Care Home: Kelvedon House

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What the care home does well People who may be considering living at the home are given the information they need to make a choice about living there. All people are assessed before they move in and will have the opportunity to discuss their care needs with the manager. There are activities for people to take part in. The current activity programme is being further developed so that people have more choice. People can feel confident that their views will be listened to and acted upon, should they need to make use of the complaints procedure. The home environment is clean and offers a relaxing place for people to live. What has improved since the last inspection? The home has met all of the outstanding requirements from the last inspection. This means there has been improvements in the care planning and risk assessment systems in the home. These improvements enable the home to plan people`s care in a more individualised way that suits people`s needs. There is a new supplying pharmacist for the home. Staff have received more training in safe administration of medicines. Staff training has been undertaken in various subjects, such as dementia care, first aid, food hygiene and infection control. This means staff are better equipped with knowledge of current nest practice in order to meet people`s needs and keep them safe. There has been an improvement in the overall management of the home and the development of the quality assurance systems which means more people are being consulted about their experiences of living in the home. What the care home could do better: We have not made any requirements following this inspection. We have made some good practice recommendations we will expect the home to address. Key inspection report Care homes for older people Name: Address: Kelvedon House 10 Clarkson Road Wednesbury West Midlands WS10 9AY     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: Mandy Beck     Date: 0 5 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 27 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 27 Information about the care home Name of care home: Address: Kelvedon House 10 Clarkson Road Wednesbury West Midlands WS10 9AY 01215057775 01215057775 info@kelvedonhouse.co.uk www.kelvedonhouse.co.uk Mr Sarwan Samrai,Mrs Shindo Kaur Samrai Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Nicola Deakin Type of registration: Number of places registered: care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 48 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: Dementia (DE) 48, Learning disability (LD) 13, Old age, not falling within any other category (OP) 48, Physical disability (PD) 6 Date of last inspection 1 1 0 8 2 0 0 9 48 13 0 6 Over 65 0 0 48 0 Care Homes for Older People Page 4 of 27 Brief description of the care home Kelvedon House provides residential care and accommodation for up to forty eight people. The Home is situated approximately a quarter of a mile from Wednesbury town centre, on main bus routes and close to the M6 motorway system. It is located close to easily accessible public transport routes to local areas and surrounding towns. There is car parking with additional parking on the main road. The accommodation is provided on three floors. Each person has their own bedroom with en suite facility. There are no shared rooms in this home. There are lounges and dining rooms, toilets, bathrooms and a shower. There is also a sensory room for people to use and a hydrotherapy pool. There are no dedicated smoking facilities in this home. The range fees for this home are not currently included in the service user guide. People should contact the home directly for this information. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out by one inspector over a period of two days. We looked at all of the information we have received about the service since our last visit. This included information we have about how the home has dealt with complaints and safeguarding issues. Information we have received from people living in the home, their relatives and others. We spent time talking to people who live in the home, to their relatives and to the staff who support them. We looked at the care records of three people in depth. This is part of our case tracking Care Homes for Older People Page 6 of 27 process and enables us to make decisions about how the home is meeting the needs of the people living there. We will also be asking the home to complete the Annual Quality Assurance Assessment (AQAA). This provides us with information about the service including facts and figures about what has happened during the last 12 months. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given all of the information they will need in order to make a choice about living in this home. They can feel confident their needs will be assessed in full prior to admission Evidence: The home has both a Statement of Purpose and Service User Guide that gives people all of the information they will need to know about the service the home provides. It did not, however, include the range of fees people are expected to pay and the additional extras that will not be included in the weekly fee. We have recommended the home do this. People we spoke to told us they had been given enough information about the home to enable them to make a choice about living there. The statement of purpose and service user guide can be found in the reception area of the home. Each person is also given their own guide when they move in. Care Homes for Older People Page 10 of 27 Evidence: Before people agree to move into the home the manager will spend time with them completing an assessment of their needs. This is done to make sure the home is able to meet peoples needs and that it will be the right place for them. We looked at the needs assessments of three people during this inspection and found that each one had been completed and provided a sound basis for staff to be able to plan care for people. At our last inspection we identified that staff did not have training in specialised areas such as dementia and learning disabilities. It was pleasing to see that staff have undertaken further training in dementia care. They told us it was very