Care Home: Monmouth House

What the care home does well Information is provided to residents about the home including information for those considering moving into the home. Each person`s needs are assessed before they are admitted. Care plans are devised which include details of individual preferences and routines. Residents and relatives are involved in the assessment and care planning process. Residents` health and personal care needs are met. Staff are reported to be responsive to residents` requests for assistance. There is a full activities programme for the residents including outings and musical entertainment. Residents are able to chose how they spend their time and there are opportunities for residents to be involved in and contribute to aspects of the home`s operation. There is a good daily menu with a variety of choices for the residents. The home has an effective complaints procedure and has procedures for safeguarding vulnerable older people. The environment is clean, homely and well maintained. Staff are supplied in sufficient numbers to meet individual needs. Staff training is of a good standard with all staff trained to National Vocational Qualification level 2 or 3. Staff recruitment procedures protect residents. The manager is well trained. The home has a number of ways of auditing the home`s performance and acts to make improvements. Residents are consulted and involved in some of the home`s decision making. What has improved since the last inspection? The Service User Guide has been updated. A Monmouth House newsletter has been introduced which residents can contribute to. Colten Care has appointed a senior manager to support the home`s own management and staff. Nutritional assessments have been introduced for individual people. A resources file outlining best practice care guidelines has been created. The activities programme continues to be developed and gentle exercise classes have been introduced for the residents. The complaints procedure has been updated. Ongoing improvements are made to the environment including redecoration, a new passenger lift and a replacement call point system. The manager has completed further training including a health and safety course and there is a health and safety committee. Staff training has been improved with all staff having access to various courses including National Vocational Qualifications in cleaning as well as catering qualifications. The frequency and range of surveys has been improved. What the care home could do better: There were no requirements or recommendations made at this visit. Key inspection report Care homes for older people Name: Address: Monmouth House Monmouth House St. Thomas Street Lymington Hants SO41 9NA     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: Ian Craig     Date: 2 2 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: Monmouth House Monmouth House St. Thomas Street Lymington Hants SO41 9NA 01590675694 01590675694 monmouthhouse@coltencare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Colten Care (1693) Ltd Name of registered manager (if applicable) Mrs C Dimmick Type of registration: Number of places registered: care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommmodated is: 28 The registered person may provide the following category/ies of service only: Care home only (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) Date of last inspection Brief description of the care home Monmouth house is a Grade 2 listed building located in the centre of Lymington. It is registered to accommdate up to 28 older persons. All bedrooms are singely occupied. 3 of these bedrooms can be used as double bedrooms. 7 bedrooms have an en suite toilet. Residents are able to request help by Care Homes for Older People Page 4 of 28 Over 65 28 0 Brief description of the care home using a call point in their bedrooms. The building has 3 floors. A passenger lift serves the first floor and there is a stairlift to the second floor. The home aims to provide care and accommodation to those who are relatively mobile. Staff are provided over a 24 hour period. There are 2 staff who have responsibility for coordinating activities for the residents. A daily programme of activities is on offer. Training is provided for the staff and the homes management. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection consisted of an unannounced visit to the home, which lasted 5 hours. A tour of the building took place. Records, documents, policies and procedures were looked at. Surveys were sent to staff and residents as well as professionals connected to the home asking for their views about the service. These were returned by 11 residents, 5 staff and 6 professionals. Information contained in the surveys has been used for this report. 3 residents and 2 staff were spoken to during the visit. 2 residents relatives were also spoken to. A visiting health care professional was also spoken to. Discussions took place with the manager and the Operations Manager. Care Homes for Older People Page 6 of 28 Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed and returned to the Commission. Information given in the AQQA has been used for this report. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? The Service User Guide has been updated. A Monmouth House newsletter has been introduced which residents can contribute to. Colten Care has appointed a senior manager to support the homes own management and staff. Nutritional assessments have been introduced for individual people. A resources file outlining best practice care guidelines has been created. The activities programme continues to be developed and gentle exercise classes have been introduced for the residents. The complaints procedure has been updated. Ongoing improvements are made to the environment including redecoration, a new Care Homes for Older People Page 8 of 28 passenger lift and a replacement call point system. The manager has completed further training including a health and safety course and there is a health and safety committee. Staff training has been improved with all staff having access to various courses including National Vocational Qualifications in cleaning as well as catering qualifications. The frequency and range of surveys has been improved. 