Care Home: Riversdale Nursing Home

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What the care home does well People`s needs are assessed before they move to Riversdale to ensure that they can receive the care they require. The heath and personal care needs of the people living at the home are met and they receive visits from their doctor and other health professionals as needed. Medication is well managed and the records suggested that people always receive what has been prescribed by their doctor. During our visit we were able to speak with four visiting relatives. They were all satisfied with the care that their relative was receiving and said they had no complaints. They considered that there are usually enough staff although they are busy at times. They find the home clean with no smells. Residents we spoke with had no complaints and one person said that he gets on very well with most of the staff and can have a laugh and joke with them. The manager carries out an annual satisfaction survey and the following comments were made on the 2009 survey: `As a family we are grateful for all of the help and care Mum has received at Riversdale. The love and warmth shown to her has been very comforting. As her needs have changed the staff have tried to adapt but eventually a more specialised setting was recommended.` `Riversdale provides a superb level of quality for all residents, and for my family, living some distance from the home, it is very reassuring to know that our mother is so well looked after. Whenever we phone, we are always given very detailed information regarding Mum and we all appreciate the amount of time that staff take to chat with us and keep us fully informed. When I visit Riversdale I see frequent examples of kindness and thoughtful care being provided and the home has such a happy, friendly atmosphere at all times.` `We have never doubted that we made the right decision when we chose Riversdale. All the staff are extremely dedicated and nothing is too much trouble.` People living at the home receive a good choice of nutritious meals to keep them as healthy as possible. Riversdale provides a comfortable, clean and well maintained environment for people to live in. The home provides enough qualified and experienced staff to meet the needs of the people who live there. All staff receive regular training and supervision and the majority of the care staff have acheived a national vocational qualification in care. The home manager and the owner work together to ensure that the home is well managed. They are both very experienced and have completed the registered manager award. Internal quality monitoring systems are implemented and the home also has the Investors in People award. A fire risk assessment has been commissioned and completed by an outside company and all staff attend regular fire safety training. The overall standard of record keeing was very good. What has improved since the last inspection? No requirements or recommendations were made following our last visit to the home. Considerable improvements have been made to the environment to make sure that people have a comfortable place to live. What the care home could do better: We saw that the owner and the manager are committed to continuous improvement of the service and upgrading the environment. Keep a record of the names of staff attending fire drills so that the manager can be sure that everyone has attended at least two fire drills each year. Key inspection report Care homes for older people Name: Address: Riversdale Nursing Home 16 Riversdale Road West Kirby Wirral CH48 4EZ     The quality rating for this care home is:   three star excellent 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: Wendy Smith     Date: 2 6 0 1 2 0 1 0 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 25 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 25 Information about the care home Name of care home: Address: Riversdale Nursing Home 16 Riversdale Road West Kirby Wirral CH48 4EZ 01516252480 01516250913 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Margaret Armstrong,Mrs Kate Armstrong Shone care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 34. Date of last inspection Brief description of the care home Riversdale Nursing Home is a family owned business. The home is registered to provide nursing care for up to 34 older people. It is a three storey house set in its own grounds close to shops and other amenities in West Kirby. 0 Over 65 34 Care Homes for Older People Page 4 of 25 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: The quality rating for this service is three stars. This means that the people who use this service experience excellent quality outcomes. We (the Care Quality Commission) visited Riversdale on 26 January 2010 as part of this inspection. During the visit we spoke with residents, staff and visitors. We walked round the building to see all the communal areas and some of the bedrooms. We checked records kept at the home and spent time talking with the owner and the manager. We also looked at any information that we had received about Riversdale since our last inspection there. Before the inspection the manager was asked to complete a questionnaire to give us up to date information about the service. Care Homes for Older People Page 5 of 25 What the care home does well: Peoples needs are assessed before they move to Riversdale to ensure that they can receive the care they require. The heath and personal care needs of the people living at the home are met and they receive visits from their doctor and other health professionals as needed. Medication is well managed and the records suggested that people always receive what has been prescribed by their doctor. During our visit we were able to speak with four visiting relatives. They were all satisfied with the care that their relative was receiving and said they had no complaints. They considered that there are usually enough staff although they are busy at times. They find the home clean with no smells. Residents we spoke with had no complaints and one person said that he gets on very well with most of the staff and can have a laugh and joke with them. The manager carries out an annual satisfaction survey and the following comments were made on the 2009 survey: As a family we are grateful for all of the help and care