Care Home: Orchard Manor 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 Orchard Manor to ensure that it will be the right home to meet their needs. The residents we spoke with were happy with the way that their health and personal care needs are met. The care plans were generally of a good standard and contained detailed assessments of the care that each person needs. Care plans were kept up to date; residents who are able, and their relatives are involved in care reviews. People have access to the medical services they require and equipment is provided to meet their needs. Written comments we received from a relative were: The staff are always polite and caring and do everything they can to make my mother comfortable. They spend a lot of time encouraging her to eat (which is a very lengthy process and takes a lot of patience). They keep her changed and clean. They are also very supportive to the family. There is always a lot of staff around the premises which is very good. The storage and recording of medicines is good and the records indicated that people always receive what their doctor has prescribed. A variety of social activities are provided for those who wish to join in. Hairdressing and chiropody are available every week. Enough staff are provided to meet the needs of the people living at the home. Staff morale seemed to be good and the development of smaller units within the home means that staff are working with smaller groups of residents and can establish a better rapport with them. What has improved since the last inspection? A new home manager was registered with the Commission in April 2009. She has many years experience of working with older people, people with learning difficulties, and people with dementia and is working towards a Leadership and Management award. There is also a deputy manager, who is a registered mental health nurse. We considered that the new management team had brought a more positive and enthusiastic ambience to the home. They both showed commitment to taking the service forward. Where bedrails were in use, they were fitted correctly and had padded protective covers. There have been many improvements to the environment including redecoration, recarpeting, new furniture, and the development of kitchenettes where care staff can make drinks and snacks for residents. The overall standard of record keeping has improved considerably and this means that accurate and up to date information is more readily available. All of the home`s policies and procedures have been reviewed and updated where needed so staff have relevantguidance to follow. What the care home could do better: Further improvements can be made to the care plans so that the quality is more consistent across the home. The care plans could better reflect people`s social and emotional needs and their personal choices in daily living. The complaints file should include a full record of any complaints received including details of how the complaint was investigated and what action (if any) was taken. This will show that people`s concerns have been taken seriously and will help the manager to keep a track of complaints. The staff training programme should be continued to make sure that all of the staff know how to work safely and protect the people who live at the home. The weekly fire alarm test should be reinstated so that people can be confident that the system is working properly and if there are any faults they can be identified without delay and addressed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Orchard Manor Nursing Home Greenacres Court Acres Lane Upton, Chester Cheshire CH2 1LY     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: Wendy Smith     Date: 3 0 0 6 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. 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. 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Orchard Manor Nursing Home Greenacres Court Acres Lane Upton, Chester Cheshire CH2 1LY 01244376568 01244399855 orchardmanornursing@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Fordent Properties Limited Name of registered manager (if applicable) Ms Gaynor Mulreay Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies 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 Dementia - Code DE The maximum number of people who can be accommodated is: 71 Date of last inspection Brief description of the care home Orchard Manor is a care home providing nursing care and personal care for up to 71 people. It is owned by Fordent Properties Ltd, a family business. The home is a purpose built property in a residential area approximately two miles from Chester city centre. The extensive grounds are shared with an adjoining sheltered housing complex which is owned by the same company. Care Homes for Older People Page 4 of 28 care home 71 Over 65 0 71 71 0 Brief description of the care home Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 quality rating for this service is two stars. This means that the people who use this service experience good quality outcomes. Two inspectors visited Orchard Manor unannounced on 30 June 2009 as part of this inspection. During our visit we spoke with residents, staff and visitors. 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 registered manager, the deputy manager and one of the home owners. We also looked at any information that we had received about Orchard Manor since our last inspection there. The homes registration has changed and the number of people Care Homes for Older People Page 6 of 28 who may live there has been increased. Two new units have been developed to provide specialist care to people who have dementia. A new manager has been registered. 