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 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. Prospective residents are able to make an informed choice about whether or not to move into the home and the service accommodates only those whose needs it can meet. Evidence: The home has a document called Statement of Purpose, which is supplied to each resident. The document gives details of the homes mission statement, its philosophy of care and values as well as details of the staff and management, the food, the fees and terms and conditions of residence. In addition to this, the home has a brochure. A copy of the Monmouth News for October 2009 was seen, which has articles on the activities and has contributions written by the residents themselves. Each resident who returned a survey says that he or she received enough information about the home before moving in and that this helped them to make a decision about whether or not to move in. These residents also confirmed that they have received a Care Homes for Older People Page 11 of 28 Evidence: copy of a contract terms and conditions for their stay at the home. The process of residents moving in to the home was looked at. Prospective residents and their families are able to have a look round the home to see if it meets their needs and wishes. A resident said how his/her son had a look round the home to check its suitability before making a decision about moving in. The service completes an Individual Needs Assessment before someone moves into the home. This includes personal information such as next of kin and General Practitioner details. The assessment includes the following: My Daily Life with details of a personal history and preferred routines, Communication, Mental Well Being, Maintaining a Safe Environment, Eating and Drinking, Eliminating, Personal Cleansing and Dressing, Skin Integrity, Controlling Body Temperature, Sleeping, Pain, Breathing, and advanced care arrangements. Records show that residents and their relatives have been involved in the assessment process by recording their signature as being in agreement. Heath and social care professionals commented that the services assessment arrangements ensure accurate information is gathered and the right service planned for the residents. 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 home meets the health and personal care needs of the people who live there. Residents dignity and privacy is promoted. Evidence: Care records were looked at for 6 residents. Care plans are based on the assessment of need. These include guidance for staff to follow regarding the following needs: My Daily Life including daily preferred routines, communication, mental well being, maintaing a safe environment, eating and drinking, eliminating, personal cleansing and dressing, sleep, medication and pain relief plus advanced care plan. The care records identify the need along with the objectives and expected outcomes, any care intervention plus a review and signature of those involved. 5 of the 6 care plans seen were signed by the resident to acknoweldge his or her satisfaction with the recorded care arrangements. Care records also show that there is a meeting to review care needs after admission and that regular reviews take place which involve the resident who records a signature to acknowledge this. Care Homes for Older People Page 13 of 28 Evidence: Care plans include the preferences of the individual resident and this includes social needs such as preferred getting up and going to bed times, night time drink before going to bed, where he or she likes to eat, a chefs assessment of preferred meal types, daily newspaper and hobbies and interests. Residents confirmed that their daily preferences are catered for. The homes management carry out and record regular audits of the care plans. Staff confirm that they are provided with information about the care needs of the residents. Each resident who returned a survey says that the home provides the care and support they need and that arrangements are made for their individual medical care. Residents spoken to on the day of the visit said that their care needs are met. Comment was made that the staff act promptly when residents ask for help by using the call points in their rooms. Each person who returned a survey said that staff are available when needed. Comments incuded the following: The staff are magnificent. They do more than you ask. Other people commented on the kindness of the staff. Health and social care professionals say that individuals health and social care needs are properly monitored, reviewed and met. One professional commented that the residents are given an opportunity to maintain their independence. Staff are said to be skilled at providing care and seek and act upon advice about health and social care needs. Staff say that the residents health and social care needs are met and that they receive training in meeting care needs. Each bedroom has a door lock and residents are provided with a key to their room. Residents have access to a payphone and a number of residents have their own telephone in their bedroom. Health and social care professionals say that the home promotes residents dignity and privacy. The homes medication procedures were looked at. Residents are supported to manage their own medication within the safeguards of assessments by the home and the persons General Practitioner. Staff who administer and handle medication receive training from the supplying pharmacist as well as regular assessments by the home to judge their competency in this area. Care Homes for Older People Page 14 of 28 Evidence: Staff record a signature each time medication is administered to a resident. Stocks of medication were checked against the records of medication given and these show that residents receive their medication as prescribed. Any controlled medication is stored correctly and records maintained as required by Royal Pharmaceutical Society guidelines. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a full and varied activities programme where individual needs and choices are fully catered for. Good quality meals are provided. Evidence: The home has its own activities organiser employed for 20 hours per week. There is a daily programme of activities, which includes Saturday and Sunday. Activities range from trips out in a mini bus, board games, live jazz music, crosswords, trips to the market, a mystery tour, movies, cooking and several events to celebrate Christmas and New Year. Residents are given a copy of the monthly activities programme. There is also a social carer employed for 28 hours a week with responsibility for social interaction with individuals. Residents confirmed that activities are provided that they can take part in. Those spoken to on the day of the visit said that the activities organiser is lively and engaging, that there is one to one interaction and that they can take part in activities if they wish. A resident said how much he/she likes the trips out, which has included Care Homes for Older People Page 16 of 28 Evidence: visits to the beach and trips to scenic areas. 2 staff said that there is scope to improve the level of activities provided in the evening. Religious needs are catered for and visits by local clergy are arranged. Several residents have their own newspaper. Bedrooms are personalised and show that residents continue with hobbies and interests such as reading and art. There are residents meetings every 3 months when residents are encouraged to make suggestions about life at the home. Residents said that they are abe to spend their time as they wish. This was also confirmed by the health and social care professionals who returned a survey. There is a residents food committee which has a resident as its chair. A resident described how the food committee makes suggestions for the food provision such as general comments and specific requests. The food committee meets with the chef and the homes management on a monthly basis. The menu plan for the day is displayed in the hall. Meals are provided at the following times: breakfast 7am to 8.30am, coffee 10.30am, lunch at either 12.30pm if taken in bedrooms or 12.45 if taken in the dining room, afternoon tea 3pm, supper 5.30pm and night time drinks and snack at 8.30 to 9.30pm. Residents said that they like the meals. The midday meal on the day of the visit was Supreme of Chicken with lemon and sage sauce, or, various omelettes, or, sardine salsa, or stuffed peppers served with croquette potatoes, spinach and cauliflower florets. Dessert was a choice from apricot and jaloumie, or, assorted ice cream, or stewed fruit. Residents were seen eating in the dining room and commented that the meal was good or very good. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has an effective complaints procedure and takes steps to ensure the protection of vulnerable people. Evidence: The homes complaints procedure is contained in the Statement of Purpose and the users guide. Each person who returned a survey states that there is someone available to speak to if they are dissatisfied with the service provided. All but one person said that they know how to use the complaints procedure. The home maintains a record of any complaint made. There have been 10 complaints since the service registered. The records show that each one was investigated by a member of the management team and that each complaint was resolved. Health and social care professionals say that the home repsonds appropriately to any concerns that are raised. Staff receive training in safeguarding adults procedures and the home has copies of procedures for dealing with any suspected abuse. Staff confirmed that they have received training in safeguarding vulnerable adults procedures and that they know what to do if someone has concerns about the home. The manager has attended a training course run by the local authority in the Mental Capacity Act 2005 and any procedures where someones liberty may be affected. The Care Homes for Older People Page 18 of 28 Evidence: service intends to extend this training to the staff team. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is well equipped, homely and clean with good facilities which residents benefit from. Evidence: The home has 2 lounges and a dining room. There are plans to extend the smaller of the 2 lounges. A wide screen television and audio equipment are provided in communal areas. Residents were observed using the communal areas for socialising and taking part in activities. Furniture is clean and intact. Dining room tables were set with table cloths and napkins. Ornaments and pictures are situated throughout the home and help create a homely atmosphere. Residents, staff and professionals commented on the homely nature of the environment. The home has 25 bedrooms, which are used as single bedrooms although there is scope to use 3 of these rooms for double occupancy. 