good and it helps us to see things from the persons point of view, I enjoyed it and I understand better now what people want. The manager told us that she is still currently trying to find further training for those staff who work with people with learning disabilities. The home does not provide intermediate care facilities at this time. Care Homes for Older People Page 11 of 27 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. People living in this home can be confident their needs will be met and they will have the support they need to maintain their independence. Medication systems have improved and mean people are having their medication as it has been prescribed. People can expect to be treated with respect and dignity at all times. Evidence: We looked at the care records of three people during this inspection. This is part of our case tracking process. We found that each person had their own individual plan of care. The home has taken time to sit with people to discuss their needs and preferences and as a result care plans have been tailored to individuals need. The home makes sure that each person is assessed for their risk of developing pressure sores, being malnourished and falls. Where risks are highlighted the home completes a risk management plan and records what action they will take to reduce the risks to people. All care plans are kept under regular review and are updated to reflect any change in a persons condition. Care Homes for Older People Page 12 of 27 Evidence: We spent time talking to staff during this inspection and they were able to give us a detailed account of peoples needs and the support they wanted. They told us We are told by the seniors who needs what care but most of the time its nice to sit with the resident and ask them. The home is also supported by community services such as doctors, psychiatrists and community mental health nurses. People also have access to dentists, chiropodists and opticians, as they need it. People told us if I feel under the weather there is no hesitation in calling for the doctor. We looked at the systems in place for the ordering, safe storage and administration of medication. We found the home has good systems in place and medication is administered as the doctor has prescribed it. There are safe systems in place for the storage and administration of controlled drugs. The home has recently begun using a new supplying pharmacy. The home told us they hope to improve the service people get from their pharmacy as a result. The home has also developed as required or PRN protocols for staff to use. This means there are clear guidelines for staff when administering medication that is prescribed in this way. The home has also developed short term care plans for use when people have short term illness such as a chest infection or urine infection. When we visited we found the medication storage rooms were too warm and the home was not storing medication as manufacturers recommended. This was an outstanding requirement from our previous inspection, we asked the home to address this on the first day of our inspection. We visited the home a week later and found the problem has been addressed satisfactorily. This means that peoples medication is now being kept at temperatures that are within the recommended guidelines. We spoke to some of the people living in the home during this inspection. They told us staff here are very lovely. We asked if staff paid particular attention to their dignity and need for privacy. They said, Yes, they help because its not easy coming into a home, it can be embarrassing. We saw staff talking to people in a polite manner and when they were giving assistance to people they did so sensitively and did not rush people. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home needs to develop the activity programme for people to take part in. People are encouraged to maintain contact with their families and friends. Evidence: We have been told the home is not providing an activity programme for the people who live there. We found that people do have the opportunity to take part in activities. We saw on both days of our inspection activity was taking place. People were singing, playing balls games and generally enjoying conversation with others. There are planned outings for people to take part in and information about upcoming events are displayed on the notice board. People also have a newsletter each month informing them of whats on offer. We were told sometimes I would like more to do but they try their best, I enjoy anything they do, I would like more choice but anything is better than nothing. People were also being encouraged to attend college, go to the local library and shopping trips. There is also the sensory room and the hydrotherapy room for peoples use. Staff told us these rooms were very popular with people and were enjoyed. Care Homes for Older People Page 14 of 27 Evidence: Throughout both days of our inspection we had the opportunity to talk to visitors and relatives about the home. We were told I can visit when I want to, anytime nothing is too much trouble. We saw some peoples bedrooms as part of our case tracking process. We saw that each person had taken the opportunity to decorate their rooms with their own person belongings. Rooms were pleasantly decorated and people had definitely made them their own. We looked at meal provision in the home. We had been told that people were no longer being offered a choice at meal times. We spoke to the manager about this. She showed us the menu which clearly does have two choices for people. We spoke to staff who told us no there isnt a choice anymore. We asked why this was and were told we havent got the time to go round and ask what people want, they all pick the same anyway. We asked people living in the home about the choices available to them, one person said no Im not asked but the food is nice though. The home will need to look at this and make sure that people are being given a choice at meal times. The manager told us that they are currently considering a pictorial menu that may help people with their decision making. Care Homes for Older People Page 15 of 27 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 using this service should feel confident