Care Home: St Georges Care Home

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 St Georges care home provides a safe, warm and comfortable home. Residents tell us that their needs are met and they are well cared for. The home has a warm and sociable atmosphere, visitors are made welcome and meals are varied, appetising and nutritious. Residents are safeguarded by thorough and robust recruitment procedures and care workers are appropriately trained and competent to do the job. People tell us that the manager and staff are approachable and they are confident that any concerns they might have will be dealt with quickly and appropriately. Comments received from residents and relatives included "The staff are a well trained team who exercise their duties with humour and love. They really do themselves and the home great credit", "I don`t think they can do any better than what they do", "Absolutely excellent. I`m happy with everything". What has improved since the last inspection? Copies of pre admission assessments were held on the residents files that we looked at, evidencing that people`s needs are fully assessed before they move into the home. Communal space is being used more effectively. The main lounge and the main dining room have been converted into lounge/dining areas. This means that neither room needs to be `overcrowded` and people have more choice about where they spend their time. An up to date and suitable fire risk assessment is in place and risk assessments relating to the environment and premises have been undertaken. The manager was able to provide evidence that the views of staff, relatives and residents are surveyed as part of the homes overall quality assurance processes. What the care home could do better: The service intends to address shortfalls relating to the environment during the next twelve months by extending and refurbishing the premises, widening many of the corridors and increasing communal space. We are also advised that the manager and care staff will also undertake further training in dementia care to develop their expertise in this area. Key inspection report Care homes for older people Name: Address: St Georges Care Home St Georges Road Beccles Suffolk NR34 9YQ     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: Tina Burns     Date: 2 8 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: St Georges Care Home St Georges Road Beccles Suffolk NR34 9YQ 01502716700 01502716228 julie.whiting@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Weldglobe Ltd Name of registered manager (if applicable) Miss Julie Christina Whiting Type of registration: Number of places registered: care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 28 The registered person may provide the following categories of service: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home St Georges Care Home is a single storey establishment that caters for up to 28 older people, including people with dementia. It was first registered in 1982 by its previous owners. The current owners are Weldglobe Ltd, they have been the registered providers since January 2008. The registered manager has remained the same. The home is located in a quiet residential area close to the centre of Beccles. The nearest Care Homes for Older People Page 4 of 27 Over 65 0 28 28 0 1 3 0 7 2 0 0 9 Brief description of the care home shops and other facilities of the town are less than a half-mile away. The home is surrounded by flower beds and lawned areas and there are small car parking areas to the front and the rear. Where access to the main entrances are not level ramps are provided. There is a paved walkway round the building. The home has 26 single bedrooms and one room large enough to be shared. All bedrooms have en suite washing and toilet facilities. Communal areas consist of two lounge-dining areas at the front of the home, an additional small dining area and a further small lounge at the rear of the home. At the time of inspection fees ranged from £362 weekly to £650 weekly depending on the room size and the level of care required by the resident. Additional charges include hairdressing, chiropody, toiletries and newspapers and magazines. 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: This was an unannounced key inspection which focused on the core standards relating to older people. The report has been written using accumulated evidence gained prior to and during the inspection. This inspection included a tour of the premises and observations made throughout the day. We also spoke with several residents and visiting relatives, several members of staff, a health care professional, and the registered manager. Records examined included three residents care plans, three staff files, and a range of health and safety and maintenance records. Information was also provided in the homes Annual Quality Assurance Assessment that was completed by the registered manager and submitted to us in March 2010. We also received completed survey forms from ten residents, seven members of staff, three relatives and three health care professionals. Care Homes for Older People Page 6 of 27 People living at the home were referred to as residents and this term will be used throughout this report. 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 Care Homes for Older People Page 8 of 27 order line 0870 240 7535. Care Homes for Older People Page 9 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 10 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. People can expect to be provided with the information they need to make an informed choice about whether the home is suitable and will meet their needs. Evidence: The homes certificate of registration was on display in the foyer together with a copy of their Service User Guide and Statement of Purpose. The documents were appropriately detailed and informative and can be made available in large print, braille and alternative languages. The AQAA confirms that pre admission assessments are undertaken and prospective residents are encouraged to visit the home before they move in so that they can make an informed decision about whether the home is suitable and can meet their needs. We looked at the records of three residents that had moved into the home within the last year. They included evidence