Care Home: The Patricia Venton House

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What the care home does well We asked people living at the home, and outside professionals what it does well. Comments from people living at the home included, " They are brilliant here", "The food here is excellent and varied. Every effort is made to make me feel at home", "The staff are very friendly and it is a comfortable place to be" and "They look after me very well". Health and social care professionals comments included, " Really well run, a flagship for residential homes". " Very organized" " The staff are excellent" Good information is available to people to help them decide if the home will suit their needs. Admissions to the home are well managed, ensuring that people`s needs are assessed and that people are made to feel welcome during the settling in period. All people spoken with or contacted were satisfied with the care provided at the home, many were more than satisfied. Care plans generally ensure that people`s health and personal care needs are well met. The home works well with other health professionals to ensure people have access to good health services. People told us that their dignity and privacy was respected and that they were supported to be as independent as possible. People enjoy a flexible routine, which suites their needs and most people enjoy the social life and activities at the home. Families and friends are encouraged to visit regularly. People told us they enjoyed the food. Dietary needs, and individual likes and dislikes are catered for and the kitchen team will ensure that everyone has food they enjoy. People told us they felt confident that they could raise any concerns or complaints with the management and these would be dealt with satisfactorily. People living at the home are protected from abuse by well trained staff who have appropriate attitudes towards them; systems are in place to ensure that people`s financial affairs are protected. The home is well maintained. Communal areas are decorated and furnished to a good standard. People living at the home were very happy with the environment. Bedrooms have been personalised and people have been encouraged to bring furniture and personal effects in order to make their rooms feel homely. All areas of the home were clean and fresh. Staffing levels are good and most people told us their needs were "always" met. Staff feel well supported and receive a good level of training, including regular updates in all health and safety related topics. New staff receive good induction training to ensure they can do their job safely. The management of the home is open and inclusive, led by the manager and deputy manager. Good systems are in place to ensure that people living at the home have their say and can influence the service provided. On the whole the health and safety of people living and working at the home is promoted, with systems in place to ensure good practice. What has improved since the last inspection? Medication practice has improved; people that self medicate now have a risk assessment in place to ensure it is safe for them to do so. The food has improved and generally meets the needs of the people living at the home. What the care home could do better: Care plans must be reviewed regularly so that staff are kept up to date with changing care needs. Fire doors must not be wedged open. Key inspection report Care homes for older people Name: Address: The Patricia Venton House Astor Drive Mount Gould Plymouth Devon PL4 9ED     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: Caroline Rowland-Lapwood     Date: 1 6 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: The Patricia Venton House Astor Drive Mount Gould Plymouth Devon PL4 9ED 01752221806 01752318074 willandpatventonpl4@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Plymouth Age Concern care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 25. 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 home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Patricia Venton House is a care home providing accommodation and personal care for 24 people aged over 60, who may also have dementia or a physical disability. The home is owned by Plymouth Age Concern, which is a voluntary organisation, and is situated in a cul-de-sac in the residential area of Mount Gould in Plymouth. It was opened in 1992 and is part of a larger resource offering residential and day care for older people. The home is a four storey, purpose built, detached property and the residential accommodation occupies the two upper floors. There are twenty-four selfcontained rooms with en suite facilities, six of the rooms are more spacious and would Care Homes for Older People Page 4 of 27 Over 65 25 0 Brief description of the care home be suitable for those who may wish to share. There is a lounge room on each floor and a large dining area situated on the floor below, which is shared with the service users of the adjacent day centre, with separate sittings for residents and day guests. There is a call alarm system throughout the home. A passenger lift is available to all floors. The garden is attractive, spacious and accessible to the residents. The home has a nosmoking policy but there is a designated area where residents may smoke. The fees for a single room are #420 per week and #538 for a premier (double sized) room. There are additional charges for: trips, hairdressing, chiropody, milk, newspapers, toiletries, personal items, and bingo. A copy of the Statement of Purpose and Service Users Guide, documents that provide information about the home, are available in the office. 