Care Home: North Lodge Care Home

What the care home does well North Lodge is a friendly home, where service users and visitors are all made to feel welcome. It is sometimes easy to forget that this home cares for people with dementia who are sometimes confused and may become easily upset. Staff have a good understanding of the individual care needs of the people who live in the home. For example, staff demonstrated how they speak to service users in a different manner, depending on individual preferences. An important philosophy of the home is to make sure that service users are stimulated. This is achieved by the employment of a dedicated activities organiser. As well as group activities, she is able to offer one to one time with service users, which they greatly value. The management style of the home is open and supportive. Staff are valued and this can be seen by the regular supervision that they receive and that their training is kept up to date. This benefits service users, who receive care from a well supported and competent staff team. What has improved since the last inspection? The home has purchased a mini bus so that service users go can out in the local community. There have been a number of improvements to the home that have benefited service users. A conservatory has been built so that service users have extra living space. A small area of the garden has been made accessible to that service users can now sit out in the garden. There is a programme of redecoration in the home. Service user bedrooms and communal areas that have been repainted look bright and welcoming. Programme of redecoration makes the home look bright and welcoming. What the care home could do better: The documents that people look at to help them decide whether or not to move to the home, need to be updated to make sure that people have accurate information. Not all service users can understand the way that information is currently presented in the Service User Guide. This was discussed with the registered home manager who said that she would develop a Service User Guide using pictures and less detailed information, so that it is more meaningful for people with dementia. Care plans would benefit from being more person centred, so that the individual needs of each service user are written from their point of view, including their specific likes and dislikes. Service users` preferences of whether to regularly attend a dentist have not been sought. This needs to be done so that service users` oral health is promoted. Key inspection report Care homes for older people Name: Address: North Lodge Care Home 47 St Peters Road Margate Kent CT9 1TJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Nicki Dawson     Date: 1 5 0 4 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 26 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 26 Information about the care home Name of care home: Address: North Lodge Care Home 47 St Peters Road Margate Kent CT9 1TJ 01843229390 01843230423 northlodge@purelakehealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Purelake Healthcare Ltd care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 21. 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: Dementia (DE). Date of last inspection Brief description of the care home North Lodge provides care and accommodation for up to twenty one older people with dementia. The is a detached property situated on a busy road. There is parking available at the front of the home. The home is a short distance from the local town, amenities and local hospital. There are a number of shared bedrooms available as well as single. The home has a chair lift, not a shaft lift to the first floor bedrooms. The first floor also has some steps to some of the bedrooms. Therefore, people with restricted mobility may find some difficulty accessing the first floor. The home is owned by Purelake Healthcare Limited who own a number of care homes Care Homes for Older People Page 4 of 26 21 Over 65 0 Brief description of the care home in the area. The fees for support from the home vary according to the individual needs of the service user. The home manager stated that the average fee levels at this time are three hundered and ninety six pounds and forty eight to five hundred and fifity pounds. The last key unannounced inspection to the home was 2nd May 2007. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection was unannounced, which means that the service users, staff and home manager did not know that the inspector was calling at the home. The inspection started at 9.10am and took 8 hours. The inspector joined some service users for lunch and observed staff supporting service users in the main lounge. Discussion took place with staff, the home manager and a visiting relative, to gain their views and knowledge of the level of care, provided by the service. The communal areas of the home and a selection of service users bedrooms were entered. A number of records to do with service users care and safety were looked at. Prior to the inspection an annual quality assurance assessment (AQAA) was sent to the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Care Homes for Older People Page 6 of 26 Survey questionnaires (Have Your Say About...) were sent by the commission to the home before the inspection visit. These comment cards are useful in gaining the views of the people who live and work in the home about the quality of care that is provided by the service. Comment cards were returned from a number of service users and staff. They were all very positive about the support that is provided by the home. One relative commented:The home makes it feel like a real home looking after residents as they would their own lives ones to be cared for. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The documents that people look at to help them decide whether or not to move to the home, need to be updated to make sure that people have accurate information. Not all service users can understand the way that information is currently presented in the Service User Guide. This was discussed with the registered home manager who said that she would develop a Service User Guide using pictures and less detailed information, so that it is more meaningful for people with dementia. Care plans would benefit from being more person centred, so that the individual needs of each service user are written from their point of view, including their specific likes and dislikes. Service users preferences of whether to regularly attend a dentist have not been sought. This needs to be done so that service users oral health is promoted. Care Homes for Older People Page 8 of 26 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 26 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 26 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. Some information about North Lodge needs to be updated so that people considering moving to the home have all the information they need to help them decide whether or not to it is the right place for them to live. Peoples needs are fully assessed before they move into the home so that they can be sure that they will receive the right type of care. Evidence: The aims and objectives of the home are clearly set out in the homes Statement of Purpose. The services and facilities that are available to people living in the home are detailed in the Service User Guide. The documents are well written but contain one piece of inaccurate information and also omit some information that is important to people who live in the home. The Care Homes for Older People Page 11 of 26 Evidence: documents state that there are two showers available, but there was only one shower in use on the day of the inspection. Service users would also benefit from information about the fee range, where to access the most recent copy of the inspection report (this is clearly displayed on the wall in the entrance hall) and how to contact the local health authority and social services. This was discussed with the registered home manager who said that the necessary changes would be made. Before new service users are admitted to the home a full needs assessment is carried out to decide whether or not the home is a suitable place for the person to live. The assessment of one person that has recently moved to the home was looked at. It gave good information on which to base an assessment as to whether the home could meet this persons needs. This information is used to start the development of an individual plan of care. If the person is funded by the local social services, then a copy of the social services assessment is obtained from social services. The Statement of purpose states that, North Lodge aims to provide a safe and comfortable environment for adults over the age of 65 with mentally infirmed difficulties. All care staff have either undertaken training in dementia or are booked to attend a training course in dementia. In addition, staff also receive training in how to manage behaviours that challenge. During the inspection it was found that some service users are diabetic. The care staff team have a mixed level of understanding about how to care for people with diabetes. The registered home manager said that she would address this by making written information available for staff and by staff attending external training in this area. Care Homes for Older People Page 12 of 26 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. Service users care plans give clear guidance to staff as to how to meet their assessed needs. These plans could be further improved by being written from the point of view of the individual service user. Service users have access to health care services with the exception that some people do not have access to a dentist. Service users are treated with dignity and respect and their privacy is maintained. Evidence: Three service users care plans were examined. They all clearly set out the health, personal and social care needs of each service user, together with the staff support that is required to meet these assessed needs. The plans have been regularly reviewed. The care plans would benefit from being written in a more person centred way. This approach puts the service user in the driving seat by finding out what they want to happen in their life; recording clearly how I , the service user wish to be supported, rather than talking about the service user. The registered home manager Care Homes for Older People Page 13 of 26 Evidence: said that she had some resources on personal centred planning that she could use to develop the whole staff teams understanding of personal centred planning. All care plans have written plans in place to minimise the effect of any potential risks such as falls and behaviours that may challenge. The registered home manager monitors service users falls so that she can take the appropriate action if it is identified that anyone is prone to falling. Care plans contain a personal hygiene matrix. When a member of staff carries out a personal care task it is recorded to make sure that all areas of personal care are met on a regular basis. The registered home manager said that all service users are supported to visit health care professionals to maintain their health. The outcome of these visits is clearly recorded to monitor the health care needs of each service user. However, it was found that only a few service user visits the dentist. The registered home manager said that she would consult with service users so that they have access to a dentist of their choice if they want to. The home uses a pre dispensed system for administration of medicines. This system is used to reduce the risk of service users receiving incorrect doses or incorrect medication. On examination of this record it was found that there were no gaps in recording medicines, making sure that each service user receives their medication as it is intended by their GP. Only care staff that are trained in how to give out medicines safely, do so. During the visit staff were observed talking with service users in a respectful and individual way. One relative commented, Staff treat the residents with dignity and respect. Care Homes for Older People Page 14 of 26 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. Service users are offered a range of individual and group activities. Service users are able to keep in touch with family and friends. Service users enjoy mealtimes and receive a healthy and varied diet. Evidence: The home employs an activities organiser from 8am to 3pm on Monday to Friday. She