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. What the care home does well: What has improved since the last inspection? A new home manager was registered with the Commission in April 2009. She has many years experience of working with older people, people with learning difficulties, and people with dementia and is working towards a Leadership and Management award. There is also a deputy manager, who is a registered mental health nurse. We considered that the new management team had brought a more positive and enthusiastic ambience to the home. They both showed commitment to taking the service forward. Where bedrails were in use, they were fitted correctly and had padded protective covers. There have been many improvements to the environment including redecoration, recarpeting, new furniture, and the development of kitchenettes where care staff can make drinks and snacks for residents. The overall standard of record keeping has improved considerably and this means that accurate and up to date information is more readily available. All of the homes policies and procedures have been reviewed and updated where needed so staff have relevant Care Homes for Older People Page 8 of 28 guidance to follow. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they go to live at Orchard Manor to ensure that it will be the right home to meet their needs. Evidence: The home has undergone significant change since our last big inspection there and is now made up of: Regency, a 17 bedroom unit providing nursing and personal for older people; Windsor, a 12 bedroom unit providing nursing and personal for older people; Georgian, a 13 bedroom unit providing nursing and personal care for older people; Elizabethan a 13 bedroom unit providing specialist care for people with dementia; Victoria, a 14 bedroom unit providing specialist care for people with dementia. A new welcome booklet has been produced, which gives full details of the services provided at Orchard Manor. Care Homes for Older People Page 11 of 28 Evidence: The manager told us that either she or the deputy manager, who is a registered mental health nurse, goes out to meet and assess the needs of anyone who is interested in coming to live at the home. This is recorded in writing and is put into the care plan so that the staff who will providing the care know about the persons needs. We saw these assessments in the care plans of three people who had recently come to live at Orchard Manor. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of the people living at the home are met and people have access to the medical services they require to make sure they stay as well as possible. Evidence: Each person living at the home has a care plan and we looked at a sample of care plans in each part of the home. They all contained good assessments of peoples needs and we thought that the Summary of Assessment was a particularly useful document. The care plans had been kept up to date with regular reviews and some of these reviews involve the residents family. We spoke with a relative who had come in to attend a review and was reading the care plan. She told us that she thinks the home is very good but had some concerns about her relative falling that she was going to raise at the review. She said that there are always care staff around and they are willing to listen. Some care plans have a good personal history of the person that had been completed Care Homes for Older People Page 13 of 28 Evidence: with their family. Some care plans recorded peoples personal choices, likes and dislikes, interests etc, but others didnt. Some gave more detail than others about nursing and personal care. For one person the plan for personal hygiene read P needs full assistance with this task, which is not specific enough to make sure that staff know what to do to meet this persons individual needs. Some of the care plans recorded what type of equipment, such as pressure-relieving mattress, the person needs but others did not. Staff should avoid using phrases such as regular turning and looks better as these can be interpreted in different ways. We saw some good daily records that gave a clear picure of how the person had spent their day, but others consisted of settled day, good day, no changes noted, stable condition. We also noticed that the care plans written for some people who were living in the home due to dementia, focused almost entirely on their physical care needs and made little mention of their social and emotional needs. The care plans we looked at recorded visits from GPs and other health professionals. One person had visits from an occupational therapist to try and find a suitable wheelchair for her. There was a problem with weighing some of the more frail residents and the manager hoped that hoist scales could be provided soon. We looked at the arrangements for storage and recording of medicines. One of the nurses who has worked at the home for several years has lead responsibility for medicines. All medicines delivered to the home are checked in and signed for by two members of staff. Storage arrangements are satisfactory, with medicines for the different units kept in seperate trolleys. A stock check of tablets is recorded weekly on the medicine administration record and is used to ensure there will be enough for the rest of the month. Record keeping is good and showed that people receive their medicines as prescribed by their doctor. Where people are prescribed one or two tablets, for example paracetamol, the nurses recorded the amount given. Some controlled drugs were in use. These were recorded correctly and are checked weekly to ensure that none have gone missing. We observed that staff had a good rapport with residents and spoke to them in a way that was pleasant and respectful. We received many positive comments about the staff. One issue that we noticed was that boxes containing catheters and other equipment were on show in a residents bedroom and it would be better if such items were stored more discreetly. Care Homes for Older People Page 14 of 28 Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience 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 provided for those who wish to join in so they have the opportunity to remain socially active. Evidence: An activities organiser is employed to work at the home three and a half days a week. She has worked at Orchard Manor for several years, but said that her job has changed significantly with the development of dementia care at the home. She attended a training course about dementia and found it very helpful. Relatives who completed a questionnaire for us thought that there could be more staff available to assist in activities and to talk to our relative and we were told that the