Care Home: Robin Hood House

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well The standard of care provided to people who live in the home is good. There were several positive comments made during this inspection from both the people using the service , visiting relatives, the community district nurse and from the 12 residents surveys received. "They are really very kind and helpful" was one typical comment received. "If I had to move into a residential care home, this is the one I would choose". There is a well established and committed staff team who work consistently strive to meet the aims and objectives of the home. The original building dates back to the 1600`s and continues to need updating and maintaining regularly. However generally the home presents as homely and comfortable with various areas of the home having been decorated since the last inspection was carried out. The standard of training within the home is good, with all staff having received the mandatory training necessary to do their job effectively. There was a very warm and welcoming atmosphere. The manager has also worked extremely hard to further develop the services for people with dementia including creating a new set of dementia standards to use as part of the staff`s induction and training needs. What has improved since the last inspection? The services to people with dementia within the home have been further developed since the last key inspection was carried out and also the pre admission assessments have been further improved. A new care planning format has been introduced using the Alzheimer`s society "building on strengths" guidance, which provides a very detailed insight into the needs of the individual. More daytime activities have been introduced and a new activities worker has just been appointed. People using the service are in the process of creating their own "personal stories" with support from both staff and relatives. There has been several new carpets and curtains fitted. The small dining room has been redecorated and new furniture purchased. Lighting on the 1st and 2nd floor corridors has been replaced to make these areas much brighter. What the care home could do better: The manager must ensure that all health and safety records are monitored closely to ensure they comply with health and safety legislation and to ensure the welfare of everyone at Robin hood House is protected. The standard of the environment within the kitchen area must be improved to ensure that infection control standards are maintained. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Robin Hood House Nettledon Road Little Gaddesden Hertfordshire HP4 1PL     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: Julia Bradshaw     Date: 0 4 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Robin Hood House Nettledon Road Little Gaddesden Hertfordshire HP4 1PL 01442842759 01442842759 deborah@benslow.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Benslow Management Company Limited care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 23 0 Robin Hood House is a 16th Century house which is situated in the village of Little Gaddesden. Ashridge National Trust Estate surrounds it. It is a three-storey house with a single storey extension, which was added in 1996 to add five single rooms. There has been a further increase of five further beds, which have been registered for people with dementia. The home also has one lounge/dining room and a further separate lounge to the front of the house. In the older part of the building bedrooms are provided on three floors serviced by a lift. There is a pleasant patio are overlooking the garden. Care Homes for Older People Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 focus of the inspections undertaken by the Care Quality Commission is based upon outcomes for the people using the service. We looked at three care plans and tracked the individual care for those people. As part of the planning we look at information we received including the Annual Quality Assurance Assessment (AQQA) This is a self assessment document required by law in which the provider tells us how well they think they are meeting outcomes for individuals. We also looked at any concerns and also feedback from relatives, staff and the people using this service. The last key inspection was carried out on the 24th April 2007 and the most recent ASR was completed on the 20th June 2008. The annual service review is a summary of our knowledge of a service that has not had a key Care Homes for Older People Page 5 of 27 inspection in the last year. It is also how we decide if a service is still as good as we thought it was at the last key inspection or annual service review. We observed staff at work and how they interacted with the people living at within the home. There was also a tour of the building in which the inspector had the chance to talk to the people using this service, the staff and the shift leader. Information regarding the service is available in the Statement of Purpose and the Service User Guide. These and a copy of the last inspection report are freely available on request. The range of fees for Robin Hood House is between £400 and £580. 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 7 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides detailed and written information which allows people to make informed choices about entering the home. Full and comprehensive assessments ensure that the home can meet and maintain the needs of the individual service users. Evidence: The home has a Statement of Purpose and Service Users Guide that contains the required information and these are available for prospective service users, visitors and outside professionals. Contracts of occupancy are held on peoples personal files. The manager assesses the needs of prospective service users prior to admission and the assessment is used to inform the initial care plan. Several examples of a pre-admission assessments were seen on individual files and confirmed that these assessments are being completed in a detailed and comprehensive way. Several service users spoken to said that visitors were able to visit freely and could be entertained in any of the lounges or the garden. The inspector was also able to Care Homes for Older People Page 9 of 27 Evidence: observe this practice throughout the day. One relative were very complimentary about how the staff were extremely welcoming and friendly in their manner one relative stated that I always see the staff smiling. The Care planning system includes a thorough assessment process ensuring the home can meet the service users needs. Prospective service users are