Care Home: The Priory [Tetbury]

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What the care home does well The service provides a really relaxed and homely environment where peoples needs are well met. A really suitable range of social and therapeutic activities are put on for residents. The food is of a good standard and is served to resident in a really thoughtful way. The environment is maintained to a very good standard and offers a range of very attractive and relaxed communal areas. The bedrooms are well maintained and suitable for the needs of the residents. Staff are well trained and work hard to try and meet residents needs. Ms Edwards is providing effective leadership and management of the home. What has improved since the last inspection? The statement of purpose has been updated and includes a range of useful information about the fees that can be charged to residents while they stay at the home. Recruitment practises are more robust and new staff only start work after a `pova 1st` and criminal records check has been carried out. This is to protect residents to make sure only suitable people work in the home. What the care home could do better: There are no requirements or recommendations made from this inspection. Key inspection report Care homes for older people Name: Address: The Priory [Tetbury] The Priory [Tetbury] The Chipping Tetbury Gloucestershire GL8 8ET     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Melanie Edwards     Date: 1 4 0 4 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 Priory [Tetbury] The Priory [Tetbury] The Chipping Tetbury Gloucestershire GL8 8ET 01666502332 01666502332 tess.edwards@somersetcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Somerset Care Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The Priory Nursing Home is situated close to the centre of Tetbury, with many amenities within walking distance. The property is owned by the National Benevolent Institution (NBI) and is under the management of Somerset Care. The home accommodates 30 older people for nursing care. A registered general nurse is on duty twenty-four hours each day, and there are waking night staff. All health care services are available, and people are able to choose their General Practitioner from within the locality. The accommodation offered is spacious, tastefully furnished and decorated to a high standard. The communal areas are all on the ground floor and include a large hall with comfortable seating areas, two large lounges, a library, a spacious dining room and a conservatory overlooking an attractive walled garden with raised beds and a water feature. Care Homes for Older People Page 4 of 27 Over 65 30 0 Brief description of the care home The accommodation is set on three floors accessed by stairs, a shaft lift and a stair lift, and currently has twenty-eight single rooms, two of which can be used to provide shared accommodation if particularly requested by a couple. Assisted bathing and toilet facilities are also available on each floor. The fee ranges are from 550 to 850 pounds per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We met the registered manager, Mrs Theresa Edwards, two registered nurses, three care staff, the cook and the maintenance man. We met fifteen of the residents and we spoke to them about their needs and how they feel about the home. We had lunch. We toured the home and we observed staff assisting the residents. We checked a range of records to do with the running of the home. The records we saw included, the statement of purpose, the service users guide, three care plans,three assessment records, medication records,accident records, fire records,menu records, staff training records, staff duty records and quality assurance information. Care Homes for Older People Page 6 of 27 We found that the home was operating within the conditions of its registration. This means that the home have the correct number of residents there and only residents whose needs they are able to meet. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents assessed needs are being met. People have the information they need to make an informed choice about the home. The home does not provide intermediate care for people. Evidence: We read a copy of the service users guide and the statement of purpose to see what sort of information there is for people to find out about the home. A copy of both documents are kept on a coffee table in the entrance hall for anyone to read. We saw there are colour photographs of the home and of staff and residents together, to show what daily life is like at the home. The service user guide includes information about the service residents will receive, the range of qualifications of the staff and the type of accommodation provided. The philosophy of the home and how the service will aim Care Homes for Older People Page 10 of 27 Evidence: to meet residents needs is also included. A copy of the complaints procedure is in the document so residents know how to complain if they need to. In the AQAA document it explains how people can find out about the home and also how residents needs are assessed when they move in to it : The home has an up to date statement of purpose and service user guide which are made available to all prospective residents and the representatives. The manager undertakes full preadmission assessments and copies of the assessment are available in the personal care plans alongside assessments from other professionals if appropriate. Discussions and reviews with residents and their families to attempt to ensure satisfactory outcomes and a smooth transition. Since the last inspection the home have moved over to a computerised care planning and assessment process and all records about residents are kept in this way. The two registered nurses we met spoke positively about the benefits of having all the relevant information about residents kept in a way that it can be easily read and reviewed. We reviewed three of the computerised assessment records to find out how well residents needs are identified and assessed. We found the assessment records were informative and they showed residents had been asked about their range of physical, mental and social needs. We saw information that showed us that registered nurses are reviewing in good detail residents range of needs to show if the home can still meet them. The assessment records also linked clearly to each care plan and showed an assessment of the persons needs had been done. The care plans had been written based on the information in the initial assessments. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are being met and care plans show how. Procedures are in place for the safe handling of residents medicines. Residents are treated with respect and the home try and make sure their privacy is maintained. Evidence: We checked three of the residents care plans so that we could find out how well people are supported to meet all of their personal care and nursing needs. We found the care plans to be informative and they explained how to meet the care needs of the person. The care plans set out what to do to help the resident to meet their needs. We saw some evidence that residents have been asked what their needs are. We also saw helpful information about the life history of each person and what matters to them, including important family and friends. Care Homes for Older People Page 12 of 27 Evidence: There is some really useful information in the AQAA document about how residents health and personal care needs are met:The basic needs of individual residents are delivered with kindness and sensitivity while maintaining their privacy and dignity at all times. Those care needs are being assessed and reassessed as necessary. We are often used by the continuing health care team to place residents for end of life care. Although these residents are only with us for a short while we ensure that we make everyone welcome and allow family and friends as much time and input as necessary to take the time left as pleasant and distress free as possible. The delivery of care is always done with sensitivity and respect. We have a good relationship with other residents to keep their own GP. Residents can take responsibility for their own medication and receive the appropriate support needed to maintain should they choose to do so. In the AQAA document is some very helpfull information about how residents personal and health care needs are met :The home is subject to internal and external management and administration of medication audits. We work hard with residents their families and significant others to keep them informed of changes and other situations. My team take time to build rapport with families so they feel part of the home and continue to support their loved ones. We checked how the registered nurses give out medication and also how medication is stored and got rid of when not required . We checked five of the residents medication records in detail. We saw a photo of each person with his or her administration chart to help registered nurses to identify people correctly if they did not know them.We found the medication charts were legible and up to date.The registered nurses had signed for all medication they had given or written down why the medication had not been given. We saw one of the registered nurses giving out medication to residents and we observed that this was done in a safe way. We found medication stock to be satisfactorily organised. There was a clear and easy to follow system for ordering and receiving medication and the records were up to date. Medication stock is stored in a clinic and in a movable metal drugs trolley which is kept in a locked room. We saw the staff on duty helping the residents with their needs in a polite and respectful way. Care Homes for Older People Page 13 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. The home try and make sure residents can do a variety of social and therapeutic things that they will enjoy. Residents are well supported to be able to still see family friends and their significant others. Residents are provided with a nutritious well cooked and well served diet. Evidence: We observed good evidence that residents are well supported to take part in a range of social activities. There are two activity co-ordinators who overall work five days a week between them. They put on a range of activities for residents. We saw timetables of social activities planned to take place. This helps to ensure residents are aware of current activities taking place. Activities that are planned for the near further include drives to Tetbury, arts and crafts sessions, games, musical entertainment, gentle exercise classes and one to one time with residents in their rooms. One of the residents we met told us about an Easter bonnet event that had taken place over the recent Easter holiday. They said it had been really good fun. This helps to show that Care Homes for Older People Page 14 of 27 Evidence: the home tries and put on relevant and enjoyable activites for the residents. We saw there is a library with a range of big print books for residents to read. There is also a hair salon and we saw residents getting their hair done . We saw an activities organiser engaging residents in a range of different social activities. In the AQAA document there is some really useful information about how residents are supported to live a full and varied life and to do a good variety of social activities:When anyone enters the home they are made to feel welcome. They enter our reception and know that we have a calm and happy atmosphere. All our residents can meet with their visitors privately either in their room or is it is free they can use the music room. We believe that this is the residents home and as such they have the right to have their expectations and preferences met. We encourage residents, families and friends to maintain links and play a full part in both home and community life. The home benefits from large spacious rooms, which are conducive to enjoyable experiences, whether enjoying