Mum has received at Riversdale. The love and warmth shown to her has been very comforting. As her needs have changed the staff have tried to adapt but eventually a more specialised setting was recommended. Riversdale provides a superb level of quality for all residents, and for my family, living some distance from the home, it is very reassuring to know that our mother is so well looked after. Whenever we phone, we are always given very detailed information regarding Mum and we all appreciate the amount of time that staff take to chat with us and keep us fully informed. When I visit Riversdale I see frequent examples of kindness and thoughtful care being provided and the home has such a happy, friendly atmosphere at all times. We have never doubted that we made the right decision when we chose Riversdale. All the staff are extremely dedicated and nothing is too much trouble. People living at the home receive a good choice of nutritious meals to keep them as healthy as possible. Riversdale provides a comfortable, clean and well maintained environment for people to live in. The home provides enough qualified and experienced staff to meet the needs of the people who live there. All staff receive regular training and supervision and the majority of the care staff have acheived a national vocational qualification in care. The home manager and the owner work together to ensure that the home is well managed. They are both very experienced and have completed the registered manager award. Internal quality monitoring systems are implemented and the home also has the Investors in People award. A fire risk assessment has been commissioned and completed by an outside company and all staff attend regular fire safety training. The overall standard of record keeing was very good. Care Homes for Older People Page 6 of 25 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. 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 7 of 25 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 8 of 25 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 access to information about the home. Peoples needs are assessed before they move to Riversdale to ensure that they can receive the care they require. Evidence: Information about the home and the services provided is available in the entrance area and in each bedroom. The manager told us that either herself or one of the other nurses goes out to visit anyone interested in coming to live at Riversdale. A form is used to record an assessment of their needs and we saw copies of the completed forms in peoples care plans. The most recent resident came to live at Riversdale from a hospital a considerable distance away, so he was not visited prior to admission. The manager told us that his family came to look at the home and they gave her information about him. More Care Homes for Older People Page 9 of 25 Evidence: detailed information about his care needs was given by phone from the hospital where he was being treated and this was used to ensure that all the equipment he needed was in place when he came to Riversdale. Riversdale does not provide intermediate care. Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The heath and personal care needs of the people living at the home are met and their medication is well managed. Evidence: Each person living at the home has a care plan that gives information about their health and personal care needs, and how these needs will be met. Risk assessments are in place for any risks identified and details of how the risks will be reduced or eliminated. The care plans also include some information about peoples individual preferences and choices. We looked at the care plans for four people. They contained comprehensive information about peoples care needs, but were not written in a person-centred way and were medical in tone. Evaluations were written daily by the nurse on duty and refer to each plan and whether there has been any change. The monthly reviews were all kept up to date, but were very brief and did not give information about how the person had been feeling or what they had been doing, only whether there was any change to the persons physical care needs. Some of the care instructions were rather Care Homes for Older People Page 11 of 25 Evidence: general, for example regular orientation required due to cognitive impairment, but it was not clear what this meant for the individual. The bedrail risk assessments did not explain why rails were needed for the individual or whether any alternative ways of keeping the person safe had been considered. There are two other care folders that are used by the care staff and these are a skin care record and a daily needs record. The carers use these to record the personal care given each day. The manager considers that these are important for accountability. There were very good records to show that the people living at the home have visits from healthcare professionals as needed and that the care regime is adapted following their advice. Several people had been visited by a speech and language therapist and a dietician to ensure that they are able to receive adequate nutrition. There were also records of visits by a continence adviser, tissue viability nurse, optician, wheelchair service and social worker. People have a choice of several GPs and one of the doctors visits the home every Wednesday. We were able to speak with the tissue viability nurse who was visiting the home. She said that the records at Riversdale are good and they always follow her instructions. At the time we visited, one person had pressure sores on her heels due to friction. We looked at the wound care records which provided evidence that the areas are redressed every three to four days as prescribed by the tissue viability nurse. The records did not accurately chart the progress of healing and the only wound measurements we saw were done by the tissue viability nurse. A review written on 24/1/10 said improving, which is not sufficiently specific or detailed. There is a small office/medicines room that is used by the nurses. There is no space for the medicine trolleys in this room so two trolleys are kept in the lounge, secured to the wall when not in use, and another one is kept upstairs. The storage and recording of medicines was good. The cupboards and trolleys were tidy and well organised. There were