Care Home: Starmount Villa Residential Care Home

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What the care home does well Starmount Villa is a well managed and well run home ensuring a high standard of care for the people living there. Residents have access to everything they might need to live a comfortable life. If something is needed, relevant to a person`s health and well being arrangements are made for it to be obtained. The premises are clean and safe and the standard of the accommodation is very good. There were effective systems for keeping the home maintained to a good standard. There had been few staff changes, so residents were looked after by people they know and can trust. Staff were well trained and show commitment towards giving a good standard of care to the residents. The staff group views training and development positively, and there was a genuine willingness to learn. Records were kept to a good standard, the office was organised and everything was to hand. Additional checks and procedures were in place to ensure everything was properly accounted for. The home is exceptionally good at seeking the views of residents, staff and relatives so that the service can be further improved. The service is not complacent and looks to continually improve. Relatives are made welcome and were involved in what goes on within the home. On the day of the inspection one relative brought in photographs of the Bonfire party to share with others. What has improved since the last inspection? Since the last inspection the home had updated the service users guide (information given about the home and the facilities) to include more up to date comments about the home from people who use the service. Staff had undertaken training in `Nutrition in Dementia` to enable them to give greater support to high dependency residents. Staff had implemented a better structure to the activity programme and included more activities including: more entertainers, exercise sessions and beauty therapy etc. The rolling programme of redecoration and refurbishment is continually ongoing, ensuring the home is maintained to a high standard. What the care home could do better: At the time of this inspection there were no requirements or recommendation made. Key inspection report Care homes for older people Name: Address: Starmount Villa Residential Care Home Browns Road Bradley Fold Bolton Lancs BL2 6RG     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Judith Stanley     Date: 1 0 1 1 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 28 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 28 Information about the care home Name of care home: Address: Starmount Villa Residential Care Home Browns Road Bradley Fold Bolton Lancs BL2 6RG 01204525811 01204525588 care@starmountvilla.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Starmount Villa Residential Care Limited care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To people 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 Physical disability - Code PD (maximum number of places: 1) The maximum number of people who can be accommodated is: 28 Date of last inspection Brief description of the care home Starmount Villa is a care home providing personal care and support for mainly older people. It is a detached converted and extended house providing accommodation on two floors. It is located on the outskirts of Bolton towards Bury. The home is set in its own grounds in a quiet residential area and close to a country park. There is a large garden Care Homes for Older People Page 4 of 28 Over 65 28 0 0 1 Brief description of the care home at the front of the building and a second to the rear, which were well maintained and easily accessible. Garden furniture is provided for residents to sit out and enjoy the good weather. The home comprises of twenty four single bedrooms, eleven with en-suite and two double bedrooms, one with an ensuite. There is a large lounge, smaller quiet lounge, large dining room and a second dining room for those who require additional support. The bedrooms on the first floor are reached either by stairs or a passenger lift. The toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The current scale of the fees per week are from 389 pounds to 441 pounds. Extras charges are made for hairdressing, individual newspapers and private chiropody. 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: This inspection included a visit to the home and was unannounced and was conducted over seven hours on one day. Some weeks before our planned visit the manager was asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they had improved upon. This helps us to determine if the management of the home see the service they provide in the same we that we do. We felt this form was filled in honestly and that a lot of time and effort had been given to filling it in. Part of the time was spent in the office looking at information the home holds on residents (care plans) and other records the home need to keep to ensure that the home is being properly run. We spoke with the owners/manager, staff, residents and relatives. Their comments are included in the main body of the report. Care Homes for Older People Page 6 of 28 We also looked around the home and observed the daily routines of the home, including meal times and the morning medication round. Care Homes for Older People Page 7 of 28 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. Care Homes for Older People Page 8 of 28 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 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. The home provides residents and their supporters with up to date information about the home that helps them in making a decision about moving in to the home and the services provided. A full pre admission assessment is carried out prior to any new resident moving in to the home to ensure their needs can be met. Evidence: The home has a statement of purpose and a service user guide. This information is available