Care Home: Kay-sera-sera

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well We examined two care plan records. We spoke with staff and people who use the service. Staff spoken with could tell us exactly how each of these people were to be cared for. What those staff told us was confirmed by care plan/daily records, and people using the service. People we spoke to told us, "they look after me very well here, they bathe and cream my feet, and paint my nails, I also have a foot spa, it`s a bit like being in an expensive spa hotel." "We`re looking forward to Christmas, and to all that lovely food, they always look after us here. Comment cards and letters complimented the care managers and staff in regard to the high quality of their support and care for people living in the home. The needs of people using the service are paramount to the establishments working ethos. The home recognises all religions, and people using the service told us that they are regularly consulted about the every day running of the service. Activities are tailored to people`s needs, age and abilities. There had been no complaints or Safeguarding referrals made about the service since the previous inspection. The home addresses any complaints immediately. At the previous inspection we were shown letters and cards received by the home, from relatives and friends of people using the service. They praised staff for their commitment, quality of care, support and sensitivity in caring for people. Staffing levels had been maintained. What has improved since the last inspection? The Annual Quality Assurance Assessment (AQAA) completed by the care manager confirmed the following improvements: "Care plan and paperwork system put into place to ensure ease of use and access. MAR sheets completed. Weighing of residents recorded monthly. Policies and Procedures followed. We have two living areas now.Quiet room/TV and games room. Activities. Keep updating paperwork. Paperwork all in order and more thorough. Record keeping improved." What the care home could do better: Staff records should evidence that formal supervision and annual appraisals are taking place. Existing quality assurance systems should be expanded to include other professionals for example the General Practitioner, District Nurse, Pharmacist. Feedback should then be documented and given to people using the service and staff. Two written references should be obtained for new staff prior to commencement of employment. Priority should be given as to how to access update and refresher training for staff, which should include, Safeguarding, Deprivation of Liberty guidance, Mental Capacity Act 2005, and training according to their role and responsibility. Key inspection report Care homes for older people Name: Address: Kay-sera-sera 7 Willowbrook Derrington Stafford Staffordshire ST18 9NN     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: Pam Grace     Date: 1 7 1 2 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: Kay-sera-sera 7 Willowbrook Derrington Stafford Staffordshire ST18 9NN 01785244684 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: kayserasera@sagainternet.co.uk Mr Michael Patrick Lucas,Mrs Jennifer Elizabeth Lucas care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 4 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 (OP) 4 Dementia (DE) 4 Date of last inspection Brief description of the care home Located on the periphery of the town of Stafford, and in the village of Derrington, Kay Sera Sera can be accessed by a public transport route. The home is registered to provide accommodation for four older people, two of whom have a mental frailty. Kay Sera Sera is located near to a shop and post office, and is also the family home of the providers Mr & Mrs Lucas. The home provides an extremely comfortable, and well maintained environment. Each person using the service has been provided with Care Homes for Older People Page 4 of 28 Over 65 0 4 4 0 2 2 0 1 2 0 0 9 Brief description of the care home exceptional personal space for their daily life style. There are two large lounges, additionally, one lounge has been converted into a ground floor bedroom. An area at the head of the stairs is where one person prefers to sit. Each person has been provided with a bathing facility off their bedroom, or, can easily access the shower room on the ground floor. Access to the home is via a short flight of steps, or via the ramp, which is fitted with a substantial hand rail for peoples safety. There is a well maintained garden and patio area at the rear of the home for people to enjoy. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection for this service was 22nd January 2009. This inspection visit was an unannounced key inspection and therefore covered the core standards. The inspection took place over four hours by one inspector who used the National Minimum Standards for Older Persons as the basis for the inspection. Prior to the inspection, the care manager completed an Annual Quality Assurance Assessment for us. Two surveys were also received from people using the service. On the day of the inspection, the home was accommodating two people, and one person was attending the service for day care. We spoke with staff and the people using the service. We also examined records, carried out indirect observation of the two people who use the service, and the staff on Care Homes for Older People Page 6 of 28 duty. two plans of care and two staff records were examined, we also directly observed daily events. We looked at the two communal lounge areas, and the dining area. We inspected the system of medication administration and storage. The fees charged for the service at Kay Sera Sera, are not included in this report. The reader may wish to obtain more up to date information from the care service. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Staff records should evidence that formal supervision and annual appraisals are taking place. Existing quality assurance systems should be expanded to include other professionals for example the General Practitioner, District Nurse, Pharmacist. Feedback should then be documented and given to people using the service and staff. Two written references should be obtained for new staff prior to commencement of employment. Care Homes for Older People Page 8 of 28 Priority should be given as to how to access update and refresher training for staff, which should include, Safeguarding, Deprivation of Liberty guidance, Mental Capacity Act 2005, and training according to their role and responsibility. 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 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 who may use the service and their representatives have up to date information, in order to choose a home that will meet their needs. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: If not referred by Social Services (who assess themselves), the proprietor will go and assess the resident for careplan and individual needs, covering all in Standard 3. Equipment and staffing. Checks are done for the return home, and if inadequate, changes will be made with the family. Surveys received, and people we spoke with during our visit, confirmed their satisfaction with the services provided. One person was visiting the service on a day care basis, and spoke highly of the services and care she received. The people using the service confirmed that they had received enough information, and had a contract, Care Homes for Older People Page 11 of 28 Evidence: on admission to the service. We looked at two pre-admission assessments. Both of these had been undertaken by the local authority. The service is in the process of developing a pro forma which will be used as their own pre admission assessment. A shorter version of the assessment pro forma is used when people attend for day care service at the home. The Philosophy of Care was readily available, this had been updated to include the change of details for the Care Quality Commission, and the details in regard to the current fees charged. We were assured by the care manager that Contract Terms and Conditions had been reviewed and updated for each individual by the local authority each year. Intermediate care is not provided at this service. 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 and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Each resident has an individual care plan. They are treated with the dignity and care that a family member would be. Medication is individual cassettes and all service users use their indidividual doctors/chiropodists.Medical sheets are completed daily. Each service user has an en suite bathroom for their use. We examined two local authority social work care plans, these were provided upon admission of the individual, by the local authority and were reviewed once yearly. There were clear care plans provided by the service to enable staff to care for individuals. For example, an explanation of how staff should assist and carry out personal hygiene. Both local authority social work care plans contained evidence of pre admission assessments. Each care plan contained an up to date risk assessment Care Homes for Older People Page 13 of 28 Evidence: which identified the risk, and the measures that had been put into place to minimise the risk. Care staff spoken with could tell us exactly how they cared for individuals in the service. This was reflected within the care plans we saw. The daily diary showed evidence of health professionals involvement, for example District Nurse and General Practitioner visits, and health appointments for individuals. Surveys received said that people using the service do receive the support and care they need, this was also confirmed during our visit whilst speaking with staff and people using the service. They also said that staff listen and act upon what they say, and that they receive the medical support they need. People we spoke to told us, were looking forward to Christmas, and to all that lovely food, they always look after us here. The food is really good.One person described how comfortable and homely the service is, people can pop in and visit anytime, and the staff here are really helpful. We examined the homes administration of medication, which is provided by the pharmacist in a monitored dosage system. Medication Administration Sheets (MAR) are used, this evidenced the prescription, who had given the medication, and was signed by the care managers. This ensures the health, safety and welfare of the people using the service. 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. People are satisfied with their chosen lifestyles, meals and activities in the home. Individual social, recreational and religious needs are met. Contacts with family and friends are encouraged and maintained. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Residents get daily magazines with local network information in, if they wish to venture out. Transport is offered and walks daily. Quiet area for knitting, chats, cards etc...remain in constant contact when wanted. Visitors welcome without notice. Seperate bedrooms for each service user. Quiet areas, lively areas. All requests are promptly adhered to if possible. Menus are given and choices offered. We have two living areas now.Quiet room/TV and games room. Activities. Surveys received from people using the service confirmed that there are activities arranged by the home that they can take part in. Staff and people using the service remarked at how good the meals were, the lady attending for day service that day said, the food is always spot on here, we always have a choice of what is on offer, including lots of fresh vegetables. People spoken with confirmed that some activities Care Homes for Older People Page 15 of 28 Evidence: included the local church club, games and crafts, such as tapestry and knitting. Comments received included the following: I go for walks around the village. Trips out are organised for us in the summer months, when the weather gets better. The home operates very much on a family unit basis, and activities take into account peoples age, and abilities. The care manager confirmed that staff would provide support and transport as needed by individuals, in order to access community facilities. Three people living elsewhere receive day service provision at the home, this provides social opportunities, stimulation and a change of surroundings for those people. The home has three lounge areas, and a dining area, which are well used by the people using the service, their visitors and friends. Visitors can also be seen in private if people so wish. People told us that they can bring in their own furnishings and personal effects for their own bedroom if they so wish. We were told that visitors and relatives can visit at any reasonable time. 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. People are listened to and can feel assured that the home will act in their best interests and protect them from harm. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Social Services number displayed. Carers are CRB checked. Policies and Procedures regarding the protection of service users updated. Complaints would be taken seriously and logs completed. The care manager told us that the service had received no complaints since our last visit. We saw from responses to our surveys that people are aware of whom to make a complaint to. Comments received included, Its so nice here, we have no reason to complain, but if we did, we would know to speak to the staff or to Mr and Mrs Lucas. The complaints procedure is included in the homes Philosophy of Care. We spoke with the care manager and staff about Safeguarding, and their role in keeping people safe from harm. They said that they and their staff understand their role, and their responsibilities in relation to this. At present there is no restraint needing to being used in the home. We were assured that the home has an up to date copy of the Safeguarding Procedure. We discussed the need for the staff to be aware of the Deprivation of Liberty guidance, and also the Mental Capacity Act 2005. Care Homes for Older People Page 17 of 28 Evidence: We looked at two staff records. We did this to see if the home is fulfilling its obligation in completing safety checks against the Protection of Vulnerable Adults (POVA) list and Criminal Records Bureau disclosures. The service must do this to prevent unsuitable people from working with vulnerable adults. We found that appropriate security checks had been undertaken prior to their employment at the home, however, in two instances written references had not been obtained prior to their employment. This was highlighted and discussed, and will be rectified as soon as possible. The care manager confirmed that people using the service manage their own finances. The service does not hold monies for individuals. 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. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Accessible home. Programme for maintenance and repair work. Policies and Procedures. Health and Safety Records. Risk Assessments. All relevant Fire/Environmental. PAT tests. We were shown records in relation to Fire training, Fire evacuation, testing of the alarm, and Staff involvement. The service has an annual contract with British Gas ensuring that all aspects of electrics, water, plumbing and heating are safe and well maintained. The building and grounds were maintained to a very high level, and were safe for people to use. Furnishings and fittings were to a very high standard. The kitchen and laundry areas were clean and tidy. All equipment was in good working order. Infection control measures were in place, ensuring the health and safety of the people using the service. Care Homes for Older People Page 19 of 28 Evidence: Surveys received told us that the home is always fresh and clean. People spoken with during our visit told us they were very happy with their room, and could bring in their own items of furniture, and personal effects if they so wished. The front room which had previously been used as a bedroom for a gentleman, had been changed into a comfortable and homely lounge/activities area, equipped with a WII fit system, and large screen television. Giving people another option of which lounge to use. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are experienced and in sufficient numbers to meet peoples needs, however, there is little evidence in regard to update and refresher training for staff, according to their role and responsibility. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Qualified staff and carers ensure daily needs are met. No students or trainees. Staff records are kept and CRB checked. The service has an adequate recruitment procedure, record keeping had improved since the previous inspection. We looked at two staff records. We did this to see if the home is fulfilling its obligation in completing safety checks against the Protection of Vulnerable Adults (POVA) list and Criminal Records Bureau disclosures. The service must do this to prevent unsuitable people from working with vulnerable adults. We found that appropriate security checks had been undertaken prior to their employment at the home, however, in two instances written references had not been obtained prior to their commencement of employment. This was highlighted and discussed with the care manager, and will be rectified as soon as possible. We asked the care manager to provide us with written confirmation as to when this had been undertaken. Care Homes for Older People Page 21 of 28 Evidence: The staff rota evidenced that staffing levels had been maintained. The care managers also live on site, and are able to be on call at all times. The care managers confirmed that they had undertaken update and or refresher training since the previous inspection, this included First Aid and Food Safety. They confirmed that staff in their employ had undertaken the necessary mandatory training, however, there was little evidence to support this. For example up to date individual training records and Certificates. The care manager confirmed that supervision was undertaken informally with staff, on a daily basis. They confirmed their system of handover, and instructions and support given to staff to enable the smooth day to day running of the service. We saw that this was reflected in the qood quality of care that people receive. However, there was no evidence that supervision, appraisals and staff meetings were taking place. Surveys received from people using the service confirmed that staff listen and act on what they say. Comments included we dont have any problems with staff, theyre all lovely, we get on well with the staff. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is based on openness and respect. Quality assurance systems should include stakeholders views of the service. The administration and record keeping of the home continues to improve. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us: Original proprietor and feedback is regularly sought on the service. Action plans are put into practise, and all paperwork completed for evidence. Service users are responsible for their own money. Staff are always with proprietors. Maintenance contract for electric, gas, etc.. water temperature records taken. The Annual Quality Assurance Assessment (AQAA) was poorly completed and returned to us on time by the registered care manager/provider. Some information in sections of the AQAA were not completed. The AQAA gives us some limited detail about the areas where they still need to improve. The ways that they are planning to achieve Care Homes for Older People Page 23 of 28 Evidence: this are briefly explained. The data section of the AQAA was completed, although there were some inconsistencies. This was highlighted and discussed with the care manager during our visit. We are kept informed via Regulation 37 Notifications of incidents in the home which affect the people using the service. This helps to ensure the safety of individuals using the service. There had been no complaints and or Safeguarding referrals made to or by the service since the previous inspection. Staff records did not evidence that up to date training, formal supervision, and appraisals had taken place. Staff recruitment files for two new staff did not evidence that references had been cleared prior to their employment. However, there had been a general improvement in the way records were kept and archived. There is still work to be done in regard to the existing quality assurance system, and in relation to improving the records of training undertaken for staff, for example Certificates held. As a priority, the care manager needs to access and resource the training available to staff. The environment is safe for people and staff because appropriate health and safety practices are in place. Care plans and risk assessments, in regard to how staff are to safely care for individuals, were in place, and showed a significant improvement since the previous inspection. Individual risk assessments were in place, were up to date, and included the measures taken to minimise the risk. Thus ensuring the safety of the people using the service. We noted that the quality of the care received is good, and people spoken with were very complimentary about this. Staff spoken with knew exactly how to safely care for the people using the service. We looked at the homes medication systems, which had improved, We found no anomalies. Medication Administration Records (MAR) are now in place, and we are assured that Mr Lucas is responsible for the ordering, checking, storage and disposal of medication, thus ensuring the health, safety and welfare of the people using the service. Care Homes for Older People Page 24 of 28 Evidence: We discussed the need for the care manager and staff to be aware of the Deprivation of Liberty guidance and the Mental Capacity Act 2005. The home does not hold monies for people using the service. People using the service were complimentary of the staff and management, and positive comments were received in regard to the commitment, care and support that they received. Comment cards and letters received by the service since our previous inspection confirmed this. 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 1 2 29 30 Two written references should be obtained before appointing a member of staff. Priority should be given as to how to access update and refresher training for staff, which should include, Safeguarding, Deprivation of Liberty guidance, Mental Capacity Act 2005, and training according to their role and responsibility. A record should be kept of any training undertaken. Effective quality assurance systems should be based on seeking the views of people using the service and other professionals. Feedback should then be collated and made available to prospective and current people using the service. Staff records should evidence that formal supervision and appraisals are taking place. 3 33 4 36 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). 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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!