that the manager had completed pre admission Care Homes for Older People Page 11 of 27 Evidence: assessments covering a wide range of needs including, nutrition, personal care, communication, continence, mobility, health, social needs, memory and orientation. Although the assessment records were limited in detail discussion with the manager and feedback we received confirmed that prospective residents and their relatives or representatives are appropriately consulted during the assessment process so that there is a clear understanding of their needs and the level of support and assistance they require. Six out of ten residents that completed surveys told us that they always receive the care and support they need and four said that they usually receive the care and support they need. Information from staff surveys, training records examined and discussion with care workers on the day of inspection confirmed that staff are provided with relevant training and have the appropriate skills and knowledge to support people living at the home, including those residents with dementia. Comments we received from residents and relatives included The staff are a well trained team who exercise their duties with humour and love. They really do themselves and the home great credit, I dont think they can do any better than what they do, Absolutely excellent. Im happy with everything. The home does not provide intermediate care. Care Homes for Older People Page 12 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. People can expect to have their personal and health care needs met. Further more, they can expect to be treated with respect and have their dignity maintained. Evidence: The AQAA tells us that everyone has a written plan of care that is developed with the assistance of the resident and their family. This ensures that personal care is provided to a level that is suited to the individuals needs. It also tells us that care plans are reviewed monthly to ensure they remain up to date and reflect any changing needs. We looked at the care plans of three people and found that they included clear information about how to meet their needs and good evidence of monthly reviews. People we spoke with, feedback from surveys and records we looked at confirmed that the home works closely with a range of health care providers so that residents health care needs are met, for example GPs, district nurses, chiropodists and continence advisers. Care Homes for Older People Page 13 of 27 Evidence: Comments from health care professionals included Good team of carers. Multi disciplinary communication is good, Theyre brilliant here, and Theyve got the residents interests at heart and theyre always happy to talk things through. Information provided in the AQAA and observations on the day of our inspection confirmed that there are appropriate procedures are in place for the safe storage, handling and administering of medication. Staff responsible for administering medication are suitably trained, a Monitored Dosage System is in use and Medication Administration Records (MAR sheets) are well maintained. Records we looked at also told us that there had been a full audit of medication undertaken in March 2010 with no errors or gaps in records identified. Observations were that staff interacted positively with residents and were polite and respectful at all times. All personal care was given in the privacy of peoples rooms. Comments received included Theyre just a good bunch. You hear them in the rooms. They are all kindness, Carers do well when they look after me, I am happy with the carers and what they do and They take good care of me. Out of ten residents that completed surveys six told us they always receive the care and support they need and four said usually. Nine told us that they always receive the medical care they need and one said usually. Of the three relatives that completed surveys one told us that their relatives needs were always met and two said that they were usually met. 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. People who use this service can expect to maintain contact with their families and friends, participate in recreational activities of their choice and enjoy healthy and appetising meals. Evidence: On the day we visited the home had a warm, sociable atmosphere; Visitors were seen coming and going throughout the day and those we spoke with told us that they visited regularly and were always made welcome. Residents could meet with their visitors in the privacy of their own rooms or in one of the communal areas. Communal areas consisted of three lounge/dining areas and a more private lounge at the rear of the home. At the time of inspection the home did not have a dedicated activities co-ordinator but we were advised that the care team ensured activities were offered and encouraged. There was a planned programme of activities displayed in the entrance to the home and records of activities that had taken place, together with a list of participants was maintained. Activities that had taken place during the month of our visit included card games, Care Homes for Older People Page 15 of 27 Evidence: hand massage and nail painting, skittles, bingo, films, a sing a long, chair exercises, indoor darts, arts and crafts, hoopla, reminiscence session, snakes and ladders and a quiz. An improvement in the weather had also enabled some people to get out and about. One person told us they went for a walk earlier in the week, saying That was nice. They were busy but they still took me. That was lovely that was. Others were observed going out with assistance from care staff during the inspection. Four out of ten people that completed surveys told us that there were always activities arranged for them to take part in if they wished, five said usually and one said sometimes. One person told us I never get bored. Theres always plenty to do. One relative told us that they were very impressed with the effort the home recently made organising St Georges day celebrations. They told us They did a terrific job and I cant praise them enough. Everyone was enjoying themselves. With the exception of two residents that had become close friends and shared a room everyone had bedrooms of their own. Those we saw were personalised with possessions and personal effects that