Care Home: The Hayes

Similar services:

• Fairfields Country Rest Home
• Queensmount
• Poldhu
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well People who are considering the service are part of a detailed assessment to ensure that the service has the skills and experience to meet individual needs. People using the service are part of a person centred approach to cre which means that care plans are written from their perspective and contain excellent information on how people need and prefer to be support. there is also detailed information on their life history and how this impacts on their life today. People are supported to make decisions about their health care. There is a robust medication policy which enables people to make choices about control of their medication. The person centred approach to an individuals life means that they are respected and the importance of privacy understood. a real understanding of people`s lives before they came into care gives activities in the home more meaning and people are supported to realise their ambitions. People tell us that the food is excellent and they are offered a wide choice. A proactive approach to complaints by the manager means people are able to voice their concerns and be confident they will be listened to and action taken. the policy and training in place regarding safeguarding means that people living in the home should be confident they are protected from harm. People live in a safe, homely, well maintained environment. Good infection control policy and training mean the home is clean and hygienic. Good recruitment practice, good training and the right number of staff to meet individual needs mean that people are supported and in safe hands. The home is managed by an individual who understands the needs of the people using the service and enables them to live the life they want to. There is a system of quality assurance which ensures that people living in the home have a voice and their views support the development of the service. The health, safety and welfare of the people living in the home is is an important part of the person centred approach to their care and support. What has improved since the last inspection? At the last key inspection in April 2007 there were no requirements and one recommendation. The quality assurance process should include the views of health care professionals. We found that this recommendation had been addressed and a variety of different people with an interest in the service were asked for their views of how well the service is doing and how it could improve. What the care home could do better: At the end of this inspection in April 2009. There are no requirements and one recommendation. To ensure that an individual`s health care needs are fully met, the service should consider the use of an assessment tool to determine the risk to an individual`s pressure areas and how the risk can be minimised. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Hayes Culverhayes Sherborne Dorset DT9 3ED     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tracey Cockburn     Date: 2 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: The Hayes Culverhayes Sherborne Dorset DT9 3ED 01935814043 01935814954 A.P.Aylott@dorsetcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dorset County Council care home 50 Number of places (if applicable): Under 65 Over 65 20 30 dementia old age, not falling within any other category Additional conditions: 0 0 The maximum number of service users who can be accommodated is 50. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the hame are within the following categories: Old age, not falling within any other category (Code OP) - maximum number of places 30 Dementia (Code DE) maximum number of places 20 Date of last inspection Brief description of the care home The Hayes is a purpose built home, registered to provide care and accommodation for a maximum of 50 people, age 65 and over. The registered provider is Dorset County Council; Mrs Ann Aylott is the registered manager responsible for the day-to-day running of the home. The Hayes is in the centre of Sherborne, close to town centre shops and facilities. The home is arranged in 5 interconnected `cottages each accommodating 10 people; Care Homes for Older People Page 4 of 27 Brief description of the care home each cottage has a lounge, dining area and kitchenette. There are no specifically designated cottages for people with dementia. All bedrooms are single and have a wash hand basin. There is a spacious communal lounge incorporating a designated smoking room with its own sprinkler system. The home is continually staffed over a 24 hour period, including wakeful night staff. A social and recreational programme is co-ordinated by an Activity Officer. The home has 3 pet cats and is set in its own grounds with court yard gardens and a car parking area at the front. Fees range from 474 pounds per week for a single room. Readers of this report may find it helpful if they have any queries about fees to contact the Office of Fair Trading www.oft.gov.uk. The manager said that up to date inspection reports are available in the reception of the home and copies can be provided on request. 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: 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: We visited this service without any warning. In planning the visit we reviewed the annual quality assurance assessment sent to us. We sent out survey forms to people who use the service, people who work in the service and health care professionals. We received sixteen surveys back from people living in the home, ten surveys back from staff and two surveys from health care professionals. We talked to people who use the service, spoke to staff and the manager. We looked at records and toured the building. Care Homes for Older People Page 6 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 set out on page 4. Care Homes for Older People Page 7 of 27 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. People who are considering using the service have their needs fully assessed before a decision is made which ensures that the home can clearly meet someones needs. Evidence: The annual quality