Care Home: Rivendale Lodge EMI Care Home

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What the care home does well There is detailed information about the home for prospective residents and their relatives or representatives to reference prior to any admission to the home. The staff team were observed during the inspection to ensure that the privacy and dignity of residents is respected at all times. Residents where possible are enabled to exercise choice whilst at Rivendale Lodge. Residents are protected by a detailed individual care plan being in place which is regularly reviewed. Regular activities are organised for residents during the week with opportunities for residents to socialise with their relatives and or representatives at events arranged in the home. A quarterly newsletter is sent out to inform every one of the forthcoming events in the home. The home provides residents with a homely, relaxed and caring environment. What has improved since the last inspection? There are regular environmental checks of the building to ensure that a safe environment is maintained. The maintenance programme in place in the home ensures that the environment, the decor and furnishings in the home continue to be improved for residents. What the care home could do better: Moving and handling risk assessments are in need of further development to ensure that these detail guidance for staff to follow. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rivendale Lodge EMI Care Home 14 Prideaux Road Eastbourne East Sussex BN21 2NB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judy Gossedge     Date: 2 9 0 4 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 26 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 26 Information about the care home Name of care home: Address: Rivendale Lodge EMI Care Home 14 Prideaux Road Eastbourne East Sussex BN21 2NB 01323731575 01323738970 Rivendalecare@aol.com 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) : Mr Sunjay Kumar Rai,Mr Ashish Sharma care home 27 Number of places (if applicable): Under 65 Over 65 0 dementia Additional conditions: 27 The maximum number of service users to be accommodated is 27. The registered person may provide the following categories 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 categories: Dementia (DE) Date of last inspection Brief description of the care home Rivendale Lodge is a residential care home for older people with dementia. It is situated in a residential area of Eastbourne. The home is a detached older-style building, on three floors standing in its own grounds. There are twenty-three single and two double bedrooms sited on all floors, with a lounge and dining room on the ground floor. It is not purpose built and there is no passenger lift, but equipment is provided in the home to help residents up and down the stairs to the first floor if required. All the bedrooms have a wash-hand-basin. The majority of bedrooms do not have en-suite facilities, but three bedrooms have a toilet and wash-hand-basin and of these three, one also has a shower facility. Assisted bathing facilities are available in the home. Care Homes for Older People Page 4 of 26 Brief description of the care home There is a garden laid to lawn with a decking area at the rear of the home. The Statement of Purpose, Service Users Guide and a copy of the last inspection report are available to reference in the entrance to the home. At the time of the inspection fees were documented to be between £440.79 and £550.00 per week. Additional charges are made for hairdressing, chiropody, newspapers and dry cleaning. Care Homes for Older People Page 5 of 26 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: This unannounced key inspection took place over five and a half hours on 29 April 2009. The last unannounced key inspection took place on 10 May 2007. Since the last inspection an Annual Service Review has been completed. It does not involve a visit to the service, but is a summary of new information given to the CSCI, now the CQC, or collected by the CSCI, since the last key inspection. No concerns were raised. The Manager had been asked to complete an Annual Quality Assurance Assessment (AQAA), which was detailed and informative, and information from which is quoted in this report. Care Homes for Older People Page 6 of 26 A tour of the premises took place to look at communal areas and a selection of residents bedrooms and a sample of care records were inspected. There were twentyfive residents, but due to communication difficulties it was not possible to speak to all the residents individually, though a number were spoken with as part of the inspection process. The care that four of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal area. Three residents surveys were sent out on this occasion, all were returned completed and all detailed the residents relatives had assisted in the completion of the survey. One new care worker; a care worker, a cook, the activities co-ordinator, a laundry assistant and night care worker, the deputy manager and the Manager were all spoken with. Further care workers were spoken with as part of the inspection process. Four care workers surveys were sent out and three came back completed. One relative and an NVQ assessor were spoken with during the 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 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 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 9 of 26 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. Potential new residents are individually assessed prior to any admission to ensure that their care needs can be met in the home, and they and their representatives are provided with detailed information about the home. Intermediate care is not provided. Evidence: The Statement of Purpose, Service Users Guide and a copy of the last inspection report are available to read in the entrance to the home. Both the documents were read, and recorded that they had been recently reviewed and updated. Two of the residents surveys stated they had received enough information about the home and one had not, but that this had been due to an unexpected admission to the home due to a change in circumstances. One comment received was, we went around and viewed a lot of homes and decided that this one best suited my relatives needs. The Manager stated that residents are visited prior to any admission. This is to ensure Care Homes for