Care Home: Pennystone Court

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What the care home does well The homes assessment procedures were very thorough and care plans had been structured to ensure staff recognise the needs of the people they support. The assessment included information about people`s religious/cultural, care, nutritional and relationship needs. Observation of practice and discussion with staff members confirmed the staff team had been provided with appropriate training to assist them in understanding and meeting the needs of the people in their care. We spoke to people about their experiences living in the home and were told the staff team provided sensitive and flexible personal care support and they felt well cared for. We were told the staff were always available when needed and were kind and patient. People visiting the home also spoke highly about the standards being achieved by the manager and her staff. One person said, "I am very impressed with the level of professionalism of the staff. They have a very good understanding of my fathers needs and I am very satisfied these are being met. My father is always clean and well presented whenever I visit and he tells me he is very happy. I feel completely secure that he is in safe hands". A social care professional visiting the home said they were very impressed with the standards being achieved. The person said, "The level of professionalism and standard of service being provided is excellent. Lovely clean environment, never smells. The feedback I receive during my visits is that people are very settled and comfortable. I have never heard anybody complain about anything. I am very impressed with standards being achieved. The manager and her staff are a pleasure to work with". Visiting arrangements at the home are informal and family and friends of people who live there are encouraged to maintain contact. People were observed visiting the home throughout the day and were made welcome by the staff on duty. One person said, "Always a pleasure to visit". People spoken to said they enjoyed the quality and variety of food being provided and activities organised. Meal times observed were served in relaxed and unhurried manner. Staff members were observed being very attentive to the needs of people who required assistance. Staffing levels were sufficient for the number of people being accommodated. The staff were observed throughout the visit having enough time to deliver care and support without being hurried. People spoken to said the staff were very quick to respond to requests for assistance. Staff employed at the home have been well trained and are competent to do their jobs. 89.5% of staff members have achieved National Vocational Qualifications (NVQ) and have access to a structured training programme covering mandatory and specialist training such as dementia and end of life care. Observation of care practices throughout the day confirmed the people they support are treated with respect and dignity. What has improved since the last inspection? No requirements or recommendations were made of this home during their last inspection. However, the manager continues to monitor and review the service beingprovided to ensure the people they support receive the best standards possible. The quality assurance systems the home has in place ensure people feel listened to and their views contribute to the development of the service being provided. What the care home could do better: There has been no requirements or recommendations made of the home during this inspection. The manager and her staff continue to provide a service, which people are happy with and feedback throughout the inspection process was positive about the home and the staff who work for them. However, the manager of the home understands there is always room for improvement and they must continue to work hard to ensure the standards presently being provided continue to be met. During completion of the Annual Quality Assurance Assessment form the manager has identified some areas where she thinks the service being provided can be improved. These include having a named keyworker to meet people on their admission into the home so they have someone they recognise and who will be available to help them settle following their admission. They have also identified the need to ensure all staff receive training on recognising abusive practices within the first week of their appointment and that all existing staff have this training updated every year. This will ensure the people in their care are safe and protected from harm. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pennystone Court Handsworth Road Blackpool Lancashire FY1 2RQ     The quality rating for this care home is:   three star excellent 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: Wesley Cornwell     Date: 0 2 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: Pennystone Court Handsworth Road Blackpool Lancashire FY1 2RQ 01253752307 01253752307 frances.crompton@mha.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Methodist Homes for the Aged care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of service users who can be accommodated is: 36. Date of last inspection Brief description of the care home Pennystone Court is registered to provide personal care for 36 people of both sexes. The home is purpose built and is constructed on two floors comprising of 36 single occupancy flatlets. All rooms are en-suite providing toilet and bathing facilities. Communal areas consist of a lounge and dining room on each floor. A passenger lift facilitates access between the ground and first floor. The home also has a hairdressing salon and two kitchen areas in the ground and first floor dining rooms where people can prepare drinks and light snacks. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services people can expect if they choose to live at the home. A copy of the Service User Guide and most recent Care Homes for Older People Page 4 of 28 1 5 1 1 2 0 0 8 Brief description of the care home inspection report is available from the manager help people to make an informed choice whether to move into the home. The range of fees charged by the home are three hundred and sixty one pounds to three hundred and ninety one pounds covering all aspects of care, food and accommodation. The manager provided this information on the 2nd June 2009. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was undertaken as part of the homes key inspection. The visit commenced at 9.00am and took place over 7 hours. Prior to the visit the manager of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. The AQAA is a self assessment and data set, which providers are asked to complete each year and is one of the main ways that we obtain information about how they are meeting outcomes for people they support. A number of people living in the home and staff members were contacted prior to the visit and their views about the service being provided have been included in the report. In addition we spoke to six people, five staff members, two visitors and a social care/healthcare professional. Staff, care, maintenance and financial records were examined and a full tour of the premises was undertaken with Care Homes for Older People Page 6 of 28 the manager. The last key inspection on this home was completed on the 6th June 2007. What the care home does well: What has improved since the last inspection? No requirements or recommendations were made of this home during their last inspection. However, the manager continues to monitor and review the service being Care Homes for Older People Page 8 of 28 provided to ensure the people they support receive the best standards possible. The quality assurance systems the home has in place ensure people feel listened to and their views contribute to the development of the service being provided. 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. The admission and assessment procedures were clear to ensure the care needs of people were met. Evidence: We looked at the care plan records of two people and found they had full assessment information in place including their religious/cultural and relationship needs. The assessment had identified the nutritional needs of the people and risk assessment information advising staff members of the action to be taken to minimize identified risks and hazards. The staff member responsible for the preparation of meals told us they are provided with information about people with special dietary needs and these are accommodated. The people we spoke to said they were very happy with the care being provided and told us their needs were being met. One person said, My family looked around several Care Homes for Older People Page 11 of 28 Evidence: homes and then brought me to look around Pennystone Court after they had visited. My family felt it was the best home by a mile. I liked the home the minute I walked through the door and felt very comfortable. I was made to feel so at home. I have never regretted moving into the home and get the best care possible. This home doesnt provide intermediate care. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously and peoples welfare is closely monitored and were met. Evidence: Individual records are kept for each person with a plan of care setting out the action that is to be taken by support staff to ensure all aspects of health, personal and social care needs of the people living at the home were being met. Significant events had been recorded and daily entries made setting out the care given. Peoples fluid and diet intake were being recorded and their weight monitored. The care plans were structured and were being reviewed regularly and updated to reflect any changes needs and these were being actioned as required. We looked at the records of two people and these described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of people living at the home and these are monitored and their care plans kept up to date. The records of one person confirmed they had received a monthly health Care Homes for Older People Page 13 of 28 Evidence: review from their GP and there had been no reason to change his medication following the visit. The person had also recently attended a hospital appointment escorted by a member of staff. The outcome of the visit had been documented and follow up action taken by the home recorded ensuring staff members had up to date information about the persons needs. We spoke to people about the care they were receiving and were told they were happy and their needs were being met. One person said, I am very happy living at the home and I am glad my family helped me to find it. I cannot fault the care being provided. I am always treated with care and patience. The relative of one person told us he was very satisfied with care being provided for his father. The person said, The home was known to me for a number of years so when my fathers health deteriorated I felt comfortable placing him there. His health has improved considerably since moving into the home and he has put weight on. He is always clean and well presented when I visit. I have complete peace of mind knowing my father is in safe hands. They always keep me informed about my fathers welfare. I am very impressed with the level of professionalism shown by the staff. A healthcare professional told us they visit many homes and they were very impressed with this one. The person said, The level of professionalism and standard of service being provided is excellent. The communication with the manager and her staff is excellent. They are a pleasure to work with. Observation of practice and examination of care plan records confirmed staff were meeting the diverse needs of the people with specific disabilities and specialised equipment was readily available to assist them with their duties. Discussion with staff members confirmed they were aware of the needs of the people in their care and the level of support that needed to be provided. The relative of one person told us they visit the home most days and said the staff were very attentive towards his fathers needs and he felt they were providing the highest standard of care possible. The staff members responsible for the administration of medicines had received training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. Medication practices observed during the visit were safe and good records had been maintained confirming people received their medicines as prescribed by their doctor. People spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. One person commented, I prefer to stay in my own room. I am quite happy with my own company. One staff member was observed knocking on the door when bringing her afternoon cup of tea. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Evidence: The people we spoke to told us routines in the home were flexible and they were able to make their own decisions about their daily routine. One person said, I have a lovely room and that is where I like to spend my time. I have a television, radio and my books. I also have my meals in my room because I prefer to eat on my own. The staff are very good and dont disturb me except when they are bringing me my drinks. I think they are very good for respecting my wishes. The relative of one person said, I have found the routines very relaxed and flexible to meet mums personal preference. She has a cooked breakfast everyday in her room before she comes down to the lounge. Mum thinks she is very lucky that we found this home for her. She is very happy. We spoke to people about the arrangements in place for receiving their visitors and were told they were happy with these. The relatives of two people who were visiting the home both told us they were always made welcome and they enjoyed visiting the Care Homes for Older People Page 16 of 28 Evidence: home. One person said, I visit most days and I am always made welcome. There is a very pleasant and relaxed atmosphere about the home and I always enjoy my visits. I find the staff are very friendly and helpful. Another person said, My mum has only been in the home a short while. A member of our family visit most days and we have all commented on the relaxed and caring atmosphere. I like being able to go into the dining room and make a drink as I dont live locally. People spoken told us they enjoyed the food provided by the home and always get plenty to eat. The staff member responsible for the preparation of meals was able to confirm they had information about people with special diets and personal preferences and these were being accommodated. The staff member told us they regularly attend meetings to listen to ideas and suggestions about changes to the menu and this is changed every three months. One person told us they regularly suggest changes to the menu and these had been accommodated. The person said, I really enjoy the meals. They come round every morning and tell us the choices for the day. If you dont like them you can have something else. I often request an alternative meal. The cook is very good and always looks after me. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to the needs of people who required assistance. People we spoke to told us they were happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. The home has a four week activities programme with staff members designated to undertake particular activities in which they have an interest. One staff member told us the home had paid for her to be trained in reflexology and she holds regular sessions in a room that has been designated for this activity. One person who attends the sessions said they found them really relaxing. In the afternoon we observed people attending a baking class in the upstairs dining room. Two people spoken to said they were having fun. One person said, A good range of activities are on offer all the time. There is plenty going on for those of us who wish to keep occupied. In addition the home holds a number of services to accommodate the varied religious requirements of people and a bible study class is held as part of the homes activities programme. Discussion with people confirmed the services were well attended and appreciated. The manager told us most people handle their own financial affairs or these are handled by their relatives/representatives. Records being kept for people unable to manage their own finances were being well maintained ensuring the financial interests of people were being protected. Care Homes for Older People Page 17 of 28 Care Homes for Older People Page 18 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. Complaints are handled well and taken seriously ensuring people feel listened to. Evidence: The home has a detailed complaints procedure, which is made available to everyone on his or her admission. People we spoke to were aware of how to make a complaint and felt these would be listened to and acted upon. One person said, Perfectly happy and I have no Complaints. Two people visiting the home also told us they were happy with the service being provided by the home and had no concerns. At the time of this visit no complaints had been referred to the Care Quality Commission. The home has a procedure in place for dealing with allegations of abuse. The staff members spoken to had received training in the protection of vulnerable adults and showed a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members spoken to said they wouldnt hesitate to report any concerns they had about care practices to ensure people living at the home are protected from potential harm or abuse. At the time of this visit the Care Quality Commission had not received any safeguarding referrals about staff working at the home. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable, homely, clean and safe environment Evidence: The home has been well maintained and decorated for the comfort of the people living there. It was purpose built with spacious corridors and communal areas enabling wheelchair users to get around without any difficulty. Aids and adaptations are available around the home to meet the needs of people who live there. Communal areas consist of a lounge and dining room located on both the ground and first floor. Both dining rooms have recently been refurnished and decorated with a kitchen area being created so that the people who live at the home and their visitors can make drinks and snacks whenever they wish. People were observed making use of the facilities during our visit. One person said, I dont live locally so it is nice that I can go and make me and mum and drink when I arrive. The home has grounds which are attractive, well maintained and are accessible to the people who live there including wheelchair users and people with mobility problems. A number of people were observed enjoying the gardens during the visit. One person said, The gardens are lovely. I enjoy making the most of them when we have pleasant weather like this. The manager told us the homes refurbishment programme is ongoing to ensure the present standards being achieved are maintained. Since the last inspection four new Care Homes for Older People Page 20 of 28 Evidence: bedrooms have been created increasing the number available to thirty six. All