hours allocated for activities will be increased in the near future. There is a monthly activities programme which for July included one to one, arts and crafts, games, points of view, bingo, keep fit, brass band, keyboard/singer. Records are kept about who has joined in. A visit to the nearby Chester Zoo was planned for August and letters were sent to relatives asking for volunteer helpers, with good response. Some of the residents are joining in the sports day at the primary school across the road from the home. Care Homes for Older People Page 16 of 28 Evidence: There is a new hairdressing salon and a hairdresser visits three days a week. People can make an appointment in advance. A chiropodist visits weekly. We spoke with a resident who we met at our last visit two years ago. She now has a large bedroom on the ground floor and is very pleased with it. She goes out regularly using a wheelchair and has a regular taxi driver who she phones to arrange trips out. She said I cant complain about anything, there is a good choice of meals, the laundry girl is excellent, and one member of staff does shopping for her. She gets on very well with the manager and has made friends with three other residents who she sits with for meals. Another person we spoke with thought that the activities were rather limited. She goes out regularly with her family. She said it is a good home, the food is lovely, and staff are very good. We visited the two dementia care units and saw that the people living there are free to move around and to sit where they choose. One unit has only recently opened and we felt that there needed to be more stimulation for people in their environment, which still looked a little bare. Many of the bedroom doors did not have any name or picture to help someone find their room. The people we spoke with were satisfied with the meals provided. Menus have been reviewed to make sure that they meet peoples preferences and a choice is always available. The kitchenettes on the residential units have a fridge and we saw that snacks such as cakes, crisps and yoghurts are available for people to have at any time of day or night. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are policies, procedures and staff training to make sure that people living at Orchard Manor are protected from abuse and their concerns are taken seriously and acted upon. Evidence: The home has a complaints procedure that informs people who they should address any complaints to and how their complaint will be handled. Complaints that had been received were logged on a summary sheet in a complaints file, but full details were not included. The manager said that details of complaints were filed in residents individual notes, but she agreed that it would be helpful in keeping track of complaints if the details were kept in the complaints file. She told us that a new system was going to be implemented. So far in 2009 more than half of the staff have attended training about protecting people from abuse. This has been provided by an outside agency. Some staff have had previous training but the manager said that the records of when people attended were not good so she has started again from January 2009. More training sessions are booked for the people who have not yet attended. An allegation of abuse that was made in March 2009 was handled appropriately by the home. 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. Orchard Manor is well equipped and maintained so that it provides a spacious, clean, comfortable environment for the people who live there. Evidence: The home was purpose-built and provides spacious accommodation that is accessible for wheelchairs. Many of the bedrooms exceed the national minimum standards for space and all except one have en-suite facilities. The grounds are well-maintained and there are pleasant outdoor sitting areas for residents. Part of the garden at the back of the building has been made secure. Since our last inspection of Orchard Manor, the home has been extended into an adjoining building that provides sheltered accommodation, and a new residential unit for people with dementia has been developed. There have been significant improvements to the environment, including the provision of kitchenettes where staff can make drinks and snacks for residents. New bedrooms are tastefully furnished and a lot of old furniture has been replaced in the other bedrooms. We saw plenty of equipment for moving and handling and pressure relief. Adjustable beds are provided for the more frail people. We were told that there are either two or three housekeeping staff on duty in the Care Homes for Older People Page 19 of 28 Evidence: morning and afternoon. All parts of the building were clean at the time of our visit. The laundry has not been altered to reflect the increase in the number of residents and is hardly big enough to cope with the additional washing. The manager told us that plans have been drawn up to develop a new laundry. The home was visited by an environmental health officer on 30 May 2009 and no requirements for improvement were made; however on day we visited the fly screen door in the kitchen had fallen off and needed fixing. Care Homes for Older People Page 20 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. Enough staff are provided to make sure that the needs of the people living at Orchard Manor can be met. Thorough recruitment checks are carried out to make sure that new staff are safe to work at the home. Evidence: The manager told us that there is now a full staff team for the home. A significant number of nurses and care staff have left over the last year and new staff have been recruited. There are four nurses on duty during the day and night, with eleven carers in a morning, ten in an afternoon/evening, and five at night. Absences due to holiday or sickness can usually be covered by the homes own staff, but if necessary staff from a local care agency are used to maintain safe numbers. The manager told us that she discourages staff from working excessive hours. We looked at the recruitment records for some of the new staff. The home has a printed application form, but this does not ask for a full employment history, or give space for this