Care Home: Oban House

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well The home is well managed and people`s care is planned well and takes into account their preferences. Carers are respectful and courteous, and have good inter-personal skills. People are encouraged to be as independent as they wish to be and to participate in the local community. People are supported to make their bedrooms as homely as possible. The food is of a high standard and menus are varied. What has improved since the last inspection? There has been an increase in the number of activities and opportunities for outings arranged. Each person living in the home has a key worker, and the key worker is taking more responsibility for ensuring care plans are kept up to date and that people have everything they need. Improvements to the environment have included the redecoration and recarpeting of bedrooooms when they are vacated, and bedroom furniture including bedside lockers being provided. One of the bathrooms has been refurbished and a bath easier for people to use has been installed. Requirements made at the previous inspection have been assessed as met. What the care home could do better: No requirements were made at this visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oban House 9 - 11 Victoria Drive Bognor Regis West Sussex PO21 2RH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Edward McLeod     Date: 0 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Oban House 9 - 11 Victoria Drive Bognor Regis West Sussex PO21 2RH 01243863564 01243860716 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Eve Kent Type of registration: Number of places registered: Mr Ronald Peter Rook,Ms Eve Kent care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Oban House is a care home registered to accommodate up to 30 residents (2 of whom may be day care) in the category of older adults. Oban House is a large property consisting of two separate detached houses being linked in the middle to form one establishment. Oban House is situated near the sea and local shops, in the coastal town of Bognor Regis. The service is privately owned by Ms. Eve Kent and Mr R. Rook, and the registered Manager is Ms. Eve Kent. The minimum fee per week is 338 pounds and the maximum fee per week is 410 pounds. 0 Over 65 30 Care Homes for Older People Page 4 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: 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 arranged to assess the homes compliance with the key standards of the National Minimum Standards for care homes for older people, and with requirements made at our previous visit. We prepared for this visit by obtaining an annual quality assurance self audit (the AQAA) from the care home, which provided us with information on how the service is being delivered. We also sent out and received back CSCI questionaires on the service provided from eight people receiving a service and six staff who work for the service. Some of the information received in this way has been used in the writing of this report. Care Homes for Older People Page 5 of 28 We also took into account information received on the service from the service and from other sources. During our visit we were accompanied by an expert by experience, who is a person with knowledge or experience of the type of service being provided. The expert by experience interviewed three people receiving a service, and made observations of interactions and the home environment. Some of the views and observations of the expert by experience have been included in this report. We spoke with four people in all who are receiving a service and four members of staff and the manager during our visit. We sampled care records and staff recruitment and training records in order to make an assessment of how well the service is supporting and maintaining the safety of people accomodated. We also sampled some complaints, medication, and health and safety records for the same reason. We were on the premises for three and a half hours. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 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 8 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. People are confident 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 can decide whether the care home 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 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. Care Homes for Older People Page 9 of 28 Evidence: One person living in the home who responded to our CSCI survey told us that they had received a brochure and had visited the home before deciding to live there. The manager Ms Kent told us in the AQAA that there is a comprehensive Statement of Purpose and a Service Users Guide, which is written in large print and available on tape or on compact disc, and that each person has a statement of terms and conditions of residence which is reviewed annually. Ms Kent advises us in the AQAA that admission questionnaires help identify the persons needs and individual choices, and information from other professionals contributes to this assessment. During our visit we looked at pre-admission assessments carried out for three people who have been admitted into the home in the past year, which indicated that the home has assessed peoples needs and how those needs can be met. On the day of our visit we observed a carer escorting to lunch someone who had been admitted to the home that morning and was introducing her to other people living there. We noted that the carer was very ably encouraging and helping to create a warm and friendly social interaction between the new person and the others. The eight