assurance assessment submitted on 18/03/09 says: Service user pack issued which includes all required information issued with admission confirmation letter. All service users have a contract which can be provided in large print format, alternative languages etc with example copy supplied in pack and this is discussed fully on day of admission with the service user,family,carers given opportunity to seek clarification on any areas that they do not understand. On date of admission, dedicated staff time is provided to ensure service users are helped to settle in quickly, questions are answered and information regarding the home is given verbally. We looked at information on three people who had recently moved into the service all Care Homes for Older People Page 10 of 27 Evidence: had a care management assessment of their needs as well as one completed by the service. The manager told us that she would not admit any one into the home unless they could meet the persons needs. Some people told us they visited the home before they moved in others said that they had come for a short stay. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides a person centred approach to health and personal care that ensures the principles of respect, dignity and privacy are put into practice. Evidence: The annual quality assurance assessment submitted on 18/03/09 says: Comprehensive personalised care plans for service users which are monitored daily and updated as needs changed or monthly. Project work completed in relation to national Practicalities and Possibilities Programme. All service users have full separate life history documents together with Important to and Important For Plan. This work has enabled the whole staff team to focus more on residents as individuals and to strive to organise and deliver services based on what residents want rather than what we think they need and want. The annual quality assurance assessment also says they have achieved the following as a result of project: Care Homes for Older People Page 12 of 27 Evidence: Enabled staff to make more personal links with residents e.g. discovering common links within personal histories. Identifying and enabling residents to pursue particular interests e.g. going to local bowls matches, fish and chip tea in newspaper. Highlighted to the staff team how very small changes can have a significant impact on residents lives e.g. ensuring a resident has a bath at the requested time, enabling a resident to have tea at a specific time so they can watch their favourite TV programme, enabling residents to have tea in lounge area on Sundays so they can watch Songs of Praise. They tell us they have done the following to improve over the last 12 months: Full successful completion of Practicalities and Possibilities Pilot. New paperwork adopted and being used for all residents. Plans for next 12 months include: Ensure all staff,residents understand the true meaning of Dignity in Care discuss in staff meetings,residents forum,staff supervision and continue to issue Dignity Challenge Cards. Promote Dignity in Care to all visitors by displaying information on notice board in front entrance area. We looked at a number of individual records, we found detailed information on how people are supported to maintain their health with regard to pressure areas and nutrition, we could not find any assessment tool being used such as Waterloo, which looks at the risk to skin breakdown dependant on ability and other factors. We discussed this with the manager who acknowledged that they do not use a tool. We looked at the files and there was clear information about weight management and recording concerns about someones skin however there was no tool with which they could audit the progress or deterioration of a persons skin. The manager told us that the Malnutrition Universal Screening Tool (MUST) is being introduced and this would cover skin integrity. We looked at a number of care files each contained very detailed plans of an individuals needs written from their individual perspective. We also found life histories which demonstrated a significant amount of time and effort both on the part of the individual and their relatives and friends and on the part of staff who collated the information and tracked down people who woudl be able to add information to life histories which in turn enhance the care being delivered. One member of staff told us that it was only through knowing about one person life that they understood a current behaviour and its significance through this understanding they were able to support this person and make some changes to their routine which has helped them at night. We found that throughout the service staff were enthusiastic about person centred care and people who use the service told us that staff always had time to chat and find out about them. We found that the information contained within the person centred plans contained all the information required about how people need to be supported and their physical health and emotional health needs. We foudn evidence in files of people seeing health care professionals such as district nurses as well as occupational therapists and opticians. During the visit we observed Care Homes for Older People Page 13 of 27 Evidence: staff as always curtious to individuals and alsways respectful of their wishes. We could see that people had signed their care plans and they told us they knw what was written about them. One health care professional told us: I am very impressed by the care given and the quality of the accommodation they also said there is a holistic approach to each individual We found the information contained in the person centred plan entitled my lifes journey to be very detailed and demonstrated the hard work completed byindividuals,staff, friends and relatives to detail the record of each person in the home, their experiences, important events, hopes, aspirations as well as the amusing, dangerous and sad events of their lives. All the staff we spoke to said how this had given them insight into each person and who they were now. Medication All medication other than blister packs with a date of opening and time as well as signature. there is also a date by which the item should be discarded. Returns book signed by pharmacy representative. MARS from 6/04/09 to 28/04/09 up to date with no gaps in recording. Separate fridge used and temperatures kept. CD storage stock checked 56 12 CD register accurate and 2 signatures. 