their views would be listened to and acted upon. Staff have the knowledge and skills to keep people free from harm and abuse. Evidence: The home has a complaints policy that is available in the service user guide and in the reception area of the home. In addition to this there is a suggestions box at reception where people are also encouraged to make their views or suggestions known. Throughout the home there are many compliment and thank you cards on display from people and their families. Comments included I was treated with respect and dignity and am most grateful for all the support and friendship. Since our last key inspection of the home in August 2009 we have been made aware of two complaints about the service the home was providing. We looked into these complaints during this inspection. People had raised concerns about the lack of activity in the home for people to take part in. They also told us that staffing levels were low and were not sufficient to meet peoples needs. We were also told that bathing facilities in the home were out of order and people were not being washed and bathed as needed. We have commented on our findings in the appropriate sections of this report. We spoke to staff and the manager during this inspection about the safeguarding of Care Homes for Older People Page 16 of 27 Evidence: vulnerable adults. Staff were able to tell us about the different types of abuse, who they would report to if they suspected abuse had occurred and what they would do to keep people safe. Staff also confirmed they had received training in safeguarding vulnerable adults. The manager is aware of her role in keeping safe and free from harm. She has worked pro actively with the local authority and takes active steps to make sure that people in the home are protected from harm. We looked at the use of restraint in the home. At this time there is no restraint in use in the home. We looked at the recruitment files of three new staff members during this inspection. We saw the home is recruiting people responsibly and is making sure that all required security checks such as a Criminal Records Bureau (CRB) and a check with the Independent Safeguarding Authority (ISA) have been completed. These measures will help reduce the possibility of unsuitable people working with vulnerable adults. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained and clean home. People can be assured that will have access to appropriate equipment in order to meet their needs. Evidence: The home has been purpose built and it provides very good accommodation for people to live in. We looked around most of the home during this visit. We saw that there are good sized lounges for people to sit in, dining rooms are spacious and pleasantly decorated. There were no curtains in the main lounge on the first floor. We were told they had been to the dry cleaners and will be put back up very soon. We looked at some peoples bedrooms, we saw that people have taken the opportunity to decorate them to their own taste and the home has helped accommodate this. Some peoples bedrooms have been fitted with over head tracking for hoists, this making moving and handling people easier and less intrusive. We looked specifically at the bathing facilities in the home. We had been told that people were not able to have a bath and were being strip washed. We found that each person has an en suite facility in their bedroom that enables them to be showered when they choose to. We also looked at all of the bathrooms in the home, we did find that two were out of order at this time. We also saw the home has taken action to repair these bathrooms but were waiting for the parts to arrive. Both of the baths had Care Homes for Older People Page 18 of 27 Evidence: mechanical failures and were unsafe to use. The home has ample bathing facilities and records show that people are being bathed on a regular basis. There are way finding markers throughout the home, each door has a sign that has large print description of the room, braille and a picture. These signs will aid peoples recognition whilst walking round the building. There is a sensory room on the ground floor which has specialist lighting, music, padded seating and other equipment designed to calm or stimulate peoples senses. The home has a fully equipped hydrotherapy pool for people to use. People told us its very nice. Staff said people seem to really enjoy it, it helps them to relax and reduces agitation. We looked at the systems in place for management of infection. We saw the home has provided staff with gloves and aprons for use during personal care and when handling soiled laundry. There are also measures in place for dealing with infectious conditions. We spoke to staff during this inspection who told us they had taken part in infection control training. Care Homes for Older People Page 19 of 27 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. There are appropriate numbers of staff on duty to meet peoples needs. Staff are trained and have the knowledge and understanding to meet peoples needs. Evidence: We have been made aware of concerns about staffing levels in the home. We were told that staff were not freely available to meet peoples needs and they were bored. We looked at the staff rotas and found the home to be sufficiently staffed at this time given the dependency and needs of the people living in the home. The home will need to keep staffing levels under review as the needs of the people living in the home may change. The rotas were also an accurate reflection of the staff on duty during this inspection. We spent time talking to staff who work in the home. They told us at times it is a bit rushed but mostly we cope, well one more carer would help so we can spend more time to sit with people and talk to them, we are busy but this doesnt mean that we arent meeting needs. We spoke to people who live in the home and their visitors. They told us I find the staff very polite and very helpful, this isnt my home but its not bad you know and the staff are very good, nothing too much trouble. my relative is looked after here I dont have to worry about that. Care Homes for Older People Page 20 of 27 Evidence: The home supports all care staff through training in National Vocational Qualifications. Staff