information. An additional page has been added at the end of the form for applicants to give their employment history. The application form asks applicants for their date of birth, marital status and details of dependent children. This needs to be amended to comply with equal opportunities legislation. Care Homes for Older People Page 21 of 28 Evidence: The records we looked at showed that new staff had completed application forms, including their previous employment history. Before they started work two satisfactory references were received, Criminal Records Bureau disclosures were applied for and a POVAfirst check received. These are the checks to find out whether there is any reason to believe that someone is not suitable to work with vulnerable people. An induction workbook provided by the local Primary Care Trust has been introduced for new staff. This is very thorough and can be used to help them towards achieving a national vocational qualification in care. At present 21 of the care staff have a national vocational qualification, and this is almost 50 . These qualifications are nationally recognised for staff working in care and achievement of them shows that staff are competent to provide good quality care. The manager showed us a training chart that she has started from 1st January 2009 to keep track of what training staff need and what they have completed. She told us that training records from previous years had not been maintained accurately. We saw that lots of training had been taking place this year and the manager aims to have full attendance at all compulsory training over the course of the year. A member of staff who completed a questionnaire for us commented In the last six months the home has provided some excellent courses for the staff. These have enabled me to improve the way I work. Care Homes for Older People Page 22 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. The home is well managed to ensure that peoples views are listened to and they are kept safe. Evidence: A new home manager, Gaynor Mulreay, was registered with the Commission in April 2009. She was employed at Orchard Manor in May 2008 as matron and promoted to manager in November 2008. Ms Mulreay qualified as a nurse in 1982 and in 2002 completed the Diploma in Higher Education in Nursing Studies. She has many years experience of working with older people, people with learning difficulties, and people with dementia and is working towards a Leadership and Management award. There is also a deputy manager, who is a registered mental health nurse. We considered that the new management team had brought a more positive and enthusiastic ambience to the home. They both showed commitment to taking the service forward. Staff morale seemed to be good and the development of smaller units Care Homes for Older People Page 23 of 28 Evidence: within the home means that staff are working with smaller groups of residents and can establish a better rapport with them. The management team use a number of ways to find peoples views of the service provided, and to check that a good standard is maintained. We saw minutes of staff meetings, with a range of topics discussed. A staff meeting was due to be held on the afternoon of our visit. During the recent redevelopment of the home we received some concerns from people who were affected by the changes. During our visit we saw copies of letters inviting relatives to a meeting, and copies of letters to relatives keeping them up to date about the changes. A consultant has been working with the home owners to advise them about the development of the new units and to ensure that the homes policies and procedures are robust and up to date. They also commissioned an inspection of the kitchen and made improvements as a result of this. A customer satisfaction survey was carried out recently and mainly positive replies were received. Some comments about improving choice at mealtimes are being addressed. Residents who are able, and their relatives, are involved in reviewing their care plans. We looked at the record of one review and saw that matters including meals and weight loss, hearing problems, and room cleaning had been discussed. The record could be improved by including the names of the people who took part. Accident forms were completed to a satisfactory standard and are audited monthly to see whether there are any issues, such as recurring accidents, that need to be addressed. A full audit of medicines is completed monthly and this has ensured that residents medicines are stored and handled properly. We were told that the homes staff do not look after any residents money. Fire alarms and emergency lighting were tested weekly up to the end of April 2009, which was when the maintenance person left. One test was carried out in May and one in June. We recommend that weekly testing is reinstated so that people can be confident that the system is working properly and if there are any faults they are identified without delay and addressed. We saw records to show that staff receive fire safety training and attend fire drills. Information provided in the managers selfassessment gave us the dates when equipment in the home was serviced and this was all up to date. A new nurse call system has been installed. The overall standard of record keeping in the home has improved considerably and we were able to see accurate and up to date information. Care Homes for Older People Page 24 of 28 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 1 16 Full records of any complaints made should be kept in the complaints file. This will show that peoples concerns are taken seriously and help the manager to keep a track of complaints. The training for staff on safeguarding adults should be continued so that everyone working in the home is aware of how to respond to an allegation of abuse to make sure that the people living in the home are protected. The weekly fire alarm system test should be reinstated so that people can be confident that the system is working properly and if there are any faults they can be identified without delay and addressed. 2 18 3 38 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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!