1 person self medicates and risk assessment in place. Home completes an audit every 6 months and pharmacy audit every 2-3 months. Review of individual medication yearly and report sent to GP. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their life and are supported to participate in activities which they are interested in. Evidence: The annual quality assurance assessment tells us: Employ equivalent full time Activity Officer Activities Officers have undertaken formal training in relation to their chair based exercises and one is holding NVQ 3 in Providing Therapeutic Activities for Older People Activities Programme is developed with the full involvement of residents via the Resident Forum Meetings. Activities Programme is displayed around the home. Outings arranged for service users Individual service users supported to attend clubs in the community eg local club for people with sensory loss Individual faith beliefs met through provision of visiting clergy and other arrangements for service users to attend services at local places of worship.Service user choices are maximised by staff across all areas waking,sleeping, food, personal care, daily activities. Home has strong ethos regarding giving of choice.Majority of staff have undertaken Diversity Training Community links with library service, Lions Club and local schools Service users are able to receive visitors in private and their wishes are supported in relation to their rights to refuse visits.No visiting restrictions are imposed and all family,carers,friends Care Homes for Older People Page 15 of 27 Evidence: are encouraged to visit at all times during day and evening Service users are supported to manage their own financial affairs.Any monies held for service users are robustly managed, held individually and subject to Council audit Menu offering choice of dishes which are nutritionally balanced Specialist requirements and diets are provided as need identified. Cook Manager attends Resident Forum Meetings Snacks and drinks available day and night All staff, who handle food,drink, have uptodate Food Hygiene Certificates Flexibility offered with regard to meal times. We found The service won an award in September 2008 from the National Association of Care Catering, as care establishment of the year. Environmental health have awarded the kitchen five stars ( excellent) on 20/01/09. There are detailed menus offering a balanced diet, taking into consideration seasonal fruit and vegetables. The kitchen was well organised and all the fridges and freezers well well stocked. The home supports people with several different faiths and these are catered for by the home staff ensure people have access to religious activities. The home has visits from the local churches and offers monthly Holy Communion. Some of the service users spoken to said that they are supported to regularly visit their local church by family friends and volunteers. We spoke to people who live in the home and they told us of the different activities they are involved in. One person told us they would like to understand dementia better and that the manager had arranged for her to attend a training that staff were going to. the person told us she felt this was reassuring and that she appreciated being listened to. We found in each cottage a board with each persons wish such as fish and chips out of newspaper, walking along the beach in Weymouth, tea with Prince Charles. Staff told us that this is not just wishes but put into practice and gives good suggestions to relatives when they visit. The manager told us that it was through the person centred care workshops that staff themselves came up with the wish idea and put it into practice for people, discussing it with them at meetings. When planning activities ideas are discussed in the monthly residents forum. We found some staff commenting in the surveys that more money for outings would be helpful. 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 who use the service are able to express their concerns and have access to an effective complaints procedure. People who live in the home are protected from abuse by the training and support staff receive. Evidence: We looked at the compliments book in the homes entrance and found comments such as: thank you for the kindness and care felt safe and secure. Committment and devotion you show to all residents all the love and care thank you for giving the care and attention Comments from individual in the home included: absolutely wonderful top class everybody friendly home as good as staff, staff very good they are really caring time to chat The annual quality assurance assessment tells us the home has : Pro active approach to dealing with service user,family,carer concerns and queries Robust Compliments Procedure supported by dedicated Officer based in County Hall Adult Protection Procedures have recently been reviewed and updated All staff receive training in relation to Adult Protection with clear pathway to ensure this is regularly updated All complaints and compliments are recorded and responded to appropriately. Complaint procedure fact sheet is displayed prominently around the home and supplied within the service user pack Staff ensure that service users are included on electoral role Service users are encouraged to vote in national and local elections Care Homes for Older People Page 17 of 27 Evidence: which is achieved via postal voting service or facilitating access to local polling stations Staff are not permitted to commence in post until satisfactory CRB check and POVAcheck are received Robust financial procedures relating to service user monies All staff have a clear understanding of Whistle blowing Procedures and management team ensure staff are fully supported if incidents are reported Manager has undertaken comprehensive training as an Adult Protection Investigator and carries out investigations for Dorset County Council outside of this home. There have been no complaints since the last inspection the people we spoke to were clear that when they have a concern they go to the manager and they deal with it straight away. 