Care Home: Somerset Lodge

What the care home does well The home provides a safe, secure environment for residents who have a really varied range of mental health needs or dementia. Residents health and personal care needs are well met. There are a really good range of thoughtful, well planned social and therapeutic activities for residents to take part in. Complaints about the service are properly addressed. The home environment is suitable for the needs of the residents who live there. There is a good range of staff training. This benefits residents if staff are knowledgeable and well trained. The home is run well and in the best interests of the residents. What has improved since the last inspection? The home has been extended, a new section of the home has been added and there are now five extra people being cared for. What the care home could do better: Ensure medication is given to the person who it belongings to. This is to ensure peoples medication does not run out. This is also a legal requirement. Staff should offer help to residents who need support to eat their meals by sitting, rather then standing next to them. This is to make the meal times a more respectful experience for residents. Ensure that fire fighting equipment is checked on a consistently regular basis. This is to make sure it works in the event of an emergency. Key inspection report Care homes for older people Name: Address: Somerset Lodge Perrett Way Somerset Lodge Ham Green Pill North Somerset BS20 0HE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Melanie Edwards     Date: 1 9 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 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 27 Information about the care home Name of care home: Address: Somerset Lodge Perrett Way Somerset Lodge Ham Green Pill North Somerset BS20 0HE 01275372224 01275372424 miken@aspectsandmilestones.org.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust care home 35 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: May accommodate persons from the age of 50 years. May accommodate persons with a mental disorder/dementia, excluding learning disability, (categories MD and DE), persons with a mental disorder, excluding a learning disability (MD(E)) and persons with a dementia (DE(E)) who require nursing care. May accommodate up to 35 persons. Date of last inspection Brief description of the care home Somerset Lodge is registered to accommodate up to 35 people aged 50 years and over with severe mental disorder. The home is a single storey building set in the grounds of the old Ham Green Hospital. Somerset Lodge consists of three units. All service users have their own rooms and access to a secure well-maintained garden. Charges range Care Homes for Older People Page 4 of 27 Over 65 35 35 35 35 Brief description of the care home between around 500 and 900 pounds per week. Care Homes for Older People Page 5 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: Please note some of the residents have dementia and this makes it harder for them to make their views known. We did the unannounced inspection over one day. We metfourteen of the thirty three residents at the home. We met two registered nurses, four care assistants and the chef to find out more about what they do to assist and support residents. We saw residents being helped and supported with their needs by staff. We saw a selection of records relating to the running and management of the home. We saw a copy of the statement of purpose, the service users guide, three residents Care Homes for Older People Page 6 of 27 care records and care plans, seven medication records, information about social activities, menu records, the complaints record, training records, the staff duty record, information related to three staffs employment history, three residents finance records, the fire book, the residents accident records, some health and safety information and risk assessments. We saw most of the home environment. We have used information from the AQAA which is an annual quality assessment document, that all homes are required to complete. We found that the home was operating within the required conditions of registration which we impose. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the home. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 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 9 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 care that residents need is planned well before they move in. There is good information available for people to make a choice about whether to live at the home. The home does not provide intermediate care for residents. Evidence: To see what sort of information there is available for people to find out about the home and what sort of service they can expect, we read a copy of the service users guide and the statement of purpose. The home is split into three separate units and each unit runs as a small group of residents living together. The service users guide explains the type of care and service that is provided in the home and in each group. We saw copies of the service users guide and the statement of purpose in the hallway of the home so people can get hold of the information they need about the home. We Care Homes for Older People Page 10 of 27 Evidence: saw in the statement of purpose and the service users guide information about the service provided ,the qualifications of the staff employed and the accommodation. We also read information about the philosophy of care and how the service aims to meet residents needs. We saw a copy of the complaints procedure in the service users guide so residents and their advocates know how to complain about the service. We saw photos of the home and photos of residents in the service users guide. There is also a website that contains a range of helpful information about the service. We read three residents assessment records to see how the care and support that residents need is planned. We found the information in the assessment records was helpful and explained residents range of needs. We read information about the residents level of confusion as a result of dementia or long term mental