide guidance for staff about safe working practices including a wide range of risk assessments, dealing with hazardous substances, moving and handling, health and safety, food safety and first aid. The home also has a Pandemic Influenza Contingency Plan in place which included what to do about swine influenza. They had recently updated their health and safety manual to include falls prevention, health care waste, MRSA and clostridium difficile, personal safety and ladder safety. We also saw the fire safety equipment tests logbook that showed that up to date checks had been made on the fire safety system and staff received regular fire awareness training. 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 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). 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. 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