Care Home: Russell Churcher Court

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What the care home does well Good assessment processes that include the provision of information mean that people move into the home with an understanding about the running of the home and with the belief that the home will be able to meet their needs. An effective care planning process means that personal, health and social needs of people are met in the manner they like. People living at the home tell us they can make their own choices about daily routines. People living at the home benefit from a varied diet with fresh seasonal produce being used to make meals. The home is well maintained and furnished to provide a pleasant and safe environment for people to live in. People living at the home tell us they can raise concerns with the manager or staff members and that concerns and complaints are taken seriously and responded to. A good understanding by staff about safeguarding issues means that people living at the home are protected from the effects of abuse. Effective management of the home results in staff that take pride in their work and the running of the home being influenced by the needs and wishes of people living at the home. Excellent provision of training that includes over 50% of staff trained to a mini mun of NVQ level 2 in care and four staff trained to NVQ level 4 in care means people living at the home are cared and supported by staff who are highly skilled in care practices. Excellent staffing numbers means that people living at the home always receive support and care from staff who have the time to attend to social and emotional needs as well as supporting people living at the home to meet their personal and health care needs. What has improved since the last inspection? Improvements have been made since the last inspection to improve the care provision to people living at the home. These include the development of the position of two care coordinators which means that people are supported and cared by staff who are supervised and supported seven days a week. A training coordinator has been employed who has the responsibility for ensuring staff have the skills required to meet the needs of people living at the home. To help ensure people living at the home have the opportunity to join in with activities that they are interested in an activity coordinator has been employed. The publication of a regular newsletter has been introduced. This one of the ways in which people living at the home are made aware of activities taking place and what is happening about the running of the home. What the care home could do better: A system needs to be put in placed to monitor the receipt of references to ensure all steps are taken to make sure two written references are recieved for a person before they commence employment at the home. The manager has expressed his commitment to sustain and continue to develop improvements such as the care coordinators and the activity coordinator to improve outcomes for people living at Russell Churcher Court. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Russell Churcher Court Thorngate Almhouse Trust Melrose Gardens Gosport Hampshire PO12 3BE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Gina Pickering     Date: 1 6 1 0 2 0 0 8 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 28 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Russell Churcher Court Melrose Gardens Thorngate Almhouse Trust Gosport Hampshire PO12 3BE 02392527600 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): melvyn.howard@thorngatealms.org.uk Thorngate Almshouse Trust Name of registered manager (if applicable) Mr Melvyn Richard Howard Mr Melvyn Richard Howard Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 35 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category; Physical disability (PD) Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Russell Churcher Court is a purpose built care home providing personal care for up to thirty-five residents over the age of 65. The home is able to provide care for those suffering from dementia type illnesses and physical disabilities as well as those suffering from the general conditions of old age. The home is situated within a complex Care Homes for Older People Page 4 of 28 35 0 35 Over 65 0 35 0 care home 35 Brief description of the care home of sheltered housing managed by Thorngate Almshouse Trust, which are also the registered providers of Russell Churcher Court. The home has easy access to local facilities with several of the service users being able to access the community independently. Fees per week range from 416.71 to 485.66 British Pounds. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 inspection considered information recieved about the home since our last key inspection in October 2006. This includes information provided to us in the form of the homes Annual Quality Assurance Assessment form in which the registered provider or registered manager tells us how the service has developed over the past twelve months and how they propose to continue to improved the service. We surveyed people who use the service and staff members. Information from these has been used to inform the inspection process. A visit was made to the service on 16th November 2008. We looked at documentation relating to four people using the service. We toured the building looking at the communal areas, a sample of bedrooms, bathrooms and the laundry. We also had Care Homes for Older People Page 6 of 28 conversations with seven people living at the home, three visitors at the home, six staff members and the registered manager as well as looking at various documentation as part of the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: A system needs to be put in placed to monitor the receipt of references to ensure all steps are taken to make sure two written references are recieved for a person before they commence employment at the home. The manager has expressed his commitment to sustain and continue to develop improvements such as the care coordinators and the activity coordinator to improve outcomes for people living at Russell Churcher Court. Care Homes for Older People Page 8 of 28 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good pre-admission practices means that people moving into this service should be able to expect that all their needs will be identified and met. Evidence: The AQAA told us that all people expressing an interest about moving into Russell Churcher Court are provided with a brochure detailing the