people living in the home who responded to our CSCI survey told us that they had received a contract or terms and conditions for their residence. Care Homes for Older People Page 10 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. Peoples 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, people manage it themselves if they canno. If they cannot manage their medication the home supports them with it in a safe way. Peoples right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. Evidence: During our visit we looked at care plans and risk assessments for three people who are accomodated in the care home. We found that dietary and nutritional assessments are being carried out for each person, and how peoples care, social and health needs are going to be met are being set out in the care plan. The eight people living in the home who responded to our CSCI survey told us that Care Homes for Older People Page 11 of 28 Evidence: they always receive the care support and medical support that they need and that staff listen to them and act on what they say. The AQAA tells us that people are enabled to attend community based appointments with staff escort if needed, and that visits to the home by community nurses, occupational therapists, physiotherapists, dentists, chiropodists, and for hearing and sight tests are arrranged. We found that a senior member of staff co-ordinates health care appointments and that key workers complete a montly form on care and health needs that need addressing. The six members of staff who responded to our CSCI survey told us that they always receive up to date information on the people they are caring for and that arrangements for sharing information in the home work well. Ms Kent tells us in the AQAA that the care plan includes a risk assessment and is reviewed monthly by the key worker and the resident, and are monitored by the manager. One member of staff told us in their survey form that we have regular monthly reviews with the manager regarding looking after and caring for residents. Another member of staff told us in their survey form that the manager is always checking the care plans are up to date and that the staff are fully aware of the importance of these being regularly reviewed and updated. A member of staff we interviewed was able to provide examples of how people are supported to maintain their independence and examples of how staff are ensuring that people are receiving support in the way they prefer. During our visit we observed carers taking mid-morning drinks and biscuits to people, and they were knocking on doors and waiting to be called into rooms and were respecting the persons privacy. Staff we talked to also provided examples of how peoples privacy and dignity are ensured when they are receiving personal care. In the AQAA Ms Kent advises us that district nurses provide support in the home on maintaining good skin care, including by the provision of equipment such as pressure cushions and mattresses and continence advice. The AQAA also tells us that residents Care Homes for Older People Page 12 of 28 Evidence: can keep their own GP if they wish and that four GP practices visit the home so people have a choice in who their GP is. During our visit we found that the care arrangements in the home have been updated by the introduction of nutritional screening, personal profiles and updated weight charts. Ms Kent tells us in the AQAA that the falls risk assessment is reviewed each time a person has a fall, and that mobility and exercise plans are put in place and recorded in the care plan. We found that a senior member of staff co-ordinates the ordering of medication and arrangements for storage and returns, and this is monitored by the manager Ms Kent. We discussed with Ms Kent the medication checks in place, and the arrangements for carrying out risk assessments where a person is able to manage their own medication. We found that two people living in the home are managing their own medicines. The AQAA tells us that all staff receive in-house training and have completed a safe handling of medication course at ASET level 2. At our previous visit a requirement was made that the provider ensure the safe storage of care records. Ms Kent advises us in the AQAA that care records are now held more securely. One member of staff told us in their survey form that all residents are treated with respect and dignity and shown kindness and another said on their form that we always aim to fit our routines around each client rather than them having to fit in with us. The AQAA tells us that people are supported to get up when they wish, choose what they want to wear, where they eat and how they will spend their day. Care Homes for Older People Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual and 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. Evidence: The eight people living in the home who responded to our CSCI survey told us that there are activities provided in the home, such as bingo, exercise to music, singing, and visiting entertainers. Ms Kent tells us in the AQAA that trips are arranged to the sea front, local gardens and to the shops. Staff we talked talked to duirng our visit told us that visitors from different religious denominations visit the home. Care Homes for Older People Page 14 of 28 Evidence: During our visit a carer told us we bring papervack books in for the residents and if any want to go to the library or into town we will take them if they dont want to go on their own. In the warm weatehr we will walk along the seafront. Staff and people living in the home who we talked to said there had been a lot of things arranged