bedroom are en-suite providing shower, sink and toilet facilities. All of the rooms have a telephone point, lockable facilities for people to store their belongings and those people who do not have their own television have one provided by the home. All rooms are lockable with people being provided with their own key to ensure their privacy. Thirteen bedrooms have been redecorated this year and four completely refurbished. The people we spoke to were very happy with the standard of accommodation being provided. A tour of the building confirmed people had been encouraged to personalise their bedrooms with their own belongings. The people we spoke to said they were happy with their rooms and confirmed they had the choice of spending time on their own or in the lounge areas. One person commented, I love my room. I have everything I need including a television and radio. My toilet and washing facilities are spotless. Hot water temperatures were checked throughout the home and found to be delivering water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygienic ensuring a pleasant environment in which to live. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures are robust and staff have been well trained to ensure they have the competencies to meet the needs of the people they support. Evidence: Staffing levels were sufficient for the number of people living in the home. People spoken to said they were happy with the care they were receiving and they were well treated by the staff. One person commented, The staff are very attentive, kind and helpful. I am so grateful to them for their patience and kindness. People visiting the home told us they were happy with the service being provided and the staff were responsive to peoples needs. One person said, Excellent care being provided. I never have to worry about my father because I know he is being well looked after. The staff are all well trained and are very caring people. They respond very quickly if needed. Records show all staff members have access to a structured training and development programme ensuring the people in their care are being supported by a well trained and competent staff team. These include mandatory training covering the principles of care, safe working practices, safeguarding issues and specialist training for dementia and end of life care. The staff members we spoke to felt the training they were receiving was excellent and provided them with the skills and knowledge to provide a service which is acheiving positive outcomes for the people in their care. In addition Care Homes for Older People Page 22 of 28 Evidence: 89.5 of staff members have achieved National Vocational Qualifications (NVQ) ensuring people are in the safe hands of qualified and competent staff. Examination of staff records confirmed the home has thorough and robust systems in place for recruiting staff members ensuring the protection of people living there. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run and ensures the health and safety of staff and people living there are promoted and protected. Evidence: The manager of the home has many years experience in caring for elderly people and has achieved recognised care and management qualifications. She is well supported by the owners of the home who visit regularly. She has access to training to ensure her knowledge and skills are updated and the home continues to be well run and for the benefit of the people who live there. People living in the home spoke very highly about the standard of service being provided and the excellent communication being provided by the manager and her staff. The relative of one person told us he was updated regarding his fathers needs every time he entered the home and was contacted immediately if his father experienced health problems or changes to his needs. The person said, I have complete faith in the manager and her staff. I trust them completely with my fathers care. Care Homes for Older People Page 24 of 28 Evidence: A self assessment form that the Commission had asked the manager to complete before this visit took place was completed to an excellent standard. The manager told us how outcomes for people in her care were being achieved and areas she had identified for future development. She also informed us the staff team had been trained and guidance produced on the Mental Capacity Act to ensure the people in her care have their rights respected, their views are heard, decisions are not taken for them and incapacity is not a barrier to good care, health and fulfillment. The home has effective quality assurance systems in place to monitor the level of service they are providing. An annual quality assessment is undertaken by a professionally recognised organisation who complete an audit of the care being provided and seek the views of the people who live in the home and their relatives. Following the audit they received the award of five stars. In addition the home has in place its own quality assurance systems to gather the views of people and keep them informed about events being organised. These include an annual self-assessment (Standards and Values Assessment) completed by senior advisors within the Methodist Homes Association, a six monthly internal audit involving people who live in the home and the staff who work there. Satisfaction surveys are also completed and an internal management review including a clear business plan and action plans from internal and external audits completed. Monthly meetings are also held and the relatives of people made welcome if they wish to attend. The people we spoke to said they attended the meetings and found them useful and informative. One person said, I regularly make suggestions for menu changes and agree to ideas being put forward by the cook. They also keep us informed about events going on in the home and any changes being made to the environment. The relative of one person said he attended the meetings and found them very useful. The person said, They are excellent at keeping you informed about planned changes within the home. Financial records were well maintained and up to date ensuring the interests of people are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation providing a safe environment for people to live. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 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. 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