7 bedrooms have an en suite toilet. A number of bedrooms were seen. These contain furniture, books and pictures as well as other items belonging to the residents. Residents were seen using their bedrooms. A number of residents have their own telephone line. Call points are situated throughout the home for residents to summon assistance. Care Homes for Older People Page 20 of 28 Evidence: Lockable storage is provided in bedrooms and residents are provided with a key to secure valuables. A passenger lift serves the first floor and a stairlift the second floor. The home has 7 communal toilets and 4 bathrooms with specialist bathing facilities. The home has outdoor space for residents to use including gardens with lawns, trees, shrubs and flowers. The home was found to be clean and there was an absence of any unpleasant odours. Staff receive training in infection control and there are staff with responsibility for cleaning and laundry. There is a maintenance staff member and a gardener. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well trained staff team supplied in sufficient numbers to meet their needs. Recruitment procedures protect the residents. Evidence: The home provides the following staffing levels: 3 care assistants from 8am to 2pm each day and 2 care assistants from 2pm to 8pm. There are 2 waking night care assistants. In addition to these staff, the manager and head of care work 40 hours per week each plus an activities organiser for 20 hours per week and a social carer for 28 hours per week. A staff rota is maintained and this shows that the above staffing levels are maintained. The following ancillary staff are deployed: 2 cleaning staff for 42 hours per week, 2 chefs working for a total of 70 hours per week plus 2 kitchen assistants. A maintenance person works 8 hours a week and a gardener 4 hours a week. The manager and staff said that there are sufficient staff to meet residents needs, although one person said that this was only sometimes the case. Residents said that there are enough staff and that the staff respond promptly when they ask for help. Care Homes for Older People Page 22 of 28 Evidence: Newly appointed staff receive an induction, which is recorded. Staff confirmed that the induction covered everything they need to know to start the job. The induction is recorded. Records are maintained of the training, appraisal and supervision for each staff member. All staff are trained to National Vocational Qualification (NVQ) level 2 or 3 in care. Ancillary staff have also completed qualifications in cleaning and catering. Records and discussion with staff show that training is also provided in the following: infection control, first aid, fire safety, medication procedures, food hygiene, health and safety, managing clinical waste and safeguarding older persons. Staff say that the training is relevant, helps them understand the individual needs of the residents and gives enough knowledge about health care. Staff report that they have enough support and experience to meet the different needs of the people at the home. Health and social care professionals also state that the staff and managers have the right skills and experience to meet residents needs. Staff receive an annual appraisal which is recorded and each person has Continuing Development Plan. Regular staff meetings are held. The home has recruited 2 new staff in the last 12 months. Records show that the required checks were completed before the person started work, such as obtaining 2 references and a criminal record bureau (CRB) check. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed with excellent systems for monitoring and improving its own performance. Measures are taken to help ensure the health and safety of staff and residents. Evidence: The homes manager has National Vocational Qualification level 4 in care and holds the Registered Managers Award. She has also completed management training in time management and discipline and grievance. Staff describe the manager as supportive and helpful, saying that communication from the homes management team is good and that they feel comfortable raising any issues. Residents also made positive comments about the homes management. The home has a number of ways of monitoring and improving its service delivery. This includes customer satisfaction surveys, the results of which are summarised and a Care Homes for Older People Page 24 of 28 Evidence: plan of improvement devised based on the survey results. Residents meetings take place which are minuted by the residents themselves. There is a food committee which meets regularly with the the homes chef and management. The food committee chair person described the committee as being important and influential with the views of the residents being fully considered. A number of audits are carried out and recorded including care plans, cleaning, accident occurrences and decoration. The complaints and compliments made to the home are analysed. A member of Colten Care management team carries out a monthly audit visit as required by Regulation 26 of the Care Homes Regulations 20001. Copies of these were seen for each month of 2009. At the time of the inspection visit the home had made a decision to not look after any money or valuables on behalf of residents. The manager said that this arrangement is currently under review and a decision about it will be made in the near future. Staff say that they meet with their manager to discuss their work. Records show that individual staff receive regular supervision. The AQAA states that residents can access their records. Residents and relatives are involved in the assessment, care planning and review of care needs. The AQAA confirms that the homes appliances and equipment are regularly serviced and tested by suitably qualified persons. Staff are trained in first aid and resuscitation, infection control, contamination by substances hazardous to health , moving and handling, food hygiene and fire safety. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 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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