no medicines left in the blister packs that should have been given, and no stocks of unused medicines in the cupboards. All medicines are signed in and out of the home in a book. Controlled drugs were stored and recorded appropriately. Policies and procedures are in place to ensure that the privacy and dignity of the people living at the home are maintained. Training about this is given to all staff during their induction training. We observed that staff knocked on doors and waited for an answer prior to entering. We also observed warm and positive relationships between staff and residents. Care Homes for Older People Page 12 of 25 Evidence: During our visit we were able to speak with four visiting relatives. They were all satisfied with the care that their relative was receiving and said they had no complaints. They considered that there are usually enough staff although they are busy at times. They find the home clean with no smells. Residents we spoke with had no complaints and one person said that he gets on very well with most of the staff and can have a laugh and joke with them. We read the following comments made on a recent satisfaction survey: As a family we are grateful for all of the help and care Mum has received at Riversdale. The love and warmth shown to her has been very comforting. As her needs have changed the staff have tried to adapt but eventually a more specialised setting was recommended. Riversdale provides a superb level of quality for all residents, and for my family, living some distance from the home, it is very reassuring to know that our mother is so well looked after. Whenever we phone, we are always given very detailed information regarding Mum and we all appreciate the amount of time that staff take to chat with us and keep us fully informed. When I visit Riversdale I see frequent examples of kindness and thoughtful care being provided and the home has such a happy, friendly atmosphere at all times. We have never doubted that we made the right decision when we chose Riversdale. All the staff are extremely dedicated and nothing is too much trouble. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home receive a good choice of nutritious meals to keep them as healthy as possible. Evidence: The home provides a number of social events for the people who live there. In the annual quality assurance assessment the manager told us: We hold a fair twice a year to raise funds for activities and have recently purchased a Wii for quizzes, games and fitness. We also have entertainers who visit the home on a regular basis. Clothes parties are held twice a year to give service users the opportunity to choose and purchase their own clothes. Family members are encouraged to attend all social events. Service users are taken to local shops and pubs at a time of their choosing. Ministers visit the home on a regular basis and provide services for service users. The home has a minibus to give service users greater opportunities to go on trips or to the local shops. A hairdresser visits the home each week to provide a full hairdressing service. We have had theme days on a regular basis when the service users dress in fancy dress along with the staff. When we visited, most people were sitting in the lounge and there seemed to be little activity or conversation going on except when relatives visited. The armchairs were Care Homes for Older People Page 14 of 25 Evidence: mainly in rows, which makes social interaction between residents difficult. The manager said that the activities organiser had been off sick for a long time, but a new person has been recruited to the post to work 20 hours a week so this should help to provide more social stimulation for people. Some people had stayed in their bedrooms by choice, and others were being looked after in bed due to poor health. Bedrooms were personalised with photographs, pictures and other personal belongings to make them more homely. Relatives and friends are made welcome and there were a number of visitors during the day we were at the home. People we spoke with said that they get plenty to eat and there is always a choice of meals. Breakfast is served between 7:30am and 10:30am; lunch is at 12 and there is a choice of two main meals. Tea is at 5pm and there is a wide range of hot or cold dishes available. The cook goes round twice a day to ask people what they would like for lunch and tea, and communication aids are available for people who have communication difficulties. People who need their meals to be soft or pureed are also offered a choice. Evening supper is served from 8pm, with sandwiches and other snacks available. Smoothies and fortified drinks are provided for people at risk. Care Homes for Older People Page 15 of 25 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. Staff receive regular training to ensure that the people living at Riversdale are protected from abuse. Evidence: Riversdale has a complaints procedure and this was displayed in the entrance area of the home. The procedure needs to be updated to give people the current contact details for CQC. We also suggested that it might be helpful for visitors if the complaints procedure gave the name of the registered manager of the home, and the name and contact details of the home owner, so that people know who they should speak to if they wish to make any comments or complaints. The complaints folder did not have details of any complaints dealt with. A complaint made to CQC in March 2009 by a former member of the homes staff was fully investigated by the home owner. Training records showed that all staff have received training about safeguarding vulnerable people from abuse and they have a regular annual update of this training. Care Homes for Older People Page 16 of 25 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. Riversdale provides a comfortable, clean and well maintained environment for people to live in. Evidence: The home comprises the original large house and a number of purpose-built extensions. There are 26 single bedrooms and four double rooms spread over three floors. The lounge and dining room are on the ground floor. There is a small garden at the front of the house and a very pleasant garden at the back that has chairs, tables, a sheltered area and garden ornaments. A programme of redecoration and improvement of the environment is