welcome to visit the home prior to admission and a review takes place after 6 weeks to ensure the service users needs are being met. The assessment plans seen contained detailed information in order to develop a plan of care on admission. The care plans incorporated all aspects of care and support required physical, mental health, (including behaviour management) nutrition, and when necessary dealing with falls and pressure sores. The inspector was able to observe several care practices with individual service users which helped evidenced that staff treat people with the respect and dignity they deserve. The care workers spoke to the individual service users in a kind and caring manner and ensured that they were assisting the person at the pace of the individual. Care Homes for Older People Page 10 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable care planning systems and documentation was in place to ensure that the health, social, medical and physical care needs of the people who use the service were being met. Evidence: The service has introduced a new care planning system since the last key inspection was carried out using the principles from the Alzheimers Societies building on strengths guidance which provides a deeper and more detailed insight into the specific needs of caring for people with dementia. Each person has an individual plan of care which is based on the information obtained thorough the assessment process. These are written from the individuals perspective and are person centred. The service involves individuals in the care planning process according to their individual abilities. Where the individual is not able to consent to their care plan or be involved in their care plan the service strives to ensure that significant others are involved. The manager and staff have worked hard to further develop the current care plans. The manager has also worked extremly hard to produce a set of dementia standards that Care Homes for Older People Page 11 of 27 Evidence: are incorporated into both the care planning process and as part of the induction and training programme for the staff team. The arrangements in the home for health and personal care are such that several people spoken to confirmed that they felt they were treated with respect and that staff respected their privacy and their dignity. The records for the management and administration of medicines were found to be accurate and detailed including a random check on the reconciliation of one persons medication and this proved to be accurate. There was evidence of visits carried out by district nurses, dentist, opticians. Care Homes for Older People Page 12 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides sufficient and suitable meals and activities for the people who use the service to ensure that their individual needs, choices and preference are taken into consideration at all times. Evidence: People who use the service have the opportunity to develop and maintain important personal and family relationships. On the day of the inspection a number of people who use the service were waiting for family members and or friends to visit and commented that they are able to have visitors as they wish. One person who uses the service commented that my friends and family come to see me as often as they can. Feedback obtained in a questionnaire from a relative stated that provides a caring and homely environment. My relative always enjoys their meals and the laundry is always done. The service respects the human rights of people using the service with fairness, equality, dignity, respect and autonomy underpinning the care and support being provided. This was directly observed through the practices of the staff on duty. A number of people who use the service were seen to be very relaxed and calm within their own environment and engaging with staff in an equal manner. One person commented that we can do what we like, I like sitting in the garden and watching the Care Homes for Older People Page 13 of 27 Evidence: birds feed . Part of the care planning process identifies peoples preferred activities and comments about their life history. There is an activities notice boards with forth coming events and important updates for the people who use the service. The AQAA determines that all service users are consulted about what activities they would like to do and these are agreed through service user meetings and through annual questionnaires. Activities are facilitated on a daily basis and recorded in both the care plan and within the daily record book. The activities seen taking place on the day of this inspection were armchair exercises and ball games. People were also seen sitting out on the patio enjoying the afternoon sun. There has also been new garden furniture purchased since the last inspection was carried out. There are outings arranged during the summer months to local garden centres and going out for a pub lunches. The service also arranges annual garden parties and Christmas pantomimes. The AQAA states that We had many outings during the summer months, these includes trips to Duxford air museum, a cream tea canal boat ride, Woburn safari park twice, Southend on Sea and more local outings to the pub and garden centres we also had our usual shopping trip at Christmas to the Marlow centre. Individual outing have also taken place, from local walks to shopping trips in town. We are now completing personal stories for all service users with their input and the families to help us better understand and meet their needs. The service has also worked hard to provide some memory boxes and visual aids to assist people with dementia.. The AQAA stated We now have an activities coordinator for 30 hours per week, they are new in post and we have booked them on to the National association for providers of activities for older people (NAPA) accredited training. This service also has NAPA membership. We are now completing personal stories for all service users with their input and the families to help us better understand and meet their needs. We have improved the daily activities plans to provide a wider choice and balance meaningful activities with social activities. The service encourages people to offer their views and opinions and the most recent service user meetings were held on the 22/04/09. The menu is varied with the main meal being provided at lunchtime. The meals are balanced and nutritious and cater for the varying cultural and dietary needs of individuals. Menus were on display. The food provided appeared appetising and well presented. Comments received included, The food is lovely here. The dining room was arranged using small