Care Home: Priors Mead Retirement Home

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 Since our previous visit a refurbishment programme has been completed, which provides a comfortable, clean and well furnished home, which provided a welcoming, homely and happy atmosphere. During this visit staff were observed to be caring, respectful and attentive to people`s throughout this visit . A number of of positive comments were received from people during this visit including, "The staff are very approachable, jolly and the home is easy going; "The staff are very nice and attentive";"The staff respect my choices";"I am very happy here";" We have comfortable bedrooms and the home is always very clean". The home is making progress with the development activities for people, which meet with their needs and personal interests . The home recently held a V.E. day celebration which people spoke positively about. People receive varied and well balanced meals, which was reflected by comments received from people who live in the service. People benefit from a stable staff team who know people well . Some of the staff have worked in the home for nearly twenty years. The home holds meetings with people and conduct feedback surveys to gain the views of people living in the service. What has improved since the last inspection? During this visit the home was cleaned to a good standard and there were no pervading odour. Since our previous inspection the home has employed an activities coordinator and an activities programme was available. Since our last key inspection a random unannounced inspection took place in respect of the number of hours worked by staff. This matter has now been completed. What the care home could do better: The newly appointed manager must attend the local authority safeguarding vulnerable adults from abuse training ensuring that people using the service are safeguarded. One good practice recommendation was also made. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Priors Mead Retirement Home 26 Blanford Road Reigate Surrey RH2 7DR     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: Sally Hall     Date: 1 2 0 5 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 27 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 27 Information about the care home Name of care home: Address: Priors Mead Retirement Home 26 Blanford Road Reigate Surrey RH2 7DR 01737224334 01737225523 www.nightingales.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Nightingale Retirement Care Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 19 Number of places (if applicable): Under 65 Over 65 19 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 19 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Priors Mead Retirement Home is a large detached house, providing accommodation and care. It is owned by Nightingale Retirement Care Ltd which has another home in Kent, as well as domiciliary care provision in that county. The home is registered for up to 19 residents who fall within the category of older people. The home is located in a quiet, residential area on the outskirts of Reigate within a short distance of the town centre. There are eighteen single bedrooms, one of which is suitable for occupation by a couple. Fourteen rooms have ensuite facilities. Care Homes for Older People Page 4 of 27 Brief description of the care home Accomodation is situated over three floors , which are accessible by a passenger lift. The environment is relaxing and homely and has two cats. The home has a number of communal areas for the residents to enjoy, including a pleasantly furnished conservatory, which leads onto a large, decked patio area. The grounds and garden of the home are well maintained, and are accessible to people. There are a number of car parking spaces at the front of the premises, as well as on street parking. The current weekly fees range from £592-£789 Care Homes for Older People Page 5 of 27 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 visit was carried as part of a key inspection. This visit took place over seven hours commencing at 9.20am and finished at 4.40pm. This visit was unannounced , which meant that the home did not know that we were visiting. The inspection was carried out by Mrs. L Johnson Regulation Inspector. The homes last key inspection was carried out 22nd May 2007 and an Annual service review was conducted 20th june 2008. Information was provided to us by the service prior to this visit in the annual quality assurance assessment(AQAA). This is a self assessment that focuses on how well outcomes are being met for people using the service. The service has identified in the Care Homes for Older People Page 6 of 27 AQAA what improvements they have made since our last inspection and further improvements they intend to make. Reference is made to this document throughout this report. Since the last key inspection there have been some changes in the management arrangements in the home. A new manager has been appointed whom we had the opportunity to speak with. During this visit we spoke to six people who live in the service and five members of staff We received surveys from six people who live in the service , two health care professionals and three members of staff. These comments are reflected in this report. During this visit we conducted a full tour of the premises, looked at care plans, risk assessments, activity records, menus,medication administration practices, complaint records, staff personnel and training records and policies and procedures. The inspector would like to thank the people living in the service, their representatives, manager and staff for their time, assistance and hospitality during this inspection. 