during the Christmas period, such as carol singing, a concert, decorating the Christmas tree and making Christmas table decorations. One person told us during our visit that since Ive come here theyve helped me to walk and given me a reason to live. We have exercises on Friday afternoon to music and thats my favourite. During our visit people told us they were choosing their times to get up and go to bed and make other day to day choices. One carer told us during our visit that in the mornings we help those who need help with washing and dressing. Some who wish to rise early may alread be helped by the night staff. In the evenings if anyone wants to go to bed early we will help them if they need us, otherwise the night staff will helpl them. There isnt a set time, it depends on the residents wishes. Ms Kent told us that people are encouraged to visit hairdressers in the community if they can, but for people who cant get out a hairdresser visits the home. Ms Kent tells us in the AQAA that peoples choice of food, likes and dislikes and special dietary needs are all recorded on admisssion, and that specialist diets are notified to the chef and recorded in the kitchen diary. The AQAA tells us that a daily record of the persons meal choice is made. Ms Kent tells us in the AQAA that where nutritional screening is needed this is supported by GP visits and monthly weight records. The eight people living in the home who responded to our CSCI survey told us that they always enjoyed the meals in the home. One person said in their survey form that the meals were very much to my satisfaction, and another person told us on their form that youve only got to say you dont like it and you get something you do. We found that food is purchased fresh and usually cooked on the same day, including fresh meat, vegetables and fruit. We found that diabetic, vegetarian and soft food diets are being catered for in the Care Homes for Older People Page 15 of 28 Evidence: home, and that the cook has a record of the diets people are following and the meals each person has are recorded. The AQAA tells us that people can ask to have their own tea and coffee facilities, and have breakfast at the time of their choice. The persons choice of morning and evening drinks is recorded. We observed a lunch in the home, and found that people who needed assistance at lunch were receiving this. People said they were enjoying the lunch, and there was a calm and relaxed atmosphere in the dining room. Care Homes for Older People Page 16 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. If people have concerns about 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. Evidence: The eight people living in the home who responded to our CSCI survey told us that they know how to make a complaint if they wish to. The AQAA tells us that the owner sees all the residents regularly in the privacy of their room and asks them if they are happy with their care, the staff approach, the menus, their rooms and if they feel confident about making a complaint. The AQAA tells us that the complaints procedure is included in the Service Users Guide and Statement of Purpose, and that a stamped envellope addressed to CSCI is included in each persons file. The AQAA tells us that if people wish to contact an advocacy service there is a number for this on the notice board, and that the home has arranged advocacy through the local authority for one person. Care Homes for Older People Page 17 of 28 Evidence: At our previous visit we made a requirement to better ensure the safety of people in the home that the homes safeguarding procedures should be updated to reflect current local safeguarding procedures. At this visit we found that a senior carer had attended a briefing in March 2008 on changes to local safeguarding procedures. There is a copy of local safeguarding procedures in the home, and Ms Kent advised us that the home is following local safeguarding procedures. New procedures covering whistle blowing procedures and dealing with verbal aggression have been introduced. The previous requirement made concerning safeguarding procedures was assessed as met. We are told in the AQAA that the home does not manage the finances for any resident, and that the bill for services such as hairdressing and chiropody is sent to the person acting as appointee. Where the home assists in holding small amounts of money for a resident, receipts and records for transactions are held. Care Homes for Older People Page 18 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. 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. Evidence: We visited the communal areas in the home, and the inspector and expert by experience visited six bedrooms. Ms Kent advises us in the AQAA that when bedrooms are vacated these are being redecorated and recarpeted, and that bedroom furniture including bedside locks have been purchased. Other improvements have included new call bells, a bird table, new garden furniture and pot plants on the patio. There is a new carpet in the hall and on the staircase. There is a repairs and maintenance book which records when action is needed. The Care Homes for Older People Page 19 of 28 Evidence: owner carries out a monthly inspection and records what action is needed. We found that the home is being maintained to a good standard and that the garden areas are accessible and well maintained. Aids and adaptations such as raised toilet seats and grab rails have been purchased where needed. One of the bathrooms has been refurbished and a bath easier for people to use has been installed. One person told us in their survey form that they have a nice room and have been