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: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. As part of this key inspection the manager completed an Annual Quality Assurance Assessment (AQAA), which contained general information about the home and the people living and working there. With the information provided, CQC surveys were sent to people living at the home and to staff and outside professionals. Completed surveys were received from 6 people living at the home; 5 staff and 3 health and social care professionals expressing their views about the service provided at the home. Their comments and views have been included in this report and helped us to make a judgment about the service provided. An unannounced inspection visit was carried out over a period of six hours. Care Homes for Older People Page 6 of 27 During our visit we looked closely at the care planned and delivered to three people. We talked to people who live at the home and observed the care and attention given to these people by staff. We also spoke with members of staff, including the manager. A tour of the premises was made and we inspected a number of records including assessments and care plans and records relating to medication, recruitment and health and safety. The outcome of the inspection was discussed with the manager. Care Homes for Older People Page 7 of 27 What the care home does well: We asked people living at the home, and outside professionals what it does well. Comments from people living at the home included, They are brilliant here, The food here is excellent and varied. Every effort is made to make me feel at home, The staff are very friendly and it is a comfortable place to be and They look after me very well. Health and social care professionals comments included, Really well run, a flagship for residential homes. Very organized The staff are excellent Good information is available to people to help them decide if the home will suit their needs. Admissions to the home are well managed, ensuring that peoples needs are assessed and that people are made to feel welcome during the settling in period. All people spoken with or contacted were satisfied with the care provided at the home, many were more than satisfied. Care plans generally ensure that peoples health and personal care needs are well met. The home works well with other health professionals to ensure people have access to good health services. People told us that their dignity and privacy was respected and that they were supported to be as independent as possible. People enjoy a flexible routine, which suites their needs and most people enjoy the social life and activities at the home. Families and friends are encouraged to visit regularly. People told us they enjoyed the food. Dietary needs, and individual likes and dislikes are catered for and the kitchen team will ensure that everyone has food they enjoy. People told us they felt confident that they could raise any concerns or complaints with the management and these would be dealt with satisfactorily. People living at the home are protected from abuse by well trained staff who have appropriate attitudes towards them; systems are in place to ensure that peoples financial affairs are protected. The home is well maintained. Communal areas are decorated and furnished to a good standard. People living at the home were very happy with the environment. Bedrooms have been personalised and people have been encouraged to bring furniture and personal effects in order to make their rooms feel homely. All areas of the home were clean and fresh. Staffing levels are good and most people told us their needs were always met. Staff feel well supported and receive a good level of training, including regular updates in all health and safety related topics. New staff receive good induction training to ensure they can do their job safely. The management of the home is open and inclusive, led by the manager and deputy manager. Good systems are in place to ensure that people living at the home have their say and can influence the service provided. On the whole the health and safety of people living and working at the home is promoted, with systems in place to ensure good practice. Care Homes for Older People Page 8 of 27 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 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. The home provides good information to people, which enable them to make a choice about whether the home will suit their needs. Good systems are in place to ensure that peoples needs are assessed and can be met prior to moving into the home. Evidence: There is a guide to the home, the Statement of Purpose, which gives people an idea of what to expect of the home, however this document was inaccurate. People returning CQC surveys told us they had received enough information about this home before they moved in, helping to ensure it was the right place for them. People spoken with during this visit told us they were happy living at the home, one said, Its really lovely here. I couldnt find better, another person told us. The home uses an assessment as a way of getting information about peoples needs and preferences before they move to the home. This helps to ensure that individual Care Homes for Older People Page 11 of 27 Evidence: needs can be met. We looked at three assessments, all gave good information about peoples, abilities, needs, usual routines and preferences to enable staff to plan and deliver care appropriately. Social care professionals told us that assessment arrangements ensure that accurate information is gathered and that the right service is planned and given. 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. The home has a good care planning system, which provides the staff team with the information needed to enable them to support people in a way they prefer. Peoples health needs are well met and the management of medication is good. People feel they are treated with respect and that their privacy is upheld by caring staff. Evidence: All people responding to CQC surveys told us they always received the care and support needed. One wrote, Its a real family feeling at the home. During our visit people told us they were happy with the care they received, comments included, The staff are more like family, Staff are kind and nothing is too much trouble for them and I am well looked after. Each person has a plan of care, which details his or her individual care needs, wishes and preferences. Personal profiles have been completed which give a sense of the individual and their close relationships with others. Staff were aware of peoples needs and could describe the care delivered, which reflected what was written in individual care plans.However, not all of the care plans had been reviewed or updated. Care Homes for Older People Page 13 of 27 Evidence: Risk assessments were in place and generally reflected