the music room, television room, library, conservatory or dining room. Each room is suitably furnished and each has its own charm. The home provides a varied and wholesome menu and caters for various dietry requirements as needed. Residents are able to help themselves to potatoes and vegetables, from dishes on their tables, to accompany their meal. Staff assist when residents are unable to help themselves. We have two part time activites coordinators both have other hats as well. They have arranged a programme of activities which is displayed on the board and also printed in the monthly newsletter. Outings are always popular and looked forward to. The minibus means that we can take advantage of weather and spur of the moment mystery tours a great favourite of the residents along with the longer annual trips to Weston-super-Mare and shorter trips into Tetbury for cream teas and glasses of wine. Various social events and entertainment are held for the benefit of the residnts and friends and families and significant others are invited and any monies raised go to the residents amenity fund. We saw residents having visits from family, friends and significant others during the inspection. Visitors told us that the staff are welcoming and friendly to them. Ms Edwards told us that the home has a relaxed and open visiting policy. This means residents can keep in contact with people who matter to them. We saw residents getting up at different times in the morning. We also saw residents having their meal times at different times and being offered meal times choices as well. As also mentioned later in the report, the home now serve residents their meals family style using serving dishes for residents to help themselves from on their Care Homes for Older People Page 15 of 27 Evidence: tables.These are all good examples of ways that residents are being helped to have some choices and control in their lives. We ate a portion of the lunchtime meal this was a choice of fishcakes in parsley sauce with potatoes and cooked vegetables, or liver and bacon with the same vegetables followed by homemade deserts. The meal tasted satisfactory and was nourishing and well presented. The meal was served in serving bowls on the tables so that residents can then serve themselves. This is a simple but excellent way of giving residents some control and choice in what and how they eat. We looked at the residents food menu to find out if they are offered a varied and healthy diet. We saw that meal choices are nutritionally well balanced and very varied. We could also see from the menu and from information we read in care plans that residents special diets are well catered for. There are a variety of special meals provided for residents who need them. The residents who met, told us that the food was good and very nice in the home. 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. The home deals with complaints well and responds to them and takes them seriously. Residents are kept safe and are satisfactorily protected from abuse. Evidence: In the AQAA document there is useful information about how complaints are dealt with in the home and how residents are kept safe:The Priory has a robust system in place to allow anybody to raise concerns. The manager will continue to take whatever steps are necessary to reduce the risk of harm or abuse of my residents. We believe that the residents and their families are confident that their complaints will be listened to, fully investigated and responded to. Residents we met told us when we asked, that they see Ms Edwards regularly and she walks around the home to meet them. Residents told us they speak to her if they have any concerns. We checked the complaints records and we found that there had been two complaints. We saw written evidence that showed us that the Ms Edwards investigated the complaints and addressed them thoroughly. Residents are given their own copy of the homes complaints procedure. This helps to make sure they have the information they need to make a complaint. The complaints Care Homes for Older People Page 17 of 27 Evidence: procedure includes our up to date contact information if a person wants to contact us directly. We saw a copy of the homes policy relating to the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. The staff we met told us they have done training courses in understanding the principle of the protection of vulnerable adults from abuse. We also saw evidence in training records that showed staff do training on understanding how to safeguard residents from harm. 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. Residents live in a home that is safe well maintained and very suitable for their needs. Evidence: The AQAA document describes really well the environment and how it is suitable for the residents who live there:The Priory is registered to provide nursing care for a maximum of thirty residents. We do however only have twenty eight bedrooms and unless we have a couple or family members who wish to share we ideally do not exceed twenty eight nursing residents. We are a Grade II listed building over three floors and have one small lift to all floors. Half of our rooms are ensuite and residents are encouraged to personalise their rooms. We benefit from large spacious rooms including the conservatory, the library, the television room, dining room and music room. We have a hairdressing salon and large reception area. The home is clean and free from malodours. We have an extensive range of equipment aids and adaptations in home to benefit both the residents and staff alike. We are a no smoking home. The Priory is a spacious building built over three floors which can be reached by stairs or lift. The building is a listed building and is over two hundred years old is situated close to the town of Tetbury. The home is built in its own large garden. The home is near to local shops a church pubs and coffee shops. The residents we met spoke about how much they like the environment. There has been a real investment in specialist Care Homes for