able to bring their own things with them, which helps people to personalise their bedrooms. During our visit we found that people have personalised their bedrooms a lot, for example by bringing in pet budgies and plants. One person we spoke to had brought some furniture, bedding, pictures, photographs and plants with her, as well as two budgies. A second person we spoke to had a private sitting room and bedroom and these were full of her own furniture, plants and other belongings. A third person we spoke to told us she had to move in very quickly after selling her own property and that the home have been storing boxes for her so I can gradually go through them and decide what I want to keep. She told us I chose this place because it is spotless and no smell and everyone is very welcoming. I feel safe here. The eight people living in the home who responded to our CSCI survey told us that the home is always clean and fresh. We found that there are good arrangements in place to ensure the kitchen areas are kept clean, safe and hygienic, for example by operating the Safer Food, Better Business recording system in the kitchen. We found that cleaning materials in the home are now stored in a lockable cupboard, and the previous requirement concerning this is now assessed as met. Care Homes for Older People Page 20 of 28 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. 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 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. Evidence: The eight people living in the home who responded to our CSCI survey told us that there are always enough staff available, and one person said in their form that when you ring for attention staff arrive quickly. The six members of staff who responded to our CSCI survey told us that there were usually or always enough staff on duty, and that they always had the support, experience and knowledge that they needed to carry out their work. We talked to a visitor to the home who told us that staff are caring, helpful, kind and considered and that if someone is needing help staff offer help immediately. During our visit the manager Ms Kent advised us that there have been few changes in Care Homes for Older People Page 22 of 28 Evidence: the staff team in recent years which has allowed the home to provide consistent care for people living there, and each person has a key worker. The AQQA tells us that there is a national induction programme which new staff undertake. One member of staff told us in their survey form that my induction covered everything I needed to know about my job at Oban House. Staff told us they were receiving training relevant to their work. At our previous visit we made a requirement that all staff working in the home should received Criminal Records Bureau (CRB) checks to ensure they are safe to work with the people in the home. The six staff who responded to our CSCI survey told us they had received a Criminal Records Bureau (CRB) check prior to commencing work in the home. The AQAA tells us that of twelve care staff, four have the national vocational qualification (NVQ) in care at level 2, 3 or 4 and that four staff have equivalent qualifications. The AQAA tells us that recent staff training has included infection control, safe handling of medicines, moving and handling and safeguarding. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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. Evidence: We talked with the manager Ms Kent who advised us she has been keeping up to date with changes to NVQ training and with changes to care homes legislation and good practice guidelines. Ms Kent advised us that she has been ensuring that record keeping in the home Care Homes for Older People Page 24 of 28 Evidence: continues to be up to date. There is a quality assurance and development plan in place, which has included a survey with residents and relatives which was carried out in November 2007. Improvements to the service which have been made following suggestions made by people during that survey have included more activities and more choice of menu, and a copy of the complaints procedure and fire arrangements are now placed in each bedroom. The six members of staff who responded to our CSCI survey told us that they meet with the manager regularly, and one person wrote on their form that they get regular supervision where we discuss (our) key worker role and training needs. We looked at two sets of staff supervision records and found that staff training needs and the key worker role are being discussed in supervision, and that supervision is supporting staff to be more pro active in the social support they provide. The AQAA tells us that any money handled on behalf of residents is recorded and each transaction is signed by staff and the person. At our previous visit we made a requirement for peoples proection that cleaning materials should be stored safely and securely. We found cleaning materials are now kept in a locked cupboard. Ms Kent tells us in the AQAA that fire safety audits, health and safety checks and environmental risk assessments are carried out and recorded monthly. Safety checks include hot water temperature checks, legionella checks. During our visit we found the home is recording monthly fire risk reviews, water temperature checks, call bell checks, and maintaining clear repairs and maintenance records. Staff training includes topics such as fire prevention, moving and handling, and COSHH assessments. The AQAA advises us of the most recent services and checks which have been carried out on equipment and utilities in the home. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!