services provided at the home. This is followed up by the home assessing the persons needs and a visit to the home being offered to the interested person so they have an idea of what it will be like living at the home. We looked at documentation relating to the admission of four people into Russell Churcher Court. All files contained an assessment of their needs carried out by a senior member of the staff at the home. The assessments detail the abilities and needs of the person associated with washing and bathing, dressing, sleeping routines, mobility, nutrition, mental health and medical needs. For people who are moving into the home under care management processes, social service care Care Homes for Older People Page 11 of 28 Evidence: plans and assessments are obtained. These provide further information about a persons needs so the home can make the decision as to whether they will be able to meet the needs of the person moving into the home. Copies of social service assessments and care pans were in the files we looked at. People living at the home and their relatives confirmed in conversation that a member of staff from the home had visited them prior to them moving into the home and had discussed with them what care and support they needed. They also told us there were opportunities to visit the home prior to moving in. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective use of care plans mean that people living at the home receive the personal and healthcare and support the manner they choose. Good medication practices protect the wellbeing of people living at the home. Evidence: The AQAA told us that the health and personal care of people living at the home is supported by the use of a recognised care planning tool, good working relationships with the local multidisciplinary health care team and good medication practices. We looked at care plans relating to four people living at the home. These contained comprehensive details about actions to be taken to meet the assessed needs of the person including those of personal care and health care needs. Risk assessments and the action to be taken to reduce any identified risks are in place for moving and handling, pressure ulcers, falls and risks associated with the environment the person is living in. It was noticed that care plans are reviewed on a monthly basis and alterations made in the care plans according to the persons changing care needs. Care Homes for Older People Page 13 of 28 Evidence: Some of the people living at Russell Churcher Court told us they are aware of details in their care plans and that if they want any changes in the way their care is being delivered or they are being supported this is actioned immediately. Care plans have the signature of the person to whom it relates or their representative. These details along with other conversations we had with people living at the home and their visitors indicate that people living at the home receive care and support in the manner they like. Care plans contain details of the contact people have with health care professional. Such contacts include GPs, district nurses, community psychiatric nurses and opticians. People living at the home told us that staff at the home always contact their GP if they are unwell. Relatives visiting at the time of our visit to the home confirmed that staff contact the relevant health care professionals when needed. Specific actions to be taken to maintain an individuals dignity are detailed in the care planning documents, such as how a person likes to be support in receiving personal care. All personal care is delivered in the privacy of the individuals bedroom or in one of the larger bathrooms. We saw no breaches of privacy whilst visiting the home. Medication policies and procedures are in place including a policy for people wishing to manage their own medications. This ensures that people who manage their own medications are not being put at risk of not taking the medications they are prescribed. We looked at the records for three people for whom the home manages their medications. The charts detail the time and amount of medication administered and the reasons for any medications not administered. Records confirm that details are kept for all medications ordered, received, administered and returned to the pharmacist. Senior staff members who order medications confirmed to us they view the persons prescription before ordering medication; this ensures people living at the home are receiving medication as prescribed by their doctor. Records detail that staff who administer medication have received training about the safe management of medications. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are able to chose to take part in a variety of meaningful activities. People living at the home are positively enabled and supported to exercise choice and control over their lives. Nutritious and balanced meals made from fresh seasonal produce offer a healthy and varied diet for people living at the home. Evidence: The AQAA told us that activities are provided at the home for all people to join in with if they wish and activities are planned around the wishes of people living at the home. Since the AQAA was completed the home has employed an activities coordinator who has responsibility for arranging activities at the home. Peoples interests are detailed in their care plans. The activity coordinator told us she discusses with people what activities they would like. Information is also gathered through annual surveys of people living at the home. We looked at the results of surveys from 2007 about activities. One of the comments detailed a wish to have a methodist church service to supplement the regular church services at the home. Discussion with the manager and detail in records evidenced that this has happened. Care Homes for Older People Page 15 of 28 Evidence: People living at the home told us ab out activities they have taken part in. These include activities within the home such as bingo, quizzes and visiting entertainers and trips out such as visits to local gardens, pub meals and shows at local theatres. Activities of some description are planned for most days. We were told by people living at the home that although activities are arranged, they choses whether to take part in the activities. On the day of visit to the home the main activity was a visiting farm that specialises in bringing small farm animals to care homes. This was the first time the farm had visited the home and was a huge topic of discussion and anticipation at lunch