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.cqc.org.uk. You can get Care Homes for Older People Page 8 of 27 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with accessible information that they need to know about the service, although this needs to kept up to date. Assessments are completed prior to admission, which tells the service about them and the support they need. The home does not support people for intermediate care. Evidence: Information supplied in the AQAA states that a full information pack is provided to people and/or their representatives, which includes a service user guide, that provides information to people about the services and support that the home is able to provide. This document is also available in large print format. People surveyed confirmed that they had been supplied with this information . The manager is advised to ensure that the current management arrangements recorded in the service user guide maintained in the home are up to date. The home also has a brochure and the company Nightingales retirement care has a dedicated website . Care Homes for Older People Page 11 of 27 Evidence: Each persons needs are assessed prior to admission to the service by the way of an application form and the client assessment form which is completed by one of the managers who either visit people at home or in some cases in hospital . The service also obtains reports from care managers and health care professionals where these are required. During this visit we sampled some assessments which also included peoples biographies and take account of their cultural, ethnic, religious, social needs and personal preferences. Information supplied in the AQAA states that whenever possible potential people moving into the home are encouraged to visit. The service is able to provide short term care known as respite but does not provide intermediate care as the home does not provide nursing care. Care Homes for Older People Page 12 of 27 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. The home has a plan of care with sets out peoples health, personal and social needs. People are treated with respect and their privacy is up held. If people take medicines, they manage it themselves if they can. If people need assistance the home supports them to manage their medication in a safe way. Evidence: The home has recently introduced a new computerised care plan system where staff have received training. Each person has a care plan in place. During this visit we sampled three care plans, which were clear and detailed based on health, personal, emotional, social, religious and cultural needs. Information was seen that care plans are regularly reviewed, although the home has not yet been able to bring these new care plans to the attention of people and/or their representatives to gain their agreement due to an issue with their soft ware provider, which is being persued. Daily records were detailed and reflected the care and support that people require. Care plans clearly recorded peoples likes, dislikes, choices and preferences ,including Care Homes for Older People Page 13 of 27 Evidence: preferred name of address and times of going to bed and getting up. A person spoken with told us that they like to get up early in the morning ,which they said all staff are aware of and respect their preference. Information seen during this visit demonstrated that tissue viability and moving and handling assessments are completed. One persons care plan identified that they may require an occasional use of a hoist. An Occupational therapist had visited the home and has carried out staff training . Two members of staff spoken with were aware of the procedure and the required support to carry out this task safely. Peoples nutritional needs are monitored and regular weight monitoring is maintained. Two health care professionals surveyed said that peoples health care needs are met by the service and one health care professional commented, The home treat people as individuals. During this visit staff were observed to respect peoples privacy when carrying out personal care and knocked on peoples doors before entering. People spoken with said that staff respect their privacy, which was also confirmed by two visiting health care professionals. Staff were observed to be caring, respectful and attentive to peoples needs throughout this visit. Information recorded in peoples care plans demonstrated that they are supported by a range of health care professionals including, General Practitioner and information supplied in the AQAA states that people can remain with their own doctor when they move into the home if they so wish. The district nurse, dentist optician, chiropody and continence nurse visit where these are required. The medication administration practices were examined during this visit. Medication was stored safely and a list is maintained of staff that are trained and authorised to administer medication. Each persons medication administration record contained a photograph for identification purposes. Systems are in place for the receipt and disposal of medication. Medication is dispensed using the monitored dose system (MDS) and medication administration records that were sampled had been signed. We were informed that the pharmacy visit the home to carry out audits and staff training, which also includes a practical assessment. Currently one person takes some of their own medication, which is supported by a risk assessment, that was supplied to us for viewing. Care Homes for Older People Page 14 of 27 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. The home supports people to follow their personal interests and activities and is responsive to peoples culture and diverse needs. People maintain contact with their family and friends and the local community. People are supported to exercise choice and they receive well balanced and attractive meals. Evidence: Since our previous visit the home has now employed an part time activities coordinator. At the time of this visit a number of people were observed participating in and enjoying an exercise class. Information is gained from each person about their hobbies and preferences. and life books are being planned. The activities coordinator told us that they also ensure that each person has a one to one contact the week and showed us the documents , which they keep to record the activities that people have taken part in . A weekly programme of activities was seen on display. The home recently held a V.E. Day celebration, which was well received and provided the opportunity for people to reminisce. The home has held a range of other social events including musical events, a nineteen twenties event, St Georges day and Christmas celebrations and a barbecue is being arranged for the summer. Care Homes for Older People Page 15 of 27 Evidence: A mobile library and hairdresser also visit the home and people are able to receive daily news papers. The activities coordinator told us that there are opportunities to go out for a drive and do shopping , some people attend a local tea dance and a