Care Home: Lyndhurst Park Nursing & Residential Care Home

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What the care home does well Lyndhurst Park continues to provide a homely, caring and supportive environment for people living there. Staff are dedicated to meeting the needs of people living in the home in a personal "person centred" way providing the little extras that make this an excellent service. This was evident in the way the care needs of people living in the home were recorded, and also how staff could identify the individual needs of the person when asked. Staff had a clear understanding of the importance of individuality and allowing people to maintain control over their everyday lives. People we spoke to told us they felt well cared for by staff who understood their needs. One person told us "they are so kind and always helpful". We spoke to a group of people sat in the lounge during the afternoon and they praised staff highly and said they were very happy with the care and support they received. People felt they could comment on how the home is run and that their opinions really mattered. we observed staff to have a friendly, cheerful rapport with people in the home, and assistance was given in a caring and enabling manner. We saw that people in the home could take part in a full and meaningful programme of activities which included exercise to increase and maintain ability, games, and trips out enabling people to keep contact with the local community. The manager gives clear leadership and guidance and foster an ethos where residents` choice and dignity are paramount. Equality and diversity issues and needs are well recognised and met for the well being of residents. What has improved since the last inspection? The home continues to provide a good service and seeks to increase the standard of the environment, and the skills and knowledge of the staff team for the benefit of people living in the home. What the care home could do better: Residents would be better protected if all staff consistently followed a clear system to ensure medicines entering and leaving the home can be audited to ensure safe management. Key inspection report Care homes for older people Name: Address: Lyndhurst Park Nursing & Residential Care Home 33-35 Severn Road Weston Super Mare North Somerset BS23 1DW     The quality rating for this care home is:   three star excellent 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: Patricia Hellier     Date: 0 1 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 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) 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 27 Information about the care home Name of care home: Address: Lyndhurst Park Nursing & Residential Care Home 33-35 Severn Road Weston Super Mare North Somerset BS23 1DW 01934627471 01934627518 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Gordon Butcher,Mrs Margaret Ann Butcher care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Manager must be a RN on part 1 or 12 of the NMC register May accommodate one person between 50 - 64 years of age, with Physical disabilities who may require nursing care. May accommodate up to 27 persons aged 65 years and over, who require nursing care Date of last inspection Brief description of the care home Lyndhurst Park Nursing and Residential Care Home is situated in a quiet residential area of Weston-Super-Mare to the south of the town. The sea front is only a short walking distance away and is within close to proximity to some local shops and amenities. The proprietors of this family run home and are very involved in the day-today running. 0 1 Over 65 27 0 Care Homes for Older People Page 4 of 27 Brief description of the care home The building and decor is of a high standard providing a comfortable and homely environment. Accommodation is provided over two floors with a passenger lift giving easy access to all floors. There are twenty-six single rooms, and one that may be shared. Some of these have en-suite facilities and all have a call bell system. Communal space is provided in 2 lounges and a dining room in the main building, and a recently built conservatory. This includes a water feature and pond and is much appreciated by the residents. Provision is made within the home for a variety of activities and outings, which also enable close links with the local community to be maintained. All local facilities are within easy walking distance but some are closed in winter. The provider makes information available through a booklet about the home on request. CSCI reports are displayed in the entrance to the home and available for all to read. The fess range from 554 pounds - 710 pounds per week with additional charges being made for hairdressing, chiropody, newspapers, outings, aromatherapy, optician. This information was provided in December 2009. 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: 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: This inspection took place over one day and a total of seven hours were spent in the home. To gather enough evidence to support our judgments for this inspection, we (The Commission) asked the service provider to complete and Annual Quality Assurance Assessment (AQAA) form. The AQAA is a self assessment that focuses on how well outcomes are being met for people living in the home. It also gives us the numerical information about the service, and how they intend to maintain or improve outcomes for people using their service. Once we have received this information we carried out a visit to the home and spoke to 12 people living there, seven staff and three relatives. Whilst in the home we also looked at documents maintained for the day-to-day running of the service. These included Care Homes for Older People Page 6 of 27 care plans, staff recruitment, training and supervision. We also reviewed records relevant to the administration of medication, the service records and health and safety issues. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully informed and their needs and wishes clearly assessed and understood before they are admitted to the home. Evidence: We looked at how well the home manages its admissions. Intermediate care is provided sometimes. The Statement of Purpose and Service User Guide in the homes Information Pack are useful and informative documents for prospective residents seeking an insight into care at this home. In the AQAA we are told prospective residents and their families are invited to visit the home prior to choosing a placement. Two recently admitted residents confirmed that the home had been very helpful in providing information and welcoming them to visit. Care Homes for Older People Page 10 of 27 Evidence: Three people we spoke with told us they received enough information before moving in, with the comments: I knew a lot about this care home from living in the area. They took a great deal of time to show us the facilities and explain the type of care provided. Care needs are well met through a full assessment process as evidenced in the three care plans inspected. The registered manager carries out a needs-based preadmission assessment for all prospective residents and admissions to the home take place once the registered manager is confident that the residents care needs can be met. Three residents assessment documentation were read to find out how well the needs are assessed. The assessments were informative and clearly documented all aspects of physical, mental, social and emotional needs providing staff with a good knowledge base from which to provide person centred care. Where appropriate Social Services care plans and assessment information had been obtained and used to inform care planning. Two recently admitted residents spoken with told us the staff are very kind; they know what I need and look after me well. Care practices observed showed that staff were fully aware of the residents needs as stated in the assessments. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Lyndhurst Park benefit from personal and specialist healthcare support that is provided in a person centred way, respecting their privacy and dignity. Evidence: We looked at whether peoples care and health needs were being met. Ten people when asked if they receive the care and support they need told us always. Comments included: the level of care and support I receive is of the highest standard, I cannot fault the care I have received since being here and the staff are very caring and cheerful. We looked in detail at the care planning and care delivery for three people who use the service. The care plans were recorded in a person centred way and easy to read. Four staff interviewed confirmed these care records are working documents that are used daily to inform and record care, to assist in the communication of how care needs are to be met. Care Homes for Older People Page 12 of 27 Evidence: All care plans seen showed a person centred approach with clear guidelines for staff about peoples personal likes and dislikes and the way in which they prefer to receive their care. All care plans contained a pen picture of the individual providing staff with information about them. This good practice is to be commended. Care plans showed good working relationships with other health care professionals to ensure residents receive best practice care. in the AQAA we are told the home invests and provides equipment necessary for the promotion of tissues viability and the treatment of pressure sores. We have zero residents developing pressure sores following admission. Feedback from two health care professionals told us the home provides excellent basic care with speedy assessment when requested, in comfortable surroundings with approachable staff. They provide additional care to fully meet residents specialist needs. The daily records maintained by staff were seen to be very detailed and gave a clear account of how individuals spend their day. Three care plans we looked at included regular reviews which reflected the changes in peoples lives and care needs and demonstrated continuity of care and the involvement of the resident and/or their relative. Staff spoken with told us they are involved in the way care plans are developed enabling them to clearly understand all the changing needs of people at the home. A key worker system is used to provide residents with an individual member of staff who takes a specific interest in them and their lifestyle. This practice enables continuity of care and four residents told us they enjoyed this closer relationship. We observed staff talking and laughing with residents in a friendly and relaxed way. People we spoke to told us they were happy with the way in which they are cared for. One person said they are so kind and always have a smile. We spoke to a group of people sat in the lounge during the afternoon who told us that the care and support was very good and they could not fault any of the staff. One person told us the staff are always understanding. Residents felt they are kept well informed of any significant issues, and that their involvement is welcome. One relative told us that assistance with personal care is sensitively and discreetly given for the comfort and well-being of the individual. Residents also told us of the regular newsletter and meetings in which information about activities in the home, past and future,and other key points of interest relating Care Homes for Older People Page 13 of 27 Evidence: to residents and staff who make up their community are shared. Lyndhurst Park has clear policies and procedures for the receipt and administration of medication. We looked at the records kept by the home for medication and the way that medication is stored. During the inspection it was not possible to clearly audit trail medicines entering and leaving the home to ensure safe management for the protection of residents. The home recognised this and took immediate action to rectify this and train in staff in the process. The home has an Equality and Diversity policy that recognises the cultural and social needs and differences that are present in society. both management and staff demonstrated clear knowledge and desire to meet the cultural and diversity needs of individuals as as when they should arise. Information in care records supported this. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are enabled to lead fulfilled lives with choice and individuality upheld. The food provided is tasty, nutritious and enjoyed by all. Evidence: We looked at the daily life and social activities for people at home. The home has an informal atmosphere and is very comfortable. Visitors to the home confirmed they are made very welcome and offered refreshments. They are enabled to see their relatives in the communal rooms or in private. Five residents told us there is a variety of activities arranged that people can take part in. Comments from residents included yes lots. Music and movement, card games, weekly outings, and singing as well as a church service. One resident described the atmosphere in the home as nicely informal, and residents felt their visitors are also help to feel relaxed and at home. One relative told us I am always welcomed whatever time of day. On the day of inspection residents were seen enjoying conversations together in the lounge, reading their papers and relaxing in their own rooms. During the afternoon a Care Homes for Older People Page 15 of 27 Evidence: gentle exercise class in the lounge was taking place. Residents looked to be actively enjoying this. An excellent range of activities is provided with a posters displayed on the in the hall and also included in the newsletter. Three residents told us there are always things to do if you want. In one lounge there is a large flat screen television which provides good viewing for the residents, and the other lounge has a quieter area where residents were seen reading their papers. One resident had been set up with specialist equipment to enable them to access the computer and games. In the AQAA we are told the home has designated the three senior care assistants as activity coordinators to ensure there is provision throughout the week. People who use the service told us they can see their visitors at any time, helping them to feel this is their home. Relatives spoken with told us they feel welcomed when they come, and that there is a warm, caring feel to the place. Choice and preference is well respected. Spiritual needs are catered for, and local clergy visit as requested. Evidence was sen of a good rapport between residents and staff with lots of laughter and encouragement. A sensitive approach was also witnessed in care provision for those nearing the end of their life. The dining room is homely and tables were well presented providing an atmosphere that is conducive to an enjoyable meal. All residents said they liked the meals and felt a good and balanced diet is provided. One person told us the food is very good while another said I was pleasantly surprised at the quality of the food provided. At a recent visit from the Environmental Health Officer (Food) the home was awarded a four-star quality rating. Peoples dietary needs are clearly understood by the kitchen staff and we saw that expert advice has been sought when there is a concern. Good practice was seen in the dining room with the use of plate guards to assist residents in getting their food onto the fork/spoon. Care Homes for Older People Page 16 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected from abuse, and they can be confident that complaints are taken very seriously. Evidence: We looked at how well people are protected by the complaints and safeguarding arrangements at the home. The home has a comprehensive complaints policy and procedure which is well displayed in prominent places in the home. There have been no complaints since the last inspection. Residents were asked if they felt able to complain and they stated if they were not happy about anything they would speak to the manager. Residents spoken with told us they felt confident about raising any concerns and knew who to speak to if they were not happy, and how to make a formal complaint if needed. However all residents spoken with told us the manager and staff are very approachable and I am very happy here; the staff are good to me; I have nothing to complain about, they look after me well. The home has a copy of the No Secrets in North Somerset guide and a comprehensive local policy and procedure for responding to allegations of abuse, for the protection of residents. Staff spoken with confirmed they had attended training in Care Homes for Older People Page 17 of 27 Evidence: safeguarding adults, they were aware of the organisations whistleblowing policy and who to contact if they felt a resident was at risk of abuse. When interviewed staff clearly demonstrated knowledge and understanding of the forms abuse can take and how to protect residents. Training records showed that staff had received training in the correct procedures to follow if they suspected a resident was at risk. Four residents said staff are very kind and take time to help me. Care Homes for Older People Page 18 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with homely, safe and comfortable surroundings to meet their needs. Evidence: We looked at how the home environment is suited to the people using it. The home is nicely decorated and well maintained with a welcoming atmosphere, and made comfortable with homely communal spaces. Accommodation is provided over two floors with a shaft lift and stair lifts to access these. Lounges are furnished with a variety of suitable, comfortable chairs to meet residents needs.The home has good levels of natural light and is well ventilated. The home has attractive,comfortable accommodation throughout. Residents rooms are personalised and comfortable, with wall mounted flat screen televisions for ease of view from many angles. There are plenty of toilets within easy access of all communal areas. The home has an ongoing maintenance and redecoration programme and employs a handyman to ensure maintenance issues are seen to as soon as possible. In the AQAA we are told the home has a policy of replacing furnishings as soon as they look tired. Care Homes for Older People Page 19 of 27 Evidence: People we spoke to told us they liked their rooms and commented on the cleanliness of the home in general. The home showed a good standard of housekeeping and no offensive odours were