Care Home: Newton Court Nursing Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well People`s needs are assessed before they go to live at Newton Court to ensure that this will be the right home for them. A written assessment is available for staff to look at so that they have information about new residents. The health and personal care needs of the people living at the home are met by the home`s staff and by involving healthcare professionals as needed. This is recorded well in the care plans using plain English. The care plans are written in a person-centred style which identifies people`s wishes and preferences. People are able to make choices in daily living and regular social activities are organised for those who like to join in. There is a good choice at mealtimes and snacks are always available. People we spoke with were happy with their meals. On the day we visited we found all parts of the home were clean and there were no unpleasant smells. All parts of the building are in a good state of decoration and repair and the gardens are well tended. More than half of the care staff have a national vocational qualification in care, which means that there is a well-qualified staff team. All staff have training, and training updates, to ensure that know how to work safely. Comments we received fom staff included: `It is always clean, friendly and welcoming.` `The home is very friendly and makes residents and staff feel very welcome. Staff build a good relationship with residents and families, GPs, district nurses and other outside agencies.` `On the whole the home is very well run and is clean and tidy and all the staff give 100%.` During our visit we spoke with most of the staff on duty and they were all very friendly, pleasant and helpful. The manager has worked at Newton Court for several years. She worked as deputy manager for five years and was appointed manager in July 2007. The manager keeps very good records and was able to provide us with all of the information we needed during our visit. Discussion with her showed she was up to date with everything happening at the home and she was able to answer any questions about residents or staff. Her concern for the well-being of the home`s residents and staff was apparent. We also considered that the manager showed awareness of areas where the home could improve and took prompt action to address any problems. She completed a good, concise AQAA to provide the information that was requested prior to our visit. We are sent well-completed notifications of any significant events that happen in the home. The home has established systems for auditing the quality of the service provided and there are regular meetings for staff, residents and their relatives where they can express their views. A health and safety meeting is held quarterly and minutes are recorded. Very good fire safety records are kept. What has improved since the last inspection? At our last visit we found some shortfalls in the recording of medicines and these have been addressed. What the care home could do better: We found some examples where medicines had not been administered because the resident was sleeping. When this happens the nurse should give the medicine later when the person wakes up. The home currently has some staff vacancies and this puts pressure on the staff. We saw that the manager was trying to recruit more staff and this needs to continue. The senior staff on the ground floor do not have an office and they told us that this can cause confidentiality problems when speaking with relatives and other visitors. Key inspection report Care homes for older people Name: Address: Newton Court Nursing Home St Ann`s Road Middlewich Cheshire CW10 9BJ     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: Wendy Smith     Date: 1 8 0 8 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 24 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 24 Information about the care home Name of care home: Address: Newton Court Nursing Home St Ann`s Road Middlewich Cheshire CW10 9BJ 01606835294 01606835295 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.bupa.com BUPA Care Homes (AKW) Ltd care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP (maximum number of places: 60). Physical disability: Code PD (maximum number of places: 3). The maximum number of people who can be accommodated is: 60. Date of last inspection Brief description of the care home Newton Court is a modern purpose built care home located close to Middlewich town centre. The ground floor accommodates up to 24 older people who require personal care, and the first floor accommodates up to 36 older people requiring nursing care. The home is part of the BUPA group. 0 3 Over 65 60 0 Care Homes for Older People Page 4 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three stars. This means that the people who use this service experience excellent quality outcomes. Two inspectors visited Newton Court unannounced on 18 August 2009 as part of this inspection. During the visit we spoke with residents, staff and a visitor. We walked round the building to see all the communal areas and some of the bedrooms. We checked records kept at the home and spent time talking with the manager. We also looked at any information that we had received about Newton Court since our last inspection there in 2007. Before the inspection the manager was asked to complete a questionnaire to give us up to date information about the service and survey forms were sent out for staff to give us their views. Care Homes for Older People Page 5 of 24 What the care home does well: Peoples needs are assessed before they go to live at Newton Court to ensure that this will be the right home for them. A written assessment is available for staff to look at so that they have information about new residents. The health and personal care needs of the people living at the home are met by the homes staff and by involving healthcare professionals as needed. This is recorded well in the care plans using plain English. The care plans are written in a person-centred style which identifies peoples wishes and preferences. People are able to make choices in daily living and regular social activities are organised for those who like to join in. There is a good choice at mealtimes