time before the arrival of the farm. People were observed to enjoy the time they spent with the animals being able to hold them and feed them. Throughout the inspection process evidence was gathered confirming that people living at the home are able to make their own choices about their daily lives. Examples of these include being able to make choices about their involvement in activities and their wishes ab out care support being included within the care planning process. People were observe moving around the home, choosing whether to use on of the communal areas of the home or spend time in their own bedrooms. People living at the home told us they choose what to do. Discussion with staff evidenced they believe that Russell Churcher Court is the home of the people who live there and their choices about what to do in their own home must be respected. All people living at the home have a small kitchenette in which they can prepare simple meals if they wish to. People living at the home told us they mainly only use this for making drinks or their visitors to make drinks. Moat people take their meals in the communal dining room. Lunch time was observed to be a social event with lots of chatting between people living at the home. For those that needed it, support at the meal time was provided by staff in a sensitive manner. The cook told us the availability of fresh seasonal produce, the season of the year and peoples wishes are all taken into consideration when developing a menu plan. A member of the kitchen staff speaks to all people on a daily basis to discuss the menu for the following day and to take their orders. All people who we spoke with expressed their high satisfaction with variety and quality of meals provided and informed us that any wishes for a certain meal are met. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home can be confident that any concerns or complaints they have will be dealt with appropriately. People living at the home are protected from the effects of abuse by a staff team that have a good understanding about the protection of vulnerable adults. Evidence: People living at the home are made aware of how to make a complaint by the use of discussion and written information in the assessment process before moving into the home, the display of the complaints procedure in the home and in general conversations between staff members and people living at the home. All people living at the home that we spoke with expressed their ability to voice concerns or complaints to the manager or staff members and expressed their confidence that complaints will be taken seriously and acted upon promptly. We looked at the complaint log book which allows for details about the complaint received, the action taken to resolve the complaint and the response made to the complainant. The home has received three complaints in the past twelve months which were documented and investigated following the homes complaints procedure. Policies and procedures are in place about the protection of vulnerable people that include the local authorities procedures. One complaint received by the home resulted in an appropriate safeguarding referral to social services. The home kept us informed Care Homes for Older People Page 17 of 28 Evidence: about the outcome of the referral. Staff training records indicate that staff receive instruction about the protection of vulnerable adults. Discussion with staff members and the manager evidenced they would take the appropriate action if they suspected acts of abuse were occurring to protect people living at the home. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Russell Churcher Court benefit from living in an environment that is safe, well maintained and furnished to a high standard. Evidence: The inspector toured the home viewing all communal areas, the bathrooms and a sample pf the bedrooms. bedrooms are in the style of a bedsit, with adequate room for sleeping an seating areas along with a kitchenette and bathroom. Assisted bathrooms are positioned on each floor for the use of people living at the home. All toilets in the bathrooms and in the communal areas are accessible to people with mobility difficulties. People living at the home expressed satisfaction with the decor and furnishing of the homed and the fact they can personalise their bedrooms with their own furniture and belongings. Maintenance team employed by the Thorn gate Almshouse Trust is responsible for the maintenance of the home. Procedures are in place for the reporting of any maintenance issues and the routine maintenance of the home. A shaft lift allows people who have mobility difficulties to access both floors of the home. Policies and procedures are in place about hygiene practices and the control of infection. A team housekeepers are responsible for the cleaning of the home. During our visit the home was observed to be clean and tidy with no offensive odours. People Care Homes for Older People Page 19 of 28 Evidence: who live at the home tell us that the home is always clean and fresh. The homes laundering facilities are on the first floor. The position of the laundry and good laundry practices reduce the risks of cross infection form dirty laundry. The laundry walls and floors are easily cleanable and were clean and tidy on the day of our visit. Staff records detail staff have received training about control of infections and good hygiene practices. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff development and training provision ensure people living at the home are cared for and supported by a highly skilled and knowledgeable workforce in suitable numbers. Robust recruitment procedures mean people living at Russell Churcher Court are supported and cared for by staff suitable to work in the caring profession. Evidence: The AQAA completed in February 2008 told us the home uses two reliable agencies to supplement the staff team when needed to ensure there are sufficient staff in numbers and skills to meet the needs of people living at the home. This document also told us about changes made to the staffing structure with the development of two care coordinators and a training coordinator. We were told by people living at the home there are always sufficient staff on duty at any one time to meet their needs and that call bells are answered promptly. Whilst at the home we noted call bells to be answered promptly. A duty rota details which staff are on duty at any one time and in what capacity, for example care staff, kitchen staff or housekeeping staff. The manager told us that