they had brought with them when they moved in. People we spoke with confirmed that they were able to chose whether to spend their time in the privacy of their own rooms or use the communal facilities if they felt like company or wanted to participate in the activities on offer. Since our previous visit the main lounge and main dining room had been converted into two lounge/diners and together with the existing small seating and dining area this meant that people had a good choice of where to spend their time or take their meals. The menu on display confirmed that there is always a choice of two main meals, on the day of inspection the main lunch time options were Shepherds pie or Cheese and Potato pie with seasonal vegetables and a choice of Queen of puddings or fresh fruit for dessert. Of the ten residents that completed surveys four said that they always like the meals provided, five said that they usually like the meals and one said they sometimes like the meals provided. Comments from people we spoke with during the inspection included The food is marvellous. I think so anyway, Oh excellent. Really excellent. I couldnt complain about that at all and Im the fussiest thing that ever there was and You cant say that theyre bad meals, I think they do pretty well. 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. People can expect their complaints to be listened to, taken seriously and acted upon. Further more they can expect to be safeguarded from abuse. Evidence: The home has an appropriate complaints procedure in place, it is included in the Service User Guide and clearly displayed in the entrance to the home. Discussion with the manager and information provided in the AQAA tells us that there have been no formal complaints made since the last inspection. Nine out of ten residents that returned surveys confirmed that they knew how to make a complaint and ten out of ten told us that they knew who to speak to if they were not happy. Three relatives that returned surveys also told us that they knew how to make a complaint and confirmed that issues or concerns raised are responded to appropriately. Out of the seven staff that completed surveys all seven confirmed that they would know what to do if someone raised concerns about the home. People we spoke with during the inspection confirmed that they found staff approachable and issues that arise are normally dealt with promptly and outside of the complaints procedure. In particular everyone we spoke with told us that the manager was very accessible and approachable and people had every confidence that she would respond appropriately to any concerns. Comments included The manager is very approachable and always prepared to listen and act on any problems or Care Homes for Older People Page 17 of 27 Evidence: concerns. The AQAA tells us that there has been one safeguarding referral made in the previous twelve months. The manager made the referral following discussion with the Commission about a serious incident between two residents. Information provided to the Commission confirms that the incident was handled appropriately by the home at the time. Feedback from staff and records examined confirmed that care staff are provided with training on recognising the signs and symptoms of abuse and how to report concerns. All the staff we spoke with said that they felt confident that they could report any concerns and residents confirmed that they felt safe and well cared for. In the past twelve months the Commission has not received any complaints or concerns about this service. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect to live in a comfortable, safe, clean and well maintained environment. Further more they cannot expect to benefit from planned improvements to the physical design and layout of the home. Evidence: At the time of inspection the home was comfortable, safe and clean with no unpleasant odours. Seven out of ten people that completed service user surveys told us that the home was always fresh and clean and three said it was usually fresh and clean. The AQAA tells us that the home has been maintained in good order, day to day repairs and cleaning are carried out in a timely manner to ensure high standards are maintained and residents are actively encouraged to personalise their bedrooms. People we spoke with and observations we made during the inspection reflected the statements in the AQAA. In previous inspections we identified some issues regarding the limited communal space available to residents. Previously the home had two lounges, the larger of the two at the front of the home and the smaller at the rear. Everyone tended to congregate in the larger of the two lounges consequently there were times when it is overcrowded because of the number of residents, staff and visitors using it. The Care Homes for Older People Page 19 of 27 Evidence: smaller lounge tended to be used as a visitors room or meeting room rather than as an additional lounge. At this visit the communal areas had not increased in terms of space but the main lounge and dining room had been converted into two lounge/diners and together with an existing small seating and dining area and the small room at the rear of the home this meant that people had more options available to them about where to spend their time and the environment felt less overcrowded and more suited to peoples needs. At previous inspections we had also identified that some of the homes corridors are narrow and unsuitable for wheelchair users or people that use mobility aids. To enable people to pass one another, people had to move aside or step into the doorways of private bedrooms. At this inspection we found that this remained the case but we were advised that buildings works were programmed to start in the summer to increase the width of most of the corridors. Further more the intention was also to improve the amount of communal space available to residents. The manager confirmed that the building works planned would comply with relevant legislation. They also told us that they were intending to keep several beds vacant so that they could minimise any disruption and manage the works without it impacting on the welfare of residents. They also confirmed that they would ensure that residents and their relatives are fully consulted and informed about the proposed works. The laundry room was appropriately equipped with two commercial washing machines and a tumble dryer and procedures were in place to ensure that soiled linen was handled safely. There was a stock of disposable aprons and gloves for staff use and suitable hand washing facilities were available throughout the home. The manager advised that the proposed refurbishment included moving the laundry room to a more suitable area and installing state of the art equipment. 