trip is being arranged to visit the London Eye. It is envisaged that with the changes being made to the garden some people that may have interest in gardening may wish to get involved with some plant potting. People spoken with and surveys received indicate that people are satisfied with the activities. Two people said they do not wish to join in and their choice is respected. Peoples religious needs are supported where ministers visit the home and people maintain links. The home has an open visiting policy,where people can receive visitors at any time. people can receive their visitors in the communal areas or the privacy of their bedrooms if this meets with there preference. Visitors can also make arrangements to stay for a meal. People have telephones in their bedrooms and the home has installed Internet access should people use this facility to maintain contact. If people do not wish to use this arrangement then a portable phone in the home can be brought to them to receive calls. People moving in to the service are able to bring in their own furniture and possessions if they wish. The home holds consultation meetings with people to gain their feedback and supports people to make choices and decisions in their daily lives including activities and menus. During this visit we observed one person getting up at lunchtime, which were told by staff is their preference. Arrangements were also being made for people to vote in the forthcoming elections. The home has a six weekly menu , which were told had been reviewed recently. The menus were varied and well balanced and consisted of choices based on peoples preferences. People can take their meals in the dining room or in their room if they wish.During this visit people were provided with a glass of sherry or soft drinks before lunch. The dining room was well presented with table cloths, flowers and condiments. The lunch time meal was presented well, unrushed and people spoken with and feedback surveys received, stated that people enjoyed the meals provided. Staff were aware of people who needed support to eat their meals and provided this in a sensitive manner. Care Homes for Older People Page 16 of 27 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 with their care they or their representatives know how to complain and appropriate action is taken by the service. The home safeguards people from abuse and neglect. Evidence: The home provides a complaints procedure, that was seen on display in the home and which is is also provided in the homes service user guide and terms and conditions. The procedure can be provided in large print ensuring that it is accessible to people. The manager was advised to ensure that the contact details are amended for the Care Quality Commission should anybody wish to contact us. People surveyed and spoken with were aware of the procedure and whom they could speak with if they had any concerns. People living in the service spoke Three staff surveys received confirmed that staff knew what to do if they received a complaint or concern. Since the last inspection one complaint has been received by the home , which was recorded and information seen demonstrated that appropriate action had taken place. No complaints have been brought to the attention of the Commission over the last year. The home has safeguarding vulnerable adults from abuse and whistle blowing procedures in place, although the most recent local authority multi agency procedures Care Homes for Older People Page 17 of 27 Evidence: were not present, which was brought to the attention of the manager, who pursued this matter during our visit. It is required that the new manager also attends the local authority safeguarding multi agency training to familiarise themselves with this procedure. Three members of staff spoken with said that they had received training, which was confirmed by their training records and they were clear about their responsibilities should they ever witness or be made aware of any incident where the safety of a person is compromised. Care Homes for Older People Page 18 of 27 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 stay in a safe and well maintained home that is homely, clean and hygienic. Evidence: Since our previous inspection the home has completed a refurbishment programme, which provides a comfortable and homely environment. There are two communal lounges and conservatory, which provides level access to an outside decking area,which is provided with garden furniture for people to use and enjoy during the warmer weather. There is a separate dining room. A ramp is available at the front of the building to assist people using wheelchairs.We were informed that the home is planning to have the garden landscaped to include, new pathways, sensory area and Japanese water feature and that handrails are to be installed to the existing steps. Most bedrooms are provided with en suite facilities and the four bedrooms without have a shared toilet located on the same level and hand basins are provided in these bedrooms. Bedrooms seen were comfortable, well furnished, colour coordinated and individually personalised to peoples preference. A person the service said, We have lovely bedrooms. There is one large room which is currently unoccupied, which would be suitable for a couple. The upper floors of the home can be accessed by a lift. The home provides grab rails Care Homes for Older People Page 19 of 27 Evidence: and aids , call bell system and a new assisted bath, modern shower and portable hoist has been provided. One person was observed to have a portable bed in their bedroom. However it was observed that currently that there are limited facilities for staff to use and during this visit it was observed that staff were taking their break in the residents dining room which impinges on their living space. The office is very small and we were told that that some meetings take place in empty bedrooms. Therefore it is recommended that the registered persons consider other options . During a tour of the premises it as observed that the home was cleaned to a good standard and was hygienic with no pervading odours present . Separate laundry facilities are available and suitable hand washing facilities and equipment were provided. The home has received a visit from environmental health which was satisfactory. Infection control procedures are in place and staff receive training. Five