since he completed the AQAA further members of staff have been recruited which has meant the home no longer needs to use any agency staff. he told us the staffing numbers are in excess of his assessed numbers of staff needed at any one time to meet the needs of people living at the Care Homes for Older People Page 21 of 28 Evidence: home. This means that when staff are on leave there are good numbers of staff still available to provide support and care for people living at the home without the need to use agency staff and when there are no staff on leave people living at the home benefit from increased support with regard to social interactions. We looked at four staff files evidencing the home follows a clear recruitment procedure. This includes the receipt of checks against the Criminal Records Bureau (CRB) and Protection against Vulnerable Adults(POVA) list and two written references. Of the four files we looked at three had details that all theses checks had been received prior to commencing employment at the home. One had only one written reference and the CRB and POVA checks. The manager told us all staff files will be checked to ensure references have been received. Because the home has a good record of complying with the Care Homes Regulations 2001 and there was evidence that CRB and POVA information had been received for all staff members prior to commencing employment at the home a requirement has not been made regarding references. The training coordinator has the responsibility for arranging training and ensuring all staff have the relevant skills and knowledge to provide care and support for people living at the home. A matrix has been developed by this person that details all training attended and identifies training requirements for staff. Records detail that staff attend yearly mandatory training about health and safety issues such as fire safety and moving and handling. Other training attended by staff include dementia awareness, death, dying and bereavement, infection control, abuse awareness, diabetes and depression in the elderly. Staff we had conversations with confirmed they have received training they need to fulfil their job roles. No concerns have been raised to us by health care professionals or people using the service about the skills and knowledge of people working at the home. Staff training records also indicate that the home has achieved over 50 of its staff having NVQ level 2 or above in care. Ten care staff have achieved level 3 in care with one care staff member achieving level 4 in care and another member of staff in the process of completing level 4 in care. NVQ training is offered to staff other than carers including housekeeping and catering staff. Staff told us their induction programme covered what they needed to know to before beginning to support and care for people at the home. The manager confirmed that the induction programme follows Skills for Care Common Induction Standards. We saw a copy of the induction programme that confirmed his statement. Care Homes for Older People Page 22 of 28 Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home benefit from an open and transparent management ethos that takes their views and opinions into account regarding day-to-day running of the service. The health and safety of people at the home is protected. Evidence: Mr Melvyn Howard has been the registered manager at Russell Churcher Court for the past four years, He has the relevant clinical and managerial qualifications and experience to run the home. He has shown that he runs the home with the aim to continue to improve outcomes for people living at Russell Churcher Court. Examples of changes implemented at the home in the past twelve months include the introduction of a dedicated activity coordinator to ensure people living at the home have the opportunity to take part in activities that interest them; the development of two care coordinator posts as part of the management team,this means people living at the home receive care and support from staff members who have good support and supervision from the management team seven days a week. The manager has also Care Homes for Older People Page 24 of 28 Evidence: introduced a newsletter that is published every two months to help inform people living at the home about events happening and the running of the home. Plans for further development of the newsletter includes the involvement of people living at the home to write items for the newsletter. The help of a professional company is used to perform an annual quality audit that incorporates seeking the views of people living at the home. To supplement this the home uses questionnaires to obtain peoples views about various aspects such as care, catering, activities and cleanliness of the home at intervals throughout the year. Copies that we saw of last years surveys indicated a high level of response to the questionnaires. The manager was able to demonstrate that comments received in the questionnaires are acted upon. For example the provision of a Methodist church service as requested by one person living at the home. Monthly reports about the running of the service that include discussion with people living at the home and staff members are carried out by a nominated person appointed by the registered provider and enhance the quality auditing of the service. For some people living at Russell Churcher Court they like the home to look after small amounts of their money. This money is stored in a secure area of the home and accurate records are kept of each persons money handed over to the home for safekeeping. We inspected the records for two people living at the home, these accurately detailed the amount of money held by the home for safekeeping. Health and safety procedures are in place. Staff records detail they receive training about health and safety issues including moving and handling, the control of substances hazardous to health (COSHH) and fire safety. The fire logbook detailed that fire safety checks are completed in line with recommendations set by the Fire and Rescue Services. A recent food hygiene inspection carried out by the local authority resulted in the home achieving a gold rating and no requirements. We saw certificates for the maintenance of lifts, hoists and gas boilers evidencing that all equipment and services are maintained to the manufacturers or relevant authorities guidelines to ensure the safety of all at the home. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 28 of 28 - 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!