tables of four, which made communication and socilaising between people easier. The cook has been in post for several years and had a wealth of knowledge and understanding of peoples individual needs and adjusts the menu accordingly to suit any special requests. However there must be a record of alternative meals provided to service users. Fridge and freezer temperatures are recorded. Care Homes for Older People Page 14 of 27 Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The services robust management of complaints ensures that the people who use the service are listened to and protected. Evidence: The service has an open culture that allows people who use the service to express their views and concerns in a safe and understanding environment. Complaints leaflets were on display at the service, it was observed that a detailed record of all compliments maintained at the service and the AQAA determines that one complaint has been received in the last twelve months and this was resolved to a satisfactory conclusion by both parties. Records relating to this issue was seen as part of this inspection. There has been one safeguarding referral made and one investigation conducted. Both of the above have now been closed. People who use the service have commented that they are happy with the service provided, feel safe and well cared for. A number of comments received determined that people who use the service and relatives and friends are aware of what to do if they have any concerns. One person using the service commented that the manager and the staff are so friendly and caring, they are always able to help to sort out any problems I may have. The AQAA determines that We have a very good complaints policy and procedure, all Care Homes for Older People Page 16 of 27 Evidence: staff are aware of this and encouraged to help people to use it where needed. The policies and procedures were seen on the day of this inspection for safeguarding adults and give clear specific guidance to those using them. Staff commented that they have received training in safeguarding and felt confident in reporting any issues as they occurred. The service understands the procedures for safeguarding adults and would attend meetings as required. One staff member commented that I completed my abuse training as part of my induction. The AQAA determines that we are trained in adult protection procedures and there is a summary copy of the safeguarding vulnerable adults procedure on the staff room wall and a full copy in the office which is accessible to all. All staff are introduced to the whistle blowing procedure as early as at interview stage and reiterated throughout their training. As part of the inspection process, we reviewed a random selection of staff files. Three staff files were audited to ensure suitable checks had been conducted. It was found that all of the staff files contained the required information. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service generally provides a satisfactorily maintained safe, homely and clean environment with the exception of the kitchen, which currently compromises health and safety standards and could therefore place people at risk. Evidence: The people who use the service are encouraged to personalise their bedrooms by bringing small items of furniture in with them, when they move into the home. All the homes fixtures and fittings meet the needs of individuals and can be changed if their needs change. The AQAA states that a number of improvements have occurred within the service since the last inspection was carried out, We have had several new carpets and curtains, redecorated the small dining room and added new furniture, and replaced the lighting on the 1st and 2nd floor corridors to make them brighter. The home has an infection control policy. The service is clean and it smells fresh. A number of people using the service commented that they liked living at the service. One person using the service commented that my bedroom is lovely, its very comfortable and warm, I am very happy with my room. The AQAA states that the laundry is erratic despite our efforts to develop a more efficient service and the findings of this inspection would confirm this statement. Although the laundry room is housed in a separate area, it should be re-fitted to create a more organised and more Care Homes for Older People Page 18 of 27 Evidence: effective system for managing the laundry. There is also currently nobody within the staff team who has designated responsibility for managing the laundry services. The manager discussed future development plans with the inspector, which include, increasing the occupancy by a further 8 beds by creating a single storey extension to the rear of the home and also converting two existing smaller bedrooms into one bigger bedroom. There are also plans to refurbish two bathrooms. The kitchen was inspected as part of the overall environmental standards and the dry store cupboard was found to be inadequate in the prevention of cross infection and in maintaining good standards of health and safety. The main findings were worn out flooring that only partially covered the area , large holes in the plaster and skirting areas of the room that could allow vermin and pests to attack sacks of sugar and perishable stock free standing on the floor. There was also a large crack in the connecting wall between the dining room and the main kitchen, that requires repairing. All fire records were up to date with the exception of the last two weekly fire checks. This was raised immediately with the nominated person responsible for fire checks and also with the manager. This had been an oversight due to this person going on annual leave and the checks consequently being missed. However the manager confirmed that this was an isolated incident and when inspected, the remaining records proved to be up to date and accurate. The last fire drill was carried out was on the 20/05/09. The most recent visit from the fire maintenance services was on the 29/05/09. There was also two other issues relating to fire prevention that were identified and feedback to the manager for attention. This included a bedroom door on the first floor that had a large gap at the bottom of it and also one of the fire doors on the ground floor did not shut properly. The manager agreed to rectify both these faults as a matter of urgency. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are cared for by a conscientious, adequately trained work force ensuing that they are supported and protected from harm. Evidence: There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. Staffing rotas take into account the needs and routines of the people using the service. The service recognises the importance of training, and delivers a programme that meets any statutory requirements and the National Minimum Standards (NMS) with a particular focus on Dementia training. The AQAA states We have good access to training programmes including mandatory training and specifically targeted training for example safe handling of medication and safeguarding vulnerable adults. We have recently developed a Dementia Care training pathway which consists of a number of aspects relating to dementia care culminating in a level 2 certificate. This is intended to ensure all staff reach an equal standard of knowledge and skill. As part of the Dementia care training pathway, The manager has developed a training package to accompany the launch of the homes dementia care standards (as outlined in health and personal care), this package is designed to encourage the staff to study the standards to enable them to answer the questions, these questions are then return to me, this helps me to assess the level of understanding and identify any further training needs. Care Homes for Older People Page 20 of 27 Evidence: The Management team work alongside staff to ensure they continue to support staff. Staff supervision is ongoing and two staff to stated that We are supported well by the manager and meet regularly. Staff meetings are also held regularly and the last meeting recorded was 9/04/09. All staff are clear regarding their role and what is expected of them. People using the service report that staff working with them know what they are meant to do, and that they meet their individual needs in a way that they are satisfied with. One person using the service commented that the staff are always so nice to me. One relative commented that there is always good support for the people who live at Robin hood House and the relatives too. Staff were indirectly observed supporting people appropriately and it was pleasing to observe people engaging positively with people though out the day. The AQAA states that We have a stringent recruitment policy which we follow closely which is supported by independent audits from our head office. This was confirmed by checking three staff files, which contained all the required information. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management systems are in place to ensure that the health, safety and well being of the people who use the service are protected. Evidence: The Manager has been in post since 2004 and has worked hard to further develop and improve systems throughout the service, with a particular focus on Dementia care. The manager has also achieved their Registered Managers award and recently completed the cornerstones training in Dementia care at Bradford University. The manager has a broad range of experiences within the caring profession. The Manager and the staff team have a clear understanding of the key principles and focus of the service, based on organisational values and priorities. They work to continuously improve the service. Feedback received on the day of the inspection from staff and the people who use the service determines that the management are effective and approachable. The Manager leads and supports a stable staff team who have been trained to satisfactory levels. The AQAA determines that Nine out of fifteen care staff at present are NVQ level 2 Care Homes for Older People Page 22 of 27 Evidence: trained or above and three of our five ancillary staff have NVQ 2 in their field and two have level 2 certificates. The manager promotes equal opportunities, has good people skills and understands the importance of person centered care and effective outcomes for people who use the service. The service has sound policies and procedures, which are corporately and internally reviewed and updated, in line with current thinking and practice. The manager ensures that staff follow the policies and procedures of the home. The staff team are positive in translating policy into practice and showed good knowledge of care principles, health and safety and safeguarding issues. There was evidence on staff records that staff have supervision and staff reported that they are provided with this support regular basis. Staff commented that they received supervision as well as regular staff meetings. The manager makes sure we have regular supervision and training. Safeguarding is given high priority and the home provides a range of policies and guidance to underpin good practice. The service provides in house training regarding safeguarding and staff showed a sound working knowledge of action to take in such an event. A training matrix has been developed. Whilst the AQAA determines that staff have completed their mandatory training. It was confirmed that manual handling, fire awareness, dementia training, risk assessment, medication, food hygiene, infection control and safeguarding training have all been completed by a number of staff to date. All staff are inducted into the homes own dementia standards. All health and safety checks observed were up to date and organised. As part of the inspection process, we reviewed a random selection of staff files. Three staff files were audited to ensure suitable checks had been conducted. All files contained the required information to comply with the National Minimum. Regulation 26 reports were maintained appropriately and the most recent visit was recorded on the 5/5/09. There are also a range of internal Quality Audits that take place on a daily, weekly and monthly basis. These include cleaning schedules, maintenance checks, care planning auditing, medication audits and health and safety audits. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 13 The service should ensure 10/07/2009 that all aspects for fire prevetion are monitored and maintained to a good standard. The fire door on the ground floor corridoor and the bedroom door on the first floor both require attention To protect and keep people safe from harm. 2 19 13 The wall between the dining room and the kitchen must be repaired. To ensure the people who live within Robinhood House have a safe and comfortable environemtn in which to live. 31/08/2009 3 19 23 All areas of the home should 31/08/2009 be maintained to an acceptable standard that prevents the spread of infection and complies with health and safety standards, with a particular focus on Page 25 of 27 Care Homes for Older People the kitchens dry store cupboard. To ensure people are protected from infection control and health and safety risks. 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 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!