health needs. We read information explaining the actions to be taken to support people with their mental health needs or their dementia. Intermediate care is not provided at the home. We read some useful information in the AQAA document about how people are helped to make a choice of home and we have quoted this extract :We carry out a thorough pre-admission assessment. We discuss with relatives and other professionals. We plan admissions, timing, choice of room and area, admissions not rushed. Support and communication with the resident and family. Trial visits where practicable. There is a web page for Somerset Lodge on The Trust website including links to results of relative surveys. We welcome people who have had a history of failed placements because of their challenges. Care Homes for Older People Page 11 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. Residents health is well looked after and their personal care needs are well met. Residents care plans show how to care and support residents. Residents are treated respectfully however the way that some staff assist residents with meals could be improved to ensure residents are helped in a respectful way. Evidence: We read three residents care plans to see what is done to support and care for the residents. We found the information in the care plans was informative and explained how to meet the peoples care needs. The care plans explained what to do to assist the resident to meet their needs. We saw some information in care plans about the life history of each person and what matters to them including important family and friends. Care Homes for Older People Page 12 of 27 Evidence: We read information in the care plans that confirmed residents are well supported with their physical health care needs by the GP the dentist and the chiropodist. The staff on duty assisted residents in a polite and respectful way. This was noticeable throughout the inspection. However we observed two staff helping residents who needed extra support to eat their meals at breakfast time. The staff we observed were standing up next to the residents while helping them. This practice, rather then sitting down next to the person, could be considered a less respectful way to help people with their meals. We inspected the systems for giving residents medication, for storing it and for disposing of medication to see if this is done properly. We read the medication administration charts of seven residents. We found the medication administration charts were legible ,up to date and had the signature of the nurse giving out the medications. This helps show medication has been given to residents safely. We saw information written in care plans to explain the ways that residents like to take their medication. This information should mean residents are given medication in the way that suits them best. We found medication stock we saw was satisfactorily organised. We saw signatures in the medication records to show the amount and quantity of medicines that are in the home. However we saw that a nurse has written on one residents medication box that they had borrowed some medication for another resident. We advised that medication cannot be transferred between residents as this medicine is considered to be the property of the person who it is prescribed for. This may also mean that the person whose medication has been borrowed could run out of their supplies too soon. We read in the AQAA document some really useful information about how residents health and personal care needs are met and we have quoted this extract:We support people with very high levels of dependency and disability and complex mental health needs who have found it difficult to remain in other care settings.We have individual user friendly care plans based on domains of care. We have high standards of personal care despite challenges that service users present such as aggression, resistance to personal care. Policy and practice for care of dying service users is well in line with Department of Health proposals for improvement in this area, all terminally ill service users stay at home to die. We have policies and practices in line with the National Dementia Strategy. We have excellent nutritional care standards, care provided during mealtimes to support people to eat, care for individuals with eating difficulties, monitoring weights and responding to weight loss. We have regular weekly GP visits and quarterly consultant psychiatrist visit. We have robust ,well understood policies on medication, minimal use of sedation which is kept under Care Homes for Older People Page 13 of 27 Evidence: constant review. We have low infection rates, successful containment of cases of C Diff. MRSA. acquired from hospital. Residents have access to opticians, dentists, podiatrist, hairdresser etc. We have excellent pressure area and wound care, we have a good stock of pressure relieving equipment. We hold regular Waterlow chart reviews. There is a low incidence of pressure sores despite very high Waterlow scores. We take a holistic approach to prevention and treatment. We have a range of strategies for working with challenging behaviors. Care Homes for Older People Page 14 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. Residents are well supported to live a full and varied life. Residents are supported to make choices in their daily lives. Residents are able to eat a nutritious and well cooked choices of meals. Evidence: The home employs three activities organisers to put on a range of social and therapeutic activities and events with residents. The activities staff work in a very flexible way as due to residents dementia and mental health needs it is not considered appropriate to plan activities too far ahead. However there are a range of social and therapeutic activities put on for residents. We saw photos on display of residents at a variety of social activities that have recently taken place. One very successful event has been a week long holiday at home. This involved a week of holiday like events held at the home as well as the hiring of an old style double decker bus. The sort of activities that take place