plans some group activities for residents such as bingo, quizzes, and craft. Cooking is also offered on special occasions such as Easter and Christmas. A tuck shop is open one afternoon a week so that service users, who may not be able to get out, can buy some treats. The activities organiser is able to offer individual service users one to one support such as going for a walk, personal shopping and sitting down for a chat. Service users greatly benefit from the opportunity to have individual attention and evidence of this can be seen from the comment of one service user, If unable to participate in arranged activities, it is usually because I prefer one to one support. Care Homes for Older People Page 15 of 26 Evidence: A relative commented service users are encouraged to follow their faith and that a small service is held monthly for those who wish to participate. The home has recently purchased a mini bus so service users can be taken out for a drive. The activity board in the lounge showed that music for health visit monthly and some service users are going to a local tea dance during the week. The activity organiser said that in addition, other outside visitors include an entertainer, reflexologist and chair exercises. One relative commented that the home, welcomes and greets people at anytime of day and offers refreshments. This was observed on the day of the inspection. There was a calm and relaxed atmosphere in the home on the day of the inspection. A visiting relative confirmed that the home has this relaxed and welcoming feel about it every day. Service users are able to choose when to get up, when to go to bed, what to wear, what to eat and how to spend their day. The activities organiser regularly arranges service user meetings, where people that live in the home can come together to discuss what activities that they would like to do. It also gives people the opportunity to speak out about anything that they particularly enjoy or do not enjoy. The inspector joined some service users for lunch. Some service users ate their meal in the dining room and some at a table in the lounge. The food was appetising and service users clearly looked forward to their meals. The cook explained that she is aware of service users individual likes and dislikes. Care Homes for Older People Page 16 of 26 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. Service users are confident that any compliant they make will be listened and be resolved to their satisfaction. Service users are protected by staff feeling confident to speak out and take action if they have any concerns about their care. Evidence: The commission has not received any complaints about the service in the last year. The home has received one complaint that has been resolved to the satisfaction of the complainant. There is a clear procedure to record, investigate and respond to any complaints that may be made. One service user commented, I would speak to the manageress before making any complaint. Staff have a good understanding of what is good care practice. Staff that were spoken with said that they feel confident to speak out if they see any practice in the home that could potentially be abusive. The staff training matrix shows that all care staff and domestic staff have either had formal training in safeguarding vulnerable adults, or that they are booked on a course. Care Homes for Older People Page 17 of 26 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. Service users benefit from living in a safe, clean and comfortable home that is relaxed and welcoming. One service user would benefit from having their bedroom made more pleasant. Evidence: Service users said that they are comfortable living at North Lodge. They have use of a large communal lounge. Service users benefit from the addition of a new conservatory and were seen enjoying the sunshine on the day of the inspection. There is a large garden at the back of the home, but service users cannot take full benefit from it as it is not accessible. However, a small patio area has been built so that service users can sit out in a small area of the garden. The atmosphere in the home was very relaxed on the day of the inspection. A visiting relative said that the home always has this good feeling about it when they visited. Service users are able to personalise their rooms and have done so according to their individual choices and tastes. The home has three double rooms. The deputy manager said that all double rooms are shared by two people that have made an active choice to do so. There is a stair lift for service users to gain to get to bedrooms on the first floor. Care Homes for Older People Page 18 of 26 Evidence: As stated earlier in this report, the Service User Guide informs service users have the use of two showers. However, one shower is currently being used as a storage room. It is advised that this shower room is made available to service users so that they can benefit from all the facilities available to them. The home manager has continued to make improvements to the home. This includes decorating a number of service user bedrooms; painting the upstairs and downstairs corridors and the downstairs toilet. The result is that the home looks bright and more inviting. There are plans for further redecoration and a new carpet for the lounge. The risks in the environment of the home have been assessed and a number of measures put in place to make service users safe. Radiators are guarded to minimise the risk of service users scolding themselves in they should fall. Service users are prevented access to parts of the home that may be potentially dangerous to them. The water temperature in bathrooms is thermostatically controlled at a safe temperature to minimise the risk of a service user scolding themselves. The home was clean on the day of the inspection. Service users commented that the home is always clean and fresh. One relative said, The care home always smells fresh. My mothers room is always spotless and tidy. The exception to this was that a smell of urine was found in one service users bedroom. It is recommended that the bedroom carpet is thoroughly cleaned or a more suitable replacement acquired. Most staff have received training in how to minimise the spread of infection and staff