and snacks are always available. People we spoke with were happy with their meals. On the day we visited we found all parts of the home were clean and there were no unpleasant smells. All parts of the building are in a good state of decoration and repair and the gardens are well tended. More than half of the care staff have a national vocational qualification in care, which means that there is a well-qualified staff team. All staff have training, and training updates, to ensure that know how to work safely. Comments we received fom staff included: It is always clean, friendly and welcoming. The home is very friendly and makes residents and staff feel very welcome. Staff build a good relationship with residents and families, GPs, district nurses and other outside agencies. On the whole the home is very well run and is clean and tidy and all the staff give 100 . During our visit we spoke with most of the staff on duty and they were all very friendly, pleasant and helpful. The manager has worked at Newton Court for several years. She worked as deputy manager for five years and was appointed manager in July 2007. The manager keeps very good records and was able to provide us with all of the information we needed during our visit. Discussion with her showed she was up to date with everything happening at the home and she was able to answer any questions about residents or staff. Her concern for the well-being of the homes residents and staff was apparent. We also considered that the manager showed awareness of areas where the home could improve and took prompt action to address any problems. She completed a good, concise AQAA to provide the information that was requested prior to our visit. We are sent well-completed notifications of any significant events that happen in the home. The home has established systems for auditing the quality of the service provided and there are regular meetings for staff, residents and their relatives where they can Care Homes for Older People Page 6 of 24 express their views. A health and safety meeting is held quarterly and minutes are recorded. Very good fire safety records are kept. 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 7 of 24 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 8 of 24 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. Peoples needs are assessed before they go to live at Newton Court to ensure that this will be the right home for them. Evidence: In the annual quality assurance assessment (AQAA), the manager told us Comprehensive written information is provided to all prospective clients, outlining the ethos of Bupa Care Homes and the home, as well as vital information to help with the process of choosing a care home. The homes CQC reports, the Service User Guide and Statement of Purpose are made available in reception. Prospective residents who are unsure are given the option of a trial in the home, to ensure their happiness and wellbeing. The home is registered to provide care for up to 60 people and when we visited on 18 August 2009 there were 57 residents, including four who were currently in hospital. The ground floor provides personal care under the supervision of a unit manager and Care Homes for Older People Page 9 of 24 Evidence: team leader. The first floor provides nursing care and we saw that many of the people living there had a high level of care needs. Before people go to live at Newton Court either the manager or one of the other senior members of staff goes to meet them and to assess their needs. This is to make sure that Newton Court will be able to provide the care that they need. When we looked at care plans we saw written assessments that had been completed to give the staff information about new residents. Newton Court is not registered to provide specialist care for people with dementia. Some of the people who live there have memory problems and/or cognitive impairment but also have health needs that require nursing care and the manager told us that there were no problems in meeting the needs of these people at the time we visited. Newton Court does not provide intermediate care but will accommodate people for short stays if a room is available. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of the people living at the home are met and the standard of recording is good. Evidence: Each resident has a personal plan produced using BUPAs QUEST assessment tool. The first assessment is recorded before the person goes to live at the home and this is updated soon after they are admitted. We looked at care plans in both parts of the home and found that they had been completed well. They were written in plain English and in a person-centred style, recording individual wishes and preferences. The care plans contained risk assessments for all areas where there may be a risk to the health, safety or well-being of the person and plans were in place to manage these risks. The care plans were reviewed regularly to show whether the care given was effective or if any change was needed. On the first floor two people had come into the home with pressure damage to their skin and we saw good records of how these wounds were being treated. A significant number of people were being looked after in bed and appropriate pressure relieving Care Homes for Older People Page 11 of 24 Evidence: mattresses were provided. We saw other equipment used to keep people safe such as pressure mats that sound an alarm when a person gets out of bed. Where bedrails were being used, a risk assessment was recorded in the persons care plan and the safe fitting of the rails was checked regularly. The care plans showed that people living at Newton Court have good access to medical services. There is regular input from district nurses for people on the ground floor, for example people with leg ulcers. People have a choice of GP. We also saw records of visits by a diabetic nurse, dietician and physiotherapist. A relative who we spoke with said that her mother was at deaths door when she came to live at Newton Court. She has been very impressed with the care provided and said that the staff are absolutely wonderful from domestic up to manager. We looked at the management of residents medicines in both parts of the home. Both storage and recording were very good. On the ground floor, people who are able are encouraged to look after their own medication, with support from the staff as required. On the first floor we noticed several examples of where medicines had not been given as prescribed because the person was asleep. There was no evidence to suggest that the nurse had given the medicine later when the person woke up. This means that people may miss important medicines. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices in daily living and social activities are organised for those who like to join in. Evidence: An activities organiser is employed 30 hours a week but was on holiday when we visited. The staff and residents we spoke with considered that social and recreational opportunities in the home had improved and all of the people who are well enough can join in if they wish. The most recent initiative has been a world tour which people enjoyed. Activities equipment is kept in the ground floor lounge and could do with a storage cupboard. The care plans we looked at recorded peoples choices and preferences and one of the care plans contained a life-story that had been written by a family member. People can choose where they spend their day. Some like to stay in their own room, some sit in the lounge, and on the ground floor some people sit in the reception area where they can see visitors coming and going. On the ground floor there is a drinks trolley for residents to have a nightcap. Some of the people we spoke with said that they go out with family members. The home has an open visiting policy, taking into account residents wishes. Care Homes for Older People Page 13 of 24 Evidence: The home has a new catering manager who goes out and talks to the residents about what they would like to eat. The people we spoke with confirmed that they always get a choice of meals. Picture menus are available to help people with communication difficulties. There is a menu board in each of the dining rooms. Lunch on the day we visited was soup, followed by beef hotpot, which looked very nice. There was also mashed potatoes and mixed vegetables. Some people had chosen to have sausage roll and on the ground floor one person was having a salad, one a poached egg, and another an omelette. A nite bite initiative ensures that people can have a choice of snacks when they feel like it. One of the people we spoke with said the food is smashing. Care Homes for Older People Page 14 of 24 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 who live at the home are protected from abuse and complaints are addressed. Evidence: BUPA has recently introduced a new complaints procedure. The policy includes a three-tier framework of the home, the regional management team and the national Quality and Compliance department. The complaints procedure is clearly displayed in the entrance area of the home. One complaint has been logged in the last year and this was recorded in plenty of detail. There is now also a minor concerns log, with forms kept on each floor of the home for staff to record any verbal complaints/concerns they receive and bring them to the attention of the manager. One concern has been logged using this new system. Positive comments are also being recorded and there have been four so far. These records are also kept electronically. The Commission has received no complaints about Newton Court since our last visit. BUPA also has robust policies regarding abuse and neglect, allowing staff to raise concerns within the home or to senior staff outside the home. One of the unit managers takes responsibility for safeguarding training using a video and questionnaire. Newer staff have all completed this training but some of the longer service staff have no abuse training recorded since 2005. The manager has arranged dates for them to attend the current training programme. In the last year one allegation was referred to the local authority and was resolved with further training for Care Homes for Older People Page 15 of 24 Evidence: a member of the homes staff. Care Homes for Older People Page 16 of 24 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. Newton Court provides a comfortable, clean and well-maintained environment for people to live in. Evidence: Newton Court is a purpose built care home in a residential area of Middlewich. It has private gardens with sitting areas and these are attractive and well kept. The home is well maintained and provides a range of communal areas on two floors. All bedrooms and communal areas are comfortably furnished and carpeted and nicely decorated. Some residents have brought their own belongings into their rooms to make them more homely. All bedrooms have an en-suite toilet. There is a range of different assisted bathing and showering facilities. Equipment, including grab rails, mobile hoists and adjustable nursing beds, is provided to meet the needs of residents. On the day we visited, all parts of the home were clean and there were no unpleasant smells. The laundry was clean, tidy and well-organised. Care Homes for Older People Page 17 of 24 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. The home employs qualified and experienced staff and regular training is provided to ensure that they know how to work safely. Evidence: On the ground floor there are three care staff on duty in a morning and two the rest of the day and night. Four staff are senior and they have responsibility for care plans and medicines. There is only one senior on nights at present and when she is not on duty one of the day seniors works extra hours to administer night medication. This also means that the nurse on duty on the first floor has to give any medicines that people require during the night. The manager told us that another member of staff is training to be a senior and this needs to be completed as soon as possible. The first floor has two nurses in a morning and one for the rest of the time. The manager is aiming for two nurses throughout the day but she told us that recruitment is difficult. There are five carers in a morning, four in an afternoon/evening and three at night. The manager told us that these numbers are usually maintained, with the use of agency staff when needed, however on the day we visited there were only four care staff because someone had phoned