include drives to the community, arts and crafts sessions, games and musical afternoons and gentle exercise classes. We saw one nurse go out for a walk with one of the residents. This is a really good example of supporting residents to live an enjoyable life. Care Homes for Older People Page 15 of 27 Evidence: Residents have regular aromatherapy sessions and hairdressing appointments in the home. These are both good examples of relaxing treatments for residents. The home has a relaxed policy for receiving visits from family, friends and significant others. With some notice, we were told that residents may have lunch with their visitors. This benefits residents as this means they can keep in contact with family and friends and people who matter to them. The staff told us that they try and offer residents a choice of what time they like to get up in the morning. We saw people getting up at different times during the morning. We were told that the home holds relative meetings so that the important people in residents lives can have a chance to make their views known on their behalf. We ate a portion of the lunchtime meal with a small group of residents. This was a choice of homemade pasta bake or chicken casserole with potatoes. The main meals were followed by choices of deserts. We found the meals to be tasty and nourishing. We saw residents eating their meals and they looked as if they were really enjoying them. We checked the menu to see if residents are provided with a well balanced diet. The meal choices we saw looked nutritional and varied. We saw choices available each day. We saw staff ask residents what they wish to eat each day. Residents special diets are catered for and there are a special meals made for residents who need them. We read in the AQAA document some really useful information about residents daily life and social activities we have quoted this extract: We have a team of dedicated activity staff who work to occupy and engage people in a variety of ways with groups and individuals. They do not work to a set timetable, but respond flexibly to service users needs. We have flexible routines for getting up and going to bed. There is open access and support for visitors. We have monthly church services with local vicar. Care Homes for Older People Page 16 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. Complaints are dealt with properly. The home has good methods in place to keep people safe from abuse. Evidence: The home uses the Trusts own service user representative who meets with residents regularly and acts as an independent voice for them to make their concerns known. This is a really good way of supporting residents to complain if they need to. There have been two written complaints made since the last inspection. We saw written evidence that Mr Nunn had addressed both complaints promptly and thoroughly. The staff told us they do training to help them understand how to protect residents from abuse. We saw in the staff training files that staff are booked to do courses on safeguarding people from abuse over the coming months. We also saw the homes policy that is followed by staff to try and protect people from abuse. We read in the AQAA document some really useful information about how residents complaints are addressed and how people are kept safe and we have quoted this extract:We have had two complaints since 2008 ,one of which resulted in a Safeguarding investigation though abuse was not found. The other complaint was Care Homes for Older People Page 17 of 27 Evidence: from a person unsatisfied with one residents care. We concluded that the complaint about the standard of care received at Somerset Lodge was unfounded. We have robust systems for managing residents money audited internally and externally. Staff are aware of policies for safeguarding adults including whistle blowing. Care Homes for Older People Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The living environment is safe and suitable for the residents. Evidence: Somerset Lodge is a purpose built care home. The home is on the site of the old Ham Green hospital in Pill. It is close to private houses, a short distance from local shops, a pub and a bus stop to Bristol. This helps the home to be part of the local community. The home is all on one floor and is wheelchair accessible. A purpose built extension has been built since the last inspection, adding five extra rooms to the home. The home runs as three separate groups of residents and each group is located in a separate secure part of the home. This is due to the complex and sometimes really challenging needs that residents have. The home looked clean and satisfactorily maintained in all areas. Each group has their own dining room and living area. We saw residents looking relaxed in each of the lounges and dining rooms in the home. We saw adaptations in place throughout the home to help people who may be disabled. Care Homes for Older People Page 19 of 27 Evidence: Residents have their own single bedrooms. We saw that rooms had been made to look more personal with photos personal belongings and small items of furniture in them. We checked service records for the fire fighting equipment and for the electrical items in the home. The records showed that external contractors had serviced equipment in the last twelve months. This helps demonstrates the home is safe and well maintained. We saw that there are regular health and safety audits of the whole environment carried out. The records seen demonstrate that the environment is checked on a regular basis to ensure it is safe and well maintained for residents staff and others. We read some really useful information in the AQAA document about the home environment and its suitability for residents and we have quoted this extract: The home is clean and safe for service users. Odours are well controlled. Although it is an old building it has some newly built areas some recently refurbished. We have personalised bedrooms this is either done by family or key worker. There is a garden that is large, accessible and safe. The space in the home exceeds minimum requirements. We have a choice of areas for service users