ongoing and in the annual quality assurance assessment the manager told us about improvements that have been made over recent months: en suite facilities have been added to a number of bedrooms, the rear of the building has been painted, all guttering/fascia etc have been renewed, new windows have been fitted in the kitchen, the entire home has new curtains, flat screen televisions have been provided in most bedrooms, new linen and new garden furniture have been purchased. In general, all parts of the home were well maintained and comfortably furnished, but in one bedroom we noticed a carpet that was coming apart where it was joined and the floor in the shower room on the first floor needs attention. Care Homes for Older People Page 17 of 25 Evidence: We saw that equipment is provided to meet the needs of the people living at the home. The manager said that they have approximately ten fully adjustable beds and are buying another one each month to replace divans. One person had bedrails on a divan bed and they did not fit well. A number of doors were fitted with hold-open devices that allow the door to be left open but will close automatically if the fire alarm is activated. There were portable screens to ensure privacy in shared rooms. The manager told us that infection control policies are in place and staff have received training about infection control. All parts of the building were clean and there were no unpleasant odours when we visited. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides enough qualified and experienced staff to meet the needs of the people who live there. Staff receive regular training and supervision. Evidence: We looked at the staff rota which showed that there is always a qualified nurse on duty, with six carers in a morning, five in an afternoon/evening, and three at night. The manager is supernumerary to these numbers. There is very little use of agency staff. In addition to the direct care staff there are two cleaners, a laundry assistant, a cook and a kitchen assistant on duty every day. The home has a full time maintenance person and an activities organiser working 20 hours a week. Prospective staff complete an application form. Two references are applied for and checks are made with the Criminal Records Bureau and the Protection of Vulnerable Adults register to ensure the protection of service users. A health questionnaire is also completed. We saw well maintained staff records which provided evidence that these processes are followed. A large majority of the care staff have achieved an NVQ level 2 in care. All new staff undertake a comprehensive induction training programme and we were able to see records of this. Each member of staff has a training folder which includes copies of policies and procedures and other information. All staff have recently completed Care Homes for Older People Page 19 of 25 Evidence: dementia training with an outside agency. There is an annual programme of in house training. In 2009 this included all mandatory subjects also communication, hearing aids, mental capacity act, colostomy, stroke, assistance with feeding, catheter care, end of life care, challenging behaviour, diabetes and infection control. An individual training record is kept for each member of staff. Supervision is given to all staff on a regular basis and annual appraisals take place. Regular monthly meetings are held with staff representatives and general meetings with all staff are held quarterly. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed to ensure that high standards of care are maintained and people are kept safe. Evidence: The home manager is a registered nurse who also has qualifications in the care of older people, palliative care, ethics, research development and training and assessing. She has been in post for five years. The owner of the home is involved in the day to day running of the service. Both have completed the registered manager award. Staff representatives have been chosen by the staff and have a monthly meeting with the manager and the home owner. Staff meetings are held quarterly. Minutes of these meetings are recorded and showed that staff have regular opportunities to express their views. Supervision is given to all staff every two months and annual appraisals are undertaken to provide staff with the opportunity to review their own professional and career development and to identify training needs. Care Homes for Older People Page 21 of 25 Evidence: Quality monitoring by way of audits is competed quarterly, covering all aspects of the service. The audits involve gathering the views of service users, staff, relatives and care professionals. An annual satisfaction survey for staff, residents, relatives and professionals had a good response rate and mainly positive views were expressed (see section 2 of this report for some examples). The home holds the Investors In People quality assurance standard which has recently been reassessed and maintained. Policies and procedures are in place to protect the people who live at the home and these are reviewed and updated regularly. Staff working at the home do not deal with any residents finances. A fire risk assessment has been commissioned and completed by an outside company that also looks after the homes fire fighting equipment. All staff receive regular fire safety training and fire drills are recorded. We recommend that fire drills are held monthly and the names of the staff attending should be recorded so that the manager can check to see whether all staff have attended a fire drill. A weekly fire alarm test is carried out and the emergency lighting is tested monthly. Risk assessments of premises, equipment, and work tasks have been carried out and are recorded in a folder. Records are kept of all accidents that occur in the home. The CQC have been notified of all incidents as required by regulation 37 of the Care Homes Regulations. The overall standard of record keeing was very good. Care Homes for Older People Page 22 of 25 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 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 38 Keep a record of the names of staff attending fire drills so that the manager can be sure that all staff have attended a fire drill. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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