behavior or situations, which may cause harm to people, for example poor mobility and falls. Moving and handling assessments and continence assessments were in place and generally provided staff with the instructions needed to deliver care. Staff were observed to assist people with manual handling needs in a competent and sensitive manner, using the correct equipment and giving gentle instructions and reassurance to people as needed. Staff were given information at shift handovers about some peoples particular needs; any changes to their needs, who was to be offered a bath, or needed encouragement with drinks or food. Staff surveys showed they were always given up to date information about peoples needs. Peoples personal care was well attended to; people were smartly dressed, and well groomed. People told us their medical needs were always met; one person said their medical needs were usually met and another said they were never met. Health professionals responding with CQC surveys told us the home always sought advice and acted on advice. Health professionals felt that peoples health care needs were always (4) met. Their comments included; Very well organized and The staff are excellent and always seek medical help if needed. Records show that people have access to a variety of health professionals including GP, district nurses, optician and other specialists and out patient clinics. We looked at the way the home stores and administers medicines. Medicines at the home are managed safely. Medicines are stored and disposed of appropriately. The fridge used to store medicines is lockable and the temperature is regularly checked and recorded. Other storage was satisfactory, including the arrangements for storing of controlled medicines. Medicine administration record charts (MAR) were completed to show when medicines had been given or had be omitted or refused. During our visit staff were seen and heard to be polite and friendly when delivering care or assisting people with their daily activities. Staff were heard to address people in a respectful manner and their approach was pleasant and caring. People told us that staff were respectful towards them. One person said, They (staff) ring my door bell before they come in and they are always pleasant, another said, I am so lucky to live here. Health professionals told us peoples privacy and dignity was always Care Homes for Older People Page 14 of 27 Evidence: respected. Care Homes for Older People Page 15 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. Routines are flexible and people are supported to exercise control over their daily lives. Social activities meet some peoples expectations and preferences and people benefit from contact with their family and friends, which is encouraged and supported by the home. Meals at the home are enjoyed and provide a nutritious variety. Evidence: People told us routines at the home were flexible. One person said, You can do as you want really, another said, I decide how I spend my day, and another told us, I can get up whenever I like, if I fancy a lie in I can have one. Surveys returned to CQC show that two people felt there was always activities available to take part in, one person felt this was true usually and a fourth said activities were sometimes appropriate. Activities are held every day, these include quizzes, exercises, short mat bowls and people living at the home are able to attend the day centre at any time if they should so wish. Trips are arranged every month and outside entertainers also visits the home on a regular basis. Visitors are welcome at any time and the home has established good relationships with the relatives. Care Homes for Older People Page 16 of 27 Evidence: The home provides a relaxing, comfortable and supportive environment for people to live in. The staff were observed to support people in a sensitive and discreet way that promoted dignity, choice and independence. Patricia Venton House has been designed so that each person has a large bed sitting room, where they are able to make drinks or simple snacks, with support from staff if needed. People may choose to have their meals entirely provided by staff or may prepare their own breakfast and tea. The main meal is provided in the main dining room on the ground floor, people using the day centre also use this room for lunch. Surveys returned to CQC showed that people always or usually liked the food, one person said they never liked them. People are given a choice of meal, they are asked the previous day, if the meal choice is not to their liking then alternatives are offered. A three course meal is served at lunch time and the evening tea time meal is usually a snack meal with several choices offered. Fresh fruit is always available. Comment cards are left on the tables for people to complete every week, this assists the staff to ascertain what food people generally liked and food that was not as popular. People generally spoke highly of the quality of the food using the words lovely, really super, and really quite good. Care Homes for Older People Page 17 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 a robust, effective complaints procedure, and are protected from abuse. Evidence: All people responding with CQC surveys knew how to make a complaint and knew who to speak with should they have any concerns. People felt the staff were approachable and would listen to them and always act on what they say. The Commission has received no complaints or concerns about this service. Training records showed that staff receive adult protection training to ensure they are aware of the issues and know who to raise any concerns with. Staff spoken with said they had attended training and had a good understanding of adult protection matters and understood their personal responsibility to report incidents of concern. People spoken with confirmed that they were happy living at the home and all said they felt safe at the home, one person told us, I feel safe of course. 