we spoke to confirmed that they had completed both their level 2 and 3 NVQ training in Health and Social Care. This means that staff have the knowledge and understanding to be able to meet the peoples needs who live in the home. The home has also provided training for staff in dementia care and person centred care since our last visit. The manager continues to have difficulty in sourcing training for those staff who work with people who have a learning disability. We looked at the recruitment processes in the home. We saw the staff files of four people. All of them contained the required information and security checks such as previously mentioned ISA and CRBs. This means the home has systems in place to prevent unsuitable people from working with vulnerable adults. We looked at the training records for some staff. The home has supplied us with information of training that has been arranged. It is clear that staff will be trained as required. We spoke to several staff on duty during the inspection who confirmed they regularly take part in training and keep their knowledge and skills up to date. New workers are supported through an induction that meets the Skills for Care common induction standards. This induction will provide staff with the basic skills needed for completed their NVQ training. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well. The manager is aware of the homes shortfalls and is addressing them. People will be consulted about the service they receive and the home will respond to their views. Evidence: The home is managed by Nicola Deakin. She is a registered nurse and has the qualifications required for a manager. We were told very helpful if anything needs to be looked at, sorted out, shes the one we go to to do it. We have seen since our last inspection there have been improvements in the home. We have seen better record keeping, better management of medicines in the home and staffing levels have been kept under review. The home has also purchased their own quality assurance system. The manager has begun to audit areas of service provision as a result and has also provided surveys for people to complete. The surveys are left at reception for people to complete. We have recommended that people are given the surveys and the home asks for their return by a given date. This Care Homes for Older People Page 22 of 27 Evidence: will give the home feedback by a certain time and allow them the time to complete an action plan to address any comments arising from the surveys. In addition to surveying the people living in the home the manager also completes monthly audits of accidents and incidents, care plans and the environment. This allows the home to identify problems earlier and to take action to prevent further problems occurring. The home will also be required to send us their Annual Quality Assurance Assessment (AQAA) when we request it. We also spent time talking to the manager about her role and responsibility in understanding the principles and practice of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The manager has received training in this area and understand her role in making applications to the appropriate authority should they feel that peoples liberty is being deprived. The manager also told us there are further plans to arrange training for all staff. The home takes charge of some personal monies on behalf of people who live there. The monies are kept securely and written records are kept of all transactions. An audit takes place each day. A random sample of the monies and accompanying records were seen during our inspection and there were no discrepancies. We have made one recommendation for there to be two signatures for each transaction. This will reduce the risk of errors occurring. Staff training in ongoing, recent training has included moving and handling and fire safety. Training for staff has been a priority for this home. It was pleasing to see the progress the home has made. Staff told us we have had that much training, the training is very good. Most of the staff have also taken part in first aid training, food hygiene and infection control training. The manager has a training matris that enables her to see what staff are due training and when this should be arranged. There is a Fire Risk Assessment in place and a fire drill takes place at least every six months. The Fire Alarms must be tested each week (a test took place during our inspection). The Emergency Lights are tested on a monthly basis and records were seen to verify this. Records were seen to verify the regular servicing and maintenance of various systems, including: the emergency lighting system, the gas system and boiler, the hoists, the lift, the electricity system and all electrical equipment. We have said the home must also make sure that the slings used with the hoist should be included in the regular safety checks and servicing of the hoists. This will make sure Care Homes for Older People Page 23 of 27 Evidence: that all equipment is safe for use. The water temperatures are tested regularly and recorded. The home is currently having difficulty maintaining a constant temperature for the hot water in some cases. Records seen show this. The provider has been in contact with the builders and the plant room needs to be rebuilt. This work is scheduled to take place in a few weeks time. Until this happens the home continues to monitor the hot water temperatures to make sure that people do get a consistent supply of hot water. There are policies and risk assessments in place with regard to safe working practises. Staff receive training in safe working practice topics during their induction. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 35 The home needs to include the range of fees it charges for people to live in the home in the service user guide. It is recommended that two people sign the balance sheet for peoples money. This will help reduce the risk of errors occurring. The home needs to record when slings have been checked and keep a written record of this. This will demonstrate they are fit for their purpose. 3 38 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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. 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