to prospective residents and to residents already living at the home. It tells people about what goes on in the home, the management arrangements and the staffing structure, about mealtimes and activities etc. Residents and relatives spoken with said they received sufficient information about the home prior to making a decision to move in and that they were welcomed and encouraged to look around the home and spend time there to ensure Starmount Villa was the right choice. The information provided also includes the last inspection report and the annual service reviews. Care Homes for Older People Page 11 of 28 Evidence: Three residents files were chosen for inspection. On examination all contained a written contract/ statement of terms and conditions. The contract detailed the room to be occupied, the overall care and services, fees payable by whom and the rights and obligations of the residents and the provider. Prior to admission a full needs assessment is completed to ensure that the home and staff can meet the individual care and social needs of the prospective resident. A detailed assessment was seen in the three files chosen. The assessment covers personal care and physical well being, diet and preferences, sight, hearing and communication, oral health and foot care, mobility, history of falls, continence, mental state and cognition, medication and social interests and hobbies. Some residents living at the home have a diagnosis of a dementia related illness . It was observed throughout the day that staff managed residents appropriately and appeared to be able to meet their needs. Staff had attended some training in caring for people with dementia for example, Nutrition in Dementia and a recent conference. 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice so people living at the home can be confident they are well cared for. Evidence: Three care plans were chosen for inspection. The information contained in the care plans gave staff detailed information about the care each resident required. A social profile was available that informed staff about the life expereinces of the residents they are caring for which can help generate topics of converstion. Other information in the care plans includes risk assessments, for example the risk of falls, mobility, nutrition, pressure care and moving and handling. We asked for a more comprehensive risk assessment for one resident, this was dicussed and the manager agreed to action this immediately. We observed the morning medication round. The senior and another carer were involved in the administration of the medicines. Residents were given tablets in an Care Homes for Older People Page 13 of 28 Evidence: apporpriate manner and offered water to help them swallow them. All medicines given were immediatley recorded on the individual medication records. The home has a small amount of controlled drugs. These were suitably stored in a controlled drugs cupboard and recorded in the controlled drugs registered which had been signed and countersigned as required. Observation throughout the inspection showed that the personal care needs of the residents were being attend to. Attention had been given to personal grooming, residents were wearing coordinated clothes which had been nicely washed and ironed. Some ladies were wearing make up, nail varnish and jewellery. The gentleman were also smartly dressed and were clean shaven. On the day on the inspection the hairdresser was attending and most ladies had had their hair done. Staff were heard speaking with residents in a kind, respectful and considerate manner. There was lots of laughter and it was evident that good relationships had been formed. One relative spoken with said that staff were, Lovely girls, very caring and kind. When I leave the home I am confident of the care my relative receives. One resident spoken with said, I am very happy here, all the staff are very nice. 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 received the support they needed to live their chosen lifestyles. Social activities and meals are both well managed and provide daily variation and interest for people living in the home. Evidence: The home does not have an activities coordinator, staff cover this role. A wide and varied range of activities is planned. This is usually at residents meetings. We spoke with residents and relatives about the range of activities provided both in and out of the the home. One resident said, There is always something going on. Its up to you whether you want to join in or not. Another said, I enjoy it when the entertainers come to the home. One relative told us about the bonfire party how good it was and how well it was supported by family and friends and by staff. Relatives said they are always asked if they would like to attend and join in with what is going on. We were shown photographs of the Summer Garden Party, Ladies day at Ascot which was held at the home and the bonfire party. Apart from the usual activities such as bingo, quizzes, games, gentle exercises and beauty therapy the home had a full plan of events running through November 2009. These included: Fire Works and Potato Pie Supper, weekly visits from different entertainers, the local Pharmacy bringing in Christmas gifts for residents to buy if they wish, a trip to the Garden Centre, a trip to Care Homes for Older People Page 15 of 28 Evidence: the Trafford Centre and a Taste of Christmas event. Throughout the day it was observed several visitors came to the home to either take relatives out and others spent time in the lounges chatting with residents. On arrival visitors were offered refreshments. One resident had invited her friend to lunch. The atmosphere within the home was warm, friendly, busy and full of laughter. One relative said, Its like one big family. We spoke with residents about choices and decisions. One confirmed that she got up when she wanted and went to bed when she was ready. We observed the cook going to every resident asking them their choice of lunch