demonstrated that they put this knowledge into practice. There is a sluice room on the first floor. There is a separate laundry room, which is well organised. Care Homes for Older People Page 19 of 26 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. Service users benefit from receiving care from a qualified and competent staff team. Service users are protected by the homes recruitment practices. Evidence: Evidence from the staff rota is that there are four members of care staff on duty from 8 am to 8pm, including one senior member of staff. There are two waking night staff from 8pm to 8am. In addition there is a cook, domestic and laundry support and a maintenance person. Staff commented that there are sufficient numbers of staff on duty for them to be able to perform their duties. Service users and relatives were very complimentary about the staff support that they or their relative receive. Staff could not be more kind or helpful; They are very approachable, I think theyre very good. 43 of staff are trained to National Vocational Qualification (NVQ) level 2 or above. The National Minimum Standards recommend that 50 of care staff attain this award. This award is useful because it helps staff develop good care practices and their skills in working with people who live in a residential care home. Four care staff are currently working towards their NVQ and when it is completed the home will exceed the standard. Care Homes for Older People Page 20 of 26 Evidence: Before new members of staff are employed at the home a number of checks need to be carried out to make sure that all members of staff working at the home are suitable to care for vulnerable service users. Files were seen for two new members of staff and one member of staff who had been employed at the home for some time. All the relevant checks and documentation including Criminal Record Bureau enhanced disclosures, two references, contract of employment and application form were included showing that the recruitment process followed protects the service users. There is a checklist on the front of each file showing the information that should be included. This is a valuable way of making sure that all staff files contain the information that is needed. The registered home manager is responsible for making sure that care staff have the skills they need to support the residents who live in the home. She said that all new care staff receive the appropriate introductory training, which gives them the basic competencies they need to be able to work without direct supervision. This was confirmed by a new member of staff. In addition to the introductory training, care workers undertake a number of training courses that develop their skills in caring for the people that live in the home. The registered home manager has completed a staff training matrix, which identifies the training that each member of staff needs to achieve. The only gaps in the record are in relation to new members of staff who are currently under induction. This shows that the home values staff training and ensures that service users only receive care from staff that are qualified and competent to do so. All staff who completed surveys stated that they feel that they have the right support, experience and knowledge to meet the different needs of people who live in the home. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from the management approach of the home, which is individual and open. Service users can he assured that the home is run in their best interests. The health, safety and welfare of service users is promoted at all times. Evidence: The registered home manager is responsible for the day to day running of the home. She has been employed as the homes manager since March 2006. She has eighteen years of experience of working with older people with dementia and mental health problems. The registered home manager has both of the formal qualifications specified by the National Minimum Standards. These awards are recognised by the commission to be useful because they help to make sure that people who manage residential care services have the competencies that are necessary to do so. Care Homes for Older People Page 22 of 26 Evidence: Service users were observed talking with the registered home manager in an easy manner. Staff and relatives said that both she and the deputy manager were easy to approach. It is like friends, one person commented. For the home to run in the best interests of the service users it is important to have a system in place which regularly obtains the views of service users and visitors about the standard of care that they receive from the home. Evidence was viewed that the last time this was done, 100 of people said that they would recommend the home to others. In the AQAA the registered home manager said that she carries out annual development plans in three monthly cycles, which contributes towards the quality assurance and quality monitoring system. Where monies are kept on behalf of people who live in the home, evidence was seen that they are well organised to ensure that monies are spent in the best interests of each individual service user. Evidence was seen that the registered manager regularly supervised staff. This was confirmed by individual members of staff. Formal supervision is important since it gives care staff the opportunity to discuss care practice and to identify and develop their skills for caring for the people who live in the home. One member of staff said, We discuss situations on a daily basis so that nothing is ever forgotten. I couldnt ask for more support. The registered home manager declared in the AQAA sent to us before the inspection that all items of equipment in use in the home remain in good working order. The records of fire safety were examined and show that the home does all that it can to protect all the people that live and work in the home. As mentioned previously, the registered home manager has developed a staff training matrix to identify and plan staff training needs of the whole team. This plan shows that staff training is up to date in all necessary areas. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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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