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. People enjoy a good standard of accommodation that is attractive, clean, homely and generally well maintained. Evidence: Patricia Venton House is on the top two floors of the Venton Centre. Many of the bedrooms have far reaching views over the River Plym and the surrounding countryside. The Centre is built into a hillside and there is level access from the lower floor of Patricia Venton House at the rear of the building on to an enclosed garden. Each bedroom has a kitchenette that may be used to prepare drinks or light meals. The rooms are large and many people have been able to bring in items of their own furniture. All of the bedrooms have en-suite bathrooms. There is level access through out the home; there is a lift between floors and to access the Venton Centre. Patricia Venton House is well suited to meeting he needs of people who wish to be able to maintain their independence but who have chosen to move to residential care. The home is registered to admit people with dementia or who may have a physical disability, however the service does not admit anyone with high or complex care needs. The building is well decorated and clean. Service Users spoken with as part of this inspection said that they were satisfied with their rooms. Care Homes for Older People Page 19 of 27 Evidence: The laundry was clean and well organised. Staff has had training in procedures with regard to infection control. Staff were seen wearing gloves and aprons when needed. 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. Staffing levels are sufficient to ensure that peoples needs are met in a timely way and experienced and friendly staff support people well. People are protected by the robust recruitment practice followed at the home. Evidence: People living at the home spoke highly of the staff. Their comments included, Staff are wonderful, They are more like family than staff and They (staff) are pretty good, on the whole , I get on with all of them. The majority of people responding with CQC surveys told us staff were always available when needed. The majority of staff returning surveys told us there was always enough staff to met peoples needs. During our visit peoples needs were attended to in a timely and unhurried way. The rota showed that there were generally 4 care staff plus the manager to deliver care in the morning, 3 in the afternoons and evenings and two during the night. Care staff are not involved in domestic tasks such as cleaning or preparing meals and therefore have time to provide the care needed. We looked at the recruitment practice within the home to ensure people are protected. All staff returning surveys told us that employment checks such as Criminal Record Bureau (CRB) check and references had been undertaken. We looked at three staff recruitment files. All the required checks had been obtained before staff started Care Homes for Older People Page 21 of 27 Evidence: working at the home. Staff told us they had good training opportunities and good support from the management. All staff responding with surveys said they had received induction training, which helps them to understand how to work safely and respectfully with people. Other training, including mandatory training is well addressed. Records showed that staff had undertaken training such as adult protection, medication and dementia. 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, with good systems in place to ensure that peoples views are sought and acted upon. Health and safety within the home is generally satisfactory meaning people live in a safe environment. Evidence: The manager is professional and carries out her duties and responsibilities effectively. She has many years of experience. A competent deputy has just been appointed to support her, together they will provide clear leadership for the staff group. One member of staff told us, The manager is great, really good very supportive. Outside professionals appear confident in the management of the home, one GP wrote, The home is excellent and is run very well. The home has established quality assurance systems, which ensure that the service is managed and developed in the best interests of the people living there. Annual surveys are sent to people, relatives and outside professionals, these surveys are then analyzed and actions taken to improve where needed. The management team take Care Homes for Older People Page 23 of 27 Evidence: the necessary action within agreed timescales to implement requirements identified in CQC inspection reports. Staff told us they received regular supervision and support to help them do their jobs well. One staff member told us, Management give a lot of time & support to us. We have lots of information available & training. Overall, health and safety at the home is managed well. The records we looked at showed that staff have received training and regular updates on all health and safety related topics. Records showed that staff had undertaken fire safety, first aid, manual handling, food hygiene, infection control, and health and safety training to ensure people work safely. During a tour of the building it was noted that the kitchen door was wedged open, this is clearly unsafe practice and must stop immediately so that people are not at risk of fire. During the inspection is was noted that some window restrictors were not attached, this was immediately dealt with and restictors were fitted properly before the inspection ended. The kitchen was organised and generally well equipped, the chef said he had the necessary equipment. The home has implemented Safe food, better business, a nationally recognised benchmark for food hygiene and safety. Fridge and freezer temperatures are recorded regular to ensure that food is stored safely. The fridges in the kitchen were clean and food stored had been labelled and dated. Records were seen that showed that maintenance of equipment and systems, such as water, gas and electrical systems were up-to-date. 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 1 7 15 The care plans must be kept 30/09/2009 under review. This means peoples written care plans will show the current care needed and therefore staff will have clear up to date instruction of how to meet these needs. 2 38 23 Fire doors must not be wedged open. This ensures people safety at all times. 31/08/2009 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 1 The statement of purpose should be accurate and up to date. 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!