for the day. It was some ladies choice that they had make up and perfume on every day, others preferred not to. There is a choice of newspapers. The home has some delivered but some residents have their own choice of newspaper delivered. Staff giving out the medication were heard asking if residents were in any pain and did they need their prescribed pain killers, these were not just given as a matter of course. The menus were available for inspection. At the last residents meeting the manager asked for suggestions for planning the winter menus. More warming foods such as casseroles, homemade pies and soups and lots of home baking. The minutes of the meeting indicated that residents were happy with the choice and variety of foods offered. This was confirmed during our discussions with residents. We observed that a flexible breakfast is served to allow people to get up when they are ready. Residents were offered a choice of cereals, bacon and toast and preserves. A choice of tea or coffee was offered. The main meal of the day was served at lunch time. Meals are served over two sittings so that people with higher needs can have the attention from staff they need to help them eat their meal at their leisure. The cook is knowledgeable about the dietary needs of the residents in the home and has undertaken training in food awareness for people with dementia. Any special diets can be catered for. The cook showed the inspector a list of foods relating to one resident as this person does not always want what is offered. With the help of the family the cook has found out what the residents favorite foods and snacks are and makes sure they are always available as an alternative. The list is kept in the kitchen so that in the cooks absence everyone is aware of what choices are to be offered. The lunch time meal consisted of liver and onions or steak and mushroom pie, served with creamed potatoes. marrow fat peas and butter beans. A dessert of chocolate Care Homes for Older People Page 16 of 28 Evidence: sponge or summer fruit crumble and custard was offered. Fresh fruit is always available. A lighter afternoon tea is served with a choices available. On Tuesday it is cinema afternoon. Residents enjoy a film of their choice with dishes of pop corn. A more snack type tea is served to residents during the film for example beef burger and onions or sausage barm cakes or for some residents hash. This appears to well liked by the residents. A choice of supper and drinks is available, including toast, sandwiches, biscuits and cakes and milky drinks are offered before residents retire. This is served at a time suited to the residents. Care Homes for Older People Page 17 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. Residents and their relatives, can be confident that people will be protected from abuse and have their rights, including the right to complain, protected by effective staff training and procedures. Evidence: A complaints system is in place should any one feel the need to complain. There had been no complaints made within the last year and no concerns had been made to the CQC. There is a compliments file which was full of cards and letters thanking the managers and staff for the care and kindness shown to their relatives during their stay at the home. One stated, Thanks for all the care and kindness you gave to our mum. Another relative had written,I would like to thank you and all your staff for the care and consideration you gave to my mum. One relative spoken with said, I have never had any reason to complain. The owners are always around if you need to discuss any thing with them. I would be confident to do that and know there would be no repercussions. There have been no adult safeguarding referrals or investigations issues reported by the home within the last year at least. All staff have had training in the protection of vulnerable adults and staff have access to the Local Authorities Vulnerable Adults Procedures. The manager has undertaken training on The Mental Capacity Act and staff are also to attend this training. Care Homes for Older People Page 18 of 28 Evidence: Care Homes for Older People Page 19 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 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 maintained to a high standard making it a comfortable, clean and pleasant home for residents to live in. Evidence: From a tour of the premises, it was evident the home was maintained to high standard both internally and externally. Several areas of the home had been redecorated and refurbished, including the hall, dining room, main lounge and several bedrooms. The bedrooms looked at were seen to be very clean, comfortable and tidy. Residents had personalised their own rooms with their own possessions brought with them from home. One resident brought his piano with him when he moved in to the home. There were a sufficient number of bathrooms and toilets in close proximity to residents accommodation and communal areas. Bathrooms and toilets were equipped with paper towels and liquid soap. There were adaptations as required for example grab rails and raised toilet seats. The outside of the home is well maintained and the grounds were neat and tidy. For residents who wish to smoke, there is a smoking shelter outside in which heating and lighting is installed. Care Homes for Older People Page 20 of 28 Evidence: Systems were on place to control the risk of cross infection. Staff were seem wearing different protective clothing when carrying out different tasks. There was hand sanitizer around the home for staff to use when required. The laundry system appeared to work well with residents clothes being nicely washed and ironed and returned quickly to their rooms. We spoke with a member of the domestic team, who obviously was a keen and dedicated worker who took pride in her work in keeping the home clean and free from any offensive odours. One relative spoken with also commented on how clean and fresh the home was. Care Homes for Older