Older People Page 10 of 26 Evidence: individual residents care needs can be met in the home and to provide staff with information on the care to be provided. For two new residents admitted to the home since the last inspection there was detailed pre-admission information viewed, which had been completed. New care workers receive an induction and attend mandatory training. There are policies and procedures in place for staff to reference. There is a programme for National Vocational Training (NVQ). All care workers have received guidance/training for providing care to service users with dementia. Intermediate care is not provided in the home. Care Homes for Older People Page 11 of 26 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. Residents have individual plans of care in place and personal care and support is provided in a way that maintains and respects the privacy, dignity and lifestyle of the resident. Detailed policies and procedures in place to manage medicine ensure the protection of residents. Evidence: A selection of four of the residents individual care plans was viewed. The information detailed on all of the care plans demonstrated that the detail being recorded continues to be developed. This gives clear guidance to staff of the care to be provided, residents personal and health care requirements, dietary needs, social and leisure interests, and how any identified risks are to be managed. Where moving and handling risks had been identified the recorded guidance for staff was limited. This was discussed with the Manager who agreed to address this and ensure the recording is developed. So a Requirement has not been made on this occasion. The care plans viewed had been reviewed to ensure that this information is up-to-date and current care needs are being met. Two of the residents surveys stated they always received Care Homes for Older People Page 12 of 26 Evidence: the care they needed and one usually, and one commented, management and staff are always very supportive. All stated that staff act and listen to what you say, and one commented,the staff listen and try to do their best to act. All of the care workers surveys stated they always receive up- to-date information about the care needs of the residents, and one commented, during handover, all necessary information or developments about the residents are discussed. The staff team were observed during the inspection to ensure that the privacy and dignity of residents is respected at all times. Feedback received of the care and support provided, observations and information detailed in residents individual care plans was that residents are enabled where possible to exercise choice whilst at Rivendale Lodge. The feedback received was that people were happy with the overall care provided in the home. Comments included, the home is well run and all the residents seem happy, and the manager and staff are very good and the standard of care is very high. Medication policies and procedures are in place and staff administering medication have received medication training. The deputy manager stated an update of medication training is due to be facilitated shortly and also stated that a pharmacist regularly visits the home, but the records of these visits were not viewed during the inspection. The storage and a sample of the recording of the administration of medication were also viewed and were adequate. All the residents surveys stated that they felt that their medical care needs were met in the home. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where possible residents are enabled to exercise choice in their lives whilst resident in the home, there are opportunities to participate in social and recreational activities provided. Residents are encouraged to maintain contact with family and friends as they wish and a varied diet is provided. Evidence: Residents social interests are recorded on their individual care plans and the AQAA detailed that a regular programme of activities is arranged. An activities co-ordinator works in the home twenty hours a week over four days, who organises the activities. Care staff facilitate activities when the co-ordinator is not working in the home and a number of the staff have also attended dementia activities training. Activities that are facilitated in the home by staff or by external entertainment and activities groups include an exercise group, poetry reading, sing a longs, film shows and musical entertainment. On the day of the inspection a group of residents were playing catch with a large ball and there was a pleasant atmosphere and good interaction between staff and residents was observed. Currently the home is fund raising to purchase a mini bus to enable there to be an increase in the planned activities out from the home. Over the next twelve months it is also planned to further increase the range of Care Homes for Older People Page 14 of 26 Evidence: activities provided. A quarterly newsletter is sent out to inform residents and relatives of the forthcoming events in the home. Residents surveys stated, always, usually and sometimes activities are arranged by the home, and one commented,my relative likes to take part but cannot always. One relative also commented that they took their relative out of the home to participate in local activities. The relative spoken with confirmed there was flexible visiting, that staff are very welcoming and they could see their relative in private if they wished. The outcome of the homes own quality assurance when asked about the welcome from staff when visiting, all answers stated good or very good and all stated they could visit their relative or friend in private if they wished. A rotating menu is place, which the cook stated is seasonally varied, takes into account residents likes and dislikes and was seen to identify choices are available at all meals. Lunch on the day was roast pork or savory pancakes, with roast or mashed potatoes, peas, sprouts and cabbage followed by chocolate delight or fresh fruit and ice cream. Special diets are catered for. Tea on the day was Eggs Benedict or a selection of various sandwiches and a cheesecake. Staff stated that there is a regular order of fresh fruit delivered to the home for the residents. Residents observed were being assisted with their lunch in the dining room and lounge area and it was a relaxed environment taking into account the different length of time that individual residents