apparent. Staff spoken with showed a clear awareness of infection control policy and procedures, and practice observed demonstrated best practice hand washing and the use of alcohol gel that is provided at key points around the home. Four residents, when asked if the home is fresh and clean, said yes spotless. Most impressive, while another person said a lovely home that is always kept neat and tidy. Care Homes for Older People Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at home are supported by a properly recruited and trained staff in sufficient numbers to meet their needs. Evidence: People spoken with were very complimentary about the staff with comments including the staff have all been very kind and helpful and they are all wonderful, caring, cheerful, efficient, welcoming people. We found that the numbers of staff employed were sufficient to meet the needs of the people at home. People, asked if staff are available when needed, told us they were adding my relative has never commented that he has to wait for attention. We noticed that staff are always busy about their duties while continually interacting with the residents. Another comment was I feel secure as I can always ring the bell and someone will come. When additional staff are required this is arranged to ensure residents needs are met at busy times. Registered nurses support the high standard of care and management at Lyndhurst Park. We spent some time with the registered nurse and were impressed by her knowledge and awareness of person centred care giving and the management of the home. Care Homes for Older People Page 21 of 27 Evidence: We looked at the records of the two staff most recently employed at the home and found that all checks necessary to ensure they are safe to work with vulnerable adults had been completed before they began work at the home. All staff are encouraged and supported to achieve qualifications into care and some have National Vocational Qualifications (NVQ) two levels two or three. People are very satisfied with the level of care they receive and staff told us the standard of training they undertake is good, one adding my induction was very informative and in-depth. Staff training is well planned and monitored and informs all aspects of health and safety that are relevant to the needs of older people, such as visual and hearing awareness. Competence of knowledge is assessed by an outside provider, and the manager regularly checks staff competence and practical application of learning. Records of these were seen in individual files. Evidence was seen of regular staff supervision and annual appraisals. All staff interviewed confirmed that this is the case and told us they felt well supported in attending training and meeting the specific needs of the people in their care. In the AQAA we are told we invest in and nurture our staff to attend training courses and constantly look at developing their competencies. Care Homes for Older People Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of people who use the service. Evidence: Mrs Butcher the homes registered manager/provider is very experienced in her role. She provides leadership and support while working closely with her staff to set high standards of care and record keeping for the benefit of the health and well being of residents. We observed, and were told, by residents and staff, of a very open and approachable management style which they all appreciate. The manager seeks to give leadership, guidance and direction to staff to ensure they are knowledgeable and competent to meet the needs of people who use the service. People who use the service and relatives feel the manager is approachable, available and seeks to ensure all their needs are met. One resident told us she cant do enough, and another told us she is always there to help. Care Homes for Older People Page 23 of 27 Evidence: Staff interviewed stated they felt supported by an approachable manager. Four staff told us they could not think of any way the home could improve. Comments received from staff told us the home provides excellent care and an excellent environment; and care plans are always up-to-date and the home runs very well and we meet everybodys needs. Another person told us the home provides a safe caring environment with a good atmosphere. A formal quality assurance tool was available for inspection in order to demonstrate that the home consults with residents and relatives. People have their opinions of the service asked through regular surveys throughout the year, and where improvements have been identified these have been put into place. One resident told us you only have to mention something and it is attended to. The provider told us results of surveys are feedback to residents, relatives and staff through regular meetings. Pocket monies, for the people who use the service, held by the home were inspected and found to be accurate and have clear records for the protection of residents. Records inspected show staff receive regular supervision to ensure they have the skills and knowledge to meet residents needs. Staff spoke of receiving those and its helpfulness in identifying areas of training they would like, and would benefit their care provision to residents. Records were available to show regular safety and fire checks are carried out, to maintain safe systems for the protection of residents. Staff spoke to said they had received fire instruction regularly and records supported this, demonstrating staff have the expertise to safeguard residents in the event of fire. The home stores records securely and uses them in accordance with the Data Protection Act 1998. Care staff have all received training in first aid which ensures there is always a suitably qualified person available in the event of an accident or incident. 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 9 The registered person to ensure there is a clear system in place to enable an audit trial to monitor medicines entering and leaving the home, for the protection of residents through safe medicines management. 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). 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