People Page 21 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. The people living at Starmount Villa are supported by a well trained, experienced and effective staff team. Evidence: The staff rotas showed that there were sufficient numbers of staff on duty each day and through the night. The ratios of care staff to residents takes into account the needs of the residents. Neither staff, residents or relatives spoken with expressed any concerns about staffing levels within the home. The home does not use agency staff. Any staff cover required is covered by the existing staff and the manager/owner. One resident spoken with said, The staff are lovely, they are very kind and caring and are always there to help you when needed. Another said, I could not ask for a better place to live, the owners and all the staff are lovely, nothing appears to much trouble, they are friendly and helpful. Senior staff had been encouraged to take on more responsibility by including them on the rota for on call during the night. The majority of the staff had worked at Starmount Villa for a numbers of years. This helps provide continuity of care for residents by people they know and can trust. From discussions, staff showed they knew the residents well and they demonstrated a strong commitment to providing a good standard of care. Staff were clear about the Care Homes for Older People Page 22 of 28 Evidence: work they were employed to do and that they were happy to help each other out. From our observations, staff morale appeared to be good and the staff seemed genuinely happy to be working at the home. This was also evidenced that if any events take place at the home when staff are off duty, they willingly support the event in their own time. The staff at the home attend training as required. Mandatory training is kept up to date and 81 of the staff are qualified to NVQ level 2 or above in care. Some staff had undertaken training in palliative care (care for the dying), legal and ethical issues, nutrition in dementia, safe medication practices, mental health and accurate recording. A full copy of each member of staffs employment file was kept at the home in a secure location. Two staff files were examined and were found to be up to date. Files contained a written application form, job description, two written references, other forms of identification and a Criminal records Bureau check etc. All staff undertake a full induction of commencement of work. Each member of staff has a training and development plan. Staff were able to describe the training courses and awareness sessions they had attended. Staff confirmed that the manager was good at organising training that was relevant to the work they do. Domestic staff and kitchen staff were employed in sufficient numbers to cater for the needs of the residents and to support the care staff. 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. The management and administration of Starmount Villa is based on openness and respect. This ensures that the home is run in the best interests of the people who live there. Evidence: Mr and Mrs Swinnerton have owned Starmount Villa for a number of years. Mrs Swinnerton is also the registered manager. Mrs Swinnerton has the necessary skills, experience and qualifications to manage the home. The manager is committed to her own training and development and that of her staff team and sees this an essential element to delivering good quality care for residents. The owners are at the home most days and at weekends. There is always a senior member of staff on duty. There were clear lines of accountability and seniors were being encouraged to expand their skills, for example being comfortable to take on the running of the home in the owners absence. Care Homes for Older People Page 24 of 28 Evidence: The way in which the home is run was open and transparent. The manager operates an open door policy so that she may be approached at any time by staff, residents or their families. This was observed during the inspection. One relative when asked an opinion on how they thought the home was run and managed replied, Absolutely great, they are always here if you need to ask them anything, they are very approachable and helpful. Staff were also complementary about the owners and the way the home was run, one said, They listen to what you say and make changes as needed, they are very supportive to staff. The manager felt that the needs of staff were just as important in delivering good quality care as those of the residents and values her staff. The office was well organised so that staff had access to all the paperwork and contact information they may need during a shift. There were additional systems in place to check that everything is recorded when it should be and kept up to date. There was a good system of continuous self monitoring in the home, which includes: satisfaction questionnaires, feedback from district nurses and doctors and regular meetings and discussions with residents, their families and with staff. The home tends not to deal with any residents monies. This is dealt with by the resident or by their family. For items such as hairdressing, the owner pays the hairdresser then invoices the relevant people. Records kept and required by regulation were seen to be in good order and up to date, all records were kept securely as required. Equipment and systems used in the home were serviced and maintained and records were well kept and easily accessible. Information provided on the AQAA told us that all health and safety checks had been carried out for example gas, electrics, lifts, hoists, fire detection and emergency lighting. We checked some of the certificates and these were seen to be valid and up to date. Any accidents, incidents or injuries were recorded in the accident report book and reported to the CQC as required. 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: 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). 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