in sick. We spoke with a member of staff who told us that staffing is a major issue. The manager is supportive and passes on comments to BUPA, however working with only one nurse in an afternoon and evening is very stressful, particularly when dependency is high. She said that staff do their Care Homes for Older People Page 18 of 24 Evidence: best and keep up high standards through good teamwork. There are vacancies for a nurse on day and night duty and for carers for nights. We spoke with most of the staff and found them all very helpful, friendly and open, and committed to Newton Court. We received three comments cards from staff and they told us: It is always clean, friendly and welcoming. The home is very friendly and makes residents and staff feel very welcome. Staff build a good relationship with residents and families, GPs, district nurses and other outside agencies. It would be helpful if we could have bank staff to cover holidays and sickness and more senior staff to administer medication. On the whole the home is very well run and is clean and tidy and all the staff give 100 . There are 28 care staff employed at Newton Court. 18 have an NVQ in care and a further four will be starting NVQ soon. This means that the home has a well-qualified staff team. We looked at the recruitment records for new members of staff. We found that very good records were maintained and they showed that the manager had obtained the required information and carried out the necessary checks to ensure that these people would be safe and suitable to work with vulnerable older people. The manager has recently introduced a training matrix to show when each member of staff has attended training and to identify when they are due for an update. The chart showed that all staff had done moving and handling training but a few people are overdue for an update. All have had recent fire training and attended a fire drill. In the AQAA, the manager told us that 39 staff have received infection control training, 32 have done nutrition training and 32 have done food hygiene training. The staff who completed our questionnaires confirmed that they receive regular training. Care Homes for Older People Page 19 of 24 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 very well managed to ensure that staff are supported to work to a consistently good standard, peoples views are listened to, good records are maintained, and the people who live and work at the home are kept safe. Evidence: The manager Linda Brooks has worked at Newton Court for several years. She worked as deputy manager for five years and was appointed acting manager in July 2007. In February 2008 her position as manager was made permanent and she was registered with the CSCI in July 2008. There is also a deputy manager and an administrator. The manager keeps very good records and was able to provide us with all of the information we needed during our visit. Discussion with her showed she was up to date with everything happening at the home and she was able to answer any questions about residents or staff. Her concern for the well-being of the homes residents and staff was apparent. We also considered that the manager showed awareness of areas where the home could improve and took prompt action to address Care Homes for Older People Page 20 of 24 Evidence: any problems. She completed a good, concise AQAA to provide the information that was requested prior to our visit. We are sent well-completed notifications of any significant events that happen in the home. Monthly audits are conducted by the regional manager and the visits required by regulation 26 of the Care Homes Regulations are documented. There are also detailed audits on specific aspects of care including medication and care plans. Some audits are now electronic and the manager said that she finds this provides a very useful way to monitor progress. The last medicines audit, done in July 2009, recorded 92 compliance. There is an annual internal and external customer satisfaction survey. BUPAs Surveying Our People is a detailed staff questionnaire. The customer satisfaction survey is followed up with an action plan. We saw that some negatives responses relating to activities and catering had been addressed. Quarterly meetings are held for heads of department, nurses, care staff, residents and relatives. We were able to read the minutes of these meetings. The last relatives meeting (31/7/09) was poorly attended and the manager is starting a monthly drop-in for relatives who would like to see her. Dates will be displayed in the entrance area. The homes staff do not look after any residents finances but people can deposit small amounts of personal spending money into a personal allowance account and a regular statement is provided for them and/or their relatives. A health and safety meeting is held quarterly and minutes are recorded. The minutes go to the Regional Manager and the Quality and Compliance team. We saw very good fire records that include an emergency plan, records of daily inspections and weekly tests. A fire risk assessment for the building was completed in November 2008. Regular fire drills are held: the last, on 12 August 2009, was for night staff, with six named people attending. A fire officer visit was recorded in 2008 but there was no report following the visit. An environmental health officer visited in December 2008 and some recommendations were made, which are nearly all completed. A comment was made on the good standard of hygiene. The manager provided dates when all plant and equipment were tested and serviced and these were all are up to date. BUPA Care Homes provides comprehensive policy and procedure manuals that are regularly reviewed by experts and updated when required. These provide guidance for the staff in all areas of the service. Care Homes for Older People Page 21 of 24 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 22 of 24 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 Ensure that people always receive their prescribed medication. If someone is asleep at the time of the medicine round the medicines should be given when they wake up. Care Homes for Older People Page 23 of 24 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 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!