to spend time. We have a designated activity room. We have safe secure space for service users to walk. Care Homes for Older People Page 20 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. Residents are cared for by enough well trained and suitable staff. Evidence: We checked the number of nursing and care staff to see if residents benefit from a sufficient number of staff to meet their needs. There is a minimum of one registered nurse on duty at all times and seven care assistants in the day. There is a minimum of one nurse and three care assistants at night. We saw that there are additional staff members on duty on a regular basis if needed, to give more support to residents. The manager works nine to five hours and the deputy manager works shifts alongside the registered nurses and care staff to ensure they are up to date with residents needs in the home. We saw residents being properly cared for and the home being well run with the numbers of staff who were on duty. We saw the staff helping residents with their care. We saw that staff were warm and friendly in their manner. We saw that staff were patient and sensitive in manner when they were helping residents, some of whom can get really angry due to their complex mental health needs. All of the staff who we met conveyed to us that they have a good understanding of residents really complex range of needs. Care Homes for Older People Page 21 of 27 Evidence: We saw evidence that staff have a good range of training and development opportunities. The recruitment practices of the home were not fully inspected. Aspects and Milestones Trust keep staff employment records at its head office. We do regular check on staff files that are held there to check if recruitment practices are safe. On the last visit to the head office we were able to confirm that there are two written professional references taken up for all new staff prior to offering work at the home. We did see confirmation that all staff undertake a Criminal Records Bureau check before commencing employment. These checks are a safeguard to make sure only suitable people work at the home. We read in the AQAA document some useful ways that an effective staff team is employed and we have quoted this extract :The percentage of care staff with National Vocational Qualifications in care is 80 percent. We have a low turnover of staff . There is a low dependency on agency staff. The collective experience of staff.There is good quality support staff and housekeeping staff. The communication among staff and the training opportunities. We have family friendly flexible working opportunities. We have communications through meetings, one to one meetings and newsletters. Care Homes for Older People Page 22 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. The home is well run. Residents finances are looked after properly. The health and safety of residents, staff and visitors is well looked after. Evidence: Mr Nunn has been the manager of the home for ten years. He is a registered mental health and general nurse. He has many years of experience caring for people with a range of needs and in running care homes. He is registered with us as the manager of the home. This demonstrates he is fit and competent to be the manager. We were told that there are regular relatives meetings held and all relatives are invited. People are able to and discuss what they feel matters in running of the home. This should help ensure peoples views are listened to. Care Homes for Older People Page 23 of 27 Evidence: A recent quality monitoring exercise has been done of the quality of care and the overall service in the home. This was done by the manager of another nursing care home run by the Trust. The aim of quality monitoring is to check on the overall standards of care within the home. The administration manager takes responsibility for looking after residents finances if needed. We looked at three residents finance records which were up to date and in order. We saw a secure storage area to keep residents money and valuables in. We found the environment looked satisfactorily maintained throughout. As already mentioned, there are health and safety audits of the whole environment done on a regular basis. The documents used to carry out the audits aims to address health and safety areas throughout the home. The kitchen was very clean tidy and in good order. The kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practices for preparing and cooking food. There are health and safety policies for staff to follow to try and help ensure the safety of residents is maintained. We checked the fire log book record to see if the necessary fire safety checks are being done in the home. We saw the the fire alarms are checked weekly and there are regular drills. However there were three gaps of time in the fire book over the last year, when the fire equipment had not been checked for two,three and four months. The fire equipment needs to be checked regularly to make sure it works in the event of a fire. We read some really useful information in the AQAA document about the way that the home is managed and we have quoted this extract :We have a clear line of management responsibility accountability. The manager is visible, active, accessible and hands on with residents but not making up staff shortfalls. We have an efficient processing of paperwork and minimal bureaucracy. Regular informal contact with staff outside of designated supervision time. The manager is supportive of staff. There is a flexible working policy, cascaded supervision, surveys of relatives and meetings with relatives. There is a regular financial audit. We ensure staff are deployed efficiently. Care Homes for Older People Page 24 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 25 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 1 9 13 Medication stock must be used by the person who it is prescribed for. Correct handling of medication. 20/10/2009 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 Fire fighting equipment should be tested monthly. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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