would need to finish their meal. The Manager stated records are kept of food consumed individually by each resident, but these were not viewed on this occasion. Two of the residents surveys stated they always like the meals in the home, and one usually and one commented, the food is fairly good and my relative seems to eat quite well. Care Homes for Older People Page 15 of 26 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. Policies and procedures are in place to enable residents or their representatives to raise any concerns about the care being provided and to ensure that residents are protected from abuse. Evidence: There is a detailed complaints policy and procedure in place. The AQAA detailed that no complaints had been received at the home during the last year. The CQC have not received any concerns in relation to the care provided at Rivendale Lodge. The relatives felt it was an environment where they would feel comfortable to raise any issues and that they would be listened to. The AQAA detailed that there are policies and procedures in place in relation to the safeguarding of vulnerable adults and care workers spoken with and training records viewed evidenced staff had attended related training. Care Homes for Older People Page 16 of 26 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 decorated and furnished in a homely style. The maintenance plan and ongoing work to refurbish and improve the facilities in the home ensures that the standard of the environment continues to be maintained and improved. Evidence: The external decor of the home has been improved with the installation of new windows and external doors. There are still some windows to be replaced and the Manager stated that this work is still due to be completed, but that there has been a delay due to current advice being sought to further develop the home. A tour of the building was made. The home is decorated and furnished in a homely style. There is not a passenger lift in the home, but the Manager stated that the proprietors are still currently reviewing options for a passenger lift to be installed to access all floors in the home, but there has been some delay due to discussions on the positioning of the proposed lift. There is a garden to the rear of the home, which has a decking area. Access to the garden is via a doorway off the lounge where there is a steep ramp in place. This has been previously discussed with the Manager who stated that the staff team follows the risk assessment in place when assisting residents outside using the ramp. Care Homes for Older People Page 17 of 26 Evidence: A stair lift is available to residents unable to use the stairs to the first floor. Access to the second floor is by way of a steep stairway with no alternative means of escape in case of a fire. A stair gate has been fitted at the top of this stairway. The Manager has stated that a risk assessment has been completed. Residents accommodated on this floor should be fully ambulant, and the care needs of the residents living on that floor should continue to be reviewed on a regular basis to ensure their safety and care needs continue to be met whilst resident on the second floor. There are twenty-three single bedrooms and two double bedrooms on all floors in the home. Since the last inspection some double bedrooms have been converted to single bedrooms. One bedroom also has a small private seating area off the room. A number of bedrooms were viewed and displayed residents individual styles and interests. Night lights have been purchased instead of a bedside light. Though some bedside lights have been provided if this is identified to meet individual residents care needs. An emergency call system is fitted in the home. Alarmed floor mats are available to alert care workers particularly at night where a resident may need assistance. Residents are unable to control the temperature in their own bedrooms. The homes recording of the testing of the hot water temperatures was viewed and detailed that water at the outlets accessed by residents is being maintained at close to 43 degrees centigrade. Bathroom facilities are provided throughout the home. A number of residents use the assisted bathroom on the ground floor, which has been refurbished and the bath replaced with a height adjustable hydraulic bath. An existing toilet has also been refurbished on the first floor and a shower facility provided improving the bathing choices available to the residents. The home does not provide sufficient toilets throughout the building, particularly on the ground floor where most of the service users were observed to spend a significant part of their day. The proprietors have previously stated that they have reviewed this and it is planned to refurbish an existing toilet and make this more accessible and also provide a further shower facility. The main toilet used off the lounge area has been extended so that it is more easily accessible. This does mean that as well as the door at the entrance to the toilet there is also an external fire door and exit leading out to the back of the home. This has discussed with the Manager who stated that advice and guidance again had been sought from a representative from an external fire company as part of the fire risk assessment for the home and that this was acceptable. There is one lounge and dining area on the ground floor and is where the majority of the residents congregate during the day. This area has been redecorated following the Care Homes for Older People Page 18 of 26 Evidence: loss of two walls from an adjacent staff room, which has been incorporated into and extended the communal space available. New flooring and new dining room furniture has been purchased and this greatly improves this area. The landing on the first floor has been refurbished to offer a sitting area if residents wish to meet privately with their visitors. There is a policy in place for managing infection control and the Department of Health Guidance has been used to assess current infection control management. A full-time domestic assistant is employed during the week and the AQAA detailed that as part of the developments over the next twelve months a part-time domestic is also to be recruited to work at the weekends. The floor finish in the laundry is readily cleanable. The laundry assistant was spoken with has received training and guidance in infection control and the control of substances hazardous