people spoken with during this visit told us that the home is always clean. Care Homes for Older People Page 20 of 27 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 are supported by appropriate numbers of staff who are competent and trained and they are protected by the homes recruitment policy and practices. Evidence: When we arrived at the home there were three care staff and the assistant manager on duty, which was reflected by information recorded on the duty rosta. There is currently thirteen people living in the service that are supported by three care staff and a manager during the day and two carers and manager are available during the evening. At night time people are supported by two waking night staff. The home also employs ancillary and catering staff who were present during this visit. Since our last inspection there has been minimal staff turn over with a number of staff having worked in the home for up to twenty years and the service does not use agencies. People spoken with and surveys that were received indicated that people felt that there were enough staff. Information supplied in the AQAA indicates that fifty percent of care staff have obtained National Vocational Qualifications (Level 2) or above. Information supplied in the AQAA states that the service now provides comprehensive in house induction training for new staff with external verification. The manager was advised to ensure that this meets the Skills for Care core induction standards. A member of staff who Care Homes for Older People Page 21 of 27 Evidence: had commenced employment in the home said that they had received induction and that shadowing arrangements were put in place . Staff receive training using a system which utilises DVD based training and third party assessment. At the time of this visit the assistant manager was in the process of updating training records. Staff told us that they had recently receiving training in the safe handling of the hoist. It was not clear from staff records sampled when two members of staff had last completed moving and handling updates. The two members of staff told us that they had attended training but needed refresher training . This was discussed with the manager, who said that arrangements are in progress for a trainer to attend the home. The manager told us that they had recently attended mental health capacity act training and information supplied in the AQAA states that further training in equality and diversity is being considered. A recommendation was made that staff receive training in dementia awareness. Recruitment is based on equal opportunities policy. The current staff team are of mixed ethnicity and are all female except for the manager. During this visit we sampled the recruitment files for three members of staff, which contained the required information including a full application form, two written references , Criminal records Bureau Check (CRB) and Protection of Vulnerable Adults first check (POVA). Care Homes for Older People Page 22 of 27 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 run in the best interests of people living there and their financial interests are safeguarded and their health, safety and welfare of people is protected. Evidence: Since our previous visit there have been some management changes, which resulted in period of instability. However the service now has a new management team which has been in place since January 2009. A new manager has been appointed , who is in the process of making an application to register with us, has past experience of managing services for older people and is currently undertaking National Vocational Qualification (level 4) in management and care. An assistant head of home has now been permanently promoted,who has worked in the organisation for a number of years. Staff spoken with during this visit said that they felt well supported by the management structure, managers are approachable and accessible and that their is good team work and communication with regular staff meetings and handovers taking Care Homes for Older People Page 23 of 27 Evidence: place. The registered providers carry out monthly quality monitoring visits and written records were maintained in the home for viewing. Feedback surveys are carried out twice a year to gain the views of people and their representatives about the care and support provided by the service , some of which were sampled and contained a range of positive comments. The service also provides a selection of views of some existing people to potential new people considering the home as a place to live and they provided a copy of the inspection report. The service holds regular consultation meetings with people. Information supplied in the AQAA states that there is a development plan in place ,which builds on residents wishes and feedback and a new management tool has been introduced to monitor the quality of the home. The home has procedures in place ensuring that peoples finances are safeguarded. People or their families manage their finances. Alternately people may charge purchases to account which are then invoiced monthly. Information sampled during this visit demonstrated that appropriate records and receipts were maintained of any expenditure. Staff receive regular one to one supervision with their managers which was confirmed from discussions with staff and records viewed. Systems are in place ensuring the welfare and safety of people living there. During a tour of the premises protective covers are supplied to radiators and substances to health were appropriately stored. Records are maintained of any incidents or accidents and staff are provided with a copy of the homes health and safety policy. Environmental checks are regularly completing including water temperature monitoring and other information seen demonstrated that routine servicing and maintenance of equipment is up to date. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 18 13 The registered Persons must 14/09/2009 ensure that the home manager attend the local authority multi- agency safeguarding vulnerable adults from abuse training . This is to ensure the that people living in the service are safeguarded from abuse and neglect 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 19 It is recommended that the register person reviews the current facilities for staff . Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!