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 can expect to be safeguarded by the homes recruitment procedures. Further more, they can expect to be supported by care workers that are trained and competent to do their jobs. Evidence: Four out of ten residents that completed surveys told us that staff were always available when they needed them, three said usually, two said sometimes and one said dont know. Six said that they always receive the care and support they need and four said that they usually receive the care and support they need. Two out of three relatives that completed surveys told us that their relative always receives the support or care they expect and one said sometimes. On the day of our visit people we spoke with said that they felt staffing levels at the home were suitable and our observations were that people were provided with the assistance they required in an appropriate and timely manner. Feedback we received and observations we made also confirmed that staff took time to provide assistance at a pace suitable to individuals and in a manner that was sociable, friendly and considerate. Comments we received included; Theyre just a good bunch. You hear them in the rooms. They are all kindness, Carers do well when they look after me, I am happy Care Homes for Older People Page 21 of 27 Evidence: with the carers and what they do and They take good care of me. Three staff recruitment records were examined and included all documentation required including copies of their application forms, photographic ID, evidence of ID checks, Criminal Record Bureau checks (CRBs), ISA first checks, written references, employment histories and declarations of health. Seven out of seven staff that completed surveys confirmed that when they started work their inductions covered everything they needed to know very well. They also confirmed that they are provided training that is relevant to their work, helps them to understand the needs of residents, keeps them up to date and gives them the knowledge they need to do the job. The records we looked at confirmed that training is provided in areas such as safeguarding adults, health and safety, fire safety, food hygiene, infection control, manual handling, safe administration and handling of medication, Mental Capacity Act and dementia care. We could also see that five people had recently attended nutrition training. The manager confirmed that they, and at least one senior carer, would be starting the Dementia Care Matters diploma level course in January 2011 and it was intended that in addition to the one day dementia awareness course currently provided to all staff all carers were being supported to apply for a three day course Changing cultures in dementia care. The homes Annual Quality Assurance Assessment tells us that over fifty percent of care workers have NVQ level 2 in care or above. 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 managed and run in the best interests of the residents. Evidence: Julie Whiting is the registered manager and has worked at the care home for many years. She has a higher diploma in the management of care services, NVQ level 4 in management, NVQ Assessors Award and City and Guilds 325/3 Advanced Management for Care. Ms Whiting was present during our inspection. She was helpful and co-operative and welcomed feedback about how the service might improve. Feedback from staff, residents and relatives confirmed that the manager is approachable and highly respected. Comments included; Shes the boss. Shes lovely, Her heart and soul is in the place and the others follow her. I think shes good. I think shes a very sincere person, Shes really good. Shes good on everything and The manageress gives a friendly and warm face to the home. Care Homes for Older People Page 23 of 27 Evidence: Documentation confirmed that following our last visit an up to date and suitable fire risk assessment was undertaken and the nine action points identified had been addressed. Risk Assessments relating to the premises and environment had also been carried out. The AQAA confirms that the home has an up to date gas and electrical certificate and hoists, portable electrical equipment, fire fighting equipment, fire detection equipment, fire alarm equipment and emergency call equipment are regularly serviced and maintained in working order. People we spoke with and training records examined confirmed that staff had been provided with health and safety training such as manual handling, food hygiene, first aid, COSHH (control of substances hazardous to health), fire safety and Infection Control. Since our last inspection quality assurance surveys had been undertaken to seek the views of staff and relatives. The manager advised us that there would also be a survey of residents views and following this they would look at the outcomes and identify any action points. The AQAA completed by the manager in March 2010 was submitted to us on time. It was adequately detailed and included clear information about what the home does well and where it intends to improve. Regulation 26 visit reports were viewed and confirmed that the owners visit on a monthly basis to discuss matters of the home with the manager, staff and residents. The homes administrator confirmed residents manage their own finances with assistance from their relatives or representatives as appropriate. Lockable facilities are provided in residents rooms for small amounts of cash and valuables although there is the facility that money can be held by the home for safekeeping. 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 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 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. The material should be acknowledged as CQC 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!