to health regulations COSHH. She confirmed that systems are in place to sort clothes in the laundry area and ensure all items of clothing are named. The home was clean and odour free in the majority of the home although there were a couple of bedrooms where there was a slight odour. Feedback from the residents surveys was that the home was always or usually fresh and clean. The outcome of the homes own quality assurance when asked about the cleanliness of the home, all answers stated good or very good. Recording was viewed of routine fire checks that had been carried out in the home. Care Homes for Older People Page 19 of 26 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 detailed recruitment policies and procedures in place to protect residents and staff are provided with induction and opportunities for training to develop their skills and ensure the individual care needs of residents can be met. Evidence: The Manager and deputy manager provide management cover in the home seven days a week. Staffing on the day was adequate to meet the number and care needs of the residents. Staff spoken with confirmed that five members of care staff are deployed to work in the home during the day with the senior staff on duty and two members of care staff undertake waking night duties. The AQAA detailed that there is limited use of agency care workers to work in the home. There are also ancillary staff who cover catering, domestic and laundry tasks. The care workers surveys stated that recruitment checks were taken out prior to them commencing work in the home, and one commented, they have checked my references and have done POVA and CRB checks. The AQAA detailed that of the eighteen care workers hold an NVQ Level 2 in care and seventeen care staff are currently working towards either NVQ level 2 in care or towards NVQ level 3. The Manager stated that the home had been awarded the YMCA training award, Super Employer Award for 2006 in recognition of its training Care Homes for Older People Page 20 of 26 Evidence: achievements, to acknowledge the support of care workers receive to complete an NVQ award. The recruitment process followed was viewed for three new members of care staff working in the home, all of whom had been recruited since the last inspection. A satisfactory recruitment practice was evidenced to be in place, with the completion of an application form, two references and a completed a Criminal Records Bureau check (CRB) and or a Protection of Vulnerable Adults (Pova) check had been received prior to staff commencing work in the home. A sample of records were also viewed to evidence staff have had a CRB and POVA check completed. The Manager had stated that induction training to meet the requirements of the General Skills for Care induction standards. One new care worker spoken with who had been recruited since the last inspection, confirmed they had completed an induction. An annual appraisal system is in place to be undertaken with each care worker. Care Homes for Older People Page 21 of 26 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 management team have strived to create an atmosphere within the home, which is open, relaxed, homely and caring. Quality assurance systems have been developed to enable ongoing feedback about the care provided in the home and systems are in place to ensure a safe environment for staff and residents. Evidence: The Registered Manager for the home, has completed the Registered Managers Award and is still waiting to complete NVQ Level 4 in Care. There have also been further training opportunities which the Manager has attended. There is a deputy manager to support the Manager and feedback received was that the running of the home was open and transparent and there were opportunities for staff, residents and their representatives to affect the way in which the service is delivered. A quality assurance system is in place. It was evidenced that regular feedback about the service provided has been sought from residents, relatives or representatives and Care Homes for Older People Page 22 of 26 Evidence: other professionals who attend the home, all of which has been collated and the Manager stated that all residents representatives had received a copy. The overview detailed when asked about the general satisfaction of the care provided the majority of responses stated very good and good. The AQAA detailed that policies and procedures had been reviewed. A regular recorded visit by a proprietor of the home to meet Regulation 26 has been made and a sample of the recording was viewed. The Manager stated that residents money is not held at the home, but where residents wish to purchase items the home pays for these and accounts are sent to residents representatives quarterly. That there are records to support this activity, but these were not viewed on this occasion. Supervision for all care staff either individually or as a group has been maintained. Training records were viewed so it was possible to evidence if all care workers had received training in moving and handling, basic food hygiene, first aid and infection control within the required timescales. The Manager stated that he and the deputy manager have attended a moving and handling risk assessors course so that they can complete any moving and handling risk assessments where identified in the home. That further training is due to be facilitated in fire training, dementia and control of substances hazardous to health (COSHH). The AQAA detailed that the maintenance of equipment and services has been carried out. A fire risk assessment is in place for the home, which records that it has been reviewed. Records evidenced that staff attended fire training and there are also fire drills facilitated in the home and the staff spoken with confirmed attendance at this training. A detailed environmental risk assessment of the building is in place, which recorded it had been reviewed. There was some wedging open of doors in the home. This was discussed with the Manager who stated this would be addressed on the day and that door open and closing devices have been purchased and on receipt would be fitted to the doors to stop this practice. A sample of recording was viewed of incidents and accidents, which had occurred in the home. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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 26 of 26 - 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!