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 design and layout of the home enables people to live in a safe, well maintained and comfortable place which supports independence. Evidence: The annual quality assurance assessment tells us their plans for the next 12 months: Try and identify suitable waste operative to enable us to commence recycling scheme. Decorate two further main residents lounges and provide new seating in Primrose Lounge Source and purchase new commodes for all service user bedrooms. Provision of new LCD Digital Televisions to ensure home is ready for the Digital Switchover this year. Upgrade all television cabling and sockets to ensure system is operational for Digital Switchover. We found the home to be well maintained, all rooms were personalised. There is a large central communal space for people to use and on the day we visited this was being used for a coffee morning. There are other spaces throughout the home were people can choose to sit quietly and chat with friends and visitors. There is communal space in each of the cottages were people can gather either before meals or afterwards. There is a large laundry room, with industrial washers and dryers. We spoke to the person on duty in the laundry room who told us that the system is well organised and well run. Care Homes for Older People Page 19 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Evidence: The annual quality assurance assessment tells us their plans for the next 12 months include: Discuss with Service Manager and agree protocol to enable service users to contribute to recruitment and selection of staff The annual quality assurance assessment also tells us what they do well: Robust recruitment and selection procedures. All staff are POVA and CRB checked prior to commencing in post. Comprehensive induction training which includes in house and attendance at employer induction training in line with national induction standards. Monthly staff meetings. More than 85 per cent of staff holding NVQ 2 or above Commitment to training for all staff regardless of post held. Links with local college who provides dedicated assessor in relation to NVQ awards. Sufficient staffing hours allocated to ensure appropriate levels of cover. On appointment staff are subject to a 26 week Probation period which ensures they are competent in their role prior to confirmation of post being permanent. We looked at the recruitment files for four people: All four files contained an Care Homes for Older People Page 21 of 27 Evidence: application, two references, interview record, proof of identity and POVA 1st check as well as Criminal Records Bureau check completed and returned before they started work in the home. All four had reviews completed at the end of their probationary period. The manager told us they are planning at the next round of interviews to involve people who live in the service in the process as part of a person centred approach to care. Staff who answered the survey told us that they are good at: treating service users as individuals They also told us that the induction was very intense Staff also told us that the home is very person centred Another member of staff told us they were proud to work at The hayes Another member of staff told us: the new person centred care is excellent giving a complete overview of the individual Staff also said they are always encouraged to attend training. We found that each cottageis staffed by one member of staff to support ten people with three staff who float between the cottages there are three senior carers and a duty manager on each shift as well as five domestic staff, an activity officer and the manager and admin supoprt. 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 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 the home is based on openness and respect, has effective quality assurance systems in place developed by an experienced manager who take her role seriously and puts the care and support of people at the centre of the service Evidence: The annual quality assurance assessment tells us: The Manager holding NVQ 4 Management and Diploma in Social Work and is registered with General Social Care Council. Manager proactive in ensuring her skills and knowledge are kept uptodate. Senior Staff have clear lines of delegated responsibility. Management team is constant and very supportive of each other and whole staff group. Good working relationships with external health care professionals. Manager operates open door policy. Senior staff are supervised monthly. Robust Quality Assurance processes in place. Survey results are published and made available to all interested parties Committed clerical support staff. Full staff meetings and senior staff meetings are held monthly where Care Homes for Older People Page 23 of 27 Evidence: staff are encouraged to share ideas and help problem solve issues. All financial processes within the home adhere to the financial regulations laid down by Dorset County Council. Last fire drill 22/011/08, alarms tested 26/04/09 emergency lighting tested 26/04/09 sprinkler system checked 10/04/09, electrical system serviced 24/02/09. Dorset fire and Rescue Service visited 23/05/08. At the last inspection in May 2007 there was only one recommendation: The quality assurance process needs further development to ensure it includes the involvement of all stakeholders. We looked at the surveys sent out and returned last year and they included health care professionals. The surveys from this year have been returned but not yet collated. We looked at the health and safety information for the service and found their fire records were up to date. The fire system had been checked in the weeks prior to our visit. We also found that the call sytem and door alarms were serviced at the end of March 2009. 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 1 8 The registered manager should consider the use of an assessment tool in determining an individuals risk of developing pressure sores. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!