Older People Page 19 of 27 Evidence: equipment and adaptations are in place throughout the home to assist residents and visitors. The call bell system that residents use to call staff for help is new and residents can have a portable buzzer that they can keep with them where ever they are to summon the staff. We saw the majority of bedrooms and all the communal areas were viewed. Rooms were satisfactorily decorated and maintained. The environment was very clean and tidy throughout. We saw that bedrooms had been made more personal with residents photographs mementos and small items of furniture. The standard of furniture and fittings is satisfactory and residents asked said they liked the environment and setting. We saw a spacious dining room and three large lounges. We saw residents were sitting in communal rooms and looking really relaxed and comfortable. We found the home was well ventilated and warm with plenty of natural light coming in from the windows. We saw that radiators were fitted with guards where needed. This is to help maintain peoples health and safety so that they do not burn themselves. 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. There are enough competent and well trained staff to care and support the residents and to meet their needs. Evidence: In the AQAA document there is good evidence of how staff are supported and trained and how the home make sure only the right people are employed there:The Priory follows regulatory recruitment policies and procedures to reduce the risk of harm and abuse to residents. All staff are offered opportunities for training, some training done in-house and some by external bodies. There are also opportunities to attend outside training on appropriate subjects. All staff receive appraisals and supervisions throughout the year and training needs identified are put into place. Training plans are kept on the computer and summaries can be printed off to show individual progress. Staffing levels reflect the nursing needs of the residents in home at that time. Skill mix is taken into consideration when compiling rotas. We checked the number of staff on duty to find out if there is enough staff to meet residents needs. On the rota we saw that there will be one or two registered nurses and a minimum of four or five care staff on duty in the morning. There is one registered nurse and three to four care staff in the afternoon. At night there is one registered nurse and three care staff on duty. There are domestic staff on duty every day, a cook, a kitchen assistant and a full time maintenance person .The home also Care Homes for Older People Page 21 of 27 Evidence: have a full time administrator. Ms Edwards works full time and works a range of different hours to fit in with the needs of the residents. We looked at staff employment files of one registered nurse and two care staff. We saw two written professional references taken up for all new staff prior to offering work at the Home. All staff complete a Criminal Records Bureau check before commencing employment. These checks are a good way to make sure the home employ only suitable people to work with residents. We met care staff who said they have now done national vocational qualifications in care. A number of the care team have either completed national vocational qualifications or are working towards them. We checked the training records of one registered nurse and two care staff to see if the staff do good training to help them to care for residents and to understand their needs better. There was evidence that demonstrated staff have done a good variety of training and the registered nurses have done clinical updating over the last year. 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. Residents benefit from effective management in the home. Residents finances are looked after safely. There are good ways for monitoring the overall quality of the service in the home. The health and safety of residents and staff is protected. Evidence: In the AQAA document there is some helpfull information about how the home is run and managed in the best interests of the residents:The home is managed by a person with extensive experience of caring for elderly people, who believes in transparent management done through an open door approach. The best interest of the resident is at the heart of the management of the home. Proceedures are in place to safeguard the residents finances. The health and safety of the residents staff and visitors remain of paramount importance. The rights and best interest of residents are safeguarded by Care Homes for Older People Page 23 of 27 Evidence: the homes record keeping, policies and proceedures. We looked at the recent audit that Ms Edwards had done on different areas of the services to check the overall quality and standards. We could see that Ms Edwards has reviewed and audited the care and the service. The home will look after residents finances if this is needed. We checked three peoples finance records. We saw receipts for items bought and signatures for money withdrawn. The records we saw were up to date and in order. We found the environment looked satisfactorily maintained throughout. There is a health and safety lead person who works for Somerset care who supports the home to maintain health and safety audits of the whole environment and equipment and furniture. The kitchen was clean and tidy and in good order. The home have recently achieved a really good report after an environmental health inspection. This demonstrates good food safety practise in the kitchen. All kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. All staff do regular health and safety training in range of areas including food hygiene fire safety and infection control. This helps ensure staff maintain a good understanding of health and safety and to keep residents safe. We checked the fire logbook and we found that fire checks and drills are being carried out regularly. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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