Care Home: Queen`s Court

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What the care home does well The Service Users live in a homely, clean, comfortable, warm environment which meets their wishes and needs and ensures their privacy and dignity is respected. One relative told us, " They (staff) are very freindly and kind and do their best to make Service Users feel Queens court is their home". Another visitor told us "we are always made to feel welcome on each visit". Everyone enjoys the food, some saying that it is tasty and varied and others. The people are given fresh fruit and vegetables with their meals. What has improved since the last inspection? Everyone agreed, and we were shown, that the manager has addressed all the areas of concern and requirements made at the last inspection, to ensure the home is run in the best interests of service users. Care plans contained all the necessary information to inform staff how to meet their needs, be it with challenging behaviour or with nutritional issues. People`s healthcare needs are met, with liaison with GPs and healthcare professionals as necessary. Service users were seen to be treated with dignity and respect at all times during the inspection visit, including being assisted with their meals in a dignified manner, approved safety locks fitted to bathroom and toilet doors. There were variuos activities provided on the day of the inspection all coordinated by the activities coordinator. She has also created themed areas of intrest throughout the home and in the garden. The Staff we spoke with said that they are happy to do whatever the residents indicate they want to do. Training is now comprehensively undertaken by all the staff team, including safeguarding adults and what action to be taken in the event of allegations being made. Staff and service users have told us that they have a `voice` in the running of the home. What the care home could do better: Most staff now have formalised one-to-one meetings with the manager or her seniors to support them and ensure their training and working needs are met. However this needs to be reviewed to ensure that all the staff are given this oppertunity. One relative survey told us "Sometimes the communication between staff isn`t always perhaps as good as it could be. However, I realise with shifts patterns etc, its not always possible and I do belive they try to provide continuity". Key inspection report Care homes for older people Name: Address: Queen`s Court 2 Downing Close Bottisham Cambridgeshire CB25 9DD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Bhavna Keane-Rao     Date: 2 4 0 4 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Queen`s Court 2 Downing Close Bottisham Cambridgeshire CB25 9DD 01223811905 01223812517 home.bot@mha.org.uk www.mha.org.uk Methodist Homes for the Aged care home 55 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) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accomodated is: 55 The registered person may provide the following categories of service only: Care home only - Code PC. To service users of the following gender. Both Whose primary care needs on admission to the home are within the following categories: Old age not falling into any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Queens Court is in the centre of the village of Bottisham, near the city of Cambridge. Queens Court is a two storey, purpose built home, offering long term and respite accommodation to 55 service users some of whom can have a diagnosis of dementia. The home ha seven self-contained areas, each iwth its own kitchenette, dining / sitting area and unmber of bedrooms. One of these areas is just for people who require respite care. The home also has a day centre operating from the premises, which can be used by the people who live in the home, but also by older people within the community. Care Homes for Older People Page 4 of 28 0 0 Over 65 22 33 Brief description of the care home Queens Court is managed by Methodist Homes for older people. Methodist Homes is a nationwide charity and is part of MHA Care group. The premises are approached by a road and is near the local school. The grounds are well kept and easliy accesible to service users. Outdoor seating areas are provided both in the front and to the rear of the property. There is car parking facility for staff and visitors. The weekly fees range from £527-£587. People pay separately for hairdressing, chiropody, toiletries, personal newspapers, magazines, clothing and any outings or trips. Information about the costs, as well as the day-to-day operation of the home, can be found in the statement of purpose and service user guide. These documents and a copy of the last inspection report are available to people who live there and for those interested in coming to live at the 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 2 star. This means the people who use this service experience good quality outcomes. An unannounced visit was made to the home as part of our key inspection. It started at 10.00am and lasted 6 hours. Throughout this report, the terms we and us refer to The Care Quality Commission (CQC). As part of our review and assessment of the service, the owner completed a selfassessment questionnaire called the Annual Quality Assurance Assessment (AQAA). The information from this, as well as that which we hold about the service, was used to plan the visit and produce this report. The main method of inspection was case-tracking. This involved choosing three residents, and checking the care they receive through looking at their records, chatting Care Homes for Older People Page 6 of 28 with them, the care staff, any visitors and observing care practices. Our visit to the home focused on whether key standards had been met and how people feel about the service provided. The care received by three people was followed in detail to check that their health, safety and welfare needs were fully met and that they were supported to maintain their dignity, autonomy and choice. We spoke with the manager, staff on duty and the people in the lounge, including those whose care we were following closely. People talked and communciated about their experience of living at the home. Any comments we received are mentioned in the main body of this report. Personal records, general house records and staff records were looked at, and the way care was given to the people was noticed. We saw some areas of the home and watched lunch being served to and taken by the people who live there. The manager was present throughout our visit. Care Homes for Older People Page 7 of 28 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 28 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. People have enough information before moving into the home, which means they are able to decide if they would like to live there. Peoples needs are assessed before care starts, which means the service does know whether staff can care for the person properly. Evidence: Eleven of the people who we received surveys from said they had received a contract and that they had enough information before moving to the home. Four visitors we spoke with also said they had enough information before their relative moved into the home. Staff members and the manager told us that assessments are completed before people move into the home and assessments by health and social care teams are also obtained to provide more information. We looked at the care records of one person who had moved into the home since the last inspection. Care Homes for Older People Page 11 of 28 Evidence: There were written assessments completed by the home, and contained detailed health care assessment. We spoke to a person recently admitted, their relative and staff members, they all said spoke about the admission procedure. One relative we spoke with said that they had met before the person moved into the home. Also that the room was personalised day before the move and there were plants and a welcome card on the day we arrived. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. 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. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. Care and medication records are completed accurately to ensure the health and welfare of people living at the home Evidence: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection and that staff knock on doors before entering rooms. People we spoke to said staff are nice and one person commented, Carers are very prompt in attending to problems. Another person said This is a very homely, caring place. A comment from one of the visitors who returned a survey was, The staff are very caring and considerate to my mother and always make her feel welcome . Care plans for four people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to Care Homes for Older People Page 13 of 28 Evidence: do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. We found the care plans gave staff members advice about how to meet most of peoples needs, but that the level of detail varied between different people. Care plans for care needs generally told staff how each person likes to be cared for and what their preferences are, and there were some plans that gave staff a lot of information about people. Most people or their relatives said they are able to look at the plans and say if they agree with them or not. One persons relative did tell us during our visit that she would like to be further involved in the development of her mothers care plan. This was discussed with the manager who dealt with it immediately. Plans are reviewed monthly and we saw that some information and changes are recorded, and the plans are rewritten to give staff updated guidance. On the day of our visit some of these plans were being reviewed and updated by two senior care staff. Most of the people who returned surveys said they receive medical attention when they need it. Comments they made show most people are happy with the medical attention they get; my mothers care needs are met very well. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. The plan for medication are updated with any recommendations from a health care professional We also looked at menus that show what people eat. These showed that there is always an alternative and a choice provided at all meal times. We spoke with four relatives who all said how lovely the food was. One person told us, My mother loves the food here. Its all home-cooked and fresh. Medication administration records (MAR) were looked at for all of the people whose care records we looked at and another three people. The MAR sheets are completed and there are no records with entries missing. Entries for medications that have not been given show the reason for this. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. However on the day of our visit we noticed that some refused tablets were left inside the locked medical trolley. This was not in line with the services own procedures. This was dealt with by a member of staff who carried out an audit of all the trolleys. Care Homes for Older People Page 14 of 28 Evidence: Stock levels of medications are acceptable; no medication had been out of stock and there are no stores of medication nearing its expiry date. Medication fridge and storage room temperatures are taken and recorded. 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. Staff members have a good understanding of peoples needs, and care records show how people are supported to live as they would like. Activities are available and people can choose what they do this means people have control over their lives. Evidence: The home has an activities co-ordinators who arranges for entertainers to visit the home, activities and events in the home. One relative told us, Theres always something to do. There is a section in the home that displays the activities available and those that people have taken part in. As you enter the service there is a display of arts and crafts that people have created. Service users and took pried in showing these to us. Five of the six people who returned surveys to us said there are activities that they can take part in, one person said usually. The activities co-ordinator records information about time they spend with people on individual sheets. There is information written into care plans about what people like to do, which means that staff members are able to plan care around social needs or even be able to meet some social needs. We saw various activities taking place on the day we visited. The home is registred with National Association for Providers of Care Homes for Older People Page 16 of 28 Evidence: Activities (NAPA). This organisation helps people to think of variuos ways of providing stimulating activities for service users. Most people we spoke to said there are activities for them at the home. Comments from people include, I enjoyed the painting that we did, and we have bingo, sing-along and special parties. We asked one staff member what had improved and she told us about various themed areas in the home. We saw the old school room area with furniture and exercise books from 1930s; Beach area, a living room. We heard from people about the events in the home like Christmas bazaar, beach party, play your cards right and Ascot day. We also heard about the day trips to the pub and walking. When we asked people what could be improved, except for one person, everyone said there was nothing that could be improved. One person said to have more staff. One persons relative said there was enough stimulation. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in various lounge or dining areas. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. The home has an open visiting policy and people can have visitors at any time of the day. All the visitors who returned a survey said the home helped people keep in touch and they all said they are kept up to date with issues concerning that person. Two comments were, We are always made to feel at home when we visit and there is always an offer of a drink and The staff cant do enough to create a homely welcoming atmosphere. The main meal is served at lunchtime and there is a choice of three hot meals every day. We saw lunch being served in two of the main dining rooms in two houses. Food was served appropriately in a relaxed and unhurried way and drinks were offered throughout the meal. Everyone we spoke to said they like the meals and the food is good. Staff help people if they need this and we saw them being attentive and concentrating on what they were doing without being distracted. Comments were received in surveys and during the inspection and include, The food is very good here and This is the best place next to being at home. 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. People know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: Ten of the eleven people returning surveys said they know who to speak to and almost all of them said they know how to make a complaint if they have to, and that staff listen to what they say and act on it. Most people we spoke to during our visit also said they know what to do if theyre not happy about something. All of the visitors who returned surveys said they know how to make a complaint and they are appropriately dealt with. Everyone we spoke to during this inspection said they are happy with the service given to them. Two vistors we spoke with said there have been big improvements in the home recently, and comments we received also show this. Two of these are, staff always listen to anything I have to say and If we have a concern they do listen and sort it out. An example of commnets in the returned survey is staff...are willing to listen to any problems or queries I may have. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been no complaints made to the home in the last 12 months. The staff training matrix shows that nearly all staff members, care staff and Care Homes for Older People Page 18 of 28 Evidence: housekeeping staff, have received training in safeguarding (adults protection) within the last year. We talked to care staff in different areas of the home, who all said they had received training in safeguarding people. One person we spoke with told us what should be done if abuse was suspected. Information provided to CQC before the inspection shows there have been no safeguarding referrals and investigations in the last 12 months. 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 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 clean and provides a safe environment, giving people a pleasant place to live. Evidence: The home is a large purpose built property with recent extension and upgrdaing. People living at the home have access to a number of communal areas in each smaller units including fenced garden areas around the property. The decor in of the home is very pleasent, and it was clean and tidy, with no malodours. Everyone returning surveys said the home is clean and tidy and people at the home also said the home is clean. Comments include, It as good as a residental home can get and The staff work very hard to make it homely even though its very big. There are variuos areas within the home which have been made intresting by themed furniture and decor. For example one area in the front foyer has been turned into a sea side with beach chairs, sand, shells and sea weed; another area has been made in to an old victorian wash room. This has stimulated discussions amongst everyone who sees it. The gardens have also been designed to ensure that there are points of intrest in all sitting areas. For example there is a 1930s restored bicycle and an very old metal milk container. The activites People we spoke with told us they were encouraged to bring their personal possessions before they moved to the home so that when they arrived it was their room. One relative told us, When got here the room was lovely and homly as a lot of Care Homes for Older People Page 20 of 28 Evidence: mothers bits and pieces were already here. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff members with the training and skills to be able to care for people properly. Evidence: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training. Staff members who returned surveys said, I have been trained very well and Our manager is very strict on keeping all staff traning up to date. Additional training is given to staff so that they are able to properly meet peoples needs, this is well recorded on the training matrix. For example, care of people with dementia and dealing with difficult behaviuos are a sample of training sessions available to staff. The matrix shows that staff are given training course on variuos courses. The providers have registered with the NAPA. The activities person has been enrolled to attend a level 2 of NAPA accredited course. We spoke to three staff members who told us they have National Vocational Qualifications at level 2 or above, the information in the AQAA tells us that 23 of the 48 members of the care staff have this qualification. Once all of the permantent staff have completed this NVQ training this will raise to 89 . Care Homes for Older People Page 22 of 28 Evidence: All the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. Two comments from the surveys were, Regular staff know their service users very well...they are able to tell how someone is feeling by their mood and the staff are very kind and considerate to my mother...They behave in a very professional way. People we spoke with during the visit said there is usually enough staff on duty during the day. Of the three staff members who returned surveys one person said they didnt feel staffing levels were high enough and this stopped them from spending time with people. However, this experience isnt the same the for other two staff. One visitor we spoke with said, the care is really good here. Theres always someone around to help. When we walked round the home we saw staff members in most places where people were sitting and along corridors in all the units most of the day. We observed people using the call bell system to attract staff attention. These were answered promptly. We felt there are enough staff available to help people when this is needed, although they might have to wait a short while sometimes. We looked at recruitment records for three staff members, one employed since the last inspection, and they all contained the appropriate recruitment documents including references, application forms and other safety checks (PoVA/CRB checks). Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a safe place to live and people are asked their opinion so that things they are not happy with are changed. Evidence: The registered manager has been managing the home for a number of years and in that time has gained the Registered Managers Award and NVQ level 4. One comment from a staff member shows she is highly thought of by staff, she is very hands on and supportive towards all of us. A realtive told us that he found the manager to be very kind and approachable. The manager demonstrated, staff agreed, and we saw, that she has addressed all the areas of concern and requirements made at the last inspection, to ensure the home is run in the best interests of the service users. One issue raised was regarding staff supervision. Although this is now being undertaken by all the manager and her senior staff there are times when these are not every two months. On the day of our visit the manager was dealing with this issue. Therfore we did not make a requirement on this Care Homes for Older People Page 24 of 28 Evidence: occassion. An annual quality assurance survey was carried out by the home on September 2008, a report has been written and shows that there has been a 94.1 response rate to this survey. The surveys shows that in all areas people were asatisfied with the service provided for them. The results of this survey have been dispalyed in the front entrance. There are regular staff and service users meetings. Minutes of these meetings were viewed. The manager said this prompted the home to have an activities co-ordinator in each house. As can be seen in the section on Daily Life and Social Activities, this has had the desired effect and generally people are happy with what is available for them to do. The manager also told us that housekeeping was also an issue and we saw in all but one part of the home that this has improved. One house in the home also carries out its own satisfaction survey every month. The staff feed back the results to the people living in that house and talk to the manager about issues every three months. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. The company does not handle peoples money. People going to live at the home are given written information about this and the procedures are in the Service Users Guide. However when there is a need to assist a person with their money then there is procedure to be followed. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home; this has been tested within the last 12 months. Fire Officers